Committee on the Role of Institutional Review Boards in Health Services Research Data Privacy Protection

Division of Health Care Services

Institute of Medicine

 




Contents



Title Page and Notice i
National Academies Statement iv
Committee v
Preface vii
Acknowledgments xi

EXECUTIVE SUMMARY 1

1 INTRODUCTION 20
  Privacy and Research 21
  Health Services Research 25
  Benefits of HSR 27
  Risks of Harm from HSR 29
  Background and Policy Context 34
  Project and Scope 37
  Outline of Report 39

2 HUMAN SUBJECTS PROTECTION AND HEALTH SERVICES RESEARCH IN FEDERAL REGULATIONS 40
  IRBs and Human Subjects Protection 40
  Previous Studies of IRBs 47
  Human Subjects Protection in HSR 48
  Principles and Practices 49

3 BEST PRACTICES FOR IRB REVIEW OF HEALTH SERVICES RESEARCH SUBJECT TO FEDERAL REGULATIONS 51

4 BEST PRACTICES FOR IRB OR OTHER REVIEW BOARD OVERSIGHT OF HEALTH SERVICES RESEARCH NOT NECESSARILY SUBJECT TO FEDERAL REGULATIONS 71

5 RECOMMENDATIONS FOR NEXT STEPS 78

REFERENCES 93

ACRONYMS AND ABBREVIATIONS 99

APPENDIXES

A Study Activities 101

B Institutional Review Boards and Health Services Research Data Privacy: A Workshop Summary 106
       Executive Summary 106
       Introduction 111
       Workshop Summary 119
       References 151
       Addendum A--Workshop Speakers 155
       Addendum B--Workshop Participants 157

C Protecting the Health Services Research Data of Minors 159
  Ross A. Thompson

D Confidentiality of Health Information: International Comparative Approaches 173
  Bartha Maria Knoppers

E Biographical Sketches 187



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Copyright 2000 by the National Academy of Sciences