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IRBs often are involved with studies that involve sites in other states, which raise a host of concerns and complications.
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IRB members have different opinions and policies on whether to permit investigators to attend IRB meetings. But are these policies based on any evidence that one way works better than another?
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When IRBs approve a clinical trial site's informed consent documents, they often have no way of knowing how the informed consent process is played out at the site.
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The National Cancer Institute (NCI) of Bethesda, MD, decided to address a deficit in quality of biospecimens collected for research purposes with the recent publication of improved recommendations.
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IRBs and investigators continually look for ways to improve the informed consent (IC) process. One novel idea is to create an interactive informed consent program that serves a dual purpose of providing education to patients and trial participants.
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A "friend-of-the-court" brief filed with a federal district court on behalf of more than 25 prominent health policy and child health experts says Department of Health and Human Services changes to the State Children's Health Insurance Program (SCHIP) "have no basis in evidence or the law."
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States are pursuing health system improvements across the full spectrum of their authority, including health care purchasing, provider regulation, performance data reporting, integration of public health with health care approaches, and improving the availability and affordability of health insurance.
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Some 25% of people in the United States who lack health coverage are eligible for public insurance programs but are not enrolled due to barriers that make it difficult for them to do so.
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Medicaid cuts in Oregon were followed by increases in both hospital emergency department (ED) use and hospitalization of the uninsured. A study published online April 17, 2008, in the Annals of Emergency Medicine says federal legislation facilitating similar Medicaid changes in other states may lead to higher ED use and hospitalizations elsewhere.
