The Belmont Report addresses the distinction between practice and research as guidance for which activities should be evaluated prospectively by a research ethics committee. This essay argues that the distinction between clinical practice and clinical research has a more fundamental significance for understanding the ethics of clinical research. After discussing the important connections between clinical research and clinical practice, the essay examines in detail ethically significant differences between these two sorts of activities. This sets the stage for a critique of clinical equipoise, widely regarded as a fundamental principle of clinical research ethics.

中文翻译：

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重新审视研究与实践之间的区别和联系

贝尔蒙特报告将实践和研究之间的区别作为指导，由研究伦理委员会对哪些活动进行前瞻性评估。本文认为，区分临床实践和临床研究对于理解临床研究伦理具有更根本的意义。在讨论了临床研究和临床实践之间的重要联系之后，本文详细研究了这两种活动在伦理上的显着差异。这为批判临床均衡奠定了基础，临床均衡被广泛认为是临床研究伦理的基本原则。