DCTs in Latin America: Embracing Patient Centricity

In recent years, the landscape of clinical trials has undergone a significant transformation, driven by advancements in technology and a growing emphasis on patient-centric approaches. Decentralized clinical trials (DCTs) have emerged as a promising solution, offering numerous benefits, but also presenting unique challenges. When it comes to implementing DCTs and nurse visits in Latin America, it’s essential to consider the importance of patient-centricity and the cultural nuances specific to the region.

The Advantages of Decentralized Clinical Trials

1. Accessibility and Inclusivity

One of the most notable benefits of DCTs in Latin America is improved accessibility to clinical trials. This region is characterized by diverse demographics and geographies, making it challenging for patients to participate in traditional, site-based trials. DCTs reduce the barriers of travel and geographical limitations, allowing a broader and more diverse group of patients to engage in research.

2. Enhanced Patient Experience

DCTs put patients at the center of the trial process, allowing them to participate from the comfort of their homes. This patient-centric approach enhances the overall experience, reducing the burden of frequent site visits and associated costs. Patients can take part in trials while maintaining their daily routines and minimizing disruptions to their lives.

3. Real-World Data Collection

By incorporating real-world data through DCTs, researchers gain insights into how treatments perform in a more natural setting. This can provide a more accurate representation of a drug’s effectiveness and safety profile, ultimately benefiting the entire patient population.

Overcoming Challenges in Latin America

1. Regulatory Complexity

Navigating regulatory frameworks can be challenging in Latin American countries, where the regulatory environment for clinical trials can be intricate and subject to change. Ensuring compliance with local regulations while maintaining global trial standards is crucial.

2. Cultural Nuances

Cultural factors play a significant role in healthcare decisions in Latin America. Understanding and respecting these cultural nuances is essential for successful DCT implementation. Language, communication styles, and patient expectations must be taken into account to establish trust and rapport.

3. Digital Divide

Despite advancements in technology, there is still a digital divide in Latin America, with some communities lacking access to the internet and digital devices. Addressing this divide is critical to ensure equitable participation in DCTs.

Embracing Patient-Centricity

To successfully implement DCTs and nurse visits in Latin America, a patient-centric approach is paramount. Here are some strategies:

1. Cultural Competency

Clinical trial teams should prioritize cultural competency training. This involves understanding local customs, languages, and beliefs to effectively communicate with and engage patients.

2. Patient Education

Comprehensive patient education materials should be provided in the local language and adapted to the region’s literacy levels. Clear and accessible information empowers patients to make informed decisions about trial participation.

3. Community Engagement

Engaging with local communities and healthcare providers can build trust and facilitate recruitment. Collaboration with healthcare professionals can bridge the gap between traditional healthcare and clinical research.

The H Clinical View

Decentralized clinical trials and mobile nurse visits have the potential to revolutionize clinical research in Latin America. The region’s diverse demographics and geographical challenges make DCTs a promising approach to improving patient access and experiences. However, overcoming regulatory complexities and respecting cultural nuances are crucial for success. By embracing patient centricity and prioritizing cultural competency, researchers can navigate these challenges and contribute to advancing healthcare in the region.

H Clinical brings clinical research home across Latin America by simplifying clinical trials to exceed enrollment and retention through nurse visits and mobile clinics, a premier site network, and localized infrastructure services. As the most trustworthy source in the region, we stand alone in delivering patient-centric clinical trial experiences and in-home healthcare.


  1. DiMasi, J. A., Grabowski, H. G., & Hansen, R. W. (2016). Innovation in the pharmaceutical industry: New estimates of R&D costs. Journal of Health Economics, 47, 20-33.
  2. Rettig, R. A., & Jacobson, P. D. (2010). Farquhar’s dilemma. New England Journal of Medicine, 362(14), 1251-1252.
  3. FDA. (2020). FDA Guidance on Conduct of Clinical Trials of Medical Products during COVID-19 Pandemic. https://www.fda.gov/media/136238/download

We provide in-home health services for clinical trials across Latin America.

H Clinical is the leader in decentralized trial support in Latin America. H Clinical empowers sponsors to reach more patients and patients to participate from the comfort of home. Through an extensive network of GCP trained home health providers, logistics infrastructure, and clinical trial coverage from the Rio Grande to Patagonia, H Clinical is bringing clinical research home.