A FRAMEWORK TO LINK INTERNATIONAL CLINICAL RESEARCH TO THE PROMOTION OF JUSTICE IN GLOBAL HEALTH
A FRAMEWORK TO LINK INTERNATIONAL CLINICAL RESEARCH TO THE PROMOTION OF JUSTICE IN GLOBAL HEALTH
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DOI：
10.1111/bioe.12009
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发表时间：
2014-10-01
期刊：
影响因子：
2.2
通讯作者：
Loff, Bebe
中科院分区：
文献类型：
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作者：
Pratt, Bridget;Loff, Bebe
国际研究如何促进全球卫生的公正性，生物伦理学尚未从实质上解决。政治哲学中的正义理论确立了高收入国家政党对中低收入国家政党的义务。我们根据Jennifer Ruger的卫生能力范式制定了一个新框架，以加强国际临床研究与全球卫生公正之间的联系。健康公正研究框架为国际临床研究的三个方面提供了方向：研究目标、研究能力加强和试验后效益。它确定了国家政府、研究资助者、研究赞助者和研究者对试验参与者和东道国社区所承担的正义义务。这些义务不同于目前国际研究伦理准则中所阐述的义务。如果国际临床研究要促进全球卫生公平，就需要不同类型的伦理要求。
How international research might contribute to justice in global health has not been substantively addressed by bioethics. Theories of justice from political philosophy establish obligations for parties from high-income countries owed to parties from low and middle-income countries. We have developed a new framework that is based on Jennifer Ruger's health capability paradigm to strengthen the link between international clinical research and justice in global health. The research for health justice' framework provides direction on three aspects of international clinical research: the research target, research capacity strengthening, and post-trial benefits. It identifies the obligations of justice owed by national governments, research funders, research sponsors, and investigators to trial participants and host communities. These obligations vary from those currently articulated in international research ethics guidelines. Ethical requirements of a different kind are needed if international clinical research is to advance global health equity.