Ancillary Care in Community-Based Public Health Intervention Research
Ancillary Care in Community-Based Public Health Intervention Research
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DOI：
10.2105/ajph.2009.168393
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发表时间：
2010-02-01
影响因子：
12.7
通讯作者：
Mullany, Luke C.
中科院分区：
文献类型：
--
作者：
Merritt, Maria W.;Taylor, Holly A.;Mullany, Luke C.
发展中国家以社区为基础的公共卫生干预研究通常不是在诊所进行，而是在人们的家中和其他生活空间进行。研究对象及其社区可能缺乏足够的营养、清洁水、卫生设施以及基本的预防和治疗服务。研究人员在与个体受试者的互动中经常遇到未得到满足的健康需求，需要伦理指导来帮助他们决定如何应对。研究人员在多大程度上有道德义务提供辅助护理--超出确保科学有效性和受试者安全所需的保健？我们讨论了一个来自尼泊尔的案例，并提出了一个简单的两步问题序列来帮助决策。(我是J公共卫生。2010；100：211-216。DOI：10.2105/AJPH2009.168393)
Community-based public health intervention research in developing countries typically takes place not in clinics but in people's homes and other living spaces.Research subjects and their communities may lack adequate nutrition, clean water, sanitation, and basic preventive and therapeutic services. Researchers often encounter unmet health needs in their interactions with individual subjects and need ethical guidelines to help them decide how to respond.To what extent do researchers have an ethical obligation to provide ancillary care-health care beyond what is necessary to ensure scientific validity and subjects' safety? We discuss a case example from Nepal and propose a simple 2-step sequence of questions to aid decision making. (Am J Public Health. 2010; 100: 211-216. doi:10.2105/AJPH2009.168393)