Assuring Adequate Protections in International Health Research: A Principled Justification and Practical Recommendations for the Role of Community Oversight
Assuring Adequate Protections in International Health Research: A Principled Justification and Practical Recommendations for the Role of Community Oversight
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DOI：
10.1093/phe/phn027
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发表时间：
2008-11-01
影响因子：
2.1
通讯作者：
Reddy, Priscilla
中科院分区：
文献类型：
--
作者：
Buchanan, David;Sifunda, Sibusiso;Reddy, Priscilla
本文提出的分析提出了要求社区监督在国际环境中进行的卫生研究的伦理依据。它审查了个人知情同意和研究伦理委员会审查的现行标准的不足之处，然后展示了更广泛的以人口为基础的公共卫生观点如何对司法提出了新的要求，包括适当考虑整个社区的权利、危害和利益。正如在这里制定的那样，需要社区监督卫生研究的道德标准有三个原则依据：尊重社区自治及其自决权；充分考虑研究对整个社会的影响；以及对人类自主性更全面的理解。论文最后提出了关于社区咨询委员会组成的实际建议，以确保他们在不同的社会文化背景下拥有合法的决策权。
The analysis presented here lays out the ethical warrants for requiring community oversight of health research conducted in international settings. It reviews the inadequacies with the current standards of individual informed consent and research ethics committee review, and then, shows how a broader population-based public health perspective raises new demands on justice involving due consideration of the rights, harms and benefits to the community as a whole. As developed here, an ethical standard that requires community oversight of health research is justified on three principled grounds: respect for community autonomy and their right to self-determination; due consideration of the consequences of the research for the community as a whole; and, a more complete understanding of human autonomy. The paper concludes with practical recommendations regarding the composition of Community Advisory Boards to ensure that they have legitimate decision-making authority in diverse socio-cultural contexts.