Reflections and recommendations on research ethics in developing countries

Reflections and recommendations on research ethics in developing countries
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DOI:
10.1016/s0277-9536(01)00327-6
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发表时间:
2002-04-01
影响因子:
5.4
通讯作者:
Benatar, SR
Benatar, SR
中科院分区:
医学2区
文献类型:
--
作者:
Benatar, SR

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近年来,涉及与发展中国家合作的国际临床研究伦理学争论引起了高度关注。知情同意和普遍标准的争论最为激烈。剥削以及在向个人和社区分配风险/伤害和利益方面缺乏对正义的足够重视的问题在较小程度上得到了解决。本文讨论了这些辩论发生的全球背景,以及对研究伦理和健康的一些不太明显的影响,以加深对辩论复杂性的理解。建议研究伦理委员会发挥更广泛的作用,其中包括教育部分和一定的审计责任。有人提出,对于研究伦理在促进研究工作道德进步和改善全球健康方面的作用,需要新的思维方式。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
The debate on the ethics of international clinical research involving collaboration with developing countries has achieved a high profile in recent years. Informed consent and universal standards have been most intensively debated. Exploitation and lack of adequate attention to justice in the distribution of risks/harm and benefits to individuals and communities have to a lesser extent been addressed. The global context in which these debates are taking place, and some of the less obvious implications for research ethics and for health are discussed here to broaden understanding of the complexity of the debate. A wider role is proposed for research ethics committees, one that includes an educational component and some responsibility for audit. It is proposed that new ways of thinking are needed about the role of research ethics in promoting moral progress in the research endeavour and improving global health. (C) 2002 Elsevier Science Ltd. All rights reserved.