Translating ethics: Researching public health and medical practices in Nepal
Translating ethics: Researching public health and medical practices in Nepal
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DOI：
10.1016/j.socscimed.2007.08.007
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发表时间：
2007-12-01
影响因子：
5.4
通讯作者：
Harper, Ian
中科院分区：
文献类型：
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作者：
Harper, Ian
对正在进行的公共卫生干预情况进行人类学研究会引起一些复杂的伦理问题。本文通过集中讨论“发展中国家”卫生保健研究情况中的知情同意问题来解决这一问题。发展了两个问题：第一，人类学参与医学研究试验的问题；第二，医学伦理辩论如何冲击和影响人类学的伦理思想。根据个人人类学对世界卫生组织规定的尼泊尔结核病控制方案(DOTS)执行情况的研究，我概述了出现的一些伦理困境和问题。这一研究背景包括正在进行的关于DOTS实施情况的其他研究，以及提供卫生保健的当地文化。它包括在多个地点和受试者位置之间移动，同时与健康专业人员和患者互动。总而言之，我认为，我们需要更多的人种学例子和案例研究，作为思考问题的一种手段，而不是在这种情况下为研究人员规定道德规范。我建议，我们需要反思在对多方面的公共卫生干预措施进行研究时出现的伦理问题，以及制定伦理准则和规定的情况。最适合这样做的地方可能是互联网，在那里我们越来越多地看到公开对话的条件正在出现。(C)2007爱思唯尔有限公司。保留所有权利。
Conducting anthropological research into situations where public health interventions are ongoing raises a number of complex ethical issues. This paper addresses this by focusing on recent debate around questions of informed consent in research situations into health care in the 'developing' world. Two issues are developed: firstly, that of anthropological engagement with medical research trials; and secondly, how medical ethics debates have impinged upon and influenced anthropological ideas of ethics. Drawing on personal anthropological research into the implementation of the WHO prescribed tuberculosis control programme (DOTS) in the context of Nepal, I outline a number of ethical dilemmas and issues that arose. This research context included other ongoing research into DOTS implementation, as well as the local culture of health care provision. It involved moving between a number of sites and subject positions while interacting with heath professionals and patients. In conclusion, rather than prescribing ethical norms for researchers in such situations, I argue that we need more ethnographic examples and case studies as a means of thinking through the issues. I suggest that we need to reflect on both the ethical issues that arise when undertaking research into multifaceted public health interventions and into the situations where ethical guidelines and stipulations are formulated. The best place for this may be the Internet, where we increasingly see the conditions emerging for open dialogue. (C) 2007 Elsevier Ltd. All rights reserved.