Benatar S R
Department of Medicine, University of Cape Town, Faculty of Health Sciences, Observatory 7925, South Africa.
Bioethics. 2001 Aug;15(4):333-40. doi: 10.1111/1467-8519.00242.
Economic globalization has profound implications for health. The scale of injustice at a global level, reflected in inexorably widening disparities in wealth and health, also has critical implications for health related research--in particular when the opportunities for exploiting research subjects are carefully considered. The challenge of developing universal guidelines for international clinical research is addressed against the background of a polarizing, yet interdependent, world in which all are ultimately threatened by lack of social justice. It is proposed that in such a world there is a need for new ways of thinking about research and its relevance to health at a global level. Responsibility to use knowledge and power wisely requires more radical changes to guidelines for research ethics than are currently under consideration.
经济全球化对健康有着深远影响。全球层面的不公正现象，体现为财富与健康差距不断扩大，这也对健康相关研究有着关键影响——尤其是在仔细考量利用研究对象的机会时。在一个两极分化但又相互依存的世界背景下，制定国际临床研究通用准则面临挑战，在这个世界里，所有人最终都受到社会不公的威胁。有人提出，在这样一个世界中，需要有新的方式来思考研究及其在全球层面与健康的相关性。明智地运用知识和权力的责任要求对研究伦理准则进行比目前正在考虑的更为彻底的变革。
