Shapiro K, Benatar S R
Family Health International, Research Triangle Park, NC, USA.
J Med Ethics. 2005 Jan;31(1):39-47. doi: 10.1136/jme.2004.008102.
Intensification of poverty and degradation of health infrastructure over recent decades in countries most affected by HIV/AIDS present formidable challenges to clinical research. This paper addresses the overall standard of health care (SOC) that should be provided to research participants in developing countries, rather than the narrow definition of SOC that has characterised the international debate on standards of health care. It argues that contributing to sustainable improvements in health by progressively ratcheting the standard of care upwards for research participants and their communities is an ethical obligation of those in resource-rich countries who sponsor and implement research in poorer ones.
在受艾滋病毒/艾滋病影响最严重的国家，近几十年来贫困加剧，卫生基础设施恶化，给临床研究带来了巨大挑战。本文探讨的是应向发展中国家的研究参与者提供的总体医疗保健标准（SOC），而非国际上关于医疗保健标准辩论中所特有的狭义SOC定义。本文认为，通过逐步提高研究参与者及其社区的护理标准，为健康状况的可持续改善做出贡献，是在资源丰富国家开展研究资助和实施工作的人员对较贫困国家所负有的道德义务。
