White Mary Terrell
Department of Community Health, Boonshoft School of Medicine, Wright State University, Dayton, Ohio 45401-0927, USA.
Account Res. 2007 Apr-Jun;14(2):73-92. doi: 10.1080/08989620701290341.
This article proposes a means by which benefits provided in international research collaborations might be employed to strengthen health care, research, and other capacities in less-developed countries. The Declaration of Helsinki and CIOMS Guidelines define certain expectations of benefits, but these requirements are ambiguous, logistically problematic, and studies suggest they are inconsistently upheld. Drawing on the principle of respect for persons, a right to benefit from hosting externally-sponsored research is proposed. This right guarantees host communities benefits of a certain value, the nature and use of which is controlled by indigenous personnel. Suggestions are made as to how implementation of this right, using structured incentives, may systematically promote capacity building in host communities.
本文提出了一种方法,通过该方法国际研究合作中提供的益处可用于加强欠发达国家的医疗保健、研究及其他能力。《赫尔辛基宣言》和国际医学科学组织理事会(CIOMS)指南界定了对益处的某些期望,但这些要求不明确、在后勤方面存在问题,且研究表明它们未得到一致遵守。借鉴尊重人的原则,提出了从接待外部资助研究中受益的权利。这项权利保障东道社区获得一定价值的益处,其性质和用途由当地人员控制。文中就如何利用结构化激励措施落实这项权利以系统地促进东道社区的能力建设提出了建议。