Macqueen Kathleen M, McLoughlin Kerry, Alleman Patty, Burke Holly McClain, Mack Natasha
Family Health International.
J Empir Res Hum Res Ethics. 2008 Dec;3(4):5-18. doi: 10.1525/jer.2008.3.4.5.
QUALITATIVE CASE STUDIES WERE conducted at seven international sites conducting HIV prevention research in Africa, Asia, and the Americas to identify strategies for ensuring that health needs of research participants identified in the course of research are adequately addressed. Key factors were identified that contribute to the balance between direct care and healthcare referrals at a research site, as well as the overall quality of the healthcare made available to research participants. The case studies exemplify the concept of "moral negotiation" in research (Weijer & LeBlanc, 2006), that is, a process where researchers and sponsors negotiate with increasingly empowered local communities and host countries to achieve meaningful and substantive benefits from biomedical research for all stakeholders.
在非洲、亚洲和美洲开展艾滋病毒预防研究的七个国际地点进行了定性案例研究，以确定确保在研究过程中确定的研究参与者的健康需求得到充分满足的策略。确定了有助于在研究地点实现直接护理与医疗转诊之间平衡的关键因素，以及提供给研究参与者的医疗保健的整体质量。这些案例研究例证了研究中的“道德协商”概念（韦杰尔和勒布朗，2006年），也就是说，研究人员和资助者与日益赋权的当地社区和东道国进行协商，以便为所有利益相关者从生物医学研究中获得有意义和实质性利益的过程。
