Merritt Maria W
Johns Hopkins Bernan Institute of Bioethics, USA.
Kennedy Inst Ethics J. 2011 Dec;21(4):311-47. doi: 10.1353/ken.2011.0019.
Health researchers working in low-resource settings often encounter serious unmet health needs among participants. What is the nature and extent of researchers' obligations to respond to such needs? Competing accounts have been proposed, but there is no independent standard by which to assess them or to guide future inquiry. I propose an independent standard and demonstrate its use. In conclusion I recommend two areas of focus for future inquiry: what makes an account of researchers' obligations reasonable from the standpoint of both participants and researchers and how general duties of rescue apply to researchers' resource-allocation decision making in low-resource settings.
在资源匮乏地区开展工作的健康研究人员常常会遇到参与者存在严重未得到满足的健康需求。研究人员应对此类需求的义务的性质和程度是什么?人们提出了相互竞争的观点,但却没有一个独立的标准来评估这些观点或指导未来的探究。我提出了一个独立的标准并展示了其用法。最后,我建议未来探究应关注两个领域:从参与者和研究人员的角度来看,怎样的研究人员义务观点才是合理的,以及救援的一般义务如何适用于研究人员在资源匮乏地区的资源分配决策。