J Gen Intern Med. 2013 Sep;28 Suppl 3(Suppl 3):S639-45. doi: 10.1007/s11606-013-2456-7.
It is a sine qua non that research and health care provided in international settings raise profound ethical questions when different cultural and political values are implicated. Yet ironically, as international health research expands and as research on ethical issues in international health research broadens and deepens, we appear to have moved away from discussing the moral foundations of these activities. For international health research to thrive and lead to the kind of benefits it is capable of, it is helpful to occasionally revisit the foundational premises that justify the enterprise as a whole. We draw on the experience of the Indiana University-Moi University Academic Research Ethics Partnership, an innovative bioethics training program co-located in Indianapolis and Eldoret, Kenya to highlight the changing nature of ethical issues in international health research and the ongoing practical challenges.
当涉及不同文化和政治价值观时，国际环境中的研究和医疗保健必然会引发深刻的伦理问题。然而具有讽刺意味的是，随着国际卫生研究的扩展，以及国际卫生研究中伦理问题的研究不断扩大和深化，我们似乎已经不再讨论这些活动的道德基础。为了使国际卫生研究蓬勃发展并带来它所能带来的好处，我们有必要偶尔回顾一下作为整个事业的基础前提，以证明其合理性。我们借鉴了印第安纳大学-莫伊大学学术研究伦理伙伴关系的经验，这是一个位于印第安纳波利斯和肯尼亚埃尔多雷特的创新生物伦理学培训项目，以突出国际卫生研究中伦理问题的变化性质和持续存在的实际挑战。
