a University of Melbourne and Johns Hopkins Bloomberg School of Public Health.
b Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Berman Institute of Bioethics.
Am J Bioeth. 2016 Oct;16(10):29-45. doi: 10.1080/15265161.2016.1214304.
Global health research partnerships are increasingly taking the form of consortia of institutions from high-income countries and low- and middle-income countries that undertake programs of research. These partnerships differ from collaborations that carry out single projects in the multiplicity of their goals, scope of their activities, and nature of their management. Although such consortia typically aim to reduce health disparities between and within countries, what is required for them to do so has not been clearly defined. This article takes a conceptual approach to explore how the governance of transnational global health research consortia should be structured to advance health equity. To do so, it applies an account called shared health governance to derive procedural and substantive guidance. A checklist based on this guidance is proposed to assist research consortia determine where their governance practices strongly promote equity and where they may fall short.
全球卫生研究伙伴关系越来越多地采取由高收入国家和低收入及中等收入国家的机构组成的联盟形式,开展研究计划。这些伙伴关系与开展单一项目的合作不同,它们的目标、活动范围和管理性质多种多样。尽管这些联盟通常旨在减少国家间和国家内的健康差距,但尚未明确界定实现这一目标所需的条件。本文采取概念方法,探讨如何构建跨国全球卫生研究联盟的治理结构,以促进健康公平。为此,它应用了一种称为共享卫生治理的方案,从中得出程序性和实质性的指导。本文提出了一个基于该指导的清单,以协助研究联盟确定其治理实践在哪些方面有力地促进了公平,以及在哪些方面可能存在不足。