Queensland Bioethics Centre, Australian Catholic University, Brisbane Campus, Banyo, Queensland, Australia.
Bioethics. 2023 Sep;37(7):624-636. doi: 10.1111/bioe.13186. Epub 2023 Jun 19.
A transformation of global health research is urgently needed if it is to eliminate long-standing structural inequities within the field and help reduce global health disparities. Ethics has a key role to play in fostering such a transformation: it can help identify what the transformation should entail. Yet, ethics scholarship linking global health research to greater equity and social justice has limited authority and capacity to do so for two related reasons: it largely fails to apply theories and concepts of justice from the global South and it says little about whether or how to address the coloniality and epistemic injustices inherent within global health research. This paper develops a multidimensional social justice lens using social justice and decolonial theory from the global North and global South. This lens identifies five core dimensions of social justice: power, recognition, harmony, inclusion, and well-being. This paper then applies the multidimensional lens to the global health research context. For each dimension of social justice, several key ways to transform global health research are identified and described. They include shifting control of global health research funding, education, conduct, and publishing away from the global North and making knowledge from the global South visible and valued. To conclude, potential objections are considered.
如果要消除全球卫生领域长期存在的结构性不平等，帮助减少全球卫生差异，全球卫生研究就迫切需要转型。伦理学在促进这种转变方面可以发挥关键作用：它可以帮助确定转变应该包含什么。然而，将全球卫生研究与更大的公平和社会正义联系起来的伦理学学术研究由于两个相关原因，其权威性和能力有限：它在很大程度上未能应用来自南方国家的正义理论和概念，也很少涉及如何解决全球卫生研究中固有的殖民主义和认识不公正问题。本文使用来自北方和南方国家的社会正义和去殖民化理论，构建了一个多维社会正义视角。该视角确定了社会正义的五个核心维度：权力、认可、和谐、包容和福祉。然后，本文将多维视角应用于全球卫生研究背景。对于社会正义的每一个维度，都确定并描述了几种转变全球卫生研究的关键方法。这些方法包括将全球卫生研究资金、教育、实施和出版的控制权从北方国家转移出去，并使南方国家的知识可见并受到重视。最后，考虑了潜在的反对意见。
