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Refocusing the responsiveness requirement.

Seema Shah1, Rebecca Wolitz, Ezekiel Emanuel

  • 1Department of Bioethics, National Institutes of Health, Bethesda, MD 20892, USA. shahse@mail.nih.gov

Bioethics
|July 30, 2011
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Summary
This summary is machine-generated.

International research guidelines require responsiveness to host community health needs. This study argues for refocusing responsiveness application to prevent harm and ensure local resource protection in developing countries.

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Area of Science:

  • Global Health
  • Research Ethics
  • Health Policy

Background:

  • International research guidelines often mandate responsiveness to host community health needs.
  • Current conceptions of research responsiveness are unclear and difficult to implement.
  • Misapplication of responsiveness can negatively impact developing countries.

Purpose of the Study:

  • To address the practical challenges and potential harms associated with research responsiveness.
  • To propose a refocused approach to applying the responsiveness requirement in international research.

Main Methods:

  • Conceptual analysis of existing guidelines and practices.
  • Argumentative approach based on ethical and practical considerations.
  • Focus on policy-level application and resource displacement.

Main Results:

  • Existing frameworks for research responsiveness are confusing and lead to contradictory outcomes.
  • There is a lack of clear examples illustrating acceptable and unacceptable research under responsiveness criteria.
  • The current application of responsiveness poses risks to the interests of developing nations.

Conclusions:

  • Responsiveness in international research requires refocused implementation.
  • Application should be enforced by host country officials at the policy level.
  • Judgment should be exercised when externally funded research risks displacing scarce local resources.