跨越差异的"工作关系" - - 对社区参与疟疾研究的现实性审查
Robin Vincent1,2, Bipin Adhikari1,3, Claire Duddy4
1Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, OX3 7LG, UK.
Wellcome open research
|August 25, 2023
概括
社区在健康研究中的参与 (CE) 通过尊重互动和有形利益建立工作关系. 然而,这些关系可能会加强现有的研究范式,而不是改变它们.
科学领域:
- 卫生研究伦理 卫生研究伦理
- 全球卫生平等全球卫生平等
- 基于社区的参与式研究
背景情况:
- 社区参与 (CE) 对伦理和相关的健康研究至关重要,特别是在低收入和中等收入国家 (LMICs).
- 现有的文献显示,关于CE的功能及其多样化,往往隐含的目标,缺乏概念的清晰度.
- 关于CE在健康研究中的有效性的证据基础需要进一步发展.
研究的目的:
- 解释社区参与对健康研究观察结果的贡献背后的机制和原因.
- 解决关于CE在研究中的"工作"的概念模两可.
主要方法:
- 采用了现实的审查方法,专注于疟疾研究中的CE.
- 这种以理论为导向的证据综合方法旨在了解CE如何以及为什么会影响研究结果.
主要成果:
- 有效的CE取决于发展临时的"工作关系",这些关系可以弥合财富,权力和文化的差异.
- 响应和尊重的互动,加上有形的研究收益,是这些关系的关键.
- 促进者包括组织的承诺和资源,而限制源于主导的健康研究范式,历史背景 (殖民主义) 和外部控制.
结论:
- 工作关系增强了当地利益相关者的接受和参与,受到获得医疗保健和其他福利的推动.
- 这些关系可能无意中适应了主流研究范式的伦理上可疑的方面.
- 因此,CE可能会复制现有的范式,而不是培养真正的协作伙伴关系模式.
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