脆弱性,社会价值和研究成果的公平分享:超越安慰剂和访问辩论
Chieko Kurihara1,2, Dirceu Greco3, Ames Dhai4
1Kanagawa Dental University, Yokosuka, Japan.
Frontiers in medicine
|October 2, 2024
概括
本文阐明了弱势研究参与者的伦理包容性和社会价值的概念. 它检查了公平的全球卫生研究所需的改革,重点关注多样性和获取.
科学领域:
- 生物伦理学生物伦理学
- 全球健康 全球健康
- 研究伦理学研究伦理学
背景情况:
- 赫尔辛基宣言的修订考虑了对弱势研究参与者的"社会价值",但这一提议被撤回.
- 参与者的脆弱性和研究伦理中的社会价值之间的关系仍然不清楚.
- 确保伦理研究需要解决弱势群体的需求和促进多样性.
研究的目的:
- 澄清易受伤害的研究参与者的伦理包容,以促进多样性.
- 将"社会价值"定义为所有人,特别是弱势群体的先决条件.
- 对安慰剂对照试验的规范和对弱势群体的试验后访问进行审查.
- 概述研究伦理学改革方向,以实现社会价值和公平的全球健康.
主要方法:
- 文献审查和伦理准则的分析.
- 在研究伦理学中对"社会价值"的概念分析.
- 审查最近在脆弱人群的伦理包容方面的改革.
- 对安慰剂受控试验和试验后访问规范的审查.
主要成果:
- 最近的改革旨在在道德上包括弱势参与者,并促进多样性.
- "社会价值"对所有人来说都是必不可少的,尤其是对最脆弱和最有需要的人来说.
- 需要在安慰剂对照试验和试验后访问方面进行改革,以确保纳入.
- 研究伦理改革应该优先考虑社会价值和公平的全球健康.
结论:
- 澄清"社会价值"对于涉及弱势参与者的伦理研究至关重要.
- 促进多样性和公平获取是研究伦理改革的关键目标.
- 对弱势群体来说,对试验和试验后访问的规范进行修订是必要的.
- 实现公平的全球健康需要在研究伦理学中关注社会价值.
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