科研之友
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摘要
There is much biomedical and epidemiological research taking place in Africa today. This research is both horizontal (involving local researchers and regional research institutions) and vertical (involving international research sponsors and collaborators). Research is the necessary pathway for any biomedical innovation designed to improve health and, in most cases, such research requires the use of human beings as research participants. Research participants cannot however, be viewed in isolation; they live in communities. This begs the question: how do communities benefit from research activities taking place within their own locales? It has become almost a mantra in the research ethics world to say that communities must benefit from positive research outcomes. This ethical rule is important; however, my paper will focus on community involvement prior to the actual research being carried out. Using African examples as case studies, I will examine the extent to which communities are involved in setting the health research agenda for their members and whether or not they are included in priority setting activities. Research being undertaken in several African communities may indeed address health problems in that community; however, how high are those problems in the list of health priorities for that particular community? Are other important health problems being neglected? While much has been said about provision of treatment shown to be successful after research to the wider community, not enough has been said about who decides what research is important for the community before such research is carried out Hoy d赤a, en 芍frica, se realiza mucha investigaci車n biom谷dica y epidemiol車gica, que es tanto horizontal (involucra a investigadores locales y a instituciones regionales de investigaci車n) como vertical (involucra patrocinadores y colaboradores internacionales). La investigaci車n es el camino necesario para lograr innovaciones biom谷dicas dise adas para mejorar la salud y, en la mayor赤a de los casos, requiere participaci車n de seres humanos como sujetos de investigaci車n. 谷stos no pueden, sin embargo, verse en aislamiento; son parte de una comunidad, lo que implica una pregunta: c車mo se benefician las comunidades con la investigaci車n que tiene lugar en ellas? En el mundo de la 谷tica de la investigaci車n se ha convertido en un mantra decir que las comunidades deben beneficiarse con los resultados positivos de la investigaci車n. Esta norma 谷tica es importante; sin embargo, mi art赤culo se enfoca en la participaci車n de la comunidad antes de que se realice la i
