Refocusing the responsiveness requirement

Seema Shah*, Rebecca Wolitz, Ezekiel Emanuel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Many guidelines for international research require that studies be responsive to host community health needs or health priorities. Although responsiveness possesses great intuitive and rhetorical appeal, existing conceptions are confusing and difficult to apply. Not only are there few examples of what research the responsiveness requirement permits and what it rejects, but its application can lead to contradictory results. Because of the practical difficulties in applying responsiveness and the danger that misapplying responsiveness could harm the interests of developing countries, we argue that responsiveness should be refocused in three ways: in terms of (1) who enforces it, (2) under what standard, and (3) in what cases. We conclude that responsiveness should be applied by host country officials at the policy level with the exercise of judgment when externally funded research threatens to displace scarce local resources.

Original languageEnglish (US)
Pages (from-to)151-159
Number of pages9
JournalBioethics
Volume27
Issue number3
DOIs
StatePublished - Mar 2013

Keywords

  • Global health
  • International research ethics
  • Priority setting
  • Responsiveness

ASJC Scopus subject areas

  • Health(social science)
  • Philosophy
  • Health Policy

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