Exploring the ethics of global health research priority-setting

Abstract Background Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively d...

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Main Authors: Bridget Pratt, Mark Sheehan, Nicola Barsdorf, Adnan A. Hyder
Format: Article
Language:English
Published: BMC 2018-12-01
Series:BMC Medical Ethics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12910-018-0333-y
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author Bridget Pratt
Mark Sheehan
Nicola Barsdorf
Adnan A. Hyder
author_facet Bridget Pratt
Mark Sheehan
Nicola Barsdorf
Adnan A. Hyder
author_sort Bridget Pratt
collection DOAJ
description Abstract Background Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively disease-driven, meaning they rely heavily on burden of disease considerations. They, therefore, tend to undervalue non-biomedical research topics, which have been identified as essential to helping reduce health disparities. In recognition of these ethical concerns and the limited scholarship and dialogue addressing them, we convened an international workshop in September 2015. The workshop aimed to initiate discussion on the appropriate relationship between global and national levels of health research priority-setting and to begin exploring what might be ethically required for priority-setting at each of those levels. Main text This paper comprises our reflections following the workshop. Its main objective is to launch a research agenda for the ethics of global health research priority-setting. We identify three domains of global health research priority-setting—scope, underlying values and substantive requirements, and procedural considerations. For each domain, specific research questions are highlighted and why they need to be explored is explained. Some preliminary thoughts and normative arguments as to how the research questions might be answered are also offered. For example, we provide initial ideas about the appropriate relationship between different priority-setting levels and what values and substantive considerations should guide or underpin global health research priority-setting as a matter of justice. Conclusion We anticipate that framing a new research agenda for the ethics of global health research priority-setting will spur ethicists, researchers, and policymakers to refocus their efforts on developing more rigorous and ethically sound approaches to priority-setting.
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spelling doaj.art-b14401e8bb2745919be3e191d60572de2022-12-21T20:17:09ZengBMCBMC Medical Ethics1472-69392018-12-0119111110.1186/s12910-018-0333-yExploring the ethics of global health research priority-settingBridget Pratt0Mark Sheehan1Nicola Barsdorf2Adnan A. Hyder3Nossal Institute for Global Health and Centre for Health Equity, School of Population and Global Health, University of MelbourneEthox Centre, Nuffield Department of Population Health, University of OxfordHealth Research Ethics, Faculty of Medicine and Health Sciences, Stellenbosch UniversityMilken Institute School of Public Health, George Washington UniversityAbstract Background Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively disease-driven, meaning they rely heavily on burden of disease considerations. They, therefore, tend to undervalue non-biomedical research topics, which have been identified as essential to helping reduce health disparities. In recognition of these ethical concerns and the limited scholarship and dialogue addressing them, we convened an international workshop in September 2015. The workshop aimed to initiate discussion on the appropriate relationship between global and national levels of health research priority-setting and to begin exploring what might be ethically required for priority-setting at each of those levels. Main text This paper comprises our reflections following the workshop. Its main objective is to launch a research agenda for the ethics of global health research priority-setting. We identify three domains of global health research priority-setting—scope, underlying values and substantive requirements, and procedural considerations. For each domain, specific research questions are highlighted and why they need to be explored is explained. Some preliminary thoughts and normative arguments as to how the research questions might be answered are also offered. For example, we provide initial ideas about the appropriate relationship between different priority-setting levels and what values and substantive considerations should guide or underpin global health research priority-setting as a matter of justice. Conclusion We anticipate that framing a new research agenda for the ethics of global health research priority-setting will spur ethicists, researchers, and policymakers to refocus their efforts on developing more rigorous and ethically sound approaches to priority-setting.http://link.springer.com/article/10.1186/s12910-018-0333-yEthicsGlobal health researchPriority-settingJustice
spellingShingle Bridget Pratt
Mark Sheehan
Nicola Barsdorf
Adnan A. Hyder
Exploring the ethics of global health research priority-setting
BMC Medical Ethics
Ethics
Global health research
Priority-setting
Justice
title Exploring the ethics of global health research priority-setting
title_full Exploring the ethics of global health research priority-setting
title_fullStr Exploring the ethics of global health research priority-setting
title_full_unstemmed Exploring the ethics of global health research priority-setting
title_short Exploring the ethics of global health research priority-setting
title_sort exploring the ethics of global health research priority setting
topic Ethics
Global health research
Priority-setting
Justice
url http://link.springer.com/article/10.1186/s12910-018-0333-y
work_keys_str_mv AT bridgetpratt exploringtheethicsofglobalhealthresearchprioritysetting
AT marksheehan exploringtheethicsofglobalhealthresearchprioritysetting
AT nicolabarsdorf exploringtheethicsofglobalhealthresearchprioritysetting
AT adnanahyder exploringtheethicsofglobalhealthresearchprioritysetting