Más sobre comités en África, pero muy relevante para nosotros

En un comentario publicado por Coleman & Bouësseau en el Bioethics Forum del Hastings Center (“Strengthening Local Review of Research in Africa:Is the IRB Model Relevant?”) los autores comentan que “In reviewing the experiences of these [African] countries, it became clear to us that attempting to replicate American-style institutional review boards as the primary mechanism for ethics oversight of research would do little to serve African peoples’ most pressing needs.”

Coleman es un abogado y profesor neoyorkino que está en el Institutional Review Board at Seton Hall University, y Charlotte Bouësseau en el equipo de ética de la OMS (http://www.who.int/ethics/en/index.html).

Hacen varias reflexiones interesantes, pero hay una que vale la pena leer con mucha atención: the most critical ethical issues related to medical research in Africa are not the protocol-specific issues that IRBs are designed to address. When an IRB in the United States receives a protocol, its job is to determine whether the proposed study complies with general ethical principles and regulatory requirements, not to consider whether a different study, perhaps addressing an entirely different problem, might be a better use of limited human resources or offer a better justification for exposing participants to risk. Questions about the prioritization of different types of medical research are generally left to other entities, such as funders or medical journal editors. In many developing countries, however, no one is considering big-picture questions about the relative importance of different types of medical research. Research “agendas” are often dictated solely by the market-driven priorities of foreign research sponsors, rather than by any proactive decisions by the countries themselves. In this context, thinking about the prioritization of limited research resources, and ensuring that research addresses the most pressing health needs of the country’s population, is one of the most important ethical issues to be considered.

Este excelente comentario puede leerse en http://www.bioethicsforum.org/ethics-review-of-medical-research-in-Africa.asp

LJ

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2 comentarios to “Más sobre comités en África, pero muy relevante para nosotros”

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