Conflict of interest statement: No conflicts declared
REFOCUSING THE RESPONSIVENESS REQUIREMENT
Version of Record online: 29 JUL 2011
Published 2011. This article is a US Government work and is in the public domain in the USA.
Volume 27, Issue 3, pages 151–159, March 2013
How to Cite
SHAH, S., WOLITZ, R. and EMANUEL, E. (2013), REFOCUSING THE RESPONSIVENESS REQUIREMENT. Bioethics, 27: 151–159. doi: 10.1111/j.1467-8519.2011.01903.x
- Issue online: 14 FEB 2013
- Version of Record online: 29 JUL 2011
- international research ethics;
- global health;
- priority setting;
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.