Abstract：
:In the context of clinical and non-clinical biomedical practices, negligence is usually understood as a lapse of a specific professional duty by a healthcare worker or by a medical facility. This paper tries to delineate systemic negligence as another kind of negligence in the context of health systems, particularly in developing countries, that needs to be recognized and addressed. Systemic negligence is not just a mere collection of stray incidences of medical errors and system failures in a health system, but is proposed in this paper as a more pervasive kind of neglect. Several non-medical factors, such as lack of social and political will, also contribute to it and hence is more difficult to address in a health system. This paper argues that recognizing systemic negligence and including it research agenda have special moral importance for researchers in developing world bioethics, public health ethics and for health activists in the developing world. For, it can be a potent health system barrier, and can seriously impair efforts to ensure patient safety, particularly in the weaker health systems. As it erodes accountability in a health system, addressing it is also important for the twin goals of ensuring patient safety and improving health system performance. Above all, it needs to be addressed because the tolerance of its persistence in a health system seems to undervalue health as a social good.
journal_name
Dev World Bioethjournal_title
Developing world bioethicsauthors
Chakraborti Cdoi
10.1111/dewb.12063subject
Has Abstractpub_date
2015-12-01 00:00:00pages
208-13issue
3eissn
1471-8731issn
1471-8847journal_volume
15pub_type
杂志文章,评审abstract：:Medical AID organisations such as Médecins Sans Frontières receive several requests from individuals and international academic institutions to conduct research at their implementation sites in Africa. Do AID agencies have an ethical duty to comply with research requests? In this paper we respond to the views and cons...
journal_title：Developing world bioethics
pub_type： 评论,杂志文章
doi：10.1111/j.1471-8847.2006.00141.x
更新日期：2006-05-01 00:00:00
abstract：:The objective of this module is to cover ground that was not covered in-depth in any of the other modules, including: scientific misconduct, issues concerning the publication and ownership of research results (authorship guidelines - who is eligible to be considered an author, or contributor to a scientific paper etc....
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2005.00104.x
更新日期：2005-03-01 00:00:00
abstract：:This paper examines the ethical considerations in a case of a 12-year-old girl seeking an abortion in Quetzaltenango, Guatemala in early 2020. The physician denied the girl care and did not refer her to a qualified provider, citing the illegality of such actions. Though abortion is illegal in Guatemala, enforcement of...
journal_title：Developing world bioethics
pub_type： 信件
doi：10.1111/dewb.12276
更新日期：2020-08-02 00:00:00
abstract：:Since the development of assisted reproductive technologies, infertile individuals have crossed borders to obtain treatments unavailable or unaffordable in their own country. Recent media coverage has focused on the outsourcing of surrogacy to developing countries, where the cost for surrogacy is significantly less th...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2009.00257.x
更新日期：2009-12-01 00:00:00
abstract：:The Bene Israel is a Jewish community in western India whose origins are unknown from conventional sources. This paper discusses a genetic ancestry study that mapped Bene Israel genealogies and the impact of the study on the Bene Israel. ...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1046/j.1471-8731.2003.00074.x
更新日期：2003-12-01 00:00:00
abstract：:I give an account how the principle of 'respect for autonomy' dominates the field of bioethics, and how it came to triumph over its competitors, 'respect for persons' and 'respect for free power of choice'. I argue that 'respect for autonomy' is unsatisfactory as a basic principle of bioethics because it is grounded i...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12145
更新日期：2018-06-01 00:00:00
abstract：:The aim of this study is to determine how stakeholder engagement can be adapted for the conduct of COVID-19-related clinical trials in sub-Saharan Africa. Nine essential stakeholder engagement practices were reviewed: formative research; stakeholder engagement plan; communications and issues management plan; protocol ...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12283
更新日期：2020-08-15 00:00:00
abstract：:Unlike other countries in South Asia, in Nepal research in the health sector has a relatively recent history. Most health research activities in the country are sponsored by international collaborative assemblages of aid agencies and universities. Data from Nepal Health Research Council shows that, officially, 1,212 h...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12109
更新日期：2016-12-01 00:00:00
abstract：:This summary lays out the basic science and methodology used in genetic testing that investigates historical population migrations and the ancestry of living individuals. The genetic markers used in this testing, and the distinction between Y-chromosome, mitochondrial and autosomes analysis, are explained and the shor...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1046/j.1471-8731.2003.00064.x
更新日期：2003-12-01 00:00:00
abstract：:Inequities in global health are increasingly of interest to health care providers in developed countries. In response, many academic healthcare programs have begun to offer international service learning programs. Participants in these programs are motivated by ethical principles, but this type of work presents signif...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2011.00299.x
更新日期：2011-08-01 00:00:00
abstract：BACKGROUND:The globalization of clinical research in the last two decades has led to a significant increase in the volume of clinical research in developing countries. As of 2016, Uganda was the third largest destination for clinical trials in Africa. This requires adequate capacity and systems to facilitate ethical pr...
journal_title：Developing world bioethics
pub_type： 历史文章,杂志文章
doi：10.1111/dewb.12198
更新日期：2020-03-01 00:00:00
abstract：:The significance of animals in research cannot be over-emphasized. The use of animals for research and training in research centres, hospitals and schools is progressively increasing. Advances in biotechnology to improve animal productivity require animal research. Drugs being developed and new interventions or therap...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12001
更新日期：2013-12-01 00:00:00
abstract：:In the novel Racists by Kunal Basu (2006), two competing scientists initiate an experiment that they believe will prove which race is superior. The research subjects, one white and one black infant, are sequestered on an isolated island in the care of a mute nurse. The contest must be waged in a 'natural laboratory' w...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2007.00195.x
更新日期：2008-12-01 00:00:00
abstract：:The impending implementation of pre-exposure prophylaxis (PrEP) has prompted complicated bioethical and public health ethics concerns regarding the moral distribution of antiretroviral medications (ARVs) to ostensibly healthy populations as a form of HIV prevention when millions of HIV-positive people still lack acces...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12034
更新日期：2015-04-01 00:00:00
abstract：:Research is a global enterprise requiring participation of both genders for generalizable knowledge; advancement of science and evidence based medical treatment. Participation of women in research is necessary to reduce the current bias that most empirical evidence is obtained from studies with men to inform health ca...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12112
更新日期：2017-04-01 00:00:00
abstract：:In this paper, we describe the potential role laypersons on ethics committees can play in ensuring community concerns are addressed in the design and implementation of genomic research. We draw inferences from the outcome of an empirical study of the impact of training of laypersons to address community engagement iss...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12020
更新日期：2015-04-01 00:00:00
abstract：:Compared with data that is initially collected for research purposes, the mandatory authorization of a government database for secondary use deserves greater scrutiny because it consists of information that is collected initially for administrative purposes. Using the case of Taiwan's National Health Insurance (NHI) D...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12259
更新日期：2020-12-01 00:00:00
abstract：:The Ebola epidemic in Western Africa has highlighted issues related to weak health systems, the politics of drug and vaccine development and the need for transparent and ethical criteria for use of scarce local and global resources during public health emergency. In this paper we explore two key themes. First, we argu...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12079
更新日期：2015-08-01 00:00:00
abstract：:By examining the global public good nature of pandemic preparedness we can identify key social justice issues that need to be confronted to increase citizens' voluntary compliance with prevention and mitigation measures. As people tend to cooperate on a voluntary basis only with systems they consider fair, it becomes ...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12289
更新日期：2020-09-03 00:00:00
abstract：:Given its intimate relationship with the human body and its environment, biotechnology innovation, and more particularly stem cell research innovations as a part thereof, implicate diverse social and moral/ethical issues. This paper explores some of the most important and controversial moral concerns raised by human e...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2007.00217.x
更新日期：2008-08-01 00:00:00
abstract：:There is little published literature on the ethical concerns of stakeholders in HIV vaccine trials. This study explored the ethical challenges identified by various stakeholders, through an open-ended, in-depth approach. While the few previous studies have been largely quantitative, respondents in this study had the o...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2009.00254.x
更新日期：2010-04-01 00:00:00
abstract：:Obtaining 'informed consent' from every individual participant involved in health research is a mandatory ethical practice. Informed consent is a process whereby potential participants are genuinely informed about their role, risk and rights before they are enrolled in the study. Thus, ethics committees in most countr...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12123
更新日期：2017-08-01 00:00:00
abstract：:This paper seeks to highlight the benefits of prioritizing moderate African communitarian principles as partly demonstrated in the HIV prevention strategies implemented in Uganda in the late 1980s. Pertinent lessons could be drawn so as to achieve the HIV prevention targets envisioned in the post-2015 development era....
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12139
更新日期：2018-06-01 00:00:00
abstract：:Currently, health systems research (HSR) is reviewed by the same ethical standards as clinical research, which has recently been argued in the literature to be an inappropriate standard of evaluation. The issues unique to HSR warrant a different review by research ethics committees (RECs), as it does not impose the sa...
journal_title：Developing world bioethics
pub_type： 杂志文章,评审
doi：10.1111/dewb.12117
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:This article describes the types of community-wide benefits provided by investigators conducting public health research in South Asia as well as their self-reported reasons for providing such benefits. METHODS:We conducted 52 in-depth interviews to explore how public health investigators in low-resource set...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2012.00333.x
更新日期：2012-12-01 00:00:00
abstract：:The intensified nurse migration leads to severe problems for the health care systems in many developing countries. Using the Philippines as an example, this paper will address the question of global nurse migration from a philosophical perspective. John Rawls' liberal and Michael Walzer's communitarian theory of justi...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2010.00284.x
更新日期：2011-04-01 00:00:00
abstract：:Based on the case of Rosa, a nine-year-old girl who was denied a therapeutic abortion, this article analyzes the role played by the social in medical practice. For that purpose, it compares the different application of two similar pieces of legislation in Costa Rica, where both the practice of abortion and sterilizati...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/j.1471-8847.2007.00200.x
更新日期：2007-08-01 00:00:00
abstract：:Kidney transplantation is a lifesaving medical treatment. However, very high demand for kidneys with low kidney donation causes a black market that exploits patients' desperation and donors' vulnerability. The current kidney donation programs fail to produce promising results to avoid illegal and unethical kidney traf...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12192
更新日期：2018-09-01 00:00:00
abstract：:Due to the financial pressure caused by cutbacks in funding and the race to achieve higher university rankings, researchers are competing for limited funds. These funds enable researchers to contribute to the scientific enterprise and to secure better positions. Given this pressure, there is a need to understand how a...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/dewb.12298
更新日期：2020-11-10 00:00:00
abstract：:Four key guidance points in the UNAIDS guidance document, Ethical Considerations in HIV Preventive Vaccine Research, are compared with analogous statements in three other recently issued documents dealing with international research. Those documents are: the Declaration of Helsinki, as revised in 2000; the report of t...
journal_title：Developing world bioethics
pub_type： 杂志文章
doi：10.1111/1471-8847.00017
更新日期：2001-11-01 00:00:00
