Abstract

Controversies related to the concept and practice of responsible authorship and its misuse have been among the most prominent issues discussed in the recent literature on research integrity. Therefore, this paper aims to address the factors that lead to two major types of unethical authorship, namely, honorary and ghost authorship. It also highlights negative consequences of authorship misuse and provides a critical analysis of different authorship guidelines, including a recent debate on the amendments of the International Committee of Medical Journal Editors (ICMJE) authorship definition. Empirical studies revealed that honorary authorship was the most prevalent deviation from the responsible authorship standards. Three different modalities of honorary authorship were distinguished: gift authorship, guest authorship, and coercive authorship. Prevalence of authorship misuse worldwide and in Europe was alarmingly high, covering approximately one third of all scientific publications. No significant differences were reported in authorship misuse between different health research disciplines. The studies conducted in North America highlighted the most effective means to cope with unethical authorship. These were training in publishing ethics, clear authorship policies developed by medical schools, and explicit compliance with the authorship criteria required by the medical journals. In conclusion, more empirical research is needed to raise awareness of the high prevalence of authorship misuse among scientists. Research integrity training courses, including publication ethics and authorship issues should be integrated into the curricula for students and young researchers in medical schools. Last but not least, further discussion on responsible authorship criteria and practice should be initiated.

Highlights

  • Modern health care research must be navigated within the complex framework of normative guidelines

  • We focused on two major types of unethical authorship practices, namely, honorary and ghost authorship, and addressed the motivation behind these practices and their negative consequences

  • A study by Eisenberg et al [16] referred earlier supported this conclusion. It revealed that authorship violations were less likely to happen in North America due to training in publishing ethics: only 13% respondents from the institutions that provided lectures or courses on publication ethics reported about honorary authorship as compared with 35% of respondents whose institutions did not offer such courses

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Summary

Introduction

Modern health care research must be navigated within the complex framework of normative guidelines This framework covers two major fields of rather different, interconnected ethical issues. Another set of normative issues has become very prominent since the beginning of the 21th century These are research integrity concerns focusing on research misconduct cases, such as fabrication or falsification of research data, and plagiarism as well as the so-called questionable research practices, such as mentorship, conflicts of interest and responsible authorship to mention but a few. Medicina 2020, 56, 123 more important means to change the culture and entrenched habits in the field of scientific writing This issue is located closer to the ethical rather than legal end of the whole spectrum of research integrity concerns. Importantly, we have presented recommendations on how to increase compliance with the criteria of responsible authorship and invited the reconsideration of ICMJE authorship recommendations

Why Does the Issue of Authorship Deserve Special Attention?
Types of Unethical Authorship
How Widely Is Authorship Misuse Spread?
Negative Consequences of Authorship Misuse
Training and Other Means to Prevent Authorship Misuse
Critical Analysis of the Leading Authorship Guidelines
Alternative Definitions of Authorship
Findings
Conclusions
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