Abstract
BackgroundInternational partnerships in research are receiving ever greater attention, given that technology has diminished the restriction of geographical barriers with the effects of globalisation becoming more evident, and populations increasingly more mobile.DiscussionIn this article, we examine the merits and risks of such collaboration even when strict universal ethical guidelines are maintained. There has been widespread examples of outcomes beneficial and detrimental for both high and low –income countries which are often initially unintended.SummaryThe authors feel that extreme care and forethought should be exercised by all involved parties, despite the fact that many implications from such international work can be extremely hard to predict. However ultimately the benefits gained by enhancing medical research and philanthropy are too extensive to be ignored.
Highlights
International partnerships in research are receiving ever greater attention, given that technology has diminished the restriction of geographical barriers with the effects of globalisation becoming more evident, and populations increasingly more mobile
The interest and ability to develop international partnerships in the pursuit of research goals is greater than ever, especially with advances in technology and an increased cultural awareness of common issues that face everyone around the world
In this article we examine the advantages and pitfalls of such international work
Summary
Refocusing research resources In moral terms, international collaboration should move research goals away from pure market forces and towards humanitarian aims. There concerns that cultural differences can lead to unintended ethical considerations such as whether true informed consent is being collected [4,21], or what intervention continues after a study ends [4], or whether research efforts could be detracting from other potential opportunities such as public health provision Examples of such healthcare inequalities, well meaning, are seen with international HIV-AIDS work, owing to its relative funding, compared to other more under-resourced diseases. Many migrant workers, who come to low-income countries for periods of research or clinical training, have skill sets that are appropriate for practice in their own countries, but all too often individuals find themselves ineffective and inexperienced in inappropriate surroundings, and such experience in the North may not improve their professional capacity if they return home, given that disease prevalence and treatment guidelines may differ This may limit employment opportunities if domestic employers suspect returnees of being unfamiliar or with outdated knowledge of accepted methods of local clinical or research practice.
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