Psychedelics in PERIL:健康的商业决定因素、金融纠葛与人口健康伦理

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2024-03-02 DOI:10.1093/phe/phae002
Daniel Buchman, Daniel Rosenbaum
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引用次数: 0

摘要

新生的以营利为目的的迷幻药行业已经开始参与企业行为,如资助科学研究和研究项目。有大量证据表明,烟草、酒精、药品和食品等其他行业的此类做法会造成利益冲突,并对人口健康产生负面影响。然而,在资金压力大、公共资助成功率低、学术劳动岌岌可危的背景下,对于从事临床实践与人口健康交叉领域工作的研究人员来说,他们应该如何对待来自迷幻药行业等营利性实体的潜在经济赞助,目前的伦理指导还很有限。本文报告了一组从事迷幻剂科学研究的临床科学家的反思活动,我们将亚当斯(2016 年)的 PERIL(目的、范围、相关危害、标识符、联系)伦理决策框架应用于一个虚构的企业迷幻剂财务赞助案例。我们的分析表明,与企业迷幻药部门的财务关系可能会给研究项目的目的、自主性和完整性带来不同程度的风险。我们认为,健康的商业决定因素为理解产业与医疗保健之间的伦理纠葛提供了一个有用的框架,可以为研究迷幻药等新兴产业提供一个重要的人口健康伦理视角,并努力寻找潜在的解决方案。
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Psychedelics in PERIL: The Commercial Determinants of Health, Financial Entanglements and Population Health Ethics
The nascent for-profit psychedelic industry has begun to engage in corporate practices like funding scientific research and research programs. There is substantial evidence that such practices from other industries like tobacco, alcohol, pharmaceuticals and food create conflicts of interest and can negatively influence population health. However, in a context of funding pressures, low publicly funded success rates and precarious academic labor, there is limited ethics guidance for researchers working at the intersection of clinical practice and population health as to how they should approach potential financial sponsorship from for-profit entities, such as the psychedelic industry. This article reports on a reflective exercise among a group of clinician scientists working in psychedelic science, where we applied Adams’ (2016) PERIL (Purpose, Extent, Relevant harm, Identifiers, Link) ethical decision-making framework to a fictionalized case of corporate psychedelic financial sponsorship. Our analysis suggests financial relationships with the corporate psychedelic sector may create varying degrees of risk to a research program’s purpose, autonomy and integrity. We argue that the commercial determinants of health provide a useful framework for understanding the ethics of industry-healthcare entanglements and can provide an important population health ethics lens to examine nascent industries such as psychedelics, and work toward potential solutions.
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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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