Abstract：
This paper focuses on the ethical tensions seen in health systems research by researchers owing to their scientific obligations to their research, ethical obligations to study participants, and social obligations to the community. Health systems research differs from other public health research fields in terms of the participants selected, power relations within health systems and the socio-political environment. The study seeks to answer the following questions through experiences in health system research. 1. What are the ethical tensions experienced by researchers in field work? 2. How are the existing guidelines used in resolving tensions arising in field work in India? To understand these ethical tensions, the World Health Organization\'s Ethical Considerations for Health Policy and Systems Research were applied to research conducted in the health system settings. These tensions faced by researchers are explained through four emerging themes: the researcher\'s position in the health system; voluntariness of participation: participation; and social justice.
摘要：
本文着重于研究人员由于其对研究的科学义务而在卫生系统研究中看到的伦理紧张关系，研究参与者的道德义务，以及对社区的社会义务。卫生系统研究与其他公共卫生研究领域在选择的参与者方面有所不同，卫生系统和社会政治环境内的权力关系。该研究旨在通过卫生系统研究的经验来回答以下问题。1.研究人员在野外工作中经历的道德紧张关系是什么？2。如何使用现有的指导方针来解决在印度野外工作中产生的紧张关系？世界卫生组织对卫生政策和系统研究的伦理考虑被应用于在卫生系统环境中进行的研究。研究人员面临的这些紧张关系通过四个新兴主题来解释：研究人员在卫生系统中的地位；参与的自愿性：参与；和社会正义。
