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Health Governance and Pharmaceutical Product Development: Dilemmas in Exporting Clinical Research to Developing Countries |
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Abstract:
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Pharmaceutical product development and distribution is a costly and protracted process. The problem of drug access is particularly acute in developing countries where prohibitive costs delay or prevent universal access to essential medicines. The effect has been a disproportionate disease burden in countries that can ill-afford to treat entirely preventable diseases. As pharmaceutical companies increasingly export their clinical research trials to developing countries questions arise concerning the level of access such practices provide companies to subject populations. This is a particularly important issue given that evidence suggests that the ethical standards of such research are not as high as that conducted in Western countries, and that participants are more willing to participate in clinical trials than their western counterparts, due largely to illness and poverty and inferior access to treatment. Employing case studies and qualitative interview data, this paper will explore these issues, arguing that important national and global health governance and corporate regulatory issues must be addressed in order to thwart the development of a neo/post-colonial model of pharmaceutical product development. |
Most Common Document Word Stems:
health (104), develop (74), global (70), corpor (70), trial (64), govern (64), research (54), clinic (53), pharmaceut (44), countri (42), drug (33), compani (33), ethic (32), intern (30), world (29), diseas (28), public (28), page (28), 26 (27), human (26), new (26), |
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Association:
Name: ISA's 49th ANNUAL CONVENTION, BRIDGING MULTIPLE DIVIDES URL: http://www.isanet.org
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Citation:
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MLA Citation:
| Blackwood, Elizabeth. and Brown, Sherri. "Health Governance and Pharmaceutical Product Development: Dilemmas in Exporting Clinical Research to Developing Countries" Paper presented at the annual meeting of the ISA's 49th ANNUAL CONVENTION, BRIDGING MULTIPLE DIVIDES, Hilton San Francisco, SAN FRANCISCO, CA, USA, Mar 26, 2008 <Not Available>. 2009-05-23 <http://www.allacademic.com/meta/p251129_index.html> |
APA Citation:
| Blackwood, E. P. and Brown, S. A. , 2008-03-26 "Health Governance and Pharmaceutical Product Development: Dilemmas in Exporting Clinical Research to Developing Countries" Paper presented at the annual meeting of the ISA's 49th ANNUAL CONVENTION, BRIDGING MULTIPLE DIVIDES, Hilton San Francisco, SAN FRANCISCO, CA, USA Online <PDF>. 2009-05-23 from http://www.allacademic.com/meta/p251129_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Abstract: Pharmaceutical product development and distribution is a costly and protracted process. The problem of drug access is particularly acute in developing countries where prohibitive costs delay or prevent universal access to essential medicines. The effect has been a disproportionate disease burden in countries that can ill-afford to treat entirely preventable diseases. As pharmaceutical companies increasingly export their clinical research trials to developing countries questions arise concerning the level of access such practices provide companies to subject populations. This is a particularly important issue given that evidence suggests that the ethical standards of such research are not as high as that conducted in Western countries, and that participants are more willing to participate in clinical trials than their western counterparts, due largely to illness and poverty and inferior access to treatment. Employing case studies and qualitative interview data, this paper will explore these issues, arguing that important national and global health governance and corporate regulatory issues must be addressed in order to thwart the development of a neo/post-colonial model of pharmaceutical product development. |
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| Document Type: |
PDF |
| Page count: |
26 |
| Word count: |
8111 |
| Text sample: |
| Health Governance and Pharmaceutical Product Development: dilemmas in exporting clinical research to developing countries1 2 Elizabeth P. Blackwood3 and Sherri A. Brown4 Introduction The world is now more acutely aware than ever before of the globalisation of disease and its impacts on population health. Following the SARS outbreaks in Canada and China the near hysteria over the possibility of a global avian flu outbreak and the growing awareness of the global HIV/AIDS pandemic individuals and governments are increasingly acknowledging |
| [last visited April 10 2007]. Varmus H. & D. Satcher. 1997. “Ethical Complexities of Conducting Research in Developing Countries ” New England Journal of Medicine 337(14): 1003-1005. Widdus Roy & Katherine White. 2004. Combating Diseases Associated with Poverty: Financing Strategies for Product Development and the Potential Role of Public-Private Partnerships. Initiative on Public-Private Partnerships for Health Global Forum for Health Research. Zacher M. 1999. “Uniting Nations: Global Regimes and the United Nations System” in Vayrynen R. (ed). Globalisation and |
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