Medical Research for Hire: The Political Economy of Pharmaceutical Clinical Trials

Medical Research for Hire: The Political Economy of Pharmaceutical Clinical Trials

by Jill A. Fisher
     
 

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ISBN-10: 0813544106

ISBN-13: 9780813544106

Pub. Date: 11/06/2008

Publisher: Rutgers University Press

Today, more than 75 percent of pharmaceutical drug trials in the United States are being conducted in the private sector. Once the sole province of academic researchers, these important studies are now being outsourced to non-academic physicians.

According to Jill A. Fisher, this major change in the way medical research is performed is the outcome of two problems

Overview

Today, more than 75 percent of pharmaceutical drug trials in the United States are being conducted in the private sector. Once the sole province of academic researchers, these important studies are now being outsourced to non-academic physicians.

According to Jill A. Fisher, this major change in the way medical research is performed is the outcome of two problems in U.S. health care: decreasing revenue for physicians and decreasing access to treatment for patients. As physicians report diminishing income due to restrictive relationships with insurers, increasing malpractice insurance premiums, and inflated overhead costs to operate private practices, they are attracted to pharmaceutical contract research for its lucrative return. Clinical trials also provide limited medical access to individuals who have no or inadequate health insurance because they offer "free" doctors' visits, diagnostic tests, and medications to participants. Focusing on the professional roles of those involved, as well as key research practices, Fisher assesses the risks and advantages for physicians and patients alike when pharmaceutical drug studies are used as an alternative to standard medical care.

A volume in the Critical Issues in Health and Medicine series, edited by Rima D. Apple and Janet Golden

Product Details

ISBN-13:
9780813544106
Publisher:
Rutgers University Press
Publication date:
11/06/2008
Series:
Rutgers Series in Critical Issues in Health and Medicine
Edition description:
New Edition
Pages:
272
Product dimensions:
6.00(w) x 8.90(h) x 0.70(d)

Table of Contents

Acknowledgments ix

Chapter 1 Clinical Trials: Coming Soon to a Physician Near You 1

Chapter 2 Governing Human Subjects Research 19

Chapter 3 Pursuing Contract Research 33

Chapter 4 Coordinating Clinical Trials 66

Chapter 5 Monitoring the Clinical Trials Industry 97

Chapter 6 Recruiting Human Subjects 126

Chapter 7 Mobilizing Informed Consent 158

Chapter 8 Cultivating Pharmaceutical "Compliance" 180

Chapter 9 Changing Markets in Pharmaceutical Research 208

Appendix On Methods 217

Notes 221

Index 245

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