Conflict of Interest in Medical Research, Education, and Practice

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Author :
Publisher : National Academies Press
ISBN 13 : 0309145449
Total Pages : 436 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Conflict of Interest in Medical Research, Education, and Practice by : Institute of Medicine

Download or read book Conflict of Interest in Medical Research, Education, and Practice written by Institute of Medicine and published by National Academies Press. This book was released on 2009-09-16 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.

Pain Management and the Opioid Epidemic

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Author :
Publisher : National Academies Press
ISBN 13 : 0309459575
Total Pages : 483 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine

Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Making Medicines Affordable

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Publisher : National Academies Press
ISBN 13 : 0309468086
Total Pages : 235 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Making Medicines Affordable by : National Academies of Sciences, Engineering, and Medicine

Download or read book Making Medicines Affordable written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-01 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.

Advances in Patient Safety

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Author :
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Effects of Pharmaceutical Cost Containment Policies on Physician Prescribing Behavior

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Author :
Publisher : 길잡이미디어
ISBN 13 : 8968271380
Total Pages : 111 pages
Book Rating : 4.9/5 (682 download)

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Book Synopsis Effects of Pharmaceutical Cost Containment Policies on Physician Prescribing Behavior by : The Korea Institute for Health and Social Affairs (South Korea)

Download or read book Effects of Pharmaceutical Cost Containment Policies on Physician Prescribing Behavior written by The Korea Institute for Health and Social Affairs (South Korea) and published by 길잡이미디어. This book was released on 2014-10-30 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: CHAPTER 1 Introduction 1. Financial Incentives to Control Pharmaceutical Expenditures 2. Pharmaceutical Expenditures and Use of Therapeutic Agents in Korea 3. Research Purpose CHAPTER 2 Methods 1. Data 2. Analysis Model and Parameter Measurements 3. Statistical Analysis CHAPTER 3 Results 1. General Overview 2. Effects of Pharmaceutical Policy Changes on Drug Prescriptions CHAPTER 4 Discussion 1. Discussion on Methods 2. Discussion on Results 3. Limitations of This Study 4. Policy Implications and Tasks for the Future

Medications for Opioid Use Disorder Save Lives

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Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Ethical Criteria for Medicinal Drug Promotion

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Publisher :
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Ethical Criteria for Medicinal Drug Promotion by : World Health Organization

Download or read book Ethical Criteria for Medicinal Drug Promotion written by World Health Organization and published by . This book was released on 1988 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Resolution WHA41.17 adopted by the Forty-first World Health Assembly, 13 May 1988" -- p.1.

Handbook on Political Trust

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Author :
Publisher : Edward Elgar Publishing
ISBN 13 : 1782545115
Total Pages : 561 pages
Book Rating : 4.7/5 (825 download)

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Book Synopsis Handbook on Political Trust by : Sonja Zmerli

Download or read book Handbook on Political Trust written by Sonja Zmerli and published by Edward Elgar Publishing. This book was released on 2017-01-27 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Political trust – in government, parliament, or political parties – has taken centre stage in political science for more than half a century, reflecting ongoing concerns with the legitimacy and functioning of representative democracy. To provide scholars, students and policy makers with a tool to navigate through the complexity of causes and consequences of political trust, this Handbook offers an excellent overview of the conceptual, theoretical, methodological and empirical state of the art, complemented by accounts of regional particularities, and authored by international experts in this field.

An Economic Querist

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Publisher : Cambridge University Press
ISBN 13 : 9780521147545
Total Pages : 148 pages
Book Rating : 4.1/5 (475 download)

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Book Synopsis An Economic Querist by : G. L. S. Shackle

Download or read book An Economic Querist written by G. L. S. Shackle and published by Cambridge University Press. This book was released on 2010-06-24 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professor Shackle's book, written along the lines of a Greek dialogue, presents a condensed version of the accepted economic insights.

Powerful Medicines

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Publisher : Vintage
ISBN 13 : 0307489752
Total Pages : 476 pages
Book Rating : 4.3/5 (74 download)

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Book Synopsis Powerful Medicines by : Jerry Avorn, M.D.

Download or read book Powerful Medicines written by Jerry Avorn, M.D. and published by Vintage. This book was released on 2008-12-10 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drug’s safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced. This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans. In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls? Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

Prescription Drugs: Improvements Needed in FDA’s Oversight of Direct-to-Consumer Advertising

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Author :
Publisher : DIANE Publishing
ISBN 13 : 9781422311578
Total Pages : 52 pages
Book Rating : 4.3/5 (115 download)

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Book Synopsis Prescription Drugs: Improvements Needed in FDA’s Oversight of Direct-to-Consumer Advertising by :

Download or read book Prescription Drugs: Improvements Needed in FDA’s Oversight of Direct-to-Consumer Advertising written by and published by DIANE Publishing. This book was released on with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Understanding Physician-Pharmaceutical Industry Interactions

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Publisher : Cambridge University Press
ISBN 13 : 9780521688666
Total Pages : 164 pages
Book Rating : 4.6/5 (886 download)

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Book Synopsis Understanding Physician-Pharmaceutical Industry Interactions by : Shaili Jain

Download or read book Understanding Physician-Pharmaceutical Industry Interactions written by Shaili Jain and published by Cambridge University Press. This book was released on 2007-04-16 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physician-pharmaceutical industry interactions continue to generate heated debate in academic and public domains, both in the United States and abroad. Despite this, recent research suggests that physicians and physicians-in-training remain uninformed of the core issues and are ill-prepared to understand pharmaceutical industry promotion. Furthermore, few medical curricula address this issue, despite warnings of the imperative need to address this gap in the education of tomorrow's physicians. There is a vast medical literature on this topic, but no single, concise resource. This book aims to fill that gap by providing a resource that explains the essential elements of this subject. The text makes the reader more aware of the key ethical issues and allows the reader to be a more savvy interpreter of industry promotion, have a heightened awareness of the public and medical legal consequences of some physician-pharmaceutical industry interactions, and be better equipped to handle real-life encounters with industry.

Innovation and Marketing in the Pharmaceutical Industry

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Publisher : Springer Science & Business Media
ISBN 13 : 1461478014
Total Pages : 763 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Innovation and Marketing in the Pharmaceutical Industry by : Min Ding

Download or read book Innovation and Marketing in the Pharmaceutical Industry written by Min Ding and published by Springer Science & Business Media. This book was released on 2013-10-31 with total page 763 pages. Available in PDF, EPUB and Kindle. Book excerpt: The pharmaceutical industry is one of today’s most dynamic and complex industries, involving commercialization of cutting-edge scientific research, a huge web of stakeholders (from investors to doctors), multi-stage supply chains, fierce competition in the race to market, and a challenging regulatory environment. The stakes are high, with each new product raising the prospect of spectacular success—or failure. Worldwide revenues are approaching $1 trillion; in the U.S. alone, marketing for pharmaceutical products is, itself, a multi-billion dollar industry. In this volume, the editors showcase contributions from experts around the world to capture the state of the art in research, analysis, and practice, and covering the full spectrum of topics relating to innovation and marketing, including R&D, promotion, pricing, branding, competitive strategy, and portfolio management. Chapters include such features as: · An extensive literature review, including coverage of research from fields other than marketing · an overview of how practitioners have addressed the topic · introduction of relevant analytical tools, such as statistics and ethnographic studies · suggestions for further research by scholars and students The result is a comprehensive, state-of-the-art resource that will be of interest to researchers, policymakers, and practitioners, alike.

Impact of Prescription Drug Diversion Control Systems on Medical Practice and Patient Care

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Author :
Publisher :
ISBN 13 :
Total Pages : 356 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Impact of Prescription Drug Diversion Control Systems on Medical Practice and Patient Care by :

Download or read book Impact of Prescription Drug Diversion Control Systems on Medical Practice and Patient Care written by and published by . This book was released on 1993 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Analysis of Health Surveys

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Publisher : John Wiley & Sons
ISBN 13 : 1118030869
Total Pages : 408 pages
Book Rating : 4.1/5 (18 download)

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Book Synopsis Analysis of Health Surveys by : Edward L. Korn

Download or read book Analysis of Health Surveys written by Edward L. Korn and published by John Wiley & Sons. This book was released on 2011-01-25 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: How to apply statistical methods to survey data--a guide toeffective analysis of health surveys. With large health surveys becoming increasingly available forpublic use, researchers with little experience in survey methodsare often faced with analyzing data from surveys to addressscientific and programmatic questions. This practical book providesstatistical techniques for use in survey analysis, making healthsurveys accessible to statisticians, biostatisticians,epidemiologists, and health researchers. The authors clearlyexplain the theory and methods of survey analysis along withreal-world applications. They draw on their work at the NationalInstitutes of Health as well as up-to-date information from acrossthe literature to present: * The sampling background necessary to understand health surveys. * The application of such techniques as t-tests, linear regression,logistic regression, and survival analysis to survey data. * The use of sample weights in survey data analysis. * Dealing with complications in variance estimation in large healthsurveys. * Applications involving cross-sectional, longitudinal, andmultiple cross-sectional surveys, and the use of surveys to performpopulation- based case-control analyses. * Guidance on the correct use of statistical methods found insoftware packages. * Extensive bibliography.

Handbook of Health Economics

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Author :
Publisher : Elsevier
ISBN 13 : 0444535926
Total Pages : 1149 pages
Book Rating : 4.4/5 (445 download)

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Book Synopsis Handbook of Health Economics by : Mark V. Pauly

Download or read book Handbook of Health Economics written by Mark V. Pauly and published by Elsevier. This book was released on 2012-01-05 with total page 1149 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].

The Advanced Practice Registered Nurse as a Prescriber

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Publisher : John Wiley & Sons
ISBN 13 : 0813805244
Total Pages : 284 pages
Book Rating : 4.8/5 (138 download)

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Book Synopsis The Advanced Practice Registered Nurse as a Prescriber by : Marie Annette Brown

Download or read book The Advanced Practice Registered Nurse as a Prescriber written by Marie Annette Brown and published by John Wiley & Sons. This book was released on 2012-02-28 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new era of opportunity is emerging for advanced practice registered nurses (APRNs) to increasingly address gaps in access to quality healthcare. APRNs must be prepared to practice to the full scope of their education and abilities. As more and more states pass legislation enhancing prescriptive authority and fully autonomous practice for APRNs, a comprehensive resource on prescribing practices is needed. The increasing demands of today's fast-paced healthcare environment require a new level of prescriber expertise. Knowledge about medication characteristics and effectiveness must be accompanied by an understanding of the context and process of prescribing. The Advanced Practice Registered Nurse as a Prescriber provides practicing APRNs and students with the information necessary to make fully informed, rational and ethical decisions as prescribers. This book opens with an overview of the role of the APRN prescriber and moves on to discussing practical issues such as managing difficult patient situations, special considerations when prescribing controlled substances, the influence of pharmaceutical marketing, state regulation, and legal aspects of prescribing. The book also examines barriers to prescribing, and the concluding chapter underscores key information to build cultural competence when prescribing. An evidence-based resource for all APRNs and APRN students, The Advanced Practice Registered Nurse as a Prescriber provides a comprehensive and practical resource essential for APRNs in all advanced practice roles.