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The changing landscape for clinical research.

S J Heinig1, A S Quon, R E Meyer

  • 1Division of Biomedical and Health Sciences Research, Association of American Medical Colleges, Washington, DC 20037, USA. sheinig@aamc.org

Academic Medicine : Journal of the Association of American Medical Colleges
|July 1, 1999
PubMed
Summary

Clinical research in the U.S. faces challenges due to scientific and healthcare changes. New initiatives aim to create a national agenda and strengthen research capacity.

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Area of Science:

  • Biomedical Sciences
  • Health Services Research
  • Health Informatics

Background:

  • The U.S. clinical research landscape has been significantly altered by biomedical advancements, healthcare delivery transformations, and information technology integration.
  • Understanding these shifts is crucial for adapting the clinical research enterprise.

Observation:

  • A critical gap exists in data for monitoring the progress and sustainability of clinical research realignment.
  • The definition, scope, and venues of clinical research are continuously evolving.

Findings:

  • Proposed remedies include shared financing of academic medicine, insurer support for clinical trial patient care costs, and enhanced collaboration among industry, academia, insurers, and government.
  • Two key initiatives, the Clinical Research Summit Project and the Association of American Medical Colleges' Clinical Research Task Force, are proposed to address these challenges.

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Implications:

  • These initiatives aim to formulate a national agenda for clinical research, identify stable funding for infrastructure, assess workforce needs, and ensure research vitality and accountability.
  • Strengthening the capacity of academic medical colleges to support clinical research programs is a primary goal.