[Role of INSERM in descriptive epidemiologic studies]

The foundation of INSERM and its development over the past 30 years have led to the formation of a public body known in France as EPST. With scientific and technological interests, the general aim is to promote the advancement of science and to improve the diffusion of information among scientists, teachers or decision-makers and also the general public. Epidemiology counts among the medical disciplines which are methodologically well developed and widely used by many health sectors from clinical research to public health. In the face of more stringent social demands, there is a great need for appropriate use and exploitation of knowledge and resources. In this context, epidemiological research is acquiring a great importance in the production of medical information and also in the evaluation of health practices. A good example is provided by the epidemiological studies on drug abuse which, in spite of the restrictions, furnish new information regarding this problem. 1. Epidemiological studies are limited by legislation (Public Health Code). The Mortality Bureau (INSERM) is charged with the establishment of a register of the medical causes of death. 2. Research proposals are provided by the scientific community. 3. Evaluation studies are most often requested by the Ministry of Health, but, more and more frequently, may originate in other ministerial offices and local governing bodies. The role of the researcher in relation to external collaborations (politicians, administrators and consumers) should be precisely defined.