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利益の動機を変化させ,発展途上国のニーズを満たすようにする
A Schieppati1, G Remuzzi, S Garattini
1Mario Negri Institute for Pharmacological Research, Bergamo, Italy.
Lancet (London, England)
|November 22, 2001
まとめ
利益を追求する学術と産業の協力は,しばしば発展が遅れた地域で蔓延している病気を無視する. グローバルな健康格差に対処する研究には,新しい資金調達モデルが必要である.
科学分野:
- バイオメディカルリサーチ
- グローバル・ヘルス グローバル・ヘルス
- 健康経済学 医療経済学
背景:
- アカデミック/産業のコラボレーションは,利益の動機によって主に成功しています.
- 市場主導の研究開発 (R&D) は,発展途上地域の患者のニーズに十分に対応していない.
- 孤児疾患に対する薬物開発における既存の柔軟性は,適応の可能性を強調しています.
研究 の 目的:
- 商業的利益から独立した研究資金の提唱をすること.
- 医療研究における先進国と発展途上国の間の格差に対処するために,
- 学術研究者が,世界保健のための患者中心の研究を推進することを奨励する.
主な方法:
- 現在の学術・産業協力モデルの分析.
- R&Dの資金調達構造と,その影響が世界の健康平等に与える影響の見直し.
- 稀有病に対する薬物開発を先例として検討する.
主要な成果:
- 利益の動機は,現在の研究成功の主要な原動力である.
- 市場主導のR&Dは,発展途上国において一般的な病気に対して限られた利益をもたらします.
- 発展が遅れた地域で蔓延する病気は,しばしば稀ではないが,まだ研究不足のままである.
結論:
- 現在の商業的R&Dモデルは,世界の健康ニーズに対応するには不十分です.
- 学術研究者は,発展途上世界の病気を対象とした研究のための非商業的資金調達を積極的に促進しなければなりません.
- 独立した資金調達を確立することは,公平な世界的な健康研究と患者ケアに不可欠です.
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