Clinical research in the United States at a crossroads: proposal for a novel public-private partnership to establish a national clinical research enterprise. Academic Article uri icon

Overview

MeSH

  • Academic Medical Centers
  • Community Networks
  • Cooperative Behavior
  • Health Personnel
  • Health Services
  • Interinstitutional Relations
  • National Institutes of Health (U.S.)
  • Research Personnel
  • Research Support as Topic
  • Societies
  • United States

MeSH Major

  • Biomedical Research
  • Government Agencies
  • Private Sector

abstract

  • The clinical research infrastructure of the United States is currently at a critical crossroads. To leverage the enormous biomedical research gains made in the past century efficiently, a drastic need exists to reengineer this system into a coordinated, safe, and more efficient and effective enterprise. To accomplish this task, clinical research must be transformed from its current state as a cottage industry to an enterprise-wide health care pipeline whose function is to bring the novel research from both government and private entities to the US public. We propose the establishment of a unique public-private partnership termed the National Clinical Research Enterprise (NCRE). Its agenda should consist of informed public participation, supportive information technologies, a skilled workforce, and adequate funding in clinical research. Devoting only 0.25% of the budgets from all health care stakeholders to support the NCRE would permit adequate funding to build the infrastructure required to address these problems in an enterprise fashion. All participants in the US health care delivery system must come together to focus on system-wide improvements that will benefit the public.

publication date

  • March 3, 2004

has subject area

  • Academic Medical Centers
  • Biomedical Research
  • Community Networks
  • Cooperative Behavior
  • Government Agencies
  • Health Personnel
  • Health Services
  • Interinstitutional Relations
  • National Institutes of Health (U.S.)
  • Private Sector
  • Research Personnel
  • Research Support as Topic
  • Societies
  • United States

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1001/jama.291.9.1120

PubMed ID

  • 14996782

Additional Document Info

start page

  • 1120

end page

  • 1126

volume

  • 291

number

  • 9