Clinical Research
India is emerging as a global hub for clinical research. According to projections from McKinsey & Company, the Indian clinical research industry could
attract US $1.5 billion of revenue from U.S. and European sponsors by 2010, creating a demand for more than 10,000 investigators trained in good
clinical practice (GCP) and supported by nearly 50,000 clinical research professionals. The revenue expected to be reaching US $ 20 billion in India
till 2015.With increased outsourcing from the U.S. and Europe to India, global pharmaceutical companies and Indian entrepreneurs have set up contract
research organizations (CROs) in India. They are attracting highly competent professionals, both in the clinical research profession and the knowledge
process outsourcing sector.Full PAPER
Arun Bhatt, president of the Indian Society for Clinical Research (ISCR), said that the CRO market
in India is witnessing a robust growth of 30 per cent. "Trained people are required at every level," said Bhatt.
The existing regulatory apparatus in India permits unethical trials of no benefit to
Indians. LINK
Now finally there is a possibility of update on regulations so that when patients get hurt during the trial they will be entitled to compensation. LINK
There is an organisation working for Fair clinical trails in Developing countries -CLICK HERE
Ethics and quality of drug testing in low income countries
Large pharmaceutical companies are often no longer testing the drugs themselves. They commission Contract Research Organisations (CROs) to carry out these tests in low income countries with large populations of poor, uninsured and illiterate people. They can easily recruit cheap trial subjects there. The problems caused by the enormous flood of clinical trials in countries such as India and Brazil in the past years have been known for a while now. The lack of monitoring is also well known.
Pharmaceutical companies assure us that they closely monitor the compliance to ethical standards of their contract partners, but it seems foolish to believe the actors who have the largest stake in positive test results on the strength of their word. However, that is how the current situation stands: independent monitoring of clinical trials in developing countries leaves much to be desired. READ FULL PAPER
Also Read Big Pharma's global guinea pigs - in United States, the widespread "off-shoring" of research
Also read State of India Healthcare System
Useful LINKS
Institute of Clinical Research India
Criterium Clinical Research India
Max Neeman Clinical Research India
Reliance Clinical Research Services (RCRS)
Clinical Research Education & Management Academy
Career in Clinical Research Education
Status/viewpoint Clinical Research India
Clinical Research, Goa, India
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"Effect of Race
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Health Data: United States 1993
Table Of Contents
Action on Smoking and Health (ASH)
Americans for Nonsmokers' Rights
American Public Health Association
Case studies in community health -
Civic Practices Network
Community Health InfoLine
Community Health InfoLine (Kellogg
Foundation models project)
Lead Poisoning Prevention Video
Martindale's
"Virtual" Public Health Center
RAND - Health cost studies
RAND - Health cost studies (abstracts
and order forms)
Smoke Free Maryland Home Page
Public Opinion Polls
Concept Of Public
Health Misunderstood By American Public
Consumer satisfaction with
Health Plans - MAHMO survey of studies
GVU Center's WWW User Surveys (internet
survey results online)
Health Confidence Survey (Employee
Benefit Research Institute)
Public Opinion Research on
Children's Issues (polls hosted by Benton
Foundation for Coalition for America's Children)
MedAccess health survey form
Sick People Have Difficulty Getting
Proper Care (RWJF 6/95)
Survey of children on health and safety issues -
1995 (Children Now)
Survey of Parents with Young Children - by the
Commonwealth Fund
Surveys on internet usage for health purposes (from
Health On the Net Foundation)
What Do Americans
REALLY Think About Children?(1999 report
by Harvard's Blendon, McCormick, Young)
Quality and Outcomes Research
FACCT--The Foundation for Accountability
(unique, plentiful information on performance/quality measurement)
Mining Co. -
Health Care Industry - Outcomes Links (general, journals, tools)
Outcomes Assessment
and Research (excellent site by Carl
Slater MD, U of Texas School of Public Health)
Quality of Life Assessment in Medicine -
Marcello Tamburini - GLAMM Interactive (
Quality of Life Assessment in Medicine -
Marcello Tamburini - GLAMM Interactive (
Quality of Life Assessment in Medicine -
Marcello Tamburini - GLAMM Interactive (
Quality of Life Assessment in Medicine -
Marcello Tamburini - GLAMM Interactive (
Quality of Life Assessment in Medicine -
Marcello Tamburini - GLAMM Interactive (lots
of links to assessment tools)
About the SF-36 - Bibliography
Association of State Medical Board Executive Directors (links
to state medical licensing boards; some publish MD profiles and complaints)
Cardinal Health Information - MediQual
(quantitative quality measures includes several informative examples)
The Center for Healthcare Industry Performance
Studies (inpatient, outpatient, financial,
operational competitor benchmarking)
Compare your health to baseline population -
based on SF-36
The Dartmouth Atlas of Health Care
HEDIS/NCQA - Summary of Report Card
Pilot Project
HMOs Use Polling
Tricks To Achieve High Marks
HealthCareReportCards
(rates hospitals
using risk adjusted model)
Institute for Healthcare Improvement
National Guideline
Clearinghouse (a
public resource for evidence-based clinical practice guidelines)
National Public Health
Performance Standards Program (coordinated
by US Center for Disease Control)
ORION - Guidelines for
Outcomes Research (Hoechst
Marion Roussel)
QMAS - Quality Measurement Advisory Service
The Picker Institute
(promotes health care quality assessment; develops models to make treatment more humane)
Rural Health Care
Health Hippo - Rural Health
Michigan Center for Rural
Health
National Organization of State Offices of
Rural Health (NOSORH)
National Rural Health Association
Rural Information Center Health Service
RuralNet - Marshall Univ. Sch. of Medicine
State Health Policy
State health departments on-line
1996 Kids Count Data On-line - includes
state profiles (Annie E. Casey Foundation)
State report cards on
child health - National Center for Children in Poverty update (9/96)
State Updates (Alpha
Center)
Connecticut KidsLink
Kentucky - Alpha Center update (8/96)
Massachusetts
New York State - Health
Care Reform Act (HCRA)
Oregon - Alpha Center update
(11/96)
Technology
California Health Information for Policy Project -
CHIPP
Healthcare Informatics Online
(monthly magazine about information technology for IT decision-makers)
Info Technology & Healthcare: @BRINT
(excellent link selection)
MEDICAL MATRIX - Telemedicine
MedWeb: Telemedicine
ShareNET-Healthcare EDI Consortium (promotes use of
electronic data interchange and open networks)
Telemedicine Information Exchange (TIE)
TeleMedicine
Telemedicine Today Online (best
gateway to telemedicine)
Association of Telemedicine Service Providers
MEDICAL MATRIX - Telemedicine
MedWeb: Telemedicine
National Library of Medicine's NGI
& Telemedicine Projects< Telemedicine Information
Exchange (TIE)
Tobacco
Action on Smoking and Health (ASH) (a leading anti-smoking
organization)
National Center for Tobacco-Free Kids
The Center for Social Gerontology state by state updates on
settlement funds)
Duke University
Health Policy Cyberexchange - Health Promotion links
Liggett Documents Online
Policy.com - tobacco links
Work Force, Labor, Employment Issues
American Medical
News
American Medical
News (AMA article on physician unionization,
Jan. 11, 1999)
Bureau of Labor Statistics
Employment Projections - 10 fastest growing occupations
The
Center for the Health Professions The
Center for the Health Professions (Univ of California, San Francisco)
"Doctors Council
Affiliates with SEIU" (SEIU press
release, 3/1/99)
Service Employees International Union(hospital
workers, nursing homes, nurses, doctors)
Consumer satisfaction with Health
Plans - MAHMO survey of studies
Five Stages to Managed Care - from Cost
& Quality journal
Florida Managed Care Institute Home Page
Glossary of Managed Care Acronyms
(on
The HMO Page)
Glossary of Managed Care Terms
(on The HMO Page)
HARP Cases (Health Administration Responsibility
Project)
HARP (Health Administration Responsibility Project)
(best of the web legal analysis of HMO patient protections)
Harris poll:
Consumers Confused About HMOs (1995)
Health Benefits Coalition (employer
group concerned about federal mandates for patient protections)
HMOs - BuyersZone
(HMO
buyers guide with HMO ratings, industry lingo, resource center)
HMOs Use Polling
Tricks To Achieve High Marks
HMO Page HMO Page
Consumer satisfaction with Health
Plans - MAHMO survey of studies
Five Stages to Managed Care - from Cost
& Quality journal
Florida Managed Care Institute Home Page
Glossary of Managed Care Acronyms (on
The HMO Page)
Glossary of Managed Care Terms
(on The HMO Page)
HARP Cases (Health Administration Responsibility
Project)
HARP (Health Administration Responsibility Project)
(best of the web legal analysis of HMO patient protections)
Harris poll:
Consumers Confused About HMOs (1995)
Health Benefits Coalition (employer
group concerned about federal mandates for patient protections)
HMOs - BuyersZone (HMO
buyers guide with HMO ratings, industry lingo, resource center)
HMOs Use Polling
Tricks To Achieve High Marks
HMO Page
HMO Page (Atrocity of the Month, Hall
of Shame, patient complaints; federal and state patient protection legislation)
Integrated Healthcare Assocation (California
leadership group; integrated health care and managed care policy)
Managed Care and Early
Childhood Development - Right Place, Right Time (Children Now)
Managed Care Information Center
Managed Care INFO (lots
of topics/not much info; $25 for members only area)
Managed Care Web Resource
Directory (links to health plan and HMO sites from Managed Care
Information Center)
Managed Healthcare News
Massachusetts Assn of HMOs (MAHMO) (the
HMO's side of the story)
Medicare Managed Care
Departures and Service Area Reductions (analysis from Managed Care
Information Center)
National Committee for Quality Assurance (NCQA) (evaluates
HMO quality)
National Directory of Managed Care
Organizations (for subscribers - online managed care database -
Managed Care Information Center)
Patient Protection Act (by state
on The HMO Page)
SAMHSA's Managed Care Initiative (substance
abuse/mental health)
Survey of Patients in Managed Care and
Fee-for-Service Settings-Commonwealth Fund
Ten Commandments for HMOs (for
patient protection, prepared by Elizabeth Charlton Moore)
Top HMOs- by US News
&World Report
Utilization rates for
enrollees in Medi-Cal managed care plans (CHCR study)
Viewpoints on managed care
(health care experts and others opine on specific managed care issues)
HMOs Use Polling
Tricks To Achieve High Marks
HMO Page (Atrocity of the Month, Hall
of Shame, patient complaints; federal and state patient protection legislation)
Integrated Healthcare Assocation (California
leadership group; integrated health care and managed care policy)
Managed Care and Early
Childhood Development - Right Place, Right Time (Children Now)
Managed Care Information Center
Managed Care INFO (lots
of topics/not much info; $25 for members only area)
Managed Care Web Resource
Directory (links to health plan and HMO sites from Managed Care
Information Center)
Managed Healthcare News
Massachusetts Assn of HMOs (MAHMO) (the
HMO's side of the story)
Medicare Managed Care
Departures and Service Area Reductions (analysis from Managed Care
Information Center)
National Committee for Quality Assurance (NCQA) (evaluates
HMO quality)
National Directory of Managed Care
Organizations (for subscribers - online managed care database -
Managed Care Information Center)
Patient Protection Act (by state
on The HMO Page)
SAMHSA's Managed Care Initiative (substance
abuse/mental health)
Survey of Patients in Managed Care and
Fee-for-Service Settings-Commonwealth Fund
Ten Commandments for HMOs (for
patient protection, prepared by Elizabeth Charlton Moore)
Top HMOs- by US News
&World Report
Utilization rates for
enrollees in Medi-Cal managed care plans (CHCR study)
Viewpoints on managed care
(health care experts and others opine on specific managed care issues)
Medicaid
Medicare & Medicaid Medicaid
Medicare & Medicaid
(statute, US Code, CFR via Health Hippo)
AFDC-Related Medicaid Provisions in the New
Welfare Law - 91996
Center for Health Care Strategies (Medicaid managed care
resources)
Massachusetts Medicaid Consumer Network
Medicaid Reform Glossary (Texas
Health & Human Services Commission)
Medicaid's Role in Insuring Low-Income Women -
Commonwealth Fund
SeniorLaw: Medicare & Medicaid Recent
Developments
Medical Savings Accounts
Guidelines for Medical Savings Accounts
Medical Savings Accounts Page
Medical Savings Accounts (MSA)
Definition of MSAs
(by
American Health Value, MSA Administrators)
MSA policy analysis (The
Urban Institute)
Medical Savings Accounts What They Are
(on The HMO Page site)
Medicare
National Bipartisan Commission on the
Future of Medicare (Senator John Breaux, Chairman)
Concord
Coalition - Entitlements - Medicare
Health Insurance Information, Counseling and
Assistance Program (HIICAP) (Medicare, managed care,
Medigap, long term care insurance and more)
Medicare & Medicaid (statute, US Code, CFR via Health Hippo)
Medicare Managed Care
Departures and Service Area Reductions (analysis-Managed Care Information Center)
Medicare Reform - The Basics (Twentieth
Century Fund)
SeniorLaw: Medicare & Medicaid Recent
Developments
Mental Health
& Substance Abuse
Bazelon Center for Mental Health Law
Health Hippo: Mental Health and CD
Internet Mental Health
International Mental Health Network
Manisses Communications (resources
on addiction, mental health, geriatrics, children's services)
Manisses Communications (resources
on addiction, mental health, geriatrics, children's services)
Mental Health Net (links
for disorders and treatments; professional resources; news)
Mental Health
Weekly - Current Issue Highlights (online
newsletter from Manisses Communications Group)
National Mental Health Association
1-800-THERAPIST (live
on-line therapy sessions; access & search for therapists)
Substance Abuse and Mental Health Services Administration
Minority Health
The Initiative to Eliminate Racial and Disparities
in Health (US Dept of Health and Human Services)
The Minority Health Network
Office Of Minority Health Resource Center(US
Dept of Health and Human Services)
"Effect of Race
and Sex on Physicians' Recommendations for Cardiac Cath" (2/25/99 New England Journal
of Medicine)
"Patient's
Race, Sex Influences Doctor's Care" (2/25/99 Reuters via Fox News online
report on NEJM article))
Nurses' Issues
American Association of Legal Nurse Consultants
(registered
nurses consulting in the legal field)
Association of Operating Room Nurses
California Nurses Association- Response
to the PEW Report
MedExplorer - Nursing (links
to associations, education, neonatal, emergency, psychiatric, triage, students and more)
NursingNet
NurseWeek
Nursing World! - American Nurses' Association (v e
r y s l o w)
Royal Windsor Society for Nursing Research
Policy Organizations
Duke University Health Policy
Cyberexchange (Duke University Center for Health Policy,
Law and Management)
Think Tanks list - by Policy.com
Alliance For Health Reform (chaired
by Senator Jay Rockefeller, co-chair Senator Bill Frist)
The Alpha Center
American Public Health Association (APHA)
Association for Responsible Medicine (Medical
Malpractice Victims Organization) (lists Florida doctors
with most filed complaints)
California Advocates for Nursing Home Reform
The Cato Institute
Center on Budget and Policy Priorities
Center for Health Care
Rights (Medi-Cal Managed Care)
Center for Health Care Strategies
(Medicaid managed care resources)
Center for Health Care Strategies
(Medicaid managed care resources)
Center for Health Care Strategies
(Medicaid managed care resources)
Center for Health Care Strategies
(Medicaid managed care resources)
Center for Public Policy (links
to conservative public policy research organizations)
Child Welfare League of America
(1000+ member agencies serve 3 million abused/neglected child/families a year)
Children's Defense Fund
Children's Environmental Health Network (great
resource)
Coalition for America's Children
Duke University Health Policy
Cyberexchange (Duke University Center for
Health Policy, Law and Management)
Employee Benefit Research Institute
(EBRI) (research and education on
economic security and employee benefits)
FACCT--The Foundation for Accountability (unique,
plentiful information on performance/quality measurements)
Families USA Foundation
Health Affairs (journal)
Health Affairs (journal)
Health Care For All (leading
consumer advocacy group in Massachusetts; the name says it all)
Health Service Research Journal (10
year index by author, subject)
Institute for Child Health Policy (managed
care with emphasis on children with special health care needs)
Institute for Health Policy Solutions (access,
cost containment and developing consumer-choice health purchasing groups)
Integrated Healthcare Assocation (California
leadership group developing policy around integrated health care and managed care)
Maryland Advocates for Children and Youth
National Association of Child Advocates
(building
a movement for children across America)
National Organization of Physicians Who Care
Office of Public Health and Science (US
HHS agency)
Pennsylvania Health Care Cost Containment Council (PHC4)
Physicians for a
National Health Program (Student Home Page)
Policy.com- Home Page
Research!America Central
The Urban Institute

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