Clinical research in the United States at a crossroads: Proposal for a novel public-private partnership to establish a national clinical research enterprise Journal Article
| Authors: | Crowley, W. F. Jr; Sherwood, L.; Salber, P.; Scheinberg, D.; Slavkin, H.; Tilson, H.; Reece, E. A.; Catanese, V.; Johnson, S. B.; Dobs, A.; Genel, M.; Korn, A.; Reame, N.; Bonow, R.; Grebb, J.; Rimoin, D. |
| Article Title: | Clinical research in the United States at a crossroads: Proposal for a novel public-private partnership to establish a national clinical research enterprise |
| 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. |
| Keywords: | review; united states; organization and management; biomedical research; financial management; health service; economics; government; health services; medical research; public health service; clinical research; health care personnel; cooperative behavior; university hospital; health care organization; health personnel; national institutes of health (u.s.); policy; budget; cooperation; public relations; government agencies; community care; personnel; research personnel; community networks; academic medical centers; interinstitutional relations; societies; private sector; research support; human; priority journal; article |
| Journal Title: | JAMA - Journal of the American Medical Association |
| Volume: | 291 |
| Issue: | 9 |
| ISSN: | 0098-7484 |
| Publisher: | American Medical Association |
| Date Published: | 2004-03-03 |
| Start Page: | 1120 |
| End Page: | 1126 |
| Language: | English |
| DOI: | 10.1001/jama.291.9.1120 |
| PROVIDER: | scopus |
| PUBMED: | 14996782 |
| DOI/URL: | |
| Notes: | J. Am. Med. Assoc. -- Cited By (since 1996):79 -- Export Date: 16 June 2014 -- CODEN: JAMAA -- Source: Scopus |
