Evidence and Access to Biomedical Interventions: The Case of Stem Cell Treatments
| Autor: | Karen J. Maschke, Michael K. Gusmano |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Technology Assessment Biomedical Alternative medicine Psychological intervention Public Policy Context (language use) 030204 cardiovascular system & hematology Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Agency (sociology) medicine Humans 030212 general & internal medicine Biomedical technology Evidence-Based Medicine Biomedical intervention business.industry Stem Cells Health Policy Politics Health technology Public relations Stem cell business Stem Cell Transplantation |
| Zdroj: | Journal of Health Politics, Policy and Law. 41:917-937 |
| ISSN: | 1527-1927 0361-6878 |
| DOI: | 10.1215/03616878-3632212 |
| Popis: | The controversy over patients' access to stem cell interventions is familiar to scholars of the drug regulatory system and the politics of evidence-based medicine. What counts as evidence of a biomedical intervention's safety and effectiveness? Who should define and assess safety and effectiveness, and how? In the first section of the paper we describe the types of stem cells that may be therapeutically effective. We then describe how the US Food and Drug Administration asserted regulatory authority over certain stem cell interventions and the legal challenge to the agency's actions. Next, we place the debate about patients' access to stem cell interventions in the broader context of efforts in the US to promote and implement health technology assessment and the debate about standards of evidence. We then review several proposed initiatives to get stem cell and other new biomedical interventions into the clinic faster and consider the extent to which these policies can resolve the underlying conflicts about evidentiary standards for clinical use. Finally, we consider whether efforts to expedite access to biomedical technologies may undermine countervailing efforts to improve the safety and effectiveness of stem cell interventions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|