LEADER 04862nam 2200757Ia 450 001 9910969384203321 005 20251017110116.0 010 $a9780309253185 010 $a0309253187 010 $a9781283636360 010 $a1283636360 010 $a9780309253161 010 $a0309253160 035 $a(CKB)2670000000275075 035 $a(EBL)3379028 035 $a(SSID)ssj0000665821 035 $a(PQKBManifestationID)11396035 035 $a(PQKBTitleCode)TC0000665821 035 $a(PQKBWorkID)10646588 035 $a(PQKB)10153786 035 $a(Au-PeEL)EBL3379028 035 $a(CaPaEBR)ebr10606369 035 $a(CaONFJC)MIL394882 035 $a(OCoLC)902942425 035 $a(MiAaPQ)EBC3379028 035 $a(Perlego)4739707 035 $a(DNLM)1601246 035 $a(BIP)62386489 035 $a(BIP)39416916 035 $a(EXLCZ)992670000000275075 100 $a20111220d2012 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aEnvisioning a transformed clinical trials enterprise in the United States $eestablishing an agenda for 2020: workshop summary /$fNeil Weisfeld, Rebecca A. English, and Anne B. Claiborne, rapporteurs; Forum on Drug Discovery, Development, and Translation; Board on Health Sciences Policy 205 $a1st ed. 210 $aWashington $cNational Academies Press$d2012 215 $a1 online resource (232 p.) 300 $aDescription based upon print version of record. 311 08$a9780309253154 311 08$a0309253152 320 $aIncludes bibliographical references. 327 $a""Front Matter""; ""Reviewers""; ""Contents""; ""Tables, Figures, and Boxes""; ""Acronyms""; ""1 Introduction""; ""2 Integrating Community Practice and Clinical Trials""; ""3 Improving Public Participation in Clinical Trials""; ""4 Creating a New Business Model for Clinical Trials""; ""5 Building an Infrastructure to Support Clinical Trials""; ""6 Suggesting an Agenda for Transforming Elements of the Clinical Trials Enterprise""; ""References""; ""Appendix A: Workshop Agenda""; ""Appendix B: Participant Biographies""; ""Appendix C: Registered Workshop Attendees"" 327 $a""Appendix D: Discussion Paper: The Clinical Trials Enterprise in the United States: A Call for Disruptive Innovation""""Appendix E: Discussion Paper: Developing a Robust Clinical Trials Workforce""; ""Appendix F: Discussion Paper: Transforming the Economics of Clinical Trials""; ""Appendix G: Discussion Paper: Developing a Clinical Trials Infrastructure""; ""Appendix H: Discussion Paper: Canadian Strategy on Patient-Oriented Research""; ""Appendix I: Discussion Paper: Health Research as a Public Good""; ""Appendix J: Discussion Paper: Novel Ways to Get Good Trial Data: The UK Experience"" 327 $a""Appendix K: IOM Staff Paper: Context and Glossary of Select Terms Associated with the Clinical Trials Enterprise"" 330 $aThere is growing recognition that the United States' clinical trials enterprise (CTE) faces great challenges. There is a gap between what is desired - where medical care is provided solely based on high quality evidence - and the reality - where there is limited capacity to generate timely and practical evidence for drug development and to support medical treatment decisions. With the need for transforming the CTE in the U.S. becoming more pressing, the IOM Forum on Drug Discovery, Development, and Translation held a two-day workshop in November 2011, bringing together leaders in research and health care. The workshop focused on how to transform the CTE and discussed a vision to make the enterprise more efficient, effective, and fully integrated into the health care system. Key issue areas addressed at the workshop included: the development of a robust clinical trials workforce, the alignment of cultural and financial incentives for clinical trials, and the creation of a sustainable infrastructure to support a transformed CTE. This document summarizes the workshop. 606 $aClinical trials$zUnited States 606 $aClinical medicine$xResearch$zUnited States 615 0$aClinical trials 615 0$aClinical medicine$xResearch 676 $a615.50724 701 $aWeisfeld$b Neil E$01805912 701 $aEnglish$b Rebecca A$01805913 701 $aClaiborne$b Anne B$01805914 712 02$aInstitute of Medicine (U.S.).$bForum on Drug Discovery, Development, and Translation. 712 02$aInstitute of Medicine (U.S.).$bBoard on Health Sciences Policy. 712 02$aNational Academies Press (U.S.) 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910969384203321 996 $aEnvisioning a transformed clinical trials enterprise in the United States$94354792 997 $aUNINA