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Drugs --- Pharmaceutical biotechnology --- Technology, Pharmaceutical --- Pharmacy --- Investigative Techniques --- Technology --- Technology, Industry, and Agriculture --- Health Occupations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Disciplines and Occupations --- Technology, Industry, Agriculture --- Pharmacy, Therapeutics, & Pharmacology --- Health & Biological Sciences --- Safety measures --- Design

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"An ideal health care system relies on efficiently generating timely, accurate evidence to deliver on its promise of diminishing the divide between clinical practice and research. There are growing indications, however, that the current health care system and the clinical research that guides medical decisions in the United States falls far short of this vision. The process of generating medical evidence through clinical trials in the United States is expensive and lengthy, includes a number of regulatory hurdles, and is based on a limited infrastructure. The link between clinical research and medical progress is also frequently misunderstood or unsupported by both patients and providers. The focus of clinical research changes as diseases emerge and new treatments create cures for old conditions. As diseases evolve, the ultimate goal remains to speed new and improved medical treatments to patients throughout the world. To keep pace with rapidly changing health care demands, clinical research resources need to be organized and on hand to address the numerous health care questions that continually emerge. Improving the overall capacity of the clinical research enterprise will depend on ensuring that there is an adequate infrastructure in place to support the investigators who conduct research, the patients with real diseases who volunteer to participate in experimental research, and the institutions that organize and carry out the trials. To address these issues and better understand the current state of clinical research in the United States, the Institute of Medicine's (IOM) Forum on Drug Discovery, Development, and Translation held a 2-day workshop entitled Transforming Clinical Research in the United States. The workshop, summarized in this volume, laid the foundation for a broader initiative of the Forum addressing different aspects of clinical research. Future Forum plans include further examining regulatory, administrative, and structural barriers to the effective conduct of clinical research; developing a vision for a stable, continuously funded clinical research infrastructure in the United States; and considering strategies and collaborative activities to facilitate more robust public engagement in the clinical research enterprise."--Publisher's description.

Clinical trials --- Chemistry, Pharmaceutical --- Evaluation Studies as Topic --- Epidemiologic Study Characteristics as Topic --- Social Control Policies --- North America --- Investigative Techniques --- Publication Formats --- Epidemiologic Methods --- Americas --- Policy --- Chemistry --- Publication Characteristics --- Pharmacology --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Social Control, Formal --- Health Care Evaluation Mechanisms --- Drug Discovery --- Public Policy --- Clinical Trials as Topic --- Congresses --- United States --- Health Care Economics and Organizations --- Public Health --- Geographic Locations --- Natural Science Disciplines --- Biological Science Disciplines --- Sociology --- Quality of Health Care --- Social Sciences --- Disciplines and Occupations --- Health Care --- Health Care Quality, Access, and Evaluation --- Geographicals --- Environment and Public Health --- Anthropology, Education, Sociology and Social Phenomena --- Medicine --- Health & Biological Sciences --- Medical Research --- Research --- Government policy