한국보건사회연구원 전자도서관

로그인

한국보건사회연구원 전자도서관

자료검색

  1. 메인
  2. 자료검색
  3. 통합검색

통합검색

기사

Partial Progress: Governing the Pharmaceutical Industry and the NHS, 1948-2008 /

개인저자
Abraham, John
수록페이지
931-977 p.
발행일자
2009.12.24
출판사
Duke University Press
초록
[영문]Coinciding with sixty years of the U.K. National Health Service (NHS), this article reviews the neglected area of the governance of the pharmaceutical industry and the NHS. It traces the relationships between the pharmaceutical industry, the state, and the NHS from the creation of the health service to the present, as they have grappled with the overlapping challenges of pharmaceutical safety, efficacy, cost-effectiveness, pricing, promotion, and advertising. The article draws on the concepts of qqqquot;corporate biasqqqquot; and qqqquot;regulatory captureqqqquot; from political theory, and qqqquot;counter-vailing powersqqqquot; and qqqquot;clinical autonomyqqqquot; in medical sociology, while also introducing the new concepts of qqqquot;assimilated alliesqqqquot; and qqqquot;pharmaceuticalizationqqqquot; in order to synthesize a theoretical framework capable of longitudinal empirical analysis of pharmaceutical governance. The analysis identifies areas in which the governance of pharmaceuticals and the NHS has contributed to progress in health care since 1948. However, it is argued that that progress has been slow, restricted, and vulnerable to misdirection due to the enormous and unrivaled influence afforded to the pharmaceutical industry in policy developments. Countervailing influences against such corporate bias have often been limited and subject to destabilization by the industry's assimilated allies either within the state or in the embrace of pharmaceuticalization and consumerism.