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TITLE He who pays the piper calls the tune?   200918E.pdf (341.5 KB)
Title in the original language Wie betaalt, bepaalt? - Over financiering en het ontwikkelen van medische kennis  200918.pdf (439.8 KB)
Document ID LIB638
Document type Scientific advisory body opinion/advice
Issue date 08/03/2010
Original language of the document Dutch
Full text available in EN (341.5 KB) and NL (439.8 KB)
Document produced by Health Council of the Netherlands organisation visiting card
Document uploaded by Jeannette van Kan
Health Council of the Netherlands
Scientific domains
Policy domains
  • Health


Short description  This monitoring report examines the influence of industrial sponsoring on the development of medical knowledge, and the ethical questions to which this gives rise. It is mainly concerned with the stage of setting the agenda and priorities for the knowledge that should be developed and the stage of developing that knowledge through research. Case studies are used as the basis for demonstrating that the development of biomedical knowledge would be unbalanced, if knowledge development became excessively dependent on industrial research. The case studies concern drug research, research into diagnostic devices, nutritional research and public health research. The fields of knowledge studied appear to be subject to all the consequences of the crowding-out effect: the phenomenon that in fields of knowledge in which product sales and making profit play little, if any, role, development lags behind development in economically valorisable fields of knowledge, even if society has a definite need for the knowledge concerned.
Short description in the original language  Me­di­sche on­der­wer­pen en ken­nis­ge­bie­den die com­mer­ci­eel niet aan­trek­ke­lijk zijn, dreigen achter te blijven bij on­der­wer­pen en ken­nis­ge­bie­den waarmee wel geld te ver­die­nen valt. Dat blijkt uit diverse case studies die de Ge­zond­heids­raad be­schrijft in een ethisch sig­na­le­ment. Hierin wordt uit­ge­legd welke me­cha­nis­men ver­ant­woor­de­lijk zijn voor de drei­gen­de scheef­groei van de me­di­sche kennis.
Abstract (focusing on the key recommendations)  This advisory report examines the influence of financiers (especially industrial financiers) on the development of medical knowledge, and the ethical questions to which this gives rise. This also especially involves deciding on which fields of knowledge need to be developed and the actual development of that knowledge through research. The words ‘sponsoring’ and ‘sponsor’ are used below to refer t ...

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Abstract in the original language (focusing on the key recommendations)  Dit signalement verkent de invloed van de financier (met name de industrie) op het ontwikkelen van medische kennis, en de ethische vragen die daardoor worden opgeroepen. Daarbij gaat het vooral om het beslissen op welke gebieden kennis moet worden ontwikkeld en om de daadwerkelijke ontwikkeling van die kennis door onderzoek. Waar in het vervolg wordt gesproken over ‘sponsoring’ en ‘sponsor’ wordt ...

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