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Public Health Institutions, Clinical Research and Protection System of Patients’ Rights: An Impact Evaluation of Public Policy

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  • Roberto Ippoliti
  • Greta Falavigna

Abstract

Public health institutions are involved in human experimentations, which is a specific phase of pharmaceutical industry’s production process. These medical centers collect clinical evidence about experimental treatments and, at the same time, they have to guarantee patients’ safety through appropriate Institutional Review Boards. Taking human experimentation into account, this work aims at estimating a public policy designed to reduce transaction costs that are related to the protection system of patients’ rights, with both a normative and positive approach. On the one hand, considering a sample of European countries as counterfactual, an empirical analysis is performed in order to estimate the impact of a national law aimed at harmonizing the procedure to obtain opinions on clinical trials. On the other hand, an alternative law, which might be able to favor the exchange between pharmaceutical companies and patients, is proposed. Copyright Springer Science+Business Media New York 2014

Suggested Citation

  • Roberto Ippoliti & Greta Falavigna, 2014. "Public Health Institutions, Clinical Research and Protection System of Patients’ Rights: An Impact Evaluation of Public Policy," Public Organization Review, Springer, vol. 14(2), pages 109-125, June.
    • Handle: RePEc:kap:porgrv:v:14:y:2014:i:2:p:109-125
    DOI: 10.1007/s11115-012-0208-5
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    References listed on IDEAS

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    4. R. H. Coase, 2013. "The Problem of Social Cost," Journal of Law and Economics, University of Chicago Press, vol. 56(4), pages 837-877.
    5. Williamson, Oliver E, 1979. "Transaction-Cost Economics: The Governance of Contractural Relations," Journal of Law and Economics, University of Chicago Press, vol. 22(2), pages 233-261, October.
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    7. Roberto Ippoliti, 2013. "The market of human experimentation," European Journal of Law and Economics, Springer, vol. 35(1), pages 61-85, February.
    8. Oliver E. Williamson, 2008. "Corporate Boards of Directors: In Principle and in Practice," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 24(2), pages 247-272, October.
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    Cited by:

    1. Matteo Pedrini & Valentina Langella & Mario Alberto Battaglia & Paola Zaratin, 2018. "Assessing the health research’s social impact: a systematic review," Scientometrics, Springer;Akadémiai Kiadó, vol. 114(3), pages 1227-1250, March.
    2. Sam Crosby & Esther Rajadurai & Stephen Jan & Richard Holden & Bruce Neal, 2022. "The effects of government policies targeting ethics and governance processes on clinical trial activity and expenditure: a systematic review," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-12, December.

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    More about this item

    Keywords

    Public policy; Public health organizations; Transaction costs; International Review Boards (IRB); Clinical research; I18 (Government Policy Regulation; Public Health); L51 (Economics of Regulation);
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L51 - Industrial Organization - - Regulation and Industrial Policy - - - Economics of Regulation

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