Mission-oriented biomedical research at the NIH

被引:55
作者
Sampat, Bhaven N. [1 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Hlth Policy & Management, New York, NY 10032 USA
基金
美国国家科学基金会; 美国国家卫生研究院;
关键词
NIH; Medical research; Serendipity; Mission-oriented research; CANCER; HEALTH;
D O I
10.1016/j.respol.2012.05.013
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
The NIH (National Institutes of Health) is the largest single funder of biomedical research in the world. This paper documents tensions between the agency's health and science missions and considers how, in light of these, it has managed to sustain a level of bipartisan political support uncommon in U.S. health or research policy. It highlights the serendipity hypothesis, the presence of "safety valve" mechanisms that allow it to (on occasion) target research at particular diseases and priorities, and a broad and diverse set of constituencies as important to understanding the agency's political success. Through an in-depth look at the NIH allocation process, the paper also provides insights into how demand-side considerations can affect the direction of scientific research. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:1729 / 1741
页数:13
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