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Editorials

Patients’ roles and rights in research

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3193 (Published 25 July 2018) Cite this as: BMJ 2018;362:k3193

Patient s role and rights in research to Achieving health equity.

In case of Patients role and rights in research Achieving health equity there are many hurdles .to overcome these hurdles, we must look into various basic issues as well as strategic plans.

1 Cultural and ethical issues
2. Issues and concerns related to research.
3. Issues related to Globalization etc.
4. Use of Scientific Advances in Patients healthcare research.

There are several issues which directly as well as indirectly influence the patient’s role in research like, the role of technology, scholars, and ethical issues, and so on. where culture plays an important role.

Poverty is a subject usually the ultimate cause of injustice. It may involve sex bias, language hurdles, joblessness, bribery etc.

The role of Science and art is exploring, creating and delivering value to satisfy the needs of a target community. Patient participation in research defines, measures and quantifies potential. To achieve "health for all by the year 2000."We must work hard. Agencies are working over issues like urbanization, globalization, deforestation, climate change but not on one of the major issues like patient role and rights in research. In this aspect WHO strongly work with joining hands with FDA, ICMR etc. to analyze, and amalgamated an information on health systems and priority public health conditions.

Economic inaccessibility, limited funding, skilled human power, lack of equipment disappointingly limited in the role of patients in research. While developing and countries under the poverty line, face an increasing prevalence of non-communicable disease leads to the paradigm shift of the coexistence of communicable disorders.

Role of drug transporters with vehicle biology and has grown strangely over the last decade (1)(2). Use of interprofessional participation(3). Properly driven Rand D will defiantly helpful to overcome the patient risks and proper research.

Use of pilot study to evaluate the feasibility of research on human subjects as well as to form study design (4). Protecting patient’s fundamental rights (5) like patient participation in decision-making(6)

The millennium development goals and post-developmental goals not impressive where the neediest populations live, Research in Holistic care is often abandoned in case of the procedures for controlling the disease. Must focus on Serious ADRs may result in permanently disabling, or resulted in death.

In conclusion, both accreditation assistance, corporate and participant people must work together in the field of Performance enhancement of clinical research. As Sydney J Harries rightly said, “The whole purpose of education is to turn, mirror into windows”.

References :
1. Hediger M.A., et al. The ABCs of membrane transporters in health and disease (SLC series): Introduction.Molecular Aspects of Medicine 2013; 34: 95–107

2. Martinez, M.N., Amidon, G.L., A Mechanistic Approach to Understanding the Factors Affecting Drug Absorption: A Review of Fundamentals. The Journal of Clinical Pharmacology, 2002;

3.Hall, P., & Weaver, L. Interdisciplinary education and teamwork: a long and winding road. Medical Education, 2001.35(9), 867 - 875.

4.Leon AC, Davis LL, Kraemer HC. The role and interpretation of pilot studies in clinical research. Journal of psychiatric research. 2011 May 1;45(5):626-9.

5.Guadagnoli E, Ward P. Patient participation in decision-making. Social science & medicine. 1998 Aug 1;47(3):329-39.

6.Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. Jama. 1998 Apr 15;279(15):1200-5.

Competing interests: No competing interests

16 September 2018
Kamath Madhusudhana
Associate Professor
Division of Ayurveda ,Centre for Integrative Medicine and Research,Manipal Academy of Higher Education,Manipal-576 104