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This volume addresses the dynamics of sustainable development in the healthcare industry, covering all major aspects, including R&D, manufacturing, regulation, market access, commercialization, and general management. Healthcare markets are evolving under demographic and economic pressures. In mature markets, patients navigate complex systems with limited control on healthcare quality and outcomes, while in developing markets, patients have limited awareness, access, and ability to pay for healthcare. The industry needs to identify which business targets are genuinely attractive for major or new investments. At the same time, development of new products and services must be tackled within the context of environmental sustainability. Rather than focusing on the traditional issues of innovation, cost management, and commercial effectiveness associated with growth, the authors explore such emerging topics as: The mutations of innovation management The need to foster patient-centricity along the entire value chain of the healthcare industry and company-wide Issues related to improving healthcare access and disease management The allocation of educational resources focused on the patient to increase the effectiveness of disease management The preservation of natural resources and the environmental effect of pollution and hazards created by the handling of pharmaceutical products Issues related to the size of medical need and/or market demand The private-public partnerships necessary to address the full spectrum of public health issues, from basic patient access to care to managing global health crises The required organizational and governance evolutions for the healthcare industry to maintain profitability and sustainable growth. Featuring contributions from leading academics and industry insiders with emphasis on environmental, economically, and socially sustainable practices, the authors present a unique, multi-faceted set of perspectives on this vital and rapidly evolving field.
Strategic decision-making focusing on economics is the fundamental requirement to generate efficiency and improve productivity in any manufacturing environment. In the 21st century, the science of drug development is an established field that requires a dedicated and synergistic partnership between various subject matter experts. Unfortunately, pharmaceutical research is complicated, time-consuming, attritive, and costly, with development costs ranging from $4 billion to $11 billion per commercialized drug. There are more than 750 biotech and big pharma companies in the US that are developing new drug products for a vast number of therapeutic indications. Due to the high attrition rate in clinical trials, a small percentage of these drugs get commercialized. Still, a very high amount of resources are being spent on drug development from a societal perspective. Despite being an economically intense activity, the current state of drug product development makes a limited effort to integrate economics into product design and development. For example, pharmaceutical scientists are excellent at a data-driven decision-making process that requires technical elements and a few strategic elements. However, there is minimal integration of financial valuation elements (commonly employed in other high-tech industries such as fine chemicals, automotive, aerospace, etc.) into pharmaceutical drug development. Unfortunately, this hurts the sustainability of the health system of which these products will be a part in the future. A desirable future state integrates fundamentals of economics in product design and development so that the decision-making is parameterized, the cost of goods can be lowered, wastage can be reduced, patient-centricity is built into the design, and manufacturing/distribution efficiencies can be gained. The financial benefits of such an approach could allow for these savings to be passed on to the stakeholders and improve the value proposition of pharmaceuticals, which is critical to maintaining the innovation potential. This book hopes to introduce the reader to this desired future state of pharmaceutical drug development.
In Global Health and Sustainable Development Architecture, Wang discusses the convergence of such problems as financial crisis, water, food and energy shortage, earthquakes and disasters, epidemics and pandemics, wars and nuclear threats. 'What is wrong with our development model?' 'What is the solution?' This book aims to answer these questions by providing an alternative model to conceptualize sustainable development. The Inclusive Sustainable Development Theory disputes the conventional 'winnership' model that supports unlimited expansion and materialism in global development. Instead, it focuses on inclusion and sustainable peace as the cornerstone of sustainable development. The Hexagon of Partnership Model highlights the importance of inclusive dialogue, partnerships, and community capital in carrying out global sustainable development endeavors that protect global food, energy, and water security.
For over a decade, Global Health Watch has been the definitive source for alternative analysis on health. This new edition addresses the key challenges facing governments and health practitioners today, within the context of rapid shifts in global governance mechanisms and the UN’s Sustainable Development Goals. Like its predecessors, it challenges conventional wisdom while pioneering innovative new approaches to the field. Collaboratively written by academics and activists drawn from a variety of movements, research institutions and civil society groups, it covers some of the most pressing issues in world health, from the resurgence of epidemic diseases such as Ebola to the crisis in the WHO, climate change and the ‘war on drugs’. Combining rigorous analysis with practical policy suggestions, Global Health Watch 5 offers an accessible and compelling case for a radical new approach to health and healthcare across the world.
"What Mukherjee attempts, and succeeds in doing, is to offer what many students -- undergraduates as well as students of medicine, nursing, and public health -- have long clamored for: a primer not only of recent developments in global health, but also a patient dissection of what has worked less well (and what hasn't worked at all)." --Paul Farmer, from the foreword The field of global health has roots in the AIDS pandemic of the late 20th century, when the installation of health care systems supplanted older, low-cost prevention programs to help stem the spread of HIV in low- and middle-income Africa. Today's global health is rooted the belief that health care is a human right, and that by promoting health we can cultivate equity and social justice in places where such values aren't always found. An Introduction to Global Health Delivery is a short but immersive introduction to global health's origins, actors, interventions, and challenges. Informed by physician Joia Mukherjee's quarter-century of experience fighting disease and poverty in more than a dozen countries, it delivers a clear-eyed overview of the movement underway to reduce global health disparities and establish sustainable access to care, including details of what has worked so far -- and what hasn't. Grounded in the historical and social factors that propagate health disparities and enriched with case studies and exercises that encourage readers to think critically about the subject matter, this text is the essential starting point for readers of any background seeking a practical grounding in global health's promise and progress.
The United States has been a generous sponsor of global health programs for the past 25 years or more. This investment has contributed to meaningful changes, especially for women and children, who suffer the brunt of the world's disease and disability. Development experts have long debated the relative merits of vertical health programming, targeted to a specific service or patient group, and horizontal programming, supporting more comprehensive care. The U.S. government has invested heavily in vertical programs, most notably through the President's Emergency Plan for AIDS Relief (PEPFAR), its flagship initiative for HIV and AIDS. PEPFAR and programs like it have met with good success. Protecting these successes and continuing progress in the future depends on the judicious integration of vertical programs with local health systems. A strong health system is the best insurance developing countries can have against a disease burden that is shifting rapidly and in ways that history has not prepared us for. Reaching the poor with development assistance is an increasingly complicated task. The majority of the roughly 1 billion people living in dire poverty are in middle-income countries, where foreign assistance is not necessarily needed or welcome. Many of the rest live in fragile states, where political volatility and weak infrastructure make it difficult to use aid effectively. The poorest people in the world are also the sickest; they are most exposed to disease vectors and infection. Nevertheless, they are less likely to access health services. Improving their lot means removing the systemic barriers that keep the most vulnerable people from gaining such access. Investing in Global Health Systems discusses the past and future of global health. First, the report gives context by laying out broad trends in global health. Next, it discusses the timeliness of American investment in health systems abroad and explains how functional health systems support health, encourage prosperity, and advance global security. Lastly, it lays out, in broad terms, an effective donor strategy for health, suggesting directions for both the manner and substance of foreign aid given. The challenge of the future of aid programming is to sustain the successes of the past 25 years, while reducing dependence on foreign aid. Investing in Global Health Systems aims to help government decision makers assess the rapidly changing social and economic situation in developing countries and its implications for effective development assistance. This report explains how health systems improvements can lead to better health, reduce poverty, and make donor investment in health sustainable.
An essential introduction to global health in the modern world Foundations for Global Health Practice offers a comprehensive introduction to global health with a focus on ethical engagement and participatory approaches. With a multi-sectoral perspective grounded in Sustainable Development Goals, the text prepares students for engagement in health care and public health and goes beyond traditional global health texts to include chapters on mental health, agriculture and nutrition, water and sanitation, and climate change. In addition to presenting core concepts, the book outlines principles for practice that enable students and faculty to plan and prepare for fieldwork in global health. The book also offers perspectives from global health practitioners from a range of disciplinary and geographic perspectives. Exercises, readings, discussion guides and information about global health competencies and careers facilitate personal discernment and enable students to systematically develop their own professional goals and strategies for enriching, respectful, and ethical global health engagement. Understand the essential concepts, systems, and principles of global health Engage in up-to-date discussion of global health challenges and solutions Learn practical skills for engagement in health care and beyond Explore individual values and what it means to be an agent for change Prevention, cooperation, equity, and social justice are the central themes of global health, a field that emphasizes the interdisciplinary, cross-sector, and cross-boundary nature of health care on a global scale. As the world becomes ever smaller and society becomes more and more interconnected, the broad view becomes as critical as the granular nature of practice. Foundations for Global Health Practice provides a complete and highly relevant introduction to this rich and rewarding field.
This practical and handy textbook offers a succinct yet comprehensive overview of the main challenges, issues and solutions in global health in relation to the UN’s Sustainable Development Goals (SDG) 2030 agenda. Subdivided into 11 parts, devoted each to a macro-topic, the book opens with an introduction to Global Health followed by an overview of the global burden of disease – from child and maternal health to communicable and non-communicable diseases. The authors further examine the social determinants of health, health systems’ features as well as innovations, governance and methods in Global Health. In consideration of the emerging discussions and ideas, and beyond the more traditional and essential elements of global health, the book also looks at the need to re-think the whole concept of global health and the importance of a “decolonized” approach that engages low and lower-middle countries fully. One entire part is then devoted to analyzing the major threats to the health of humanity such as climate change, the need for an ecological approach to health (including “One Health” approaches), and, ultimately, planetary health. Written by an international panel of more than 100 experts, this manual will be an excellent resource for students in a broad range of disciplines – from medicine and other scientific studies to economics, social science, anthropology and international relations. Pragmatic and reader-friendly, it will further be a valuable tool for policymakers, program implementers and those wishing to build knowledge on the meaning, principles and practices of global health.
Global Health Governance and Policy outlines the fundamentals of global health, a key element of sustainable development. Taking an interdisciplinary approach, it explores the relationship between the globalization process and global health’s social, political, economic and environmental determinants. It points the attention to the actors and forces that shape global policies and actions with an impact on peoples’ health in an increasingly complex global governance context. Topics discussed include: The relationship between globalization and the determinants of health The essentials of global health measurements The evolution of public health strategies in the context of the global development agenda The actors and influencers of global health governance The role of health systems The dynamics and mechanisms of global health financing and Development Assistance for Health Career opportunities in global health governance, management and policy Looking in depth at some of the more significant links between neoliberal globalization, global policies and health, Global Health Governance and Policy: An Introduction discusses some specific health issues of global relevance such as changes in the ecosystem, epidemics and the spread of infectious diseases, the global transformation of the food system, the tobacco epidemic, human migration, macroeconomic processes and global financial crisis, trade and access to health services, drugs and vaccines, and eHealth and the global "health 4.0" challenge. Written by a team of experienced practitioners, scientists and teachers, this textbook is ideal for students of all levels and professionals in a variety of disciplines with an interest in global health.