探索 COVID-19 大流行期间印度医学社会学领域的创新和公共卫生优先事项

Pratham Parekh
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摘要

在 COVID-19 大流行的背景下,印度医疗创新生态系统在满足国家迫切的医疗保健需求方面面临着巨大挑战。这些挑战要求对印度医学社会学中有关医学创新的关键问题进行全面研究。本研究的主要目的是评估药物和疫苗开发所采用的方法之间错综复杂的相互作用及其对可负担性和可获得性的影响。同时,本研究还旨在评估现有政策措施对社会分化的影响效果,这些社会分化是由于供应驱动的医疗体系加剧而出现的。本研究采用了定性研究方法,利用主题分析来剖析印度医疗创新生态系统的复杂性。本研究有以下值得注意的发现,有助于深入了解印度的医疗创新生态系统:(a)印度医疗创新生态系统的主要关注点显然是围绕创造负担得起的医疗技术和药品,这往往掩盖了对尖端技术的追求。(b) 开发药品和疫苗所采用的战略明显倾向于利润较高的产品,从而引发了与可负担性和可获得性相关的问题。(c) 虽然实施了旨在解决负担能力问题的政策措施,但这些措施在确保公平获得医疗创新方面的实际效果令人严重怀疑。(d) 印度的工业优先事项和公共卫生优先事项之间出现了明显的不平衡,经济增长掩盖了缩小现有社会差距的必要性。这些观点共同强调,必须采取战略性政策干预措施,采取更加平衡的发展方式,并建立一个多机构框架。这些行动对于应对与可负担性、可获得性和生态系统中持续存在的日益加剧的社会分化有关的挑战至关重要。这项研究指出,培育一个具有社会责任感、全方位的医疗创新生态系统具有不可或缺的重要意义,这不仅是应对当前医疗挑战的一种手段,也是营造一种环境,确保社会各阶层公平获得变革性医疗创新成果的一种手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Innovation and Public Health Priorities Within the Realm of Medical Sociology of India During COVID-19 Pandemic
In the context of the ongoing COVID-19 pandemic, the Indian medical innovation ecosystem confronted substantial challenges in meeting the pressing healthcare requirements of the nation. These challenges demand a comprehensive examination to discern the critical issues in Indian Medical Sociology about medical innovations. The primary objective of this study is to assess the intricate interplay between the approaches employed in drug and vaccine development and their consequential effects on affordability and accessibility. Concurrently, it aims to evaluate the efficacy of the existing policy measures affecting social divisions that have emerged because the supply-driven health system has exacerbated. A qualitative research methodology has been adopted for this inquiry, utilising thematic analysis to dissect the intricacies of the Indian medical innovation ecosystem. The study unfurls the following noteworthy discoveries that contribute to a nuanced understanding of the landscape: (a) it becomes evident that the predominant focus within the Indian medical innovation ecosystem revolves around creating affordable medical technologies and pharmaceuticals, often overshadowing the pursuit of cutting-edge advancements. (b) The strategies employed in developing drugs and vaccines exhibit a conspicuous inclination towards products that promise higher profits, subsequently giving rise to issues associated with affordability and accessibility. (c) While policy measures have been implemented with the intent of addressing the concern of affordability, their actual efficacy in ensuring equitable access to medical innovations raises significant doubts. (d) A discernible imbalance emerges between India's industrial and public health priorities, with economic growth overshadowing the imperative of bridging the existing social disparities. These insights collectively underline the imperative for strategic policy interventions, a more balanced approach to development, and establishing a multi-institutional framework. These actions are essential to confront the challenges related to affordability, accessibility and the aggravated social divisions that persist within the ecosystem. The study brings out the indispensable importance of cultivating a socially responsible and all-encompassing medical innovation ecosystem, not only as a means to address the prevailing healthcare challenges but also to foster an environment that guarantees equitable access to transformative medical innovations for all segments of society.
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