Bureaucracy killing research


While research and the USA largely get by just fine without ISO lab standards and this paper therefore does not mention them, it does illustrate the effects of analogous bureaucracy in the marked decline of clinical research.  Food and Drug Administration (FDA) in vitro diagnostic (IVD) product regulations, conflict of interest policies, and institutional review board (IRB) policies regarding consent and confidentiality all work against research.

 “Some laboratory directors now find the IRB process at their institutions to be so onerous that they have chosen to reduce or eliminate research activities. Thus, some directors have found the returns from these activities not to be worth the effort expended and feel disincentivized to perform this work.”

The UK and other countries have similar impediments, mostly eurocratic or simply Blairite.

These are reducing once-dynamic, research-led professions to dull and dumbed-down trades.

The graph of papers submitted to this American journal illustrates well the striking decline in a heavily-regulated and insolvent nation like the USA and the growth that continues in freer lands.

Fig. 1. Relative number of submissions to and publications in the Journal of Clinical Microbiology by American and non-American authors. Values from 1985 to 2010 (courtesy of Charles Brown, ASM) were based on the total number of articles submitted or published for the entire year in each of the 5-year intervals. Acceptance values for 1975 and 1980 were based on data tabulated from the January issue for each of those years.

Lots of inspection recorded.  Less good done.

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This entry was posted in Bureaucracy, Laboratory medicine, Management, Medicine, NHS, Practical problems and tagged , , , , , , , , , , , , , , . Bookmark the permalink.

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