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Do patients with osteoarthritis get the clinical research they need?
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The most obvious and laudable reason for doing clinical
research is, of course, to benefit the patients. Other motives that are
sometimes important are to earn money, to increase chances of getting
the next post, to become famous, or to satisfy curiosity. Such
incentives are not necessarily bad. Indeed, the high level of
competition in healthcare research may very well be more innovative and
productive
and therefore more beneficial to the patientsthan more
centralised research approaches.
A particular piece of research may occasionally fulfil all five
motives, but it would be the exception rather than the rule if research
agendas overall matched even remotely what the patients need most. For
example, according to the WHO, the combined investment in research and
development into acute respiratory infections, diarrhoeal diseases, and
tuberculosiswhich kill over seven million people a yearamounts to
0.2% of global spending on health research and development,
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