Journal of Law, Medicine and Ethics
Summer 2009

Kristina M. Lybecker, Colorado College
Elisabeth Fowler, World Health Advocacy

The tension between economic policy and health policy is a longstanding dilemma, but one that was brought to the fore with the World Trade Organization’s (WTO) Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement in 1994. The pharmaceutical industry has long argued that intellectual property protection (IPP) is vital for innovation. At the same time, there are those who counter that strong IPP negatively impacts the affordability and availability of essential medicines in developing countries.

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Journal of Medical and Biological Sciences - Volume 3, Issue 1, 2009
D. Wayne Taylor, Director, Health Leadership Institute, McMaster University
Elisabeth Fowler, Vice-President, World Health Advocacy

Urinary incontinence is one of the most prevalent, untreated chronic conditions for individuals living in Canada. The impact of incontinence on an individual’s quality of life is significant as it negatively affects a person’s physical, psychological, sexual, social and overall quality of life (QOL). Due to the stigma associated with this condition, many individuals do not seek treatment for their incontinence, even though 80% of incontinence cases can be managed or cured.

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Journal of Medical and Biological Sciences - Volume 2, Issue 1, 2008
D. Wayne Taylor, Director, Health Leadership Institute, McMaster University
Elisabeth Fowler, Vice-President, Ward Health Strategies

The patient-focused paradigm in healthcare began to emerge in the early 1990’s. In 2006 the International Association of Patient Organizations (IAPO) adopted the Declaration on Patient-Centred Healthcare. This study examined the degree to which the five principles embedded in this Declaration are being advocated and utilized in the asthma patient-provider relationship in five countries. The empirical evidence in this study shows that the implementation of patient-centred care both as a policy concept and a practice modality for asthma has not been achieved to the extent needed. The paper makes recommendations to help patient organizations realize the full benefits of patient-centred care.

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Similar to other health policy initiatives, there is a growing movement to involve consumers in decisions affecting their treatment options. Access to treatments can be impacted by decisions made during a health technology assessment (HTA), i.e., the rigorous assessment of medical interventions such as drugs, vaccines, devices, materials, medical and surgical procedures and systems.

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