Bioethical Issues: PHM 31303: Public Health Pharmacy

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PHM 31303: PUBLIC HEALTH PHARMACY

BIOETHICAL ISSUES
Introduction
Pharmacoepidemiologic research is the study of the effects of drugs in large
populations, particularly in terms of their safety and effectiveness. This field of
research is important in identifying and understanding the risks and benefits of
medications, as well as in developing policies and regulations related to their
use. In this discussion, we will focus on the clinical and methodological
problems addressed by pharmacoepidemiologic research, as well as the
currently available solutions and the future of this field.

Clinical Problems to be Addressed by


Pharmacoepidemiologic Research
The birth and subsequent development of research and scholarship in
research ethics, constructed a language that is particularly its own
This language form the foundation of any communication and discourse
between the fields of ethics and epidemiology.

Prepared by:
Luqman & Hariz
PHM 31303: PUBLIC HEALTH PHARMACY

BIOETHICAL ISSUES

Methodologic Problems to be Addressed by Pharmacoepidemiologic


Research
Universal consent as a approval his or her medical record can used for research.
Validity is a precondition for all ethical research and research should not be
conducted if it cannot answer the hypothesis it claims to test
Selective consent by patient may prohibits the evaluations of a key medication-
adverse events if the shielded information is in the pathways between medication
exposure and outcomes of interest
Patient unavailable to provide consent

Currently Available Solutions


Informed consent: Use plain languaage explanations, provide visual aids and use
interactive multimedia. For example, a systematic review by Grady et al. (2017) found
that multimedia tools can improve the quality of informed consent in clinical trials.
Privacy and confidentiality: solve by de-identifying data, using secure data storage
and limiting data access to autorized personnel. For example, a study by Molinari et
al. (2018) found that a combination of technical and organizational measures can
effectively protect the privacy and confidentiality of health data.
Conflict of interest: solve by disclosing financial or other potential conflicts, using
independent oversight committees, and conducting research with funding from
neutral sources.
Prepared by:
Luqman & Hariz
PHM 31303: PUBLIC HEALTH PHARMACY

BIOETHICAL ISSUES
The Future
Big data and artificial intelligence (AI): establishing ethical guidelines for data sharing
and algorithm development, incorporating diverse perspectives into AI development,
and ensuring transparency and accountability in AI decision-making. (Kaplan and
Beeler, 2019; Char and Shah, 2020)
Precision medicine and personalized treatment: developing ethical guidelines for the
use of biomarker data in treatment decision-making, ensuring equitable access to
personalized treatments, and involving patients in the development of personalized
treatment plans. (Bunnik et al., 2016; Kalf et al., 2018)
Global health and access to medicines: promoting global health equity, developing
partnerships with local healthcare providers and researchers, and conducting research
that is relevant and responsive to the needs of local communities. (Parker and
Thabane, 2015; Rodriguez et al., 2021)

Reference:
Strom, B.L., Kimmel, S.E. and Hennessy, S. (2020) Pharmacoepidemiology.
Hoboken, NJ: John Wiley & Sons Ltd.

Prepared by: Course coordinator:


Luqman & Hariz Madam Nor Liana binti Che Yaacob

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