Lessons learned from experience about shaping science policy include (1) the partnership between health and science interests is fundamental; (2) research fund allocation should be based on scientific merit; (3) better data and careful analysis are vital to decision making; and (4) policy principles should be clear and concise. (Author/MSE)

Some problems in the changing pattern of relationships between bedside teaching, clinical research, and provision of medical services in academic hospitals are examined, including patient types, sophistication of medical intervention, and specialization. Four elements of government policy that might favor desirable development in these areas are…

The debate about cost as it pertains to medical technology misses the mark by not pressing on the central problem of increased prevalence of chronic illness. Far from cost containment, what are needed are additional services which may in the end reduce total costs. (Author/MJL)

Existing federal government policies and systems to protect against scientific misconduct in government-supported research projects are described, and additional considerations not covered in federal policy are enumerated. Misconduct inquiries and review procedures are outlined. Applicant and institutional responsibility and the role of prevention…

Foresight analysis is proposed as an alternative to strategic planning in the scientific community, and its use by individual funding agencies to develop research resource allocation strategies for specific scientific fields is explored through an analysis in the field of cardiovascular research. Methodology is explained, and preliminary results…

With an estimated 17-22 million animals used in laboratories annually in the United States, public interest in animal welfare has sparked an often emotional debate over such uses of animals. Concerns focus on balancing societal needs for continued progress in biomedical and behavioral research, for toxicity testing to safeguard the public, and for…

This study examined the status of dental education and oral health in the U.S.; considered future scientific, demographic, economic, organizational, and other developments that may affect oral health status and the system for educating dentists and other dental personnel; developed a statement of how, over the next 25 years, oral health and oral…