Self-Centric and Altruistic Unmet Needs for Ebola: Barriers to International Preparedness.

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2016
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Abstract
Barriers to international Ebola preparedness may be elucidated by identifying heterogeneities in arguments to invest in countermeasures during "peace time."For each patent family (related patent documents that differed only by limited alterations to the same invention) concerning Ebola and published until the end of 2014 the oldest patent document was analyzed. Grounded theory coding identified 5 unmet needs for (1) vaccines and therapies, (2) control of outbreaks in endemic areas, (3) detection and control of outbreaks in nonendemic areas, (4) better understanding of filoviruses, and (5) protection against bioterrorism. Odds ratios for unmet needs by geographic regions and institution types were compared by using Pearson's chi-square test.Statistically significant heterogeneities in unmet need profiles were found. US applicants combined self-centric and altruistic arguments, focusing on medical unmet needs and bioterrorism protection. Russian and Asian applicants emphasized self-centric motives, specifically, detection and control of nonendemic outbreaks. A clear, statistically significant mismatch between industry and academia was found: whereas industrial applicants focused on bioterrorism and neglected detection and control of nonendemic outbreaks, academic applicants did the opposite.This research identified heterogeneities in articulated needs between geographic regions and stakeholder types. Structural articulation of unmet needs may form the basis for attuning stakeholder engagement strategies while progression across the demand-driven value chain might necessitate international concordance. (Disaster Med Public Health Preparedness. 2016;10:644-648).
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van-de-burgwal2016selfcentricdisaster Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Van de Burgwal, Linda H M;Reperant, Leslie A;Osterhaus, Albert D M E;Iancu, Sorana C;Pronker, Esther S;Claassen, Eric;
Journal Disaster medicine and public health preparedness
Year 2016
DOI
10.1017/dmp.2016.64
URL
Keywords
public health international cooperation needs assessment public policy

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