20 research outputs found

    International Comparative Analysis and Explanation in Medical Sociology: Demystifying the Halcion Anomaly

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    The US drug regulatory authority, the Food and Drug Administration (FDA) is often thought to demand higher standards of consumer protection from drug manufacturers than its British counterparts, the Medicines Control Agency (MCA) and the Committee on the Safety of Medicines (CSM). Yet since 1991 the MCA has banned one of the most prescribed tranquillisers, Halcion, while it remains approved by the FDA and on the market in the United States. This article attempts to explain the Halcion anomaly and questions explanations proposed by previous sociological research in the field. Broad societal influences, such as the role of the mass media, the increasing threat of litigation regarding drug injury and deregulatory politics are considered to be unlikely explanations. Rather, microsociological processes concerning the internal organisation of the drug regulatory authorities and the interaction between that organisation and technical analyses of safety data are found to be the key explanatory factors

    Developing consistent and transparent kinship care policy and practice: State mandated, mediated, and independent care

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    To date, the large majority of the research literature on kinship care in the United States has focused on the similarities and differences between children and caregivers in “public” or “formal” vs. “private” or “informal” care. Our understanding of children's living arrangements in the homes of their relatives, however, is becoming more nuanced and complex. The stark differences between public and private care are increasingly mediated by hybrid kinship models that may be government facilitated, but are not considered fully public in nature. This paper lays out a framework for understanding the multiple custodial options available to non-indigenous children in the United States who need alternative care from a related adult. We introduce a taxonomy in which care arrangements are characterized as state mandated, state mediated, or state independent. The variability in custodial arrangements raises questions about the routes by which children arrive to care, and the sorting process that shuttles children into arrangements that may offer more or fewer services and supports. Policies that promote consistency within care types are recommended. Practices that make more transparent access across models and a research agenda to fill gaps in knowledge are discussed
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