THE POLITICAL ECONOMY OF HEALTH IN FRENCH TERRITORY AND THE GLOBALIZED PHARMACEUTICAL MANUFACTURING
Abstract
We approach the production of biomedicines in France as a productive spatial circuit. This circuit is part of the health-industrial complex (HIC), a concept that helps to explain the spatial and historical context to analyze the political economy of health care in France. Initially, we justify the use of the concept of the health-industrial complex, rather than the medical-industrial complex, as is commonly used in France and in Anglo-Saxon countries, and its relation to the political economy of health care. Then, we explain why the productive spatial circuit is more appropriate to a geographic approach of this industrial complex than the productive chain. Finally, we deal with the production of biomedicines and, more specifically, the importance of the Contract Development and Manufacturing Organization (CDMO) in the production of this technology to serve
the major pharmaceutical laboratories, favoring the global production of this industrial branch.
Keywords: health industrial complex; productive spatial circuit; biomedicines; political economy of health care; France.
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ROLAND BERGER. Comment relancer la production pharmaceutique en France? Rapport, octobre, 2014.
SALOMON, J. C. The medico-industrial complex - Some seldom asked questions. November, Cancer Journal 11(6):268-271, 1998.
SANOFI. Document de référence 2016.
SANTOS, M. A natureza do espaço: técnica e tempo, razão e emoção. São Paulo: HUCITEC, 1996.
SANTOS. Da política dos Estados à política das empresas. Cadernos da Escola do Legislativo. São Paulo, julho/1997.
SANTOS. Metamorfoses do espaço habitado. São Paulo, Nobel, 1988.
SANTOS e SILVEIRA, M. L. O Brasil: território e sociedade no início do século XXI. Rio de Janeiro/São Paulo: Record, 2001.
SCOTT, A. J., and STORPER, M. High technology industry regional development: a theoretical critique and reconstruction. International Social Science Journal 112, 215-232, 1987.
SCOTT, A. J. Creative cities: conceptual issues and policy questions. Journal of Urban Affairs, 28(1), 1-17, 2006. Retrieved from https://escholarship.org/uc/item/77m9g2g6.
STARR, P. The New Entrepreneurialism in Health Care, The New York Academy of Medicine (61) 1, January/February, 1985.
STARR, P. The Social Transformation of American Medicine. New York: Basic Books, 1983.
U.S. CENSUS BUREAU: Economic Indicators Division USA Trade Online. Source: U.S. Import and
Export Merchandise trade statistics. 20/11/2018. 1982-4513. https://www.census.gov/foreign-trade/index.html
VIANA, A. L., SILVA, H. P., and ELIAS, P. E. Economia política da saúde: Introduzindo o debate. Divulgação em Saúde para Debate, Rio de Janeiro, n. 37, p. 7-20, January/ 2007.
VIANNA, C. M. M. Estruturas do Sistema de Saúde: do Complexo Médico-industrial ao Médico-financeiro. PHYSIS: Rev. Saúde Coletiva, Rio de Janeiro, 12(2):375-390, 2002
ANTAS Jr., R. M., e THERY, H. O complexo industrial da saúde no território francês: uma análise do circuito espacial produtivo de biomedicamentos. 2018. Inédito.
ANTAS Jr., R. M. A economia política da saúde no território brasileiro e seu complexo industrial: uma análise a partir do conceito de circuito espacial produtivo. Sociedade & Natureza, Uberlândia, 29 (2):243-256, nov. 2017. ISSN 1982-4513.
ANTAS Jr. , R. M. Complexos industriais, circuitos espaciais produtivos e direito reflexivo. Boletim Campineiro de Geografia, Campinas, v. 5, n. 1, p. 53-71, 2015.
BALON, R., BERESIN, E. V., e GUERRERO, A. Medical-Education-Industrial Complex? Academic Psychiatry, 42: 495-497, 2018.
BROMBERG, M. The Medical-Industrial Complex: our national defense. Journal of Medicine, New England, 309(21): 1314-1315, 24 Nov. 1983.
CASTILLO, R., e FREDERICO, S. Espaço geográfico, produção e movimento: uma reflexão sobre o conceito de circuito espacial produtivo. Sociedade & Natureza, Uberlândia, 22 (3): 461-474, Dez., 2010.
CONTEL, F. B. Território e finanças. Técnicas, normas e topologias bancárias no Brasil. 1. ed. São Paulo: Annablume, v. 1. 316p., 2011.
CORDEIRO, H. A indústria da saúde no Brasil. Rio de Janeiro: Graal, 1980.
DELPHARM http://www.delpharm.com/fr/qualite-hse/accreditations/
DEZALAY, Y. Marchands de droit. Paris: Fayard, 1992.
DUPUY, J. P., and Karsenty, S. L'invasion pharmaceutique. Paris: Éditions du Seuil, 1974.
ERBER, FS Desenvolvimento industrial e tecnológico na década de 90 – uma nova política para um novo padrão de desenvolvimento. Ensaios FEE 13(1):9-42, 1992.
ERNST & YOUNG. Consolidation of the CDMO industry: opportunities for current players and new entrants. Report (16p.) September, 2017
FARIA, J. E. O Direito na economia globalizada. São Paulo: Malheiros, 1999.
FRANCE BIOTECH. 2017. Panorama France health tech 2017. Rapport, 15e edition.
FRANCE, Comité économique des produits de santé – CEPS Rapport d’activite 2016. Rapport, 2017.
FRANCE. Les pôles de compétitivité: moteur de croissance et d’emploi. http://competitivite.gouv.fr
FRANCE. Ministere de l’Economie, des Finances et de l’Industrie. Journal officiel de la République Française, 2007.
FRANCE. La place des biotechnologies en France et en Europe. Rapport. Assemblée Nationale, 2005.
FREEMAN, R., e MORAN, M. A. saude na Europa. In: Negri B, Viana ALA, (Org.). O SUS em dez anos de desafio. São Paulo: Sobravime / Cealag; p. 45-64, 2002.
GADELHA, C. A. G. Development, health-industrial complex and industrial policy. Revista de Saúde Pública, 40 (spe), 11-23, 2006. https://dx.doi.org/10.1590/S0034-89102006000400003
GADELHA, C. A. G. O complexo industrial da saúde e a necessidade de um enfoque dinâmico na economia da saúde. Ciência e Saúde Coletiva; 8:521-35, 2003.
HARVEY, D. Spaces or capital. Towards a critical geography. Edinburgh University Press, 2001.
LEEM. Les Entreprises du medicament: bilan economique du secteur du medicament 2017. Rapport, édition 2017a.
LEEM. Enjeux et perspectives des producteurs pour tiers de principes actifs et de médicaments. Rapport, Mars, 2017b.
LEEM. Biomédicaments en France état des lieux 2014. Rapport, Septembre, 2014.
LEEM. and Roland Berger. Repères sur la production pharmaceutique. Rapport, 2018.
THE POLITICAL ECONOMY OF HEALTH IN FRENCH TERRITORY AND THE GLOBALIZED PHARMACEUTICAL
MANUFACTURING EFS. Entreprise Français du Sang. Rapport d'activité 2016. [French Blood Company. Activity Report 2016]
MENDONCA, A. L. O. e CAMARGO Jr., K. R. Complexo médico-industrial/financeiro: os lados epistemológico e axiológico da balança. Physis, Rio de Janeiro, v. 22, n. 1, p. 215-238, 2012. http://dx.doi.org/10.1590/S0103-73312012000100012.
MILLER, J. Contract Manufacturing Through the Years. Pharmaceutical Technology magazine (article is reprinted from the July 2017). Pharmaceutical Technology Volume 41, Issue 7, p 76–78, 2017. http://www.pharmsource.com/contract-manufacturing-through-the-years/
ORBIS PLATAFORM. Bureau Van Dijk https://www.bvdinfo.com/en-us/our-products/data/international/orbis
PERRAT, J. Division spatiale du travail et nouvelles organisations productives: des territoires “segments” aux territoires “modules”?. Innovations, n. 24 (2), 91-114, 2006. https://doi.org/10.3917/inno.024.0091
QUINTILES/IMS. Outlook for Global Medicines through 2021. Report by the QUINTILES/IMS Institute, 2017.
RELMAN, A. The New Medical-Industrial Complex, New England Journal of Medicine (303) 17, 23 October, 1980.
ROLAND BERGER. Comment relancer la production pharmaceutique en France? Rapport, octobre, 2014.
SALOMON, J. C. The medico-industrial complex - Some seldom asked questions. November, Cancer Journal 11(6):268-271, 1998.
SANOFI. Document de référence 2016.
SANTOS, M. A natureza do espaço: técnica e tempo, razão e emoção. São Paulo: HUCITEC, 1996.
SANTOS. Da política dos Estados à política das empresas. Cadernos da Escola do Legislativo. São Paulo, julho/1997.
SANTOS. Metamorfoses do espaço habitado. São Paulo, Nobel, 1988.
SANTOS e SILVEIRA, M. L. O Brasil: território e sociedade no início do século XXI. Rio de Janeiro/São Paulo: Record, 2001.
SCOTT, A. J., and STORPER, M. High technology industry regional development: a theoretical critique and reconstruction. International Social Science Journal 112, 215-232, 1987.
SCOTT, A. J. Creative cities: conceptual issues and policy questions. Journal of Urban Affairs, 28(1), 1-17, 2006. Retrieved from https://escholarship.org/uc/item/77m9g2g6.
STARR, P. The New Entrepreneurialism in Health Care, The New York Academy of Medicine (61) 1, January/February, 1985.
STARR, P. The Social Transformation of American Medicine. New York: Basic Books, 1983.
U.S. CENSUS BUREAU: Economic Indicators Division USA Trade Online. Source: U.S. Import and
Export Merchandise trade statistics. 20/11/2018. 1982-4513. https://www.census.gov/foreign-trade/index.html
VIANA, A. L., SILVA, H. P., and ELIAS, P. E. Economia política da saúde: Introduzindo o debate. Divulgação em Saúde para Debate, Rio de Janeiro, n. 37, p. 7-20, January/ 2007.
VIANNA, C. M. M. Estruturas do Sistema de Saúde: do Complexo Médico-industrial ao Médico-financeiro. PHYSIS: Rev. Saúde Coletiva, Rio de Janeiro, 12(2):375-390, 2002
Published
21/05/2019
How to Cite
ANTAS JR., Ricardo Mendes.
THE POLITICAL ECONOMY OF HEALTH IN FRENCH TERRITORY AND THE GLOBALIZED PHARMACEUTICAL MANUFACTURING.
Mercator, Fortaleza, v. 18, may 2019.
ISSN 1984-2201.
Available at: <http://www.mercator.ufc.br/mercator/article/view/e18009>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.4215/rm2019.e18009.
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