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Comparing national home-keeping and the regulation of translational stem cell applications: An international perspective

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  • Margaret Sleeboom-Faulkner
  • Choon Key Chekar
  • Alex Faulkner
  • Carolyn Heitmeyer
  • Marina Marouda
  • Achim Rosemann
  • Nattaka Chaisinthop
  • Hung-Chieh Jessica Chang
  • Adrian Ely
  • Masae Kato
  • Prasanna K Patra
  • Yeyang Su
  • Suli Sui
  • Wakana Suzuki
  • Xinqing Zhang
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<mark>Journal publication date</mark>31/03/2016
<mark>Journal</mark>Social Science and Medicine
Volume153
Number of pages10
Pages (from-to)240-249
Publication StatusPublished
Early online date2/02/16
<mark>Original language</mark>English

Abstract

A very large grey area exists between translational stem cell research and applications that comply with the ideals of randomised control trials and good laboratory and clinical practice and what is often referred to as snake-oil trade. We identify a discrepancy between international research and ethics regulation and the ways in which regulatory instruments in the stem cell field are developed in practice. We examine this discrepancy using the notion of 'national home-keeping', referring to the way governments articulate international standards and regulation with conflicting demands on local players at home. Identifying particular dimensions of regulatory tools - authority, permissions, space and acceleration - as crucial to national home-keeping in Asia, Europe and the USA, we show how local regulation works to enable development of the field, notwithstanding international (i.e. principally 'western') regulation. Triangulating regulation with empirical data and archival research between 2012 and 2015 has helped us to shed light on how countries and organisations adapt and resist internationally dominant regulation through the manipulation of regulatory tools (contingent upon country size, the state's ability to accumulate resources, healthcare demands, established traditions of scientific governance, and economic and scientific ambitions).

Bibliographic note

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.