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Structural violence and the biomedical innovation system

What responsibility do universities have in ensuring access to health technologies

Bibliographic Data

ID21880351
AuthorsSarai Keestra (0000-0002-6368-0977, London School of Hygiene & Tropical Medicine, corresponding author)
Year2021
Volume6
Issue5
Pagese004916
Publication date2021-05-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-004916
PMID33941514
OpenAlexW3159378208
LanguageEN
Citations received5
References cited9

box What is already known? When universities engage in inequitable technology transfer practices, by patenting and exclusively licensing biomedical innovations in ways enabling pricing monopoly formation, they contribute to harmful barriers to access to medicines and other health technologies for millions of people. What are the new findings? Universities are contributing to the violation of the social and economic rights of those unable to access novel health technologies by unquestioningly engaging in a biomedical innovation system that relies on profit-driven commercialisation of knowledge generated with public funding, and this should be considered structural violence. Applying the lens of structural violence can help reframe the responsibilities of universities in the access to medicines debate by: (1) highlighting universities’ position in the structures of the biomedical innovation system, (2) bringing attention to the systematic inequities in knowledge dissemination and how this can result in differential health outcomes when particular groups are denied timely access to health innovations and (3) reconsidering the role of universities’ technology transfer practices in sustaining the unequal structures and power relations inherent to the biomedical innovation system. What do the new findings imply? Universities can apply equitable technology transfer practices such as non-exclusive, royalty-free licensing of biomedical innovations to promote access to health technologies, ensuring that all members of the global public can enjoy the fruits of scientific progress

Business · Economic growth · Economics · Health care · Health technology · Political science · Public health · Public relations · Technology transfer · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine · Nursing · Marketing

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  • Achieving equitable access to health technologies during a pandemic

    Open Access•Ayolola Eni‐Olotu, Rebecca Hotchkin et al.•Global Public Health•2025

  • University patenting and licensing practices in the United Kingdom during the first year of the Covid-19 pandemic

    Open Access•Sarai Keestra, Florence Rodgers et al.•Global Public Health•2022

  • Exploring the varied manifestations of structural violence in the lives of children on the autism spectrum and their families

    Open Access•Ansar Khougar, Paria Baba Ahmadi et al.•International Journal for Equity…•2023

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    Paul Farmer•Pathologies of power•2003

  • Structural Violence and Clinical Medicine

    Open Access•Paul E Farmer, Bruce Nizeye et al.•PLoS Medicine•2006

  • Academic Patents and Access to Medicines in Developing Countries

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Citations per year1
Citation span2021 - 2025 (5)
Highly citedNo

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