A study of the research organization mode of translational medicine by taking Germany as an example

Li Ling, Ge Chunlei

Science Research Management ›› 2022, Vol. 43 ›› Issue (8) : 129-139.

PDF(542 KB)
PDF(542 KB)
Science Research Management ›› 2022, Vol. 43 ›› Issue (8) : 129-139.

A study of the research organization mode of translational medicine by taking Germany as an example

  • Li Ling1,2,3, Ge Chunlei1
Author information +
History +

Abstract

   Translational medicine is committed to promoting the two-way translation between basic research and clinical application, promoting the overall development of medicine and improving people′s health level. It has occupied an important position in medical research in the world. But the development of translational medicine in China is still in the exploratory stage, and how to establish the research organization modes suitable for translational medicine is still an urgent question to be solved, and successful practices of other countries would be worth learning. This paper focuses on the German research organization modes of translational medicine through literature analysis and case study. 
   This paper defines translational medicine concept and its role in medical innovation chain. Translational medicine acts as an umbrella bringing together basic and clinical research and encompasses numerous disciplines such as preclinical and clinical trial studies and is the bridge to fill up gaps between different stages of medical innovation chain. Around the world, some new institutions have been established as new modes to promote the development of translational medicine, such as National Center for Advancing Translational Sciences of USA, National Institute for Health Research of UK, and German Centres for Health Research. As there have been quite a lot of studies about practices of USA and UK, Germany has not got much attention. 
   This paper takes German Centres for Health Research and Berlin Institute of Health (BIH) as examples, which are representatives of alliance mode and entity organization mode. The characteristics and advantages of the two modes are discussed in-depth from four aspects, which are organization management structure, research activities pattern, funding pattern and evaluation mode. It could be found that German Centres for Health Research′s power and responsibility are relatively dispersed in the management structure and a "working group & working site" hierarchical structure is adopted to organize its R&D activities. Besides, both stability and flexibility are taken into account in the process of budget allocation and they have set up an assessment index comprised by short-term indicators and medium and long-term indicators. As an entity organization established by Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC) and Charité - Universit tsmedizin Berlin, BIH′s management power and responsibility are concentrated compared to German Centres for Health Research. Its R&D activities are organized across departments, and it has three kinds of fund resources, which support research areas adjusted by talents recruited. For the evaluation, BIH has designed a set of indicators covering the whole chain of translational medicine.
    Based on the comparison of the two modes of translational medicine organization in Germany, it shows that although the two modes have different characteristics, they also have some commonalities: the internal governance structure is complete and effective; research and development activities are organized following the principle of facilitating the cooperation between different personnel and different translation stages; government takes the role of main funder with the supplementary of private funds; fund is invested in not only kinds of R&D projects, but also infrastructure construction and talents development; evaluation index system has been established that reflects the characteristics of translational medicine.
   Finally, combined with our national conditions, this paper puts forward some feasible suggestions to support the construction of translational medicine institutions in China, which include to construct translation institutions by category with a national overall planning; encourage those institutions to apply new management structure; accelerate the cooperation between basic science researchers and clinicians, clinical scientists; enhance the supplement of infrastructure of translational medicine; adopt a mixed funding mechanism that combines stable support and competitive support; and establish a new evaluation system oriented to translational research and talents.

Key words

 translational medicine / research organization mode / Germany

Cite this article

Download Citations
Li Ling, Ge Chunlei. A study of the research organization mode of translational medicine by taking Germany as an example[J]. Science Research Management. 2022, 43(8): 129-139

References

[1]中共中央关于制定国民经济和社会发展第十二个五年规划的建议[EB/OL].[2020-04-05]. http://www.most.gov.cn/yw/201010/t20101028_82966.htm. 2010-10-28.
[2]国家重大科技基础设施建设中长期规划(2012-2030年)[EB/OL].[2020-04-05]. http://www.gov.cn/zwgk/2013-03/04/content_2344891.htm. 2013-03-04.
[3]促进健康产业高质量发展行动纲要(2019-2022年)[EB/OL].[2020-04-05]. http://www.ndrc.gov.cn/gzdt/201909/W020190929381956719855.pdf. 2019-08-28.
[4]李颖.我国已建立129家临床和转化医学研究中心[N/OL].科技日报.[2020-09-28]. http://scitech.people.com.cn/n/2013/0523/c1057-21579639.html. 2013-05-23.
[5]时占祥, 詹启敏等.转化医学在中国:五年回顾与展望[J].科学通报, 2015, 60(22):2151-2156
[6]崔银河, 姜海.我国转化医学科研模式运行管理研究[J].科学管理研究, 2016, 34(05):25-27
[7]周来新.转化医学科研组织模式构建的研究[D].第三军医大学, 2012.
[8]陈丹霞.我国转化医学模式研究[D].北京协和医学院, 2014.
[9]BMBF.Federal Report on Research and Innovation 2018 -Short Version [R]. 2018. https://www.bmbf.de/upload_filestore/pub/Bufi_2018_Short_Version_eng.pdf
[10]Choi DW.Bench to bedside: the glutamate connection[J].Science, 1992, (258):241-243
[11]James Geraghty.Adenomatous polyposis coli and translational medicine[J].The Lancet, 1996, 348(9025):422-
[12]Bryn Lander, Janet Atkinson-Grosjean.Translational science and the hidden research system in universities and academic hospitals: A case study[J].Social Science& Medicine, 2011, (72):537-544
[13]EFI.2014 Gutachtenzu Forschung, Innovation und technologischer Leistungsf?higkeit Deutschlands [R].2014. http://www.efi.de/fileadmin/Gutachten_2014/EFI_Gutachten_2014.pdf
[14]本刊编辑部.全科医生小词典——转化医学[J].中国全科医学, 2016, 19(01):105-
[15]陈竺.转化医学及国家转化医学中心的建设//戴尅戎. 转化医学理念、策略与实践[M]. 西安:第四军医大学出版社, 2012:3-9.
[16]NCATS.About Translation [EB/OL]. [2020-01-12]. https://ncats.nih.gov/translation
[17]Randall J Cohrs, Tyler Martin, et al. .Translational Medicine definition by the European Society for Translational Medicine[J].New Horizons in Translational Medicine, 2015, (2):86-88
[18]王浦劬, 张志超.德国央地事权划分及其启示(下)[J].国家行政学院学报, 2015, (06):38-45
[19]BMBF.Deutsche Zentren der Gesundheitsforschung [EB/OL]. [2020-06-16]. https://www.bmbf.de/de/deutsche-zentren-der-gesundheitsforschung-394.html
[20]DKTK.Jahresbericht 2018 [R]. 2019. https://dktk.dkfz.de/application/files/2815/7467/6415/JB_2018_DKTK_final.pdf
[21]DZIF.Jahresbericht 2018[R]. 2019. https://www.dzif.de/system/files/document/DZIF-JB18-WEB-barrfrei-DE-2019-10-18.pdf
[22]DZHK.German Centre for Cardiovascular Research Annual Report 2018 [R]. 2019. https://dzhk.de/fileadmin/Downloads/Jahresbericht/dzhk_jb2018_en.pdf
[23]DZL.Jahresbericht 2018 [R]. 2019. https://dzl.de/wp-content/uploads/2020/06/DZL_Jahresbericht_2018_Online.pdf
[24]DZD.Jahresbericht 2017 [R]. 2018. https://www.dzd-ev.de/fileadmin/DZD/PDF/Publikationen/DZD-Jahresbericht-2017_barrierefrei.pdf
[25]Wissenschaftsrat.Empfehlungen zu klinischen Studien [R]. 2018. https://www.wissenschaftsrat.de/download/archiv/7301-18.pdf
[26]Helmholtzgemeinschaft.Jahresbericht 2019 [R]. 2020. https://www.helmholtz.de/fileadmin/user_upload/04_mediathek/Jahresbericht2019/epaper-19_Helmholtz_Geschaeftsbe/index.html#0
[27]Berlin Institute of Health (BIH).Annual Report 2017 [R]. 2018. https://www.bihealth.org/fileadmin/publikationen/dateien/BIH-Annual-Report_2017.pdf
[28]姜海, 崔银河.转化医学的学科会聚特征分析[J].科学管理研究, 2015, 33(03):25-27
PDF(542 KB)

Accesses

Citation

Detail

Sections
Recommended

/