[Re: https://www.hifa.org/dgroups-rss/open-access-58-clinician-investigator-i... ]
Dear All,
Lacey makes important points in her post on this discussion on OA, in particular I am drawn to three points that she makes:
i) ‘Just like the development of theinternet, the introduction of genAI holds huge promise, and huge risk, and its use will likely bend towards profit-generation for industries except where persons whose incentives are aligned with the patient choose to take an active role in defining how/where/when genAI is used in the evidence to practice continuum.’;
ii)’ In other words, it will be new tech, in an old way (the old way being inequity).’; and
iii) ‘I favor publishing pre-prints and then in an APC-free journal, so as not to financially bolster a broken system’.
On points i) and ii), it is a pity that the focus on profit will continue to trump altruism and maybe ethics and public good. Profit is not a bad thing but in health care it should not hinder universal access to reliable information for all. On point iii), I have my concerns, because as we all noticed during the recent pandemic, publishing research results in pre-print version, before peer review is completed, caused confusion and led to many retractions later, but by which time the retracted false results have already been applied in practicesomewhere, risking public harm. ( ---'papers were retracted amid concerns that a rush to publish coronavirus research had eroded safeguards at prestigious journals’). If
I may suggest, the way forward is APC-Free Journals for LLMICs and subsidised APC Journals for HICs, if possible.
Joseph Ana
Prof Joseph Ana
Lead Senior Fellow/ medicalconsultant.
Center for Clinical Governance Research &
Patient Safety (ACCGR&PS) @ HRI GLOBAL
P: +234 (0) 8063600642
E: info@hri-global.org
8 Amaku Street, State Housing, Calabar,Nigeria.
www.hri-global.org
HIFA profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). He is a member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health, he led the introduction of the Homegrown Quality Tool, the 12-Pillar Clinical Governance Programme, in Nigeria (2004-2008). For sustainability, he established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria. His main interest is in whole health sector and system strengthening in Lower, Low and Middle Income Countries (LLMICs). He has written six books on the 12-Pillar Clinical Governance programme, suitable for LLMICs, including the TOOLS for Implementation. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Nigeria Medical Association’s Award of Excellence on three consecutive occasions for the innovation. He served as Chairman, Quality & Performance, of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He is member, National Tertiary Health Institutions Standards Committee of the Federal Ministry of Health. He is the pioneer Secretary General/Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. (http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group). jneana AT yahoo.co.uk