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You’re sitting in front of a computer with your headphones on and your right foot on a pedal. You’re listening to a doctor’s medical report (patient’s assessment, diagnosis

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

, therapeutic procedures, etc.) recorded through a high-tech recorder and converted into an audio file in your computer. You encode the report making sure that you get ever

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

y medical word loud and clear including the medications, with correct spelling and grammar. You play the audio file over and over again to catch up with the doctor’s dictat

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ion to be sure that everything he said was encoded.

This is not just pure secretarial work but doing medical transcription. This work is as crucial as that of a nurse alth

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

ough the focus is more on converting the doctor’s oral report into text. But nevertheless, a medical transcriptionist (MT) still plays an important role as his or her outpu

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

t becomes a vital document of every physician. Most hospitals in the U.S. require their all data to be in digital format hence, the need for medical transcription.

Medical

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

transcription is no easy job as training and experience are required. You are paid well, too, as much as that of a nurse. Each year, approximately 230,000 medical transcri

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

ptionists get hired but their availability is dropping by ten percent yearly. The U.S. Department of Labor has projected the demand for MTs to reach $20 billion worldwide.

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

This demand has actually led many companies in the health services sector to outsource their requirement for medical transcription. Thanks to this latest strategy in the Am

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

erican healthcare industry, developing countries in Asia are greatly benefiting. Research firm IDC revealed that the U.S. spent $2.3 billion in 2004 for medical transcripti

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

n outsourcing services. It foresees the MT outsourcing market to increase to $4.2 billion in 2008.

Outsourcing transcription work proves to be more cost effective for most

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

U.S. hospitals than utilizing in-house secretarial staff to transcribe dictations of physicians. Letting medical secretaries do the transcribing usually causes delays as t

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

hey have a variety of tasks to do like answering phone calls and being a receptionist at the same time. Meanwhile, health firms that offer transcription service have more s

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

taff with a standard 3 to 1 ratio that can hasten turnaround time on dictated files.

Medical transcription is a growing industry in Asia, specifically in the countries of

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

India and the Philippines. It is a well-known fact that medical transcription is a $10 billion industry in the U.S. But with a high demand and not enough manpower to fulfil

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

l the need, the MT work is being spread out to Asia where labor cost is cheaper. India is the first to take advantage of this business process outsourcing (BPO) strategy an

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

d medical transcription there is now considered the fourth biggest foreign exchange earner after garments, diamonds and software.

In the Philippines, medical transcription

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

is also gaining ground. In fact, it is one of the government’s top 10 priority growth sectors. Filipinos are seen to be very equipped in this field because of their high l

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

iteracy rate, English proficiency, medical and computer training and improving infrastructure on information and technology. The Department of Trade and Industry has confir

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

med this demand and employment opportunities adding that quality should always be prioritized to maintain the country’s credibility to its international employment partners

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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