... (USA).3 With the competition seen globally in the pharmaceutical industry intensifying many companies from the USA are looking to reduce the cost of their development process in manufacturing, research and development as well as clinical trials.4 Many developing countries such as India and China have a skilled labour force and one that can be paid a lower wage.4 Also many of these countries are experiencing a rise in "Gross Domestic Product (GDP) and overall wealth"4 and consequently the population is demanding advanced healthcare standards. With China's admission into the World Trade Organization, the USA Food and Drug Administration (FDA) has aimed to improve the regulatory environment for pharmaceutical products which is "currently valued at over $3.5 billion in China."4 Outsourcing is not a recent concept as it has been used extensively since the mid 1990's and is on the increase.5 It is thought that by 2008 that nearly 50 % of ...

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