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It may come as a surprise to the casual observer that many organizations never consider the consequences o

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

f seconding Culturally-incompetent Assignees to their global offices. They regard Intercultural or Cross-C

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

Examples of combination products may in

ultural Training as an unnecessary or unworthy expenditure. Presuming that their current International Ass

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

ignees have no complaints thus far, newly-arrived ones are also expected to fit in nicely.

Additionally,

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

he subsidiary office's Human Resources Department does not see the importance of assisting an Assignee's a

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

Combination pro

cculturation process. Especially so in Singapore, much touted as a model multicultural society; it is not

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

possible for the Assignee to experience any form of Culture Shock. Or so Human Resources would like to bel

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

eve.

There is researched and published evidence that as many expatriates failed to adjust to their new en

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

vironment as those who do not. Yet, these organizations persist in the belief that they could replace fail

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

ed Expatriates anytime midway through; or upon expiry of their contracts.

At what cost?

* Team cohesion

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

nd subsequent department-wide productivity are affected

* Company's Competitive Advantage is affected

*

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

Following aspects would a

Taking replacement Assignee through the paces

* Financial losses as a result of:

- Initial hiring and su

dd to the challenges in developing combination products:

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

bsequent placement:

=> the Assignee is either seconded or hired in his home country, or third country

=>

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

advertisement costs, or Recruiter's/Headhunter's fees

=> training costs involved if Assignee is a Traine

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

Graduate

- Costs that arise from housing, medical, transport and other allowances

- Other benefits: spo

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

usal or family resettlements:

=> applications of Dependant's Pass and/or Letter of Consent from Singapore

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

Professional from academic institutions, pharmaceutical industries, health care indust

's Manpower Ministry if spouse or partner decides to work

=> assistance in finding schools for children

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

Company's reputation is at stake:

- Customers will take their business elsewhere

The above is not exhau

.

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

stive although representative of the issues faced by both International Assignees and organizations. Never

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

Companies that provide selfless information through particip

theless, these costs are more expensive than a Cross-Cultural Coaching and Follow-Up Sessions put together

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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