Health industry practices that create conflicts of interest: a policy proposal for academic medical centers
- PMID: 16434633
- DOI: 10.1001/jama.295.4.429
Health industry practices that create conflicts of interest: a policy proposal for academic medical centers
Abstract
Conflicts of interest between physicians' commitment to patient care and the desire of pharmaceutical companies and their representatives to sell their products pose challenges to the principles of medical professionalism. These conflicts occur when physicians have motives or are in situations for which reasonable observers could conclude that the moral requirements of the physician's roles are or will be compromised. Although physician groups, the manufacturers, and the federal government have instituted self-regulation of marketing, research in the psychology and social science of gift receipt and giving indicates that current controls will not satisfactorily protect the interests of patients. More stringent regulation is necessary, including the elimination or modification of common practices related to small gifts, pharmaceutical samples, continuing medical education, funds for physician travel, speakers bureaus, ghostwriting, and consulting and research contracts. We propose a policy under which academic medical centers would take the lead in eliminating the conflicts of interest that still characterize the relationship between physicians and the health care industry.
Comment in
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2845-6; author reply 2848-9. doi: 10.1001/jama.295.24.2845-c. JAMA. 2006. PMID: 16804142 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2845; author reply 2848-9. doi: 10.1001/jama.295.24.2845-b. JAMA. 2006. PMID: 16804143 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2845; author reply 2848-9. doi: 10.1001/jama.295.24.2845-a. JAMA. 2006. PMID: 16804144 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2846-7; author reply 2848-9. doi: 10.1001/jama.295.24.2846-b. JAMA. 2006. PMID: 16804145 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2846; author reply 2848-9. doi: 10.1001/jama.295.24.2846-a. JAMA. 2006. PMID: 16804146 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2847-8; author reply 2848-9. doi: 10.1001/jama.295.24.2847. JAMA. 2006. PMID: 16804147 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2848; author reply 2848-9. doi: 10.1001/jama.295.24.2848-b. JAMA. 2006. PMID: 16804148 No abstract available.
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Academic medical centers and conflicts of interest.JAMA. 2006 Jun 28;295(24):2848; author reply 2848-9. doi: 10.1001/jama.295.24.2848-a. JAMA. 2006. PMID: 16804149 No abstract available.
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