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Status, Respect, and Stigma: A Qualitative Study of Non-financial Interests in Medicine
Miriam Wiersma1, Ian Kerridge2,3, Wendy Lipworth2
1The University of Sydney, Sydney Health Ethics, Level 1, Medical Foundation Building, K25, University of Sydney, Sydney, NSW, 2006, Australia. miriam.wiersma@sydney.edu.au.
Abstract:
Conflicts of interest (COI) in health and medicine have been the source of considerable public and professional debate. Much of this debate has focused on financial, rather than non-financial COI, which is a significant lacuna because non-financial COI can be just as influential as financial COI. In an effort to explore the nature and effects of non-financial, as well as financial COI, we conducted semi-structured interviews with eleven Australian medical professionals regarding their experiences of, and attitudes towards, COI. We found that this group of medical professionals saw non-financial interests-most notably the pursuit of status and respect and the avoidance of stigma-as potentially conflicting with other important interests (such as patient care).
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