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造成利益冲突的医疗行业做法:对学术医疗中心的政策建议

Troyen A Brennan¹, David J Rothman, Linda Blank

¹Brigham and Women's Hospital, Harvard Medical School, Boston, Mass 02115, USA. tabrennan@partners.org

|January 26, 2006

概括

医生与制药公司的利益冲突威胁到患者的护理. 需要更严格的法规,学术医疗中心带头负责消除行业冲突.

科学领域:

医学伦理医学伦理
卫生政策卫生政策
制药行业制药行业制药行业

背景情况:

医生利益冲突源于制药营销,可能会损害患者护理和医疗专业.
医生,制造商和政府目前的自我监管已被证明不足以保护患者的利益.
心理学和社会科学研究强调现有的对礼物接收和赠送的控制是无效的.

研究的目的:

分析医生与行业利益冲突对医疗专业主义所带来的挑战.
评估当前自我监管措施在缓解这些冲突方面的充分性.
为更严格的监管和消除利益冲突提出政策建议.

主要方法:

关于医学利益冲突的现有文献的综述.
对心理和社会科学研究对礼物交换动态的分析.
审查当前的自我监管实践及其局限性.
为学术医疗中心制定政策建议.

主要成果:

目前的自我监管做法不足以保护患者的利益免受制药行业的影响.
常见的行业做法,包括礼物,样品和演讲角色,造成了重大利益冲突.
现有的法规未能解决导致这些冲突的核心问题.

结论:

更严格的法规对于保障患者福利和医疗专业主义至关重要.
消除或修改常见行业惯例是必要的.
学术医疗中心应该引领政策变革,以消除医生与行业的利益冲突.

关键词:

医疗保健和公共卫生

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