Understanding financial conflicts of interest.

@article{Thompson1993UnderstandingFC,
  title={Understanding financial conflicts of interest.},
  author={D. Thompson},
  journal={The New England journal of medicine},
  year={1993},
  volume={329 8},
  pages={
          573-6
        }
}
  • D. Thompson
  • Published 1993
  • Medicine
  • The New England journal of medicine
The problem of conflicts of interest began to receive serious attention in the medical literature in the 1980s1,2. Studies have described a wide range of conflicts involving physicians, medical researchers, and medical institutions (the most comprehensive is by Rodwin3). Among the areas of concern are self-referral by physicians,4–6 physicians' risk sharing in health maintenance organizations (HMOs) and hospitals,7 gifts from drug companies to physicians,8,9 hospital purchasing and bonding… Expand
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Various types of conflicts that can and do occur in healthcare delivery are discussed and potential policy options that may address these issues are discussed. Expand
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An overview of the problems arising from complex relationships between industry, investigators, and academic institutions have evolved inevitably resulting in various ethical challenges is presented. Expand
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  • D. Schetky
  • Medicine
  • Child and adolescent psychiatric clinics of North America
  • 2008
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This article explores the relevant pressing ethical issues and proposals for changing course and managing these potentially troublesome relationships with the pharmaceutical industry. Expand
Intrinsic Conflicts of Interest in Clinical Research: A Need for Disclosure
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Conflicts of interest arise in all clinical research endeavors as a result of the tension among professionals' responsibilities to their research and to their patients and both academic and financial incentives. Expand
Evaluate the adequacy of disclosure as a solution to the problem of conflict of interest in medical research
A potential risk of conflict of interest currently exists, between the way that biomedical research is conducted in an academic setting, and increased levels of commercial funding of research. The… Expand
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References

SHOWING 1-10 OF 30 REFERENCES
Conflicts of interest. Physician ownership of medical facilities. Council on Ethical and Judicial Affairs, American Medical Association.
TLDR
The Council on Ethical and Judicial Affairs revisits the question of referral of patients to medical facilities in which physicians have financial interests and concludes that, in general, physicians should not refer patients to a health care facility outside their office practice when they have an investment interest in the facility. Expand
Physicians, entrepreneurism and the problem of conflict of interest
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  • Medicine
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TLDR
The paper concludes that an outright ban on physicians' referral of patients to facilities they own or in which they invest seems ethically warranted. Expand
Physicians' Conflicts of Interest: The Limitations of Disclosure
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  • Medicine
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TLDR
Examination of disclosure policies in four other contexts - medical informed consent, consumer-protection laws, disclosure by lawyers to clients, and disclosure by government officials - and their implications and limitations as models for disclosing physicians' conflicts of interest are examined. Expand
Dealing with conflicts of interest.
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TLDR
Connections between industry and academic medical scientists are not new, but as the commercial possibilities of new biomedical discoveries have become increasingly attractive, these connections have become more pervasive, complex, and problematic. Expand
Conflict of interest. The new McCarthyism in science.
TLDR
Disclosure policies are supposed to reduce problems of scientific misconduct ranging from sloppiness to fraud by allowing readers to make a more informed and therefore a better interpretation of published work. Expand
Conflict of interest and the BMJ
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TLDR
Conflict of interest may also arise with letters, and many letters that seem to come from individuals who simply have an interest in the subject are in fact prompted by organisations with an interest, financial or otherwise, in the outcome of the correspondence. Expand
How do financial incentives affect physicians' clinical decisions and the financial performance of health maintenance organizations?
TLDR
The use of some, but not all, financial incentives, as well as the type of HMO, does influence the behavior of physicians toward patients, and it remains to be determined how these factors affect the quality of care. Expand
The journal's policy on cost-effectiveness analyses.
TLDR
Concern about cost now dominates many decisions about the use of drugs and other therapeutic interventions, and published economic analyses that relate the effectiveness of treatments and their associated costs (cost-effectiveness analyses). Expand
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TLDR
Closer attention from the public and the profession, and careful study, are necessary to ensure that the "medical-industrial complex" puts the interests of the pub... Expand
Must the law assure ethical behavior?
TLDR
It is not surprising that physicians would look for ways to enhance the availability of all this burgeoning technology by reducing the volume of care given by reducing individual reimbursement: a shaky hypothesis at best. Expand
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