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Healthy Skepticism Library item: 2259

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Weber LJ, Wayland MT, Holton B.
Health care professionals and industry: reducing conflicts of interest and established best practices.
Arch Phys Med Rehabil 2001 Dec; 82:(12):
http://linkinghub.elsevier.com/retrieve/pii/aapmr082b0s20


Abstract:

The relationship between health care providers and pharmaceutical companies and other commercial interests is ethically complex. The common practice of gift giving takes many forms including free samples, sponsorship of medical education, loan of equipment, and gifts ranging from those of nominal value such as pens to more valuable gifts such as golf outings or dinners. Gift giving is a practice that serves both the recipient and the giver, but, in the medical setting, it raises the question of whether this is to the detriment of patient care. Although health care professionals may believe they are able to ignore influence from commercial interests, human judgment research indicates that decision-makers are generally unaware of biases affecting their decisions. This is an issue of organizational ethics as well. Institutions that allow commercial interests to give some form of gift are allowing the appearance of bias as well as placing the burden of avoiding bias on the individual rather than on the institution. Conflict-of-interest analysis indicates that best practice is to limit or eliminate the influence of commercial interests, ensuring that professionals are better able to exercise their independent objective judgment.

Keywords:
MeSH Terms: Attitude of Health Personnel Benchmarking Conflict of Interest* Drug Industry/standards* Drug Industry/trends Ethics, Institutional Ethics, Medical Female Health Personnel/standards* Health Personnel/trends Humans Interprofessional Relations* Male Organizational Case Studies Outcome Assessment (Health Care)* Physical Medicine/standards* Rehabilitation Centers/standards United States *analysis/United States/relationship between medical profession and industry/conflict-of-interest/gift giving/perceived immunity/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMMODATION, TRAVEL, ENTERTAINMENT/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTIONAL TECHNIQUES: SAMPLES/REGULATIONS, CODES, GUIDELINES: HOSPITALS

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909