Limiting the Influence of Pharmaceutical Industry Gifts on Physicians: Self-Regulation or Government Intervention?

被引:55
作者
Grande, David [1 ,2 ]
机构
[1] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19146 USA
[2] Univ Penn, Dept Med, Philadelphia, PA 19104 USA
关键词
medical professionalism; pharmaceutical marketing; conflicts of interest; CONFLICTS-OF-INTEREST; PROPOSAL;
D O I
10.1007/s11606-009-1016-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Concerns over the influence of pharmaceutical gifts on physicians have surged in recent years. This has prompted wide ranging legislative proposals in numerous states and in the federal government as well as stepped up efforts at self-regulation by the pharmaceutical industry and the medical profession. Policymakers face the decision of whether to defer to self-regulation or support government intervention. This commentary describes efforts at self-regulation by the pharmaceutical industry and the medical profession. The author examines and critiques the wide ranging legislative strategies pursued to limit the influence of pharmaceutical gifts on physicians and concludes with suggestions for policymakers and the profession to limit influence and preserve public trust.
引用
收藏
页码:79 / 83
页数:5
相关论文
共 39 条
[1]   Prescription Drug Spending Trends In The United States: Looking Beyond The Turning Point [J].
Aitken, Murray ;
Berndt, Ernst R. ;
Cutler, David M. .
HEALTH AFFAIRS, 2009, 28 (01) :W151-W160
[2]  
*AM MED ASS, PRESC DAT RESTR PROG
[3]  
*AM MED STUD ASS, 2008, AMSA PHARMFREE SCOR
[4]  
Association of American Medical Colleges, 2008, IND FUND MED ED REP
[5]   Health industry practices that create conflicts of interest - A policy proposal for academic medical centers [J].
Brennan, TA ;
Rothman, DJ ;
Blank, L ;
Blumenthal, D ;
Chimonas, SC ;
Cohen, JJ ;
Goldman, J ;
Kassirer, JP ;
Kimball, H ;
Naughton, J ;
Smelser, N .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (04) :429-433
[6]   The dirt on coming clean: Perverse effects of disclosing conflicts of interest [J].
Cain, DM ;
Loewenstein, G ;
Moore, DA .
JOURNAL OF LEGAL STUDIES, 2005, 34 (01) :1-25
[7]   A national survey of physician-industry relationships [J].
Campbell, Eric G. ;
Gruen, Russell L. ;
Mountford, James ;
Miller, Lawrence G. ;
Cleary, Paul D. ;
Blumenthal, David .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (17) :1742-1750
[8]   New federal guidelines for physician-pharmaceutical industry relations: The politics of policy formation [J].
Chimonas, S ;
Rothman, DJ .
HEALTH AFFAIRS, 2005, 24 (04) :949-960
[9]  
Chiong W, 2003, AM J BIOETHICS, V3, pW28
[10]  
*CMR, 2009, 970000 CMR