Conflicts of interest (COIs) threaten the integrity of the medical field due to their capacity to compromise patient trust and healthcare quality. They deserve continued scrutiny but proposed policies to address COIs—ranging from penalties to mandated disclosures—often rest on misguided intuitions about the underlying psychological processes, leading to ineffective or even counterproductive outcomes. The shortcomings […]
Published Peer-Reviewed Academic Journals
This paper explores the complexities and unintended consequences of conflict of interest (COI) disclosures in various professional settings. It highlights key psychological processes encountered by recipients of such disclosures. Notably, it describes the burden of disclosure effect, which paradoxically reduces trust while increasing compliance due to social pressures, and disclosure’s expertise cue, where disclosures inadvertently increase trust and
Although the COVID-19 pandemic is widely considered to be over, vaccination remains the crucial tool to protect people from severe disease. Notwithstanding adequate supply, vaccine uptake varies considerably among countries and segments of society. For example, as of 30 June 2023, uptake of the primary course of vaccines in Europe ranged from 21.1% in Kyrgyzstan
Science communication as a collective intelligence endeavor: A manifesto and examples for implementation.
Effective science communication is challenging when scientific messages are informed by a continually updating evidence base and must often compete against misinformation. We argue that we need a new program of science communication as collective intelligence—a collaborative approach, supported by technology. This would have four key advantages over the typical model where scientists communicate as
Abstract Many clinicians, including those who work in government, experience potential clashes between their professional responsibilities and personal interests that can create conflicts of interest (COIs). Some clinicians might assert that their personal stakes do not influence their professional actions, but data suggest otherwise. This commentary on a case suggests that COIs must be acknowledged
The Professionalism Paradox: A Sense of Professionalism Increases Vulnerability to Conflicts of Interest
Professionalism is often viewed, in the management literature and in practice, as a desirable sought-after trait in employees and managers. This belief, however, does not consider a potential dark side of professionalism. A high self-concept of professionalism often coexists with a shallow notion of the concept and can paradoxically lead to detrimental outcomes, such as
Patient responses to physician disclosures of industry conflicts of interest: A randomized field experiment.
Abstract Most patients in the United States depend on physicians who have financial relationships with the healthcare industry. These physician-industry relationships represent a conflict of interest: a potential clash between the physicians’ professional responsibilities and their self-interest. We conducted a randomized field experiment to assess the impact of written disclosures of physicians’ conflict of interest
Summary The status quo bias (SQB) is the tendency to prefer the current state of affairs. We investigated if experts (physicians) fall prey to the SQB when making decisions in their area of expertise and, if so, whether the SQB is reduced or amplified for experts compared to non-experts. We presented 302 physicians and 733
Abstarct Governments around the world have implemented measures to manage the transmission of coronavirus disease 2019 (COVID-19). While the majority of these measures are proving effective, they have a high social and economic cost, and response strategies are being adjusted. The World Health Organization (WHO) recommends that communities should have a voice, be informed and
When Science Becomes Embroiled in Conflict: Recognizing the Public’s Need for Debate while Combating Conspiracies and Misinformation.
We explore the common attributes of political conflicts in which scientific findings have a central role, using the COVID-19 pandemic as a case study, but also drawing on long-standing conflicts over climate change and vaccinations. We analyze situations in which the systematic spread of disinformation or conspiracy theories undermines public trust in the work of