Healthcare

Deep Professionalism: Charting a Path for Effective Conflict-of-Interest Management in Medicine

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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 […]

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Lessons from COVID-19 for behavioural and communication interventions to enhance vaccine uptake.

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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

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Patient responses to physician disclosures of industry conflicts of interest: A randomized field experiment.

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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

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Amplification of the status quo bias among physicians making medical decisions.

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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

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Ten considerations for effectively managing the COVID-19 transition

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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

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Conflict of interest disclosure as a reminder of professional norms. Clients First!

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Abstract Conflicts of interest create an incentive for advisors to give biased advice, and disclosure is a popular remedy. Across a series of studies, with monetary stakes creating conflicts of interest, I show that disclosure of the conflict of interest can increase as well as decrease bias in advice. The effect of disclosure depends on

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Clinical practice guidelines and the overuse of health care services: need for reform

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Key Points Specialty bias and fee-for-service conflicts of interest threaten the validity of clinical practice guidelines and may lead to overdiagnosis, overtreatment and increasing health care costs. Clinical practice guidelines issued by medical specialty societies in North America frequently call for greater use of health care services linked to their specialties and are often at

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Insinuation Anxiety: Concern That Advice Rejection Will Signal Distrust After Conflict of Interest Disclosures

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Abstract When expert advisors have conflicts of interest, disclosure is a common regulatory response. In four experiments (three scenario experiments involving medical contexts, and one field experiment involving financial consequences for both parties), we show that disclosure of a financial or nonfinancial conflict of interest can have a perverse effect on the advisor–advisee relationship. Disclosure,

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The effects of public disclosure of industry payments to physicians on patient trust: A randomized experiment.

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Abstract Financial ties between physicians and the pharmaceutical and medical device industry are common, but little is known about how patient trust is affected by these ties. The purpose of this study was to evaluate how viewing online public disclosure of industry payments affects patients’ trust ratings for physicians, the medical profession, and the pharmaceutical

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Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing

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This paper investigates the question: “How did physician prescribing behavior change after US academic medical centers implemented policies that limited pharmaceutical salesperson detailing?”   Abstract Importance In an effort to regulate physician conflicts of interest, some US academic medical centers (AMCs) enacted policies restricting pharmaceutical representative sales visits to physicians (known as detailing) between 2006

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