Medical-COI

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

Journal Publication / By

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

Journal Publication / By

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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Effect of physician disclosure of specialty bias on patient trust and treatment choice.

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Abstract This paper explores the impact of disclosures of bias on advisees. Disclosure—informing advisees of a potential bias—is a popular solution for managing conflicts of interest. Prior research has focused almost exclusively on disclosures of financial conflicts of interest but little is known about how disclosures of other types of biases could impact advisees. In …

Effect of physician disclosure of specialty bias on patient trust and treatment choice. Read More »

Effect of reminders of personal sacrifice and suggested rationalizations on residents’ self-reported willingness to accept gifts: A randomized trial.

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Abstract Context Despite expanding research on the prevalence and consequences of conflicts of interest in medicine, little attention has been given to the psychological processes that enable physicians to rationalize the acceptance of gifts.   Objective To determine whether reminding resident physicians of the sacrifices made to obtain training, as well as suggesting this as a potential …

Effect of reminders of personal sacrifice and suggested rationalizations on residents’ self-reported willingness to accept gifts: A randomized trial. Read More »