Medical

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

Journal Publication / By

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 …

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

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

Journal Publication / By

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 …

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

Ten considerations for effectively managing the COVID-19 transition

Journal Publication / By

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 …

Ten considerations for effectively managing the COVID-19 transition Read More »

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

Journal Publication / By

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 …

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

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing

Journal Publication / By

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 …

Association Between Academic Medical Center Pharmaceutical Detailing Policies and Physician Prescribing Read More »

Investigations before examinations: This is how we practice medicine here.

Journal Publication / By

Summary Based on a personal experience, in this paper I discuss the impact of investigations-before-examinations on healthcare costs, patient safety, and the quality of care. Unnecessary tests, such as x-rays, can lead to a cascade of further investigations due to incidental findings and contribute to cumulative radiation exposure.  I explore the power dynamics within the …

Investigations before examinations: This is how we practice medicine here. Read More »

Disclosing conflicts of interest in patient decision aids.

Book Chapter / By

ABSTRACT Background In 2005, the International Patient Decisions Aid Standards (IPDAS) Collaboration developed quality criteria for patient decisions aids; one of the quality dimensions dealt with disclosure of conflicts of interest (COIs). The purposes of this paper are to review newer evidence on dealing with COI in the development of patient decision aids and to …

Disclosing conflicts of interest in patient decision aids. Read More »

The unintended consequences of conflict of interest disclosure.

Journal Publication / By

Abstract Conflicts of interest, both financial and nonfinancial, are ubiquitous in medicine, and the most commonly prescribed remedy is disclosure. The Medicare Payment Advisory Commission and the Accountable Care Act impose a range of disclosure requirements for physicians, and almost all medical journals now require authors to disclose conflicts of interest (although these requirements may …

The unintended consequences of conflict of interest disclosure. Read More »

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

Journal Publication / By

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 »