Wenger N S, Lieberman J R
Department of Medicine, UCLA School of Medicine 90095-1736, USA.
Clin Orthop Relat Res. 2000 Sep(378):39-43. doi: 10.1097/00003086-200009000-00007.
Physicians may receive various gifts and incentives from companies that make pharmaceuticals and medical devices. Although such incentives may benefit patients and physicians, they often pose serious conflicts of interest that violate a physician's professional responsibility. The physician-patient relationship is predicated on the physician acting in the best interest of the patient. The application of medical knowledge to complex clinical circumstances is difficult, even without biased sources of information and internal conflicts attributable to financial incentives. Yet, industry resources often are dedicated to the dissemination of information and incentives aimed to influence decisions not necessarily aimed at the goals of the patient. Physicians often are unaware of the nature of the incentives and commonly deny their demonstrated impact. Any incentive that is designed to impede, rather than enhance, the clinician's ability to make optimal patient care decisions is unethical for a physician to accept. These incentives should play no role in the practice of orthopaedic surgery.
医生可能会从制药和医疗设备公司获得各种礼物和奖励。尽管此类奖励可能使患者和医生受益，但它们常常引发严重的利益冲突，违反医生的职业责任。医患关系的基础是医生为患者的最大利益行事。即使没有有偏见的信息来源以及由经济激励导致的内在冲突，将医学知识应用于复杂的临床情况也是困难的。然而，行业资源往往致力于传播信息和提供奖励，旨在影响决策，而这些决策不一定以患者的目标为导向。医生常常意识不到这些奖励的本质，并且普遍否认它们已被证明的影响。任何旨在阻碍而非增强临床医生做出最佳患者护理决策能力的奖励，医生接受都是不道德的。这些奖励在骨科手术实践中不应发挥任何作用。
