Scott I A
Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Intern Med J. 2006 Apr;36(4):265-9. doi: 10.1111/j.1445-5994.2006.01047.x.
Physicians are expected to practice scientifically sound medicine, to be critical of industry claims, and to be immune from making clinical decisions biased by commercial sponsorship and marketing. The reality, as argued in this article, is that much of medical research, in its conduct and reporting, is distorted by commercial interests and that physician decision-making remains vulnerable to the effects of subliminal commercial promotion which has the potential to create conflicts of interest, or perceptions thereof, and undermine public trust. Research is presented that may encourage physicians to view recently revised Royal Australasian College of Physicians (RACP) guidelines on the ethical relationships between the medical profession and industry as an attempt to deal with such conflicts in protecting our authority and standing within the community.
人们期望医生践行科学合理的医学，对行业主张持批判态度，不受商业赞助和营销影响而做出有偏差的临床决策。正如本文所论述的，现实情况是，许多医学研究在其开展和报告过程中都受到商业利益的扭曲，医生的决策仍然容易受到潜意识商业推广的影响，这种推广有可能引发利益冲突或让人产生利益冲突的认知，进而损害公众信任。本文所呈现的研究可能会促使医生将澳大利亚皇家内科医师学院（RACP）最近修订的关于医学专业与行业之间伦理关系的指南视为应对此类冲突的一种尝试，以维护我们在社会中的权威和地位。
