Fisher Morris A
Neurology, Hines VA Hospital, Hines, IL 60141, USA.
Perspect Biol Med. 2007 Winter;50(1):1-6. doi: 10.1353/pbm.2007.0003.
Medicine and industry are bound together by mutual needs. The development and utilization of new drugs and medical devices requires both the scientific and clinical expertise of physicians, and the resources and entrepreneurial ethos of business. The medicine-industry partnership has contributed to dramatic improvements in medical care. The increasing influence of the pharmaceutical and medical equipment industry in medicine has, however, raised concerns about costs and regulation, as well as about medicine's traditional independence and objectivity. Some critics feel that the fundamental obligation of business to provide profit for shareholders conflicts with physicians' traditional role as disinterested advocates of patients' interests. Nonetheless, with about 15% of the U.S. economy now devoted to health care, an ongoing and ro-bust relation between business and medicine seems inevitable. A mutually productive relationship between medicine and industry is essential for continued innovation and improvement in health care. Continuous and open dialogue, such as that in the following articles, is necessary to resolve conflicts and achieve this goal.
医学与产业因相互需求而紧密相连。新药和医疗设备的研发与应用既需要医生的科学与临床专业知识，也需要企业的资源与创业精神。医药产业合作推动了医疗保健的显著改善。然而，制药和医疗设备行业在医学领域日益增长的影响力引发了对成本、监管以及医学传统独立性和客观性的担忧。一些批评者认为，企业为股东创造利润的基本义务与医生作为患者利益无私倡导者的传统角色相冲突。尽管如此，鉴于目前美国约15%的经济投入到医疗保健领域，商业与医学之间持续且稳固的关系似乎不可避免。医学与产业之间互利共赢的关系对于医疗保健的持续创新和改善至关重要。持续且开放的对话，如下文各篇文章中所呈现的，对于解决冲突并实现这一目标是必要的。
