Albersheim Susan G, Golan Agneta
Division of Neonatology, Department of Paediatrics, University of British Columbia, Vancouver, Canada.
Isr Med Assoc J. 2011 Jul;13(7):389-93.
Historically physicians have had close relationships with the pharmaceutical or other medically related industry. This has come under close scrutiny by the public, with articles appearing in medical journals and the lay press. The reality is that physicians depend on industry to bring products to market as well as to assist in research and education, leaving physicians questioning what their relationship with industry should be. This review deals with this complex relationship, identifying ways that industry might affect decision making in the clinical context. We will highlight areas of potential concern in this relationship, identify attendant moral dilemmas, and provide some recommendations. Our intention in raising the consciousness of physicians and medical institutions to these potential areas of concern is to aid physicians in their efforts to provide the best medical care for patients and to practice with integrity.
从历史上看,医生与制药或其他医疗相关行业有着密切的关系。这已受到公众的密切审视,医学期刊和大众媒体上都出现了相关文章。实际情况是,医生依赖行业将产品推向市场,并协助进行研究和教育,这使得医生们质疑他们与行业的关系应该是怎样的。这篇综述探讨了这种复杂的关系,确定了行业可能在临床环境中影响决策的方式。我们将突出这种关系中潜在的关注领域,识别随之而来的道德困境,并提供一些建议。我们提高医生和医疗机构对这些潜在关注领域的认识,目的是帮助医生努力为患者提供最佳医疗服务,并秉持诚信行医。