Youn Young Hoon, Lee Ilhak
Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2012 Sep 25;60(3):149-54. doi: 10.4166/kjg.2012.60.3.149.
In recent years, medical professionals are in charge with multiple roles. They have to work as an educator, researcher, and administrator, as well as medical practitioner. In addition, they experience a conflict between the primary responsibilities that each role requires of them. A conflict of interest (COI) is a set of circumstances that creates a risk that professional judgment or actions regarding a primary interest will be unduly influenced by a secondary interest. It occurs when an individual or organization is involved in multiple interests, one of which could possibly corrupt the motivation for an act in the other. The COI should be managed appropriately to preserve the value of public trust, scientific objectivity, and the benefit and safety of patients. Primary interest of medical professionals refers to the principal goals of the medical profession, such as the health and safety of patients, and the integrity of research. Secondary interest includes not only financial gain but also such motives as the desire for professional advancement and the wish to do favors for family and friends, but COI rules usually focus on financial relationships because they are relatively more objective, fungible, and quantifiable. This article will briefly review the COI in medical practice and research, discuss about what is COI, why we should manage it, and how we can manage it.
近年来，医学专业人员身兼多种角色。他们不仅要担任教育工作者、研究员和管理人员，还要从事医疗工作。此外，他们还面临着每个角色所要求的主要职责之间的冲突。利益冲突（COI）是指一系列情况，这些情况会导致一种风险，即与主要利益相关的专业判断或行动会受到次要利益的不当影响。当个人或组织涉及多种利益时，就会发生利益冲突，其中一种利益可能会损害另一种利益行为的动机。应该对利益冲突进行适当管理，以维护公众信任的价值、科学客观性以及患者的利益和安全。医学专业人员的主要利益是指医学职业的主要目标，如患者的健康和安全以及研究的完整性。次要利益不仅包括经济收益，还包括职业晋升的愿望以及帮助家人和朋友等动机，但利益冲突规则通常侧重于财务关系，因为它们相对更客观、可替代且可量化。本文将简要回顾医学实践和研究中的利益冲突，讨论什么是利益冲突、为什么要管理利益冲突以及如何管理利益冲突。
