Grundy Quinn
University of California, San Francisco, San Francisco, CA 94143-0612, USA.
Policy Polit Nurs Pract. 2012 Aug;13(3):154-61. doi: 10.1177/1527154412465196.
Clinician-industry relationships have risen on the policy agenda due to their associated economic and ethical costs. The Physician Payments Sunshine Act (PPSA) is the first federal legislation that aims to mitigate these costs through mandating disclosure of these relationships. Interest group lobbying theory is used to show how stakeholders have responded to scrutiny, first through self-regulation and then, progressively, through contributing to legislation development. Limitations of the PPSA include the notable omission of nurses and allied health professionals, making it unlikely the PPSA will be effective in mitigating these costs. However, it is symbolic as it marks a departure from the traditional reliance on self-regulation on part of industry and the medical profession.
临床医生与行业的关系因其相关的经济和道德成本而被提上政策议程。《医生薪酬阳光法案》（PPSA）是第一部旨在通过强制披露这些关系来降低这些成本的联邦立法。利益集团游说理论被用来展示利益相关者如何应对审查，首先是通过自我监管，然后逐渐通过推动立法发展来应对。PPSA的局限性包括显著遗漏了护士和专职医疗人员，这使得PPSA不太可能有效降低这些成本。然而，它具有象征意义，因为它标志着行业和医疗专业从传统上对自我监管的依赖中脱离出来。
