Philosophy Department and Australian School of Advanced Medicine, Macquarie University, Sydney, NSW 2109, Australia.
J Bioeth Inq. 2013 Jun;10(2):219-25. doi: 10.1007/s11673-013-9431-1. Epub 2013 Mar 22.
In this paper we argue that surgeons face a particular kind of within-role conflict of interests, related to innovation. Within-role conflicts occur when the conflicting interests are both legitimate goals of professional activity. Innovation is an integral part of surgical practice but can create within-role conflicts of interest when innovation compromises patient care in various ways, such as by extending indications for innovative procedures or by failures of informed consent. The standard remedies for conflicts of interest are transparency and recusal, which are unlikely to address this conflict, in part because of unconscious bias. Alternative systemic measures may be more effective, but these require changes in the culture of surgery and accurate identification of surgical innovation.
在本文中，我们认为外科医生面临着一种特殊的角色内利益冲突，这种冲突与创新有关。角色内冲突发生在冲突的利益都是专业活动的合法目标时。创新是外科实践的一个组成部分，但当创新以各种方式损害患者的护理时，就会产生角色内的利益冲突，例如扩大创新程序的适应证，或者未能获得知情同意。利益冲突的标准补救措施是透明度和回避，这不太可能解决这种冲突，部分原因是无意识偏见。替代的系统措施可能更有效，但这需要改变外科文化和准确识别外科创新。
