Salas Sofía P, Vukusich Antonio, Catoni María Isabel, Valdivieso Andrés, Roessler Emilio
Rev Med Chil. 2016 Aug;144(8):1053-1058. doi: 10.4067/S0034-98872016000800013.
Since doctors disposed of effective tools to serve their patients, they had to worry about the proper management of available resources and how to deal with the relationship with the industry that provides such resources. In this relationship, health professionals may be involved in conflicts of interest that they need to acknowledge and learn how to handle. This article discusses the conflicts of interest in nephrology. Its objectives are to identify those areas where such conflicts could occur; to help to solve them, always considering the best interest of patients; and to help health workers to keep in mind that they have to preserve their autonomy and professional integrity. Conflicts of interest of professionals in the renal area and related scientific societies, with the industry producing equipment, supplies and drugs are reviewed. Dichotomy, payment for referral, self-referral of patients and incentives for cost control are analyzed. Finally, recommendations to help preserve a good practice in nephrology are made.
由于医生要利用有效的工具为患者服务，他们不得不操心现有资源的合理管理以及如何处理与提供这些资源的行业之间的关系。在这种关系中，医疗专业人员可能会陷入利益冲突，他们需要认识到这些冲突并学会如何应对。本文探讨了肾脏病学中的利益冲突。其目的是识别可能发生此类冲突的领域；始终从患者的最大利益出发帮助解决这些冲突；并帮助医护人员牢记他们必须保持自身的自主性和职业操守。本文回顾了肾脏领域专业人员及相关科学学会与生产设备、耗材和药品的行业之间的利益冲突。分析了二分法、转诊报酬、患者自我转诊以及成本控制激励措施等问题。最后，提出了有助于在肾脏病学领域保持良好做法的建议。
