Philosophy, SUNY Albany, Albany, New York, USA
Family Medicine, Albany Medical Center, Albany, New York, USA.
J Med Ethics. 2020 Mar;46(3):168-171. doi: 10.1136/medethics-2019-105776. Epub 2019 Nov 28.
In recent years, online direct-to-consumer pharmaceutical companies have been created as an alternative method for individuals to get prescription medications. While these companies have noble aims to provide easier, more cost-effective access to medication, the fact that these companies both issue prescriptions (via entirely online medical reviews that can have no direct contact between physician and patient) as well as distribute and ship medications creates multiple ethical concerns. This paper aims to explore two in particular. First, this model creates conflicts of interest for the physicians hired by these companies to write prescriptions. Second, the lack of direct contact from physicians may be harmful to prospective patients. After analysing these issues, this paper argues that there ought to be further consideration for regulation and oversight for these companies.
近年来,在线直接面向消费者的制药公司作为一种替代方法,为个人获得处方药物提供了便利。虽然这些公司的目标是高尚的,旨在提供更方便、更具成本效益的药物获取途径,但这些公司既开具处方(通过完全在线的医疗审查,医生和患者之间没有直接联系),又分发和运送药物,这引发了多个伦理问题。本文旨在探讨其中两个问题。首先,这种模式给这些公司聘请的开处方的医生带来了利益冲突。其次,医生缺乏直接联系可能对潜在患者有害。在分析了这些问题之后,本文认为,应该对这些公司进行进一步的监管和监督。