School of Health Policy and Management, York University, Toronto, ON, Canada.
University Health Network, Toronto, Canada.
J Gen Intern Med. 2021 Oct;36(10):3194-3198. doi: 10.1007/s11606-021-06657-0. Epub 2021 Mar 10.
Gifts from pharmaceutical and medical device companies to physicians in the United States have been reported since 2014, through the Physician Payments Sunshine Act. Although researchers have utilized these data to publish many studies on conflicts of interest (COIs) and prescribing behavior, there is no evidence that physician behavior regarding COI has changed, or that employers, meeting organizers, or medical journals are excluding physicians based on conflicts of interest. Disclosure is necessary but not sufficient to address the damage that industry relationships causes to medical knowledge and public health.
自 2014 年以来，通过《医师薪酬阳光法案》，一直有报道称美国的制药和医疗器械公司向医生赠送礼物。尽管研究人员利用这些数据发表了许多关于利益冲突（COI）和处方行为的研究，但没有证据表明医生在 COI 方面的行为发生了变化，或者雇主、会议组织者或医学期刊根据利益冲突排除了医生。披露是必要的，但不足以解决行业关系对医学知识和公共卫生造成的损害。
