Assistant Professor, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.
Healthc Policy. 2022 Feb;17(3):28-33. doi: 10.12927/hcpol.2022.26731.
Declining public trust in government and expert advice is a public health priority, given its impact on vaccination uptake, adherence to guidelines and social cohesion. In the context of the COVID-19 Vaccine Task Force, conflicts of interest that can threaten public trust are handled primarily through disclosures. However, this places the onus on the public to discern the relevance, severity and impact of these conflicts and does little to address whose interests guide decision making. Alternatively, expert advisory committees should adopt more trustworthy strategies, including promoting independence from commercial and political interests.
公众对政府和专家建议的信任度下降是一个公共卫生重点,因为这会影响疫苗接种率、对指导方针的遵守情况和社会凝聚力。在 COVID-19 疫苗工作队的背景下,可能威胁公众信任的利益冲突主要通过披露来处理。然而,这需要公众自己去辨别这些冲突的相关性、严重程度和影响,而对于解决谁的利益指导决策几乎没有什么作用。或者,专家咨询委员会应该采取更值得信赖的策略,包括促进不受商业和政治利益的影响。