Conflict of interest in the healthcare industry

Conflict of interest in the health care industry occurs when the primary goal of protecting and increasing the health of patients comes into conflict with any other secondary goal, especially personal gain to healthcare professionals, and increasing revenue to a healthcare organization from selling health care products and services. The public and private sectors of the medical-industrial complex have various conflicts of interest which are specific to these entities.

There is a lack of empirical evidence to describe the impact of conflict of interest in the health care industry.[1]

Business interests influence the direction of cancer research and the adoption of new practices in therapy.[2]

University projects which receive industry funding are more likely to produce research outcomes which favor their funders.[3]

A 2017 systematic review by the Cochrane Collaboration found that pharmaceutical and medical device industry sponsored studies are more often favorable to the sponsor's product compared with studies with other sources of sponsorship.[4]

The trend toward treating clinical research as a business has coincided with a range of problems which are likely the result of business connections.[5]

Funders seek and court scientists to author papers and lend their person reputations to add credibility to research findings.[6]

The Physician Payments Sunshine Act of 2010 requires that financial relationships of physicians and teaching hospitals with manufacturers be reported and made publicly available via the Open Payments Program website.

Using this Open Payments database, it was found that about 64% of US-based physician-editors of highly-cited medical journals received industry-associated payments (i.e., payments from medical drug and device companies) during a period spanning August 1, 2013 to December 31, 2016.[7]

Medical journals have varying requirements what should be published and people who fail to follow them face few repercussions.[8]

gollark: There are a lot of groups of people with different needs. Why favour rural people over city people instead of rich people over poor people or [race 1] over [race 2] or Apple users over Android users or whatever? It's arbitrary.
gollark: Please stop contradicting yourself on this, as it is very annoying.
gollark: In rural areas there is more voting power per person, which is obviously what I mean.
gollark: It's not really that good, but it's generally better than randomly giving one group more power.
gollark: I mean, that is the intention of having a democracy.

References
  1. Malina, Debra; Rosenbaum, Lisa (2015). "Understanding Bias — The Case for Careful Study". New England Journal of Medicine. 372 (20): 1959–1963. doi:10.1056/NEJMms1502497. ISSN 0028-4793. PMID 25970055.
  2. Friedberg, M; Saffran, B; Stinson, TJ; Nelson, W; Bennett, CL (20 October 1999). "Evaluation of conflict of interest in economic analyses of new drugs used in oncology". JAMA. 282 (15): 1453–7. doi:10.1001/jama.282.15.1453. PMID 10535436.
  3. Blumenthal, D; Gluck, M; Louis, KS; Stoto, MA; Wise, D (13 June 1986). "University-industry research relationships in biotechnology: implications for the university". Science. 232 (4756): 1361–6. doi:10.1126/science.3715452. PMID 3715452.
  4. Lundh, A; Lexchin, J; Mintzes, B; Schroll, JB; Bero, L (16 February 2017). "Industry sponsorship and research outcome". The Cochrane Database of Systematic Reviews. 2: MR000033. doi:10.1002/14651858.MR000033.pub3. PMID 28207928.
  5. Rettig, RA (2000). "The industrialization of clinical research". Health Affairs (Project Hope). 19 (2): 129–46. doi:10.1377/hlthaff.19.2.129. PMID 10718027.
  6. Wilkes, M. S.; International Committee of Medical Journal Editors (2001). "Sponsorship, Authorship, and Accountability". New England Journal of Medicine. 345 (11): 825–827. doi:10.1056/NEJMed010093. ISSN 0028-4793. PMC 1071574. PMID 11577056.
  7. Wong, VSS; Avalos, LN; Callaham, ML (2019). "Industry payments to physician journal editors". PLOS ONE. 14 (2): e0211495. doi:10.1371/journal.pone.0211495. PMC 6366761. PMID 30730904.
  8. What These Medical Journals Don’t Reveal: Top Doctors’ Ties to Industry The New York Times, 2018

Further reading
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