Conflicts of interest in psychiatry: Strategies to cultivate literacy in daily practice
Conflicts of interest in psychiatry: Strategies to cultivate literacy in daily practice
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DOI：
10.1111/pcn.12201
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发表时间：
2014-07-01
影响因子：
11.9
通讯作者：
Ikeda, Masayuki
中科院分区：
文献类型：
--
作者：
Shimazawa, Rumiko;Ikeda, Masayuki
在过去的十年里，精神病学和制药公司之间的关系受到了密切关注。越来越多的人担心，精神科医生与制药业的经济联系可能会不适当地影响涉及患者主要利益的专业判断。这种利益冲突威胁到公众对精神病学的信任。利益冲突政策的目标是保护专业判断的完整性和维护公众的信任。披露个人和机构的财务关系是查明和应对利益冲突过程中关键但有限的第一步。可以通过让精神科医生、研究人员、机构和专业协会参与制定政策和共识标准来加强利益冲突政策和程序。对利益冲突的研究可以为政策设计和执行提供更有力的证据基础。社会传统上给予医疗行业相当大的自主权，在利益冲突的情况下可能愿意继续这样做。然而，人们越来越担心需要采取更有力的措施。为了避免不必要的监管负担，精神科医生可以在设计负责任和合理的利益冲突政策方面发挥至关重要的作用，以减少偏见和失去信任的风险。精神科医生和进行研究、教育、临床护理和实践指南制定的机构必须认识到公众对利益冲突的担忧，并尽快采取有效措施，通过精神病学实践中的文化变革来保持公众的信任，从被动寻求精神疾病治疗到积极倡导患者。
The relationship between psychiatry and pharmaceutical companies has come under scrutiny during the past decade. Concerns are growing that financial ties of psychiatrists to the pharmaceutical industry may unduly influence professional judgments involving the primary interests of patients. Such conflicts of interest threaten the public trust in psychiatry. The goal of conflict of interest policies is to protect the integrity of professional judgment and to preserve public trust. The disclosure of individual and institutional financial relationships is a critical but limited first step in the process of identifying and responding to conflicts of interest. Conflict of interest policies and procedures can be strengthened by engaged psychiatrists, researchers, institutions, and professional associations in developing policies and consensus standards. Research on conflicts of interest can provide a stronger evidence base for policy design and implementation. Society has traditionally granted the medical profession considerable autonomy and may be willing to continue do so in the case of conflicts of interest. Nevertheless, concern is growing that stronger measures are needed. To avoid undue regulatory burdens, psychiatrists can play a vital role in designing responsible and reasonable conflict of interest policies that reduce the risks of bias and the loss of trust. Psychiatrists and the institutions that carry out research, education, clinical care, and practice guideline development must recognize public concerns about conflicts of interest and take effective measures soon to maintain public trust with a cultural change in the practice of psychiatry, from reactive treatment-seeking for mental illness to proactive advocacy for patients.