Divided Loyalties:Conflicts of Interest in Medicine

描述（由申请人提供）： 现代医学为医生和医学研究人员提供了 通过以下方式大大提高其经济利益的机会 创业冒险有很多关于金融的讨论。 医学和法律的文献中的利益冲突， 专业协会正在制定政策， 他们有关利益冲突的政府法规和法律 不包括关于以下类型的禁止性要求 可以持有的金融资产。机构政策要求各不相同。 目前没有针对这些问题的全面文件或政策指导。 从事医疗保健、医学研究或政策制定， 关于处理利益冲突的适当方法。的 挑战是发展机制，使新的压力，动机， 在医学研究和临床实践中引入的激励措施， 与传统的科学原则和道德价值观相一致， 促进公众福祉。这是拟议项目的重点， 这与以前的工作不同。该项目将划分冲突， 医生和生物医学研究人员所面临的兴趣分为两类- A）在研究环境中发生的，B）在临床 实践在这两个领域中，将有：1）深入 探讨报告的案件和现有文献涉及冲突的 所有来源的兴趣; 2）对方法进行彻底的分析和批判 医学界已经采取措施来处理这些冲突，包括 政府法规和立法，以及 专业组织; 3）对法律基础的法律的分析 患者，医生和研究人员之间的关系，无论是在 现有判例和立法及监管补救措施;以及4）道德 审查和分析现有规则、条例和准则。变化 在现有的法律，法规和指导方针将提出。最终产品 从研究中得到的Ct将包括同行评审的期刊文章， 一本打算由大学出版社出版的书

DESCRIPTION (provided by applicant): Modern medicine has provided physicians and medical researchers with opportunities to enhance significantly their financial interests through entrepreneurial adventures. There has been much discussion of financial conflicts of interest in the medical and legal literature, and many professional societies are in the process of developing policies to deal with them. Governmental regulations and laws concerning conflicts of interest do not encompass requirements that are proscriptive regarding the types of financial interest that may be held. Institutional policy requirements vary. There is no current, comprehensive document or policy guidance for those engaged in health care, medical research, or policy making to review concerning the appropriate means by which to handle conflicts of interest. The challenge is to develop mechanisms whereby the new pressures, motivations, and incentives introduced in medical research and clinical practice can be reconciled with traditional scientific principles and ethical values that promote the public well-being. This is the focus of the proposed project and distinguishes it from previous work. The project will divide conflicts of interest faced by physicians and biomedical researchers into two categories - A) those occurring in research settings and B) those found in clinical practice. Within each of the two areas, there will be: 1) an in-depth exploration of reported cases and existing literature involving conflicts of interest from all sources; 2) a thorough analysis and critique of the approach the medical community has taken to deal with those conflicts, including governmental regulations and legislation, as well as guidelines set out by professional organizations; 3) a legal analysis of the foundations of the relationships among patients, physicians, and researchers, both in terms of existing jurisprudence and legislative and regulatory remedies; and 4) ethical review and analysis of existing rules and regulations and guidelines. Change in existing laws, regulations and guidelines will be proposed. Final products resulting Ct from the research will include peer reviewed journal articles and a book intended for a university press.