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At least 19 recordsLinked to original sources
PubMed1992

The organized American medical profession's response to financial conflicts of interest: 1890-1992.

Recent issues of financial conflicts of interest for physicians are illuminated by the history of similar issues from 1890 to 1992 and the response of the organized medical profession to activities like payment of commissions, or "fee splitting," physical ownership of medical facilities, and dispensing of drugs. The medical profession tried to confront these and related conflicts early in the century, in some cases by adopting ethical codes, but was unable to enforce standards of conduct. Since the 1950s, substitutes for fee splitting emerged and were tolerated by the profession. Moreover, its stance became weaker as it abandoned its earlier clear ethical prohibitions and relied instead on subjective standards and, more recently, on disclosure to patients. The medical profession still favors voluntary codes of ethics, setting aspirational goals, promoting a patient-centered ethos, and relying on the good will of individual doctors--tactics for dealing with financial conflicts of interest that this review of recent history suggests are inadequate. Instead, public intervention is required to address these problems.

American Medical Association↗
PubMed1992

Specialists and generalists in obstetrics and gynecology: conflicts of interest in referral and an ethical alternative.

Referral patterns of physicians have a direct impact upon the care of patients, particularly in obstetrics and gynecology. The choice of referral is influenced by the history of specialization, physician altruism, and intricate patterns of financial conflicts of interest. The conflicts of interest are further obscured by the lack of clear definition of roles and responsibilities for generalist, specialist, and subspecialist. Alternate patterns for referral based on financial incentives or directed referral care plans are reviewed to examine the potential conflicts of interest. An ethics-based format for referral is outlined to address these conflicts of interest.

Attitude of Health Personnel↗
PubMed1990

Physicians, entrepreneurism and the problem of conflict of interest.

This paper examines the ethical issues of conflict of interest raised by the burgeoning development of physician involvement in for-profit entrepreneurial activities outside their practice. After documenting the nature and extent of these activities, and their potential for conflicts of interest, the paper assesses the major argument for and against physicians' referral of patients to facilities they own or in which they invest. The paper concludes that an outright ban on such activity seems ethically warranted.

Commerce↗
PubMedDate not supplied

Conflict of interest.

Explore the source record for details and available documents.

Conflict of Interest↗
PubMed1992

Potential conflicts of interest in the delivery of medical services: an analysis of the situation and a proposal.

One health care issue that has gained recent public and professional attention is that of professional conflicts of interest with regard to financial incentives to either withhold possibly necessary services or perform unnecessary ones. This essay explores the evidence bearing on the issue, interprets published information, and proposes a solution to deal with the issue.

Conflict of Interest↗