Trust and Transparency: Patient Perceptions of Physicians' Financial Relationships with Pharmaceutical Companies

Author:

Perry Joshua E.,Cox Dena,Cox Anthony D.

Abstract

Financial relationships and business transactions between physicians and the health care industry are common. These relationships take a variety of forms, including payments to physicians in exchange for consulting services, reimbursement of physician travel expenses when attending medical device and pharmaceutical educational conferences, physician ownership in life science company stocks, and the provision of free drug samples. Such practices are not intrinsic to medical practice, but as the Institute of Medicine described in its 2009 report, these relationships have the potential to produce positive collaborations that improve patient care and public health, and most physicians view it as “ethically proper to accept items ranging from drug samples to a lucrative consultantship.”However, financial relationships between physicians and pharmaceutical, medical device and biotechnology companies can also create negative influences on physician judgment that compromise patient care and jeopardize the public’s trust.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

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3. 28. Id., at 326. We do have the benefit of a few previously published findings. For example, most patients interviewed in a cancer-research trial neither worried about nor seemed to care greatly about financial ties between researchers or institutions and life science companies. Hampson, L. A. et al, “Patients' Views on Financial Conflicts of Interest in Cancer Research Trials,” New England Journal of Medicine 355, no. 22(2006): 2330–2337, at 2335.See generally Pearson, S. D. , “A Trial of Disclosing Physicians' Financial Incentives to Patients,” Archives of Internal Medicine 166, no. 6(2006): 623–680 (“Patients who received a disclosure felt more competent to judge the impact of their physician's compensation on their health care, and…. patients who remembered receiving a disclosure reported that it had increased their trust in their primary care physician”). Gibbons, R. V. et al., “A Comparison of Physicians' and Patients' Attitudes toward Pharmaceutical Industry Gifts,” Journal of General Internal Medicine 13, no. 3(1998): 151–154 (finding that patients generally consider pharmaceutical gifts more influential and less appropriate than do their physicians). Mainous, A. G. Hueston, W. J. Rich, E. C. , “Patient Perceptions of Physician Acceptance of Gifts from the Pharmaceutical Industry,” Archives of Family Medicine 4, no. 4(1995): 335–339 (finding that patients are more likely to see personal gifts to physicians as having negative effects on both the cost and quality of health care than gifts – such as drug samples – that might have patient benefit).

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