Conflict of interest and medical innovation : ensuring by Beachy, Sarah H.; Berger, Adam C.; Olsen, Steven PDF

By Beachy, Sarah H.; Berger, Adam C.; Olsen, Steven

ISBN-10: 0309301688

ISBN-13: 9780309301688

ISBN-10: 0309301696

ISBN-13: 9780309301695

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COMMUNICATING CONFLICT OF INTEREST Often when members of the public learn about collaborations between a physician and a health care company, they infer that the relationship has negative consequences. But physician–industry collaborations have produced three-quarters of a century of medical progress, said Mary Grealy, president of the Healthcare Leadership Council. Penicillin, heart and lung bypass machines, statins, deep brain stimulation, and many other advances resulted from physicians, researchers, and manufacturers sharing their expertise.

Resolving legal conflict of interest issues within the scope of the collaboration would promote innovation. • Research needs to drive risk–benefit analyses for collaborations, and legal processes need to be devised to enable partnerships within the framework of conflict of interest policies. • Innovative ways for accessing expertise are needed to provide prompt knowledge and guidance within current policies. Each member of a collaboration has not only different interests but also a perspective on that collective effort that is different from the other members of the collaboration.

However, outcomes data have shown that duty-hour limitations have not only failed to improve safety, but they may have worsened it because of more frequent hand-offs among trainees, Lichter said. A better approach would have been to allow some institutions to try different approaches and then study the outcomes. Without data, policies are based on what people think is reasonable and a good idea, said Lo. Gathering the necessary data will be a challenge, because it will require characterizing, identifying, and analyzing the good and bad consequences of policies.

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Conflict of interest and medical innovation : ensuring integrity while facilitating innovation in medical research : workshop summary by Beachy, Sarah H.; Berger, Adam C.; Olsen, Steven


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