Physicians' Conflicts of Interest: The Limitations of Disclosure
Rodwin, Marc A.
New England Journal of Medicine. 1989 Nov 16; 321(20): 1405-1408.
As more physicians invest in health care facilities and services, the potential exists for conflicts between physicians' personal financial interests and those of their patients. Professional groups and public policy makers have recommended that physicians be required to disclose to patients ownership interests in facilities to which patients are referred. Rodwin looks at established disclosure policies in four other contexts -- medical informed consent, consumer protection laws, disclosure by lawyers to clients, and disclosure by government officials -- and examines their usefulness as models for physician disclosure of conflicts of interest. Rodwin concludes that disclosure by individual physicians by itself is insufficient to protect patients' interests. He argues that independent supervision and sanctions by government and the medical profession are needed to insure physician compliance and adherence to a coordinated policy setting high standards of ethical conduct. (KIE abstract)
Conflict of Interest; Consent; Disclosure; Economics; Entrepreneurship; Government; Health; Health Care; Health Care Delivery; Health Facilities; Incentives; Informed Consent; Law; Lawyers; Laws; Ownership; Patient Care; Patients; Physician Self-Referral; Physicians; Proprietary Health Facilities; Public Policy; Regulation; Standards; Truth Disclosure;
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