0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

An Organizational Approach to Conflicts of Interest Lessons From Non–Health Care Businesses

Donald E. Wesson, MD1,2
[+] Author Affiliations
1Scott and White Healthcare, Temple, Texas
2Health Sciences Center, College of Medicine, Texas A & M University, Temple
JAMA Intern Med. 2013;173(16):1489-1490. doi:10.1001/jamainternmed.2013.8897.
Text Size: A A A
Published online

Extract

The best interests of patients, the public, and the medical profession should guide people engaged in health care, medical research, and education. Conflicts of interests arise when professionals and organizations act in ways that do not further the best interests of the intended beneficiaries of their services.

The medical profession has historically assigned accountability for avoiding and managing conflicts of interest to individual physicians.1 Increasingly, however, health care organizations employ physicians.2 Physician employees may have their primary responsibility to patient welfare “divided” by the competing interests of their employers.2 One solution might be to have the primary responsibility for conflicts of interest remain with the physician employee, with the employer supporting the physician in managing them.1 Yet physician responses to various tenets of professionalism, including those directly related to conflicts of interest, have been quite malleable, even when they acknowledged and strongly agreed with principles designed to guide more standard and predictable responses.3 Alternatively, health care organizations might assume responsibility for conflicts of interest. This latter approach could be problematic because health care organizations might prioritize organizational interests like financial gain2 over patient welfare. Most health care organizations have conflict of interest policies. There are, however, few data showing how the mere fact of having such policies influences the actions of physician employees with regard to conflicts of interest.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

612 Views
0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Assessing Recommendations

Users' Guides to the Medical Literature
Was the Influence of Conflict of Interests Minimized?

×
brightcove.createExperiences();