Conflict of interest week 3 written assignment mha
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    Conflict of interest week 3 written assignment mha Conflict of interest week 3 written assignment mha Document Transcript

    • Running Head: Health Care Conflict of 1 Health Care Conflict of Interest Susan Hendrix MHA 614: Policy Formation and Leadership in Health Organizations January 23, 2012 Dr. Donna Williams
    • Running Head: Health Care Conflict of 2 Health Care Conflict of Interest Conflict of interest can occur in any business which leads to misjudgment that can causeharm to an organization. A conflict of interest in health care, can influence a health care providerto alter his or her treatment of care of a patient, this conflict can be based on prior loyalties toopharmaceutical companies, medical supply companies, and even insurance companies. Conflictsof interest occurs within health care when providers self-interest along with personal interestwhich interferes with professional judgment or actions. Pozgar (2010) states “the potential for conflict of interest exists for individuals at all levelswithin an organization. Disclosure of potential conflicts of interest should be made so thatappropriate action may be taken to ensure that such conflict does not inappropriately influenceimportant organization and health care decisions”. One widely known conflict of interest thathas existed between health care practice has been with the pharmaceutical companies. Over thepast several years more attention has been given to the issue of physician/pharmaceuticalrelationships and conflict of interest. The National Physicians Alliance reports “in 2007, there was approximately 1 drug rep forevery 7 doctors in the U.S., and it was estimated that the pharmaceutical industry spent close to$30 billion in 2005 on marketing, the majority of the money spent on samples and detailingphysicians”. Amongst the detailing of physicians there exist the free lunches which are providedto staff members, dinners for the physician and his family, tickets to sporting games, these freegifts that is provided by the drug reps presents an ethical issue to the physician. By acceptingthese free gifts the physician in turn will prescribe drugs to their patients, which in turns makesthe pharmaceutical company money, but it also rises the cost of health care. In 2007, Eli Lilly and Company gave the National Alliance on Mental Illness $450,000toward its campaign for the Mind of America, which if successful, could greatly expand themarket for Lillys newest and most expensive psychiatric drug( Ruvinsky, J.). A contribution
    • Running Head: Health Care Conflict of 3 Health Care Conflict of Interestsuch as this is normally not made public, there have been a large number of organizations thatdid not disclose “industry contributions. The New York Times (2012) reports that “to head offmedical conflicts of interest, the Obama administration is poised to require drug companies todisclose the payments they make to doctors for research, consulting, speaking, travel andentertainment. Manufactures of prescription drugs and devices will have to report if they pay adoctor to help develop, assess and promote new products – or if, for example, a pharmaceuticalsales agent delivers $25 worth of bagels and coffee to a doctors office for a meeting(Pear, R). Self-referral and physician ownership of health care facilities also creates conflict of interestthis could be based on dual roles which consists of the role as professional and businessperson..This dilemma is evident, first, in the growth of physician ownership of outpatient diagnostic ortreatment centers and specialty hospitals to which they refer patients and, second, in the increasein expensive in-office ancillary equipment. Physicians ownership interest in facilities to whichthey refer patients constitute a conflict of interest. This interest has the potential to biasphysicians primary interest in their patients welfare(National Institute of Health). Some conflict of interest may harm patients who receive unnecessary services and may alsoharm society, which is burdened by excess spending on these services. Concerns over suchpractices prompted the passage of federal legislation and implementation of the “Stark laws”. Ingeneral, federal law prohibits physicians from referring Medicare or Medicaid beneficiaries toentities for “designated health services” if the physicians or their immediate family membershave ownership or investment interests in the entities or have compensation arrangements withentities (42 USC 1395nn and 42 USC 1396b(s))(National Inst.Health). Physicians and researchers must exercise judgment in complex situations that are fraughtwith uncertainty. The public needs to trust that these judgments are not compromised byphysicians or researchers. Ties with industry are common in medicine. Many faculty members
    • Running Head: Health Care Conflict of 4 Health Care Conflict of Interestfaculty members receive research support from industry, and industry funds the majority ofbiomedical research in the United States; many faculty members and community physiciansprovide scientific, marketing, and other consulting services to companies; and serve on companyboards of directors or on industry speakers bureaus. Such conflicts of interest threatens theintegrity of scientific investigations, the objectivity of medical education, and the quality ofpatient care. They may also jeopardize public trust in medicine(Lo, Mayfield). To help eliminate these conflicts of interest it is important to have policies established alongwith the creation of conflict of interest committees to evaluate and mange conflicts. Focus onpolicy steps which would require physicians, researchers, and senior officials to disclose to theirfacilities, institutions the financial relationships within the health industry. There further moreneeds to exist more stringent laws by U.S. Congress that would require pharmaceutical, medicaldevice, along with biotechnology companies and foundations to publicly reports payments tophysicians, researchers, and health care institutions. Conflict of interest can occur in any business which leads to misjudgment that can causeharm to an organization. A conflict of interest in health care, can influence a health care providerto alter his or her treatment of care of a patient, this conflict can be based on prior loyalties toopharmaceutical companies, medical supply companies, and even insurance companies.
    • Running Head: Health Care Conflict of 5 ReferencesLo, B., Mayfield, M.J., (2009) Conflict of interest in medical research, education. DC: The National Academies Press.National Institute of Health (2009) Conflict of Interest and Medical Practice. Retrieved January 20, 2012, from http://www.ncbi.nlm.nih.gov/books/NBK22944.National Physicians Alliance (2012) Conflict of Interest with Pharmaceutical Industry. Retrieved January 21, 2012, from http://npalliance.org/integrity-trust-in-medicine/conflicts-of-interest- with-pharmaceutical-industryPear, R., (2012, January 17) Fees To Doctors By Drug Makers To Be Disclosed:[National Desk] New York Times (Late Edition (east Coast) ), p.A.1. Retrieved January 21, 2012, from Banking Information Source. (Document ID: 256976051 )Pozgar, G.D., (2010) Legal and ethical issues for health professional (2nd ed. MA: Jones and Bartlett Publishers.Ruvinsky, J., (2011, October ) Undisclosed Pharma Contributions. Standford Social Innovation Review, 9(4), 8-9. Retrieved January 21, 2012,from ABI/INFORM Global. (Document ID: 2561976051 ).
    • Running Head: Health Care Conflict of 5 ReferencesLo, B., Mayfield, M.J., (2009) Conflict of interest in medical research, education. DC: The National Academies Press.National Institute of Health (2009) Conflict of Interest and Medical Practice. Retrieved January 20, 2012, from http://www.ncbi.nlm.nih.gov/books/NBK22944.National Physicians Alliance (2012) Conflict of Interest with Pharmaceutical Industry. Retrieved January 21, 2012, from http://npalliance.org/integrity-trust-in-medicine/conflicts-of-interest- with-pharmaceutical-industryPear, R., (2012, January 17) Fees To Doctors By Drug Makers To Be Disclosed:[National Desk] New York Times (Late Edition (east Coast) ), p.A.1. Retrieved January 21, 2012, from Banking Information Source. (Document ID: 256976051 )Pozgar, G.D., (2010) Legal and ethical issues for health professional (2nd ed. MA: Jones and Bartlett Publishers.Ruvinsky, J., (2011, October ) Undisclosed Pharma Contributions. Standford Social Innovation Review, 9(4), 8-9. Retrieved January 21, 2012,from ABI/INFORM Global. (Document ID: 2561976051 ).