Abstract:
:Despite concerns about the relationships between health professionals and the medical device industry, the issue has received relatively little attention. Prevalence data are lacking; however, qualitative and survey research suggest device industry representatives, who are commonly present in clinical settings, play a key role in these relationships. Representatives, who are technical product specialists and not necessarily medically trained, may attend surgeries on a daily basis and be available to health professionals 24 hours a day, 7 days a week, to provide advice. However, device representatives have a dual role: functioning as commissioned sales representatives at the same time as providing advice on approaches to treatment. This duality raises the concern that clinical decision-making may be unduly influenced by commercial imperatives. In this paper, we identify three key ethical concerns raised by the relationship between device representatives and health professionals: (1) impacts on healthcare costs, (2) the outsourcing of expertise and (3) issues of accountability and informed consent. These ethical concerns can be addressed in part through clarifying the boundary between the support and sales aspects of the roles of device representatives and developing clear guidelines for device representatives providing support in clinical spaces. We suggest several policy options including hospital provision of expert support, formalising clinician conduct to eschew receipt of meals and payments from industry and establishing device registries.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Grundy Q,Hutchison K,Johnson J,Blakely B,Clay-Wlliams R,Richards B,Rogers WAdoi
10.1136/medethics-2018-104804subject
Has Abstractpub_date
2018-09-01 00:00:00pages
589-592issue
9eissn
0306-6800issn
1473-4257pii
medethics-2018-104804journal_volume
44pub_type
杂志文章abstract::Judges face difficult choices when the birth and genetic mothers of a child are separate people who dispute maternal access; the views of the general population may help them. Fifty women were asked whether, if they were infertile and could have only one child, they would prefer to be birth mothers (to carry a baby wh...
journal_title:Journal of medical ethics
pub_type: 杂志文章
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更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:More and more quantitative information is becoming available about the risks of complications arising from medical treatment. In everyday practice, this raises the question whether each and every risk, however low, should be disclosed to patients. What could be good reasons for doing or not doing so? This wi...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014936
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-103970
更新日期:2017-08-09 00:00:00
abstract::A deaf lesbian couple who sought a sperm donor with a family history of deafness in order to have a child they hoped would be deaf have attracted a lot of criticism. They have been criticised for deliberately creating a deaf child, for denying their child a hearing aid, and for raising the child in a homosexual househ...
journal_title:Journal of medical ethics
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doi:10.1136/jme.28.5.283
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abstract::This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105884
更新日期:2020-04-01 00:00:00
abstract::Elizabeth Fenton has criticised an earlier article by the authors in which the claim was made that, by providing humankind with means of causing its destruction, the advance of science and technology has put it in a perilous condition that might take the development of genetic or biomedical techniques of moral enhance...
journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/jme.2010.036962
更新日期:2011-07-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101315
更新日期:2014-10-01 00:00:00
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journal_title:Journal of medical ethics
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doi:10.1136/jme.2006.019638
更新日期:2008-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.7.4.179
更新日期:1981-12-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2015-102805
更新日期:2015-11-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105313
更新日期:2019-09-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2017-104282
更新日期:2018-09-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.027235
更新日期:2009-07-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.17.1.41
更新日期:1991-03-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.27.4.275
更新日期:2001-08-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101062
更新日期:2014-03-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101988
更新日期:2015-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2009.034967
更新日期:2010-05-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.4.2.91
更新日期:1978-06-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
doi:10.1136/medethics-2016-103670
更新日期:2017-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2015-102782
更新日期:2016-02-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2014-102026
更新日期:2015-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/medethics-2017-104705
更新日期:2018-07-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.025031
更新日期:2009-05-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106389
更新日期:2020-05-28 00:00:00
abstract::Among bioethicists and members of the public, genetics is often regarded as unique in its ethical challenges. As medical researchers and clinicians increasingly combine genetic information with a range of non-genetic information in the study and clinical management of patients with common diseases, the unique ethical ...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2005.013532
更新日期:2006-11-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.12.3.117
更新日期:1986-09-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2020-106294
更新日期:2020-07-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105943
更新日期:2020-08-01 00:00:00