国际进展评析:利益冲突,冲突再起

Review of Current Progress:Debates of Conflicts of Interest

对最近由《新英格兰医学杂志》发表的有关利益冲突的文章而引发的争议做了介绍,《新英格兰医学杂志》文章欲重新诠释"企业-医生"的关系,认为这种关系不是必然有害;造成偏倚的原因是多方面的,而目前公开披露的做法实际无益;应当超越道德愤怒,平衡当前对"企业-医生"关系监管的得与失。随后多家期刊发表各自观点,有赞成的,有反对的,以《英国医学杂志》的文章反对最为激烈,认为企图为利益冲突正名是一个严重的错误。

This article gave an introduction of recent debates on conflicts of interest, caused by a series of papers published in The New England Journal of Medicine （NEJM）. The papers tried to reinterpret industry-physician relations, arguing that this relation was not necessary harmful; causes of bias were multiple while disclosure of conflicts of interest was actually useless; and we should go beyond moral outrage, weighing the trade-offs of conflicts of interest regulation. Then, quite a few journals published their respective different opinions. Especially, The British Medical Journal refuted most seriously, calling ＂justifying conflicts of interest in medical journals., a very bad idea＂.