医生与药业的关系利益.pdfVIP

( ) 医学与哲学 人文社会医学版 2007 年 7 月第 28 卷第 7 期总第 336 期 医生与药业的关系 :利益 冲突重要根源 ① ② 张忠鲁 　徐立新 摘要 :药业与医生的关系在最近 40 年 日益受到医学界与社会的重视 。药业以并不昂贵的馈赠及其他手段 ,资助学术交流 、 医学教育和医学研究 ,深刻地影响着临床医生的行为和诊治决策 ,从而危及医学的科学性和医学职业精神 ,加重了病人的 负担 ,且祸及病人健康 。药业与医生的这种关系 ,是道德与金钱关系的赤裸表现 ,是资本对医学的无情侵略 。从道德 、法 律 、行业管理等诸多方面正确规范行业与医生的相互关系 ,避免当前面临的种种弊端 ,维护医学的科学性 ,保护病人与社会 公众的利益 ,刻不容缓 。 关键词 :药业 ,医生 ,礼品 ,利益冲突 中图分类号 :R - 02 　　文献标识码 :A 　　文章编号 :1002 - 0772 (2007) 07 - 0006 - 06 Relationship bet ween Physicians and Pharmaceutical Industry :Important Source of Conflict of Interest 　ZHA N G Zhongl u , X U L ix in . D alian Frien ds hip Hosp ital , D alian 11600 1, China Abstract :Relationship between Physicians and t he p harmaceutical industry has been long and complex . In t he p assing 40 years ,it has been recognized and studied . The p harmaceutical industry influences clinical practices , doctors’behaviors and decision - mak ings ,as well as p atient s’and public healt h outcomes by varieties of gift s including inexp ensive items , social event s , academic con ferences , continuous medical education funding and research support s. Today ,t he imp act of t his kind of relation is far beyond pure financial - academic support and in a larger sense , it reflect s conflict s between et hics and money power ,t he capital ’huge strengt h and medical professionalism weakening ,and t he capital ’s invasion into medical sciences. It is urgent and essential t hat all asp ect s of t he society work toget her to look for a final solution to it as for law making , et hics , professional regulations and management . Key Words :p harmaceutical industry ,p hysician ,gift s ,conflict of inte