|
|
|
Search
11/28/2022 Allen Jacobs, DPM
The Commercialization of Medicine ( Lawrence Oloff, DPM)
Because the goal of industry is to profit from sales, industry has an incentive to influence potential customers. This creates a conflict of interest between industry which drives to maximize profit and the podiatric physician who wishes to provide safe and effective care for the patient. The question is whether you can perform a procedure with 95% success, and whether the addition of a widget which may cost as much as $8000 would be of additional benefit to the patient. The objectivity of industry marketing can never be taken for granted. Industry influence is reflected in industry sponsored research, publication practices, marketing disguised as education, and sponsorship of opinion leaders and seminar lectures and lecturers.
Because industry begins their marketing with students and residents, there is an impact on knowledge, attitude and behavior of students and residents, and an inability of students and residents to recognize wrong claims by industry. This fosters changes in attitude by students and residents such that they develop a positive attitude toward representatives from various companies, increased awareness and preference for their products, which tends to foster rapid adaptation of new drugs and devices without a long term view regarding patient benefit and safety.
The following questions should be considered by PM readers:
Number one; should industry be allowed to market implants or fixation devices or wound care products which have not been demonstrated through controlled studies to be effective and superior and cost-effective. Is the 510 K process adequate?
Number two. Should podiatrist give industry, sponsored lectures to students and residents
Number three. Should companies or device manufacturers, hold promotional seminars for residents and students
Number four; should podiatrist utilize information from pharmaceutical or device manufacturers, including research studies, to determine drug or procedure selection
Number five. Should APMA or ACFAS or other components or affiliated interest groups, allow committee members who have conflict of interest, to determine the content of CME programs or participate in the development of practice guidelines?
Number six; is it ethically problematic for pharmaceutical or device manufacturers to ghost write academic papers?
Number seven. Does industry-sponsored research by residency directors, or podiatry colleges create intellectual, and or financial conflict
Mark twain said it best. “Data is like garbage. You better know what you are going to do with it before you collect it”
Over 100 years ago, Sir William Osler warned of industry generated “plausible pseudoscience” and its influence in medicine.
Apparently not much has changed. Maybe the recently discussed “ageism” has crept into my practice. My question is why change what is safe and cost-effective for personal profit?
Allen Jacobs, DPM, St-Louis, MO
There are no more messages in this thread.
|
|
|
|