How Behavioral Economics Can Produce Better Health Care
Consider the following. I’m a physician at the end of more than a decade of training. I’ve dissected cadavers in anatomy lab. I’ve pored over tomes on the physiology of disease. I’ve treated thousands of patients with ailments as varied as hemorrhoids and cancer. And yet the way I care for patients often has less to do with the medical science I’ve spent my career absorbing than with habits, environmental cues and other subtle nudges that I think little about.
McCoy & Emanuel: Why There Are No “Potential” Conflicts of Interest
During the Institute of Medicine’s 2013 workshop on conflict of interest (COI) and medical innovation, a presentation from PhRMA, the pharmaceutical industry association, delineated 5 types of potential conflict in medical research and the likelihood of each resulting in a true conflict.1 Even though these sorts of distinctions between potential or perceived COI on one hand and true or actual COI on the other have become commonplace they are misguided. Not only is the notion of a potential COI conceptually confused, labeling certain COI as merely “potential” or “perceived” diminishes their seriousness and obscures the ethical rationale for trying to limit COI in medical practice and research.
Jonathan D. Moreno is a Penn Integrates Knowledge university professor at the University of Pennsylvania, holding the David and Lyn Silfen chair. He is also Professor of Medical Ethics and Health Policy, of History and Sociology of Science, and of Philosophy.Learn More