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一、概况在过去的十年中,医学界的研究和媒体对临床中的利益冲突的关注日益增多。之前,人们主要关注的还是临床试验中的利益冲突问题[1-9]。而现在,我们开始关注利益冲突对医学临床的影响,这种新的兴趣反映了某些进展:首先,在20世纪90年代初,一系列研究表明,医药公司送给医生的礼品和酬金已经在深刻地影响着他们的信仰和行为[10,12,15-18]。其次,媒体无情地揭露医药公司和医生之间的紧密纽带是如何不正当地影响到了患者治疗[11,12,14,19]。再次,一系列备受关
I. Overview In the past decade, there has been increasing concern in the medical research community and in the media about conflicts of interest in clinical practice. Before, people mainly concerned about the conflict of interest in clinical trials [1-9]. Now, we are beginning to look at the impact of conflicts of interest on clinical medicine. This new interest reflects some progress: first, in the early 1990s, a series of studies showed that gifts and gratuities given to doctors by pharmaceutical companies were already in place Profoundly affect their beliefs and behavior [10,12,15-18]. Second, how the media ruthlessly exposed how the close ties between pharmaceutical companies and doctors improperly affected patient care [11, 12, 14, 19]. Again, a series of closely related