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Do Gifts From the Pharmaceutical Industry Affect Trust in Physicians?

机译：制药业的礼物会影响医师的信任吗？

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BACKGROUND AND OBJECTIVES: Gifts to physicians from the pharmaceutical industry are receiving increased scrutiny, but no previous research has evaluated the effect of such gifts on trust. The goal of this study is to determine patient awareness of interactions between physicians and the pharmaceutical industry and to learn whether those interactions impact trust and the doctor-patient relationship. METHODS: A cross-sectional, self-administered 61-item survey was administered in five outpatient clinic waiting rooms at a US medical center in 2008. A total of 220 consecutive English-speaking adults were invited to participate. Main outcome measures included: (1) Awareness of physician relationship with the pharmaceutical industry, (2) Attitudes about physician acceptance of gifts, (3) Perceived impact of gifts on trust in physicians, and (4) Effect of gifts on intent to adhere to physician recommendations. RESULTS: A total of 192 individuals participated (87% response rate). While most were unaware of particular interactions between physicians and the pharmaceutical industry (12% to 60%, depending on activity), approximately half (51%) wanted to know if their physician accepted gifts >$100. A majority indicated they would have less trust in their physician if they learned he or she: accepted gifts >$100 (59%) or went on industry-sponsored trips (58%) or sporting events (54%). Further, 25% said they would be less likely to take a prescribed medication if their physician had recently accepted a gift in return for listening to a pharmaceutical representative's presentation about that drug. CONCLUSIONS: Accepting gifts from the pharmaceutical industry has implications for the doctor-patient relationship. Doing so can undermine trust and affect patients' intent to adhere to medical recommendations.
机译：背景和目的：制药业给医生的礼物正在受到越来越多的审查，但是以前没有研究评估这种礼物对信任的影响。这项研究的目的是确定患者对医生与制药行业之间相互作用的认识，并了解这些相互作用是否会影响信任和医患关系。方法：2008年，在美国医疗中心的五个门诊诊所候诊室中进行了一项横断面，自我管理的61项调查。总共邀请了220名连续讲英语的成年人参加。主要结果指标包括：（1）认识医师与制药行业的关系;（2）医师接受礼品的态度;（3）礼品对医师信任的感知影响;以及（4）礼品对坚持意愿的影响向医师推荐。结果：共有192个人参与（87％的回应率）。虽然大多数人不知道医生与制药行业之间的特殊互动（12％到60％，取决于活动），但大约一半（51％）想知道他们的医生是否接受了价格超过100美元的礼物。多数人表示，如果他们了解医生，他们对医生的信任就会降低：接受大于100美元的礼物（占59％）或参加行业赞助的旅行（占58％）或参加体育赛事（占54％）。此外，有25％的人说，如果他们的医生最近接受了礼物以换取他们听药物代表关于该药的介绍，他们将不太可能服用处方药。结论：接受制药业的礼物对医患关系有影响。这样做会破坏信任并影响患者遵守医疗建议的意愿。

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