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European Psychiatric Association guidance on the conflicts of interest

Part of: EPA Guidance Papers

Published online by Cambridge University Press:  15 April 2020

C. Höschl  and
L. Fialová
C. Höschl*
Affiliation:
Prague Psychiatric Center, Ustavni 91, Prague 8-Bohnice, 181 03, Czech Republic
L. Fialová
Affiliation:
The Department of Ethics, 3rd Faculty of Medicine, Charles University, Ruska 87, Prague 10, 100 00, Czech Republic Edinburgh University School of Medicine, Centre for Medical Education, 49 Little France Crescent, EH16 4SBEdinburgh, United Kingdom
*
⁎Corresponding author. Tel.: +420 266003131; fax: +420 266003134. E-mail address: hoschl@pcp.lf3.cuni.cz (C. Höschl).
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Abstract

Conflict of interest (COI) is a set of circumstances that creates a risk that professional judgments or actions regarding a primary interest will be unduly influenced and compromised by a secondary interest. It might arise in clinical practice, research, and education, and might include individuals and institutions. Primary interests include the pursuit of well-being of patients, ensuring the independence of medical education, and protecting the objectivity and integrity of medical research. Secondary interests might involve financial interests, pursuit of recognition and professional career advancement. COI might result from the multiple roles of physicians in patient care, research, administration, provision of expert opinion and policy advice, and consultancy to commercial organizations. The purpose of the COI policy is to protect the interests of the patients, strengthen the integrity of the profession, and preserve public trust in medicine and psychiatry. The aim of the guidance is to eventually prevent these conflicts from arising rather than remediate them ex post. It is desirable to identify factors that might lead to their occurrence, offer a framework for their recognition and assessment, introduce the principles and standards of their disclosure, and provide recommendations for their transparent resolution.

Keywords

Conflict of interestClinical practiceMedical researchMedical education

Information

Type
Review
Information
European Psychiatry , Volume 27 , Issue 2 , February 2012 , pp. 142 - 146
Copyright
Copyright © Elsevier Masson SAS 2012

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References

Appelbaum, P., Arboleda-Flórez, J., Javed, A., Soldatos, C., Tzano, S.World Psychiatric Association (WPA) recommendations for relationship of psychiatrists, health care organisations working in the psychiatric field and psychiatric associations with the pharmaceutical industry. 2010 World Psychiatric Association Standing Committee on EthicsGoogle Scholar
Ashcroft, R.E., Viens, A.M.Clinical trials. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Baudiš, P., Libiger, J.Psychiatrie a etika [Psychiatry and ethics]. Praha: Galén; 2002Google Scholar
Bloch, S., Green, S.A.Psychiatric ethics. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Brezis, M.Big Pharma and health care: unsolvable conflict of interests between private enterprise and public health. Isr J Psychiatry Relat Sci. 2008; 45(2): 83–94Google ScholarPubMed
Collegium Internationale neuro-psycho-pharmacologicum. Code of conduct http://cinp.org/about-us/code-of-conduct/.Google Scholar
Council of Europe. Convention for the protection of human rights and dignity of the human being with regard to the application of biology and medicine: convention on human rights and biomedicine. Council of Europe 1997. http://conventions.coe.int/Treaty/en/Treaties/Html/164.htm.Google Scholar
Council of Europe. Additional protocol to the convention on human rights and biomedicine, concerning biomedical research. Strasbourg: Council of Europe 2005. http://conventions.coe.int/Treaty/en/Treaties/Html/195.htm.CrossRefGoogle Scholar
Council of international medical sciences. International ethical guidelines for biomedical research involving human subjects. Geneva: CIOMS, 2002. www.cioms.ch/publications/layout_guide2002.pdf.Google Scholar
Hébert, P.C., Levin, A.V., Robertson, G.Disclosure of medical error. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Helmchen, H., Sartorius, S.Ethics in psychiatry: European contributions. 2010 Springer573 p, ISBN 978-90-481-8720-8CrossRefGoogle Scholar
International Committee of Medical Journal Editors (ICMJE): Uniform requirements for manuscripts submitted to biomedical journals: ethical consideration in the conduct and reporting of research: conflict of interest. http://www.icmje.org/ethical_4conflicts.html.Google Scholar
King, N.M.P., Churchill, L.R.Clinical research and the physician-patient relationship: the dual roles of physician and researcher. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Lemmens, T., Luther, L.Financial conflict of interest in medical research. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Lo, B.Field, M.J.Conflict of interest in medical research, education, and practice. Institute of Medicine of the National Academies.. Washington, DC: National Academies Press; 2009Google Scholar
Meslin, E.M., Dickens, B.M.Research ethics. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Sommerville, A.Conflict of interest in education and patient care. Singer, P.A.Viens, A.M.The Cambridge textbook of bioethics. Cambridge: Cambridge University Press; 2008Google Scholar
Spece, R.G.Shimm, D.S.Buchanan, A.E.Conflict of interest in clinical practice and research. New York: Oxford University Press; 1996Google Scholar
United Nations. Principles for the Protection of persons with mental illness and for the improvement of mental health care. 46/119 United Nations General Assembly 1991. http://www.un.org/documents/ga/res/46/a46r119.htm.Google Scholar
World Medical Association. Declaration of Helsinki. Ethical principles for medical research involving human subjects. World Medical Association 2008. http://www.wma.net/en/30publications/10policies/b3/index.html.Google Scholar
World Medical Association (WMA). Statement on Conflict of Interest. WMA 2009. http://www.wma.net/en/30publications/10policies/i3/index.html.Google Scholar
World Medical Association (WMA) Statement concerning the relationship between physicians and commercial enterprises. 2009 WMAGoogle Scholar
World Medical Association (WMA). Statement on Ethical Issues Concerning Patients with Mental Illness. WMA 2006. http://www.wma.net/en/30publications/10policies/e11/index.html.Google Scholar
World Psychiatric Association. Declaration of Madrid on Ethical Standards of Psychiatric Practice. World Psychiatric Association 2005. http://www.worldpsychiatricassociation.org/content/madrid-ethic-engish.shtml.Google Scholar
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