/the-hip-replacement-case-shows-why-doct

  • Quand un médecin ne révèle pas à ses confrères la dangerosité de certains médicaments ou la défectuosité de certaines prothèses ce n’est pas parce qu’il bénéficie financièrement de la boite qui les fabrique mais parce qu’il a, je cite, « le sens de la loyauté. »

    Doctors Who Don’t Speak Out http://www.nytimes.com/2013/02/17/sunday-review/the-hip-replacement-case-shows-why-doctors-often-remain-silent.html

    ... [One] reason doctors may choose to remain silent, experts say: their financial ties to a drug or device maker.

    For years, such consulting payments have raised concerns about the impact of money on a doctor’s decision about which drugs to prescribe or how to interpret research findings. Money can also shift a physician’s sense of loyalty, said George Loewenstein, a professor at Carnegie Mellon University who has studied medical conflict-of-interest policies. “If someone has been paying you or employing you, it is very difficult to blow the whistle,” said Professor Loewenstein, who teaches economics and psychology. “It offends our sense of loyalty.”

    Dr. Krumholz said he also believed that such loyalties were between a doctor and a company’s executives, rather than with a company or its brand. Over time, a physician may come to see his relationships with those officials in terms of friendship, while companies see an influential doctor as an asset who helps develop products and boost sales.