'A global team of influential researchers, clinicians, regulators, and citizen advocates suggest how we can start to build an evidence base for healthcare that is free of commercial influences...'
CITATION: Pathways to independence: towards producing and using trustworthy evidence
BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l6576 (Published 03 December 2019)
Cite this as: BMJ 2019;367:l6576
- Trustworthy evidence is required to enable well informed decisions about healthcare
- Widespread financial dependence on industry brings commercial bias in research evidence, medical education and clinical practice
- Such bias tends to overstate healthcare benefits and play down harms
- Greater financial independence from industry is desirable and possible, with examples of reform across research, education, and practice
- The proposed steps towards financial independence from commercial interests will involve major culture change.
We all want to base our healthcare decisions on trustworthy evidence. Yet the landmark 2009 Institute of Medicine report identified widespread financial conflicts of interest across medical research, education, and practice.1 It highlighted that extensive industry influence may be jeopardising “the integrity of scientific investigations, the objectivity of medical education, the quality of patient care, and the public’s trust in medicine.”...
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Best wishes, Neil
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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare In
formation For All - www.hifa.org ), a global community with almost 20,000 members in 180 countries, interacting on six global forums in four languages (English, French, Spanish, Portuguese). Twitter: @hifa_org FB: facebook.com/HIFAdotORG email@example.com