1/16/2023 0 Comments Integrity health![]() ![]() Physicians and patients tend to assume that newer and more technologically advanced care means better care. This has become particularly noticeable given the recent promotion of drugs to reduce cholesterol, control blood pressure, and more recently, prevent bone loss, where in many circumstances, there is increasing debate about the appropriate thresholds for pharmaceutical intervention for these conditions. ![]() In addition, billions of dollars are invested in direct-to-consumer advertising and the manufacture of consumer interest in healthcare services, either by creating new disease labels, so-called disease mongering, 8 or by promoting the use of drugs to address spurious risk predictions. The accounts in Goldacre’s and Gøtzsche’s books cast serious doubt on the governance of current healthcare practice. 7 In both industries, the interests of patients often take second place to marketing. Many companies walk a thin line when it comes to providing free equipment and offering training when promoting the use and uptake of novel technologies. The medical device industry, promoting advances in procedural and diagnostic arenas, has not yet had the spotlight so carefully focused on it, but any future examination is likely to reveal similar influence. By selective reporting, targeted educational efforts, and incentivizing prescriber behavior, the industry also has a profound impact on the way medicine is practiced. Two recent books 1, 2 have added to the body of work 3 – 6 describing how the pharmaceutical industry has influenced medical research in its favor. Customer Service and Ordering InformationĬorruption of the Healthcare Delivery System.About Circ: Cardiovascular Quality and Outcomes.Stroke: Vascular and Interventional Neurology.Journal of the American Heart Association (JAHA). ![]() Circ: Cardiovascular Quality & Outcomes.Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB). ![]()
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