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Showing 6 results for Conflict of Interest
Legal challenges in medical ethics
Alireza Milanifar ,
Volume 4, Issue 3 (5-2011)
Abstract
Illnesses and their treatment, pharmacy and pharmacology, medical equipment, hygiene and health related topics, health economics, preventative measures, lab equipment and supplies, human resource service delivery models, education and training of health care professional, and associated areas of law are collectively referred to as the health care system. At times it is even difficult to separate health care from social injuries and civil conditions, since these can pose direct or indirect threats to individuals’ health. As health policy makers, managers and professionals demand and encourage the observance of ethical considerations in providing health care, neglect of the legal aspect of the health care system can bring about unethical phenomena that necessitate legal measures. The present paper aimed to determine whether the general traditional legal classifications, that is, jurisdiction and sovereignty, apply to the health care system, and if so, which of the two it falls under. What further highlights the significance of answers to such questions is the fact that they are closely connected to regulations of the health care system. It could well be that some companies in the health industry have a negative effect on the ethical conduct of physicians and other health care professionals, as due to their commercial nature and structure, these companies are dominated by rules of business, and this exerts limitations on their observance of ethical considerations. This study investigated a number of such seemingly legitimate situations and the problems associated with them, hoping to eliminate legal conflicts and promote ethics in the process of providing health care in the society.
Assessing conflict of interest in Iran’s health legal system
Alireza Milanifar, Mohammad Mehdi Akhondi, Parvaneh Paykarzadeh, Bagher Larijani,
Volume 5, Issue 1 (12-2011)
Abstract

Conflict of interest is a real situation in which a person as a decision maker simultaneously has two positions, one in private and the other in the public. In public role he or she has to pay attention to the society`s best interests and follows his or her best ones as private role. Conflict of interest is a common challenge of health system among both real and legal persons in all courses such as education, treatment, and researches.
The most causes of conflict of interest are named as deferent goals, lack of resources, authorities malfunction, health marketing and etc.
We aimed at discussing conflict of interest and its relation to law, its management, conflict of interest in pharmacy and pharmaceutical companies and also Iranian legal system viewpoint. In conclusion it seems that conflict of interest should be included in the law and the provisions to achieve the least conflict of interests in health system should be revised.


The Conflict of Interest in Pharmacy Practice
Rasool Esmalipour, Mojtaba Parsa,
Volume 10, Issue 0 (3-2017)
Abstract
The conflict of interest is a situation in which professional judgment and performance in the primary interest and obligation tend to be unduly influenced by a secondary interest. Pharmacy is one of the main rings in the process of providing healthcare services. In this process conflict of interest may occur frequentlywhich occasionally has influence on the professional and moral duties of pharmacists that as a result may put the interst of the patients at risk. Taking care of patients is the first duty of pharmacist and they always must make evry effort to avoid any situations that puts the interests of the patientincluding their health, financial or non-financialposition at risk. The pharmacist must be aware of conflict of interest that exist in the drugstore as well as its effects on their professional and moral responsibilities. They also need to be able to manage them through scientific policy and logical skills. These issues and challenges may happen in terms of the relationship between the pharmacist and patients, other people or organizations, such as the relationship between doctors and pharmacists, pharmacists and pharmaceutical or non pharmaceutical companies, irrational relationship between pharmacists and patients. Although various guidelines for managing conflict of interest have been developed, there is a lack of policy on how to manage conflict of interest in pharmacy. In this study, the situations of conflict of interest and how it affects the professional relations of pharmacist with others was considered and this result was achived that the pharmacy have to be asuitable and appropriate place to give services for patients and the first priority of pharmacists must be the patients’ treatment benefits and interest
 

Conflict of Interest in Dentistry
Mojtaba Parsa, Azam Khorshidian,
Volume 10, Issue 0 (3-2017)
Abstract
The emergence of different types of economic relations and the desire of professionals to earn more income has led to new challenges such as conflicts of interest in the dental profession. The community expects dentists to prioritize the health and the interests of their patients in their professional activities. In this regard, one of the most important dilemmas is the confrontation between the professional duties of dentists and their profit. Business goals being preferred rather than providing specialized knowledge services by dentist is a major concern, which can lead to patients’ distrust. Fee splitting, Self-referral, receiving gifts from the patient and industrial companies are among the most significant type of conflicts of interest in the profession, which are discussed in this article in the form of four clinical cases.

Ethical Review of Physicians' Self Referral
Mojtaba Parsa,
Volume 16, Issue 1 (3-2023)
Abstract
Physician self-referral is the referral of a patient to a medical facility in which the referring physician has a financial interest. This can take two forms: internal referrals within the same office and external referrals, often involving joint ventures. Many claims, positive or negative, have been made regarding self-referral. Proponents claim that self referral causes, reduction of costs by fostering a competitive environment, encourage investment in health facilities particularly in underserved areas, financial benefits for both the doctor and the patient via cost reduction, and inhance the quality and accessibility of health services. Conversly, opponents, citing multiple studies, argue that self- referral may result in excessive and unnecessary utilization of healthcare services, leading to increased healthcare costs, low quality of services provided, and jeopardise patient safety. In certain countries, such as the United States and the Islamic Republic of Iran, ethical codes address self-referral. These guidelines either deem it unethical or require disclosure, accompnied by regulations to govern this practice.
Conflict of Interest in Research
Shiva Khaleghparast, Samaneh Karimian,
Volume 17, Issue 0 (12-2024)
Abstract
Conflict of interest refers to situations in which professional judgment or actions related to a primary interest are unduly influenced by secondary interests. In scientific communication, such conflicts can compromise professional decision-making and threaten the integrity of research outcomes. As educational, research, and clinical activities in the medical field expand, the prevalence of conflicts of interest across healthcare domains has increased. Despite the efforts of organizations such as the International Committee of Medical Journal Editors and the Committee on Publication Ethics, which have established guidelines for conflict of interest disclosure, there remains a significant gap in awareness and understanding among researchers. This highlights the urgent need for increased attention to this issue. The UK National Research Ethics Advisory Panel defines conflict of interest as situations where professional judgment concerning a primary interest, such as patient welfare or the credibility of research, is improperly influenced by a secondary interest, such as financial gain. In clinical research, therapeutic studies primarily aim to validate the safety and efficacy of new drugs or devices. This goal should take precedence over secondary concerns, such as economic benefits derived from pharmaceutical production. Good Clinical Practice (GCP) guidelines and the International Conference on Harmonization (ICH) stress that researchers have primary responsibility for the health and medical care of participants. Therefore, any conflict of interest represents a significant risk to participants, potentially compromising their welfare. To safeguard scientific integrity, institutions must enforce policies that uphold ethical principles, require researchers to disclose conflicts of interest to ethics committees, and implement measures to mitigate associated risks. Identifying and managing conflicts of interest based on their potential impact is crucial to preserving the credibility of clinical research. Members of ethics committees, like researchers, must disclose their conflicts of interest, as they significantly influence study processes. Transparency in research funding is essential to minimizing bias and managing conflicts of interest. Effective strategies for addressing conflicts of interest include the development of comprehensive policies and guidelines, the maintenance of an electronic database for conflict disclosure, and the promotion of regular training for ethics committee members and researchers on managing such conflicts. Collaborative learning initiatives and the ongoing refinement of institutional policies further enhance the management of conflicts of interest, ensuring the integrity of scientific research.

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