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Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis
BACKGROUND: There are 32 teaching hospitals in France, including 30 University hospitals and two Regional teaching hospitals. Teaching hospitals have three roles: health care provision, training of healthcare professionals, and medical research. These roles lead to frequent interactions with pharmac...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824557/ https://www.ncbi.nlm.nih.gov/pubmed/31675383 http://dx.doi.org/10.1371/journal.pone.0224193 |
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author | Guy-Coichard, Christian Perraud, Gabriel Chailleu, Anne Gaillac, Véronique Scheffer, Paul Mintzes, Barbara |
author_facet | Guy-Coichard, Christian Perraud, Gabriel Chailleu, Anne Gaillac, Véronique Scheffer, Paul Mintzes, Barbara |
author_sort | Guy-Coichard, Christian |
collection | PubMed |
description | BACKGROUND: There are 32 teaching hospitals in France, including 30 University hospitals and two Regional teaching hospitals. Teaching hospitals have three roles: health care provision, training of healthcare professionals, and medical research. These roles lead to frequent interactions with pharmaceutical and medical device companies, inevitably raising risks of conflicts of interests. Therefore, policies to manage conflict of interests (COI) are crucial. This study aims to examine COI policies in French teaching hospitals. METHODS: All French teaching hospitals (n = 32) were included in this study. All hospitals websites were screened for institutional COI policies and curriculum on COI, using standardized keyword searches. More data were collected through a questionnaire addressed to each chief executive officer (CEO) of the teaching hospital. We used predefined criteria (n = 20) inspired by similar surveys on COI policies in French, US and Canadian medical schools, with some additions to reflect the local hospital context. A global score for each hospital, ranging from 0 to 60 (higher scores denoting stronger policies) was calculated by summing points obtained for each criterion. RESULTS: All 32 hospitals had websites; 21 hospitals listed policies or regulations on their websites or provided them on request. In December 2017, 17 (53.1%) had rules and regulations for some items only, four of which (12.5%) have considered implementing a policy, and only two (6.3%) have begun implementation. 15 (46.9%) had no evidence of COI policies and a null score. The maximum score was 24 out of 60. CONCLUSION: This is the first systematic assessment of COI policies in teaching hospitals in France. Such policies are needed to protect patients, clinicians and students from undue commercial influence. Despite public and political pressure for better management of COI, few teaching hospitals have implemented comprehensive and protective policies, and some hospitals lacked policies altogether. These results highlight the need for greater attention to management of COI within teaching hospitals. One potential solution would be to integrate COI policies into hospital accreditation procedures, in order to ensure a baseline of management at all teaching hospitals. |
format | Online Article Text |
id | pubmed-6824557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-68245572019-11-12 Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis Guy-Coichard, Christian Perraud, Gabriel Chailleu, Anne Gaillac, Véronique Scheffer, Paul Mintzes, Barbara PLoS One Research Article BACKGROUND: There are 32 teaching hospitals in France, including 30 University hospitals and two Regional teaching hospitals. Teaching hospitals have three roles: health care provision, training of healthcare professionals, and medical research. These roles lead to frequent interactions with pharmaceutical and medical device companies, inevitably raising risks of conflicts of interests. Therefore, policies to manage conflict of interests (COI) are crucial. This study aims to examine COI policies in French teaching hospitals. METHODS: All French teaching hospitals (n = 32) were included in this study. All hospitals websites were screened for institutional COI policies and curriculum on COI, using standardized keyword searches. More data were collected through a questionnaire addressed to each chief executive officer (CEO) of the teaching hospital. We used predefined criteria (n = 20) inspired by similar surveys on COI policies in French, US and Canadian medical schools, with some additions to reflect the local hospital context. A global score for each hospital, ranging from 0 to 60 (higher scores denoting stronger policies) was calculated by summing points obtained for each criterion. RESULTS: All 32 hospitals had websites; 21 hospitals listed policies or regulations on their websites or provided them on request. In December 2017, 17 (53.1%) had rules and regulations for some items only, four of which (12.5%) have considered implementing a policy, and only two (6.3%) have begun implementation. 15 (46.9%) had no evidence of COI policies and a null score. The maximum score was 24 out of 60. CONCLUSION: This is the first systematic assessment of COI policies in teaching hospitals in France. Such policies are needed to protect patients, clinicians and students from undue commercial influence. Despite public and political pressure for better management of COI, few teaching hospitals have implemented comprehensive and protective policies, and some hospitals lacked policies altogether. These results highlight the need for greater attention to management of COI within teaching hospitals. One potential solution would be to integrate COI policies into hospital accreditation procedures, in order to ensure a baseline of management at all teaching hospitals. Public Library of Science 2019-11-01 /pmc/articles/PMC6824557/ /pubmed/31675383 http://dx.doi.org/10.1371/journal.pone.0224193 Text en © 2019 Guy-Coichard et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Guy-Coichard, Christian Perraud, Gabriel Chailleu, Anne Gaillac, Véronique Scheffer, Paul Mintzes, Barbara Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title | Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title_full | Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title_fullStr | Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title_full_unstemmed | Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title_short | Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis |
title_sort | inadequate conflict of interest policies at most french teaching hospitals: a survey and website analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6824557/ https://www.ncbi.nlm.nih.gov/pubmed/31675383 http://dx.doi.org/10.1371/journal.pone.0224193 |
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