Pharmacists considered more ethical than doctors

AJP, 21 July 2016
Author: Sheshtyn Paola
“According to the Governance Institute Ethics Index released this month, about 42% of those surveyed rated pharmacists as “somewhat ethical” and 37% said they were “very ethical”. However, opinions were polarising for pharmaceutical companies, health funds, and natural health companies, which were equally seen as ethical (32-37%) and unethical (33-43%).”
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AMA: Lawyer Ads Are Alarming Prescription Drug Users, Jeopardizing Health Care

Forbes, 21 July 2016
Author: Jessica Karmasek
“At its annual meeting last month, the American Medical Association adopted a policy to advocate for a requirement that attorney commercials that may cause patients to stop using necessary medications to include “appropriate” and “conspicuous” warnings. AMA contends late-night television is “rampant” with attorney ads that seek plaintiffs regarding complications from new medications.”
Find article here.

China Investigating Data Leak and Swindling of H.I.V. Patients

NYT, 21 July 2016
Source: Sinosphere
“Hundreds of people with H.I.V. across China were reporting that they were being called by someone who claimed to be from the government and had access to their medical records and other personal information.The director of a support network based in Beijing for people with H.I.V./AIDS, said he began receiving the messages about two weeks ago. While awaiting answers as to how their medical data was hacked or leaked, people with H.I.V. are worried about the possibility of new swindles or blackmail.”
Find article here.

Minimising waste in the health system

AMA, media release 21 July 2016
“The AMA today released its new Position Statement on the Doctor’s Role in Stewardship of Health Care Resources.  Doctors are important stewards of health care resources and good stewardship is an important part of ethical, best practice care. The Position Statement explains that stewardship involves avoiding or eliminating wasteful expenditure, with the aim of maximising quality of care and protecting patients from harm, while ensuring affordable care in the future. Stewardship is not rationing, which involves limiting the amount of health care a person is allowed to have because of economic reasons or scarcity of resources…”
Find release and link to full statement here.

Can We Care for Aging Persons without Worsening Global Inequities?

Can We Care for Aging Persons without Worsening Global Inequities? The Case of Long-Term Care Worker Migration from the Anglophone Caribbean
Public Health Ethics published 20 July 2016, 10.1093/phe/phw031
Authors: Jeremy Snyder and Valorie A. Crooks
“The international migration of health workers, including long-term care workers (LCWs) for aging populations, contributes to a shortage of these workers in many parts of the world. …Many responses have been proposed to address the international migration of health workers generally, including making it more difficult for these workers to emigrate and increasing and improving local employment opportunities. In this article, we suggest an additional means of ethically reducing health worker migration, targeting the Anglophone Caribbean specifically.”
Find abstract here.

Doctors must have key role in health financing funding

AMA, media release 21 July 2016
“The AMA today released its new Position Statement on the Role of Doctors in Stewardship of Healthcare Financing and Funding Arrangements 2016. Stewardship of health financing and funding means ensuring health funding is directed to achieving health outcomes, does not have adverse impacts or involve wasteful expenditure, and is sustainable and able to meet future needs. AMA President, Dr Michael Gannon, said today that, without the clinical stewardship perspective, there is a significant risk that health policy decisions will be driven primarily by government financing and political perspectives ahead of positive public health outcomes.”
Find release and link to full statement here.

Contested Guideline Development in Australia’s Cervical Screening Program

Contested Guideline Development in Australia’s Cervical Screening Program: Values Drive Different Views of the Purpose and Implementation of Organized Screening
Public Health Ethics published 3 July 2016, 10.1093/phe/phw030
Authors: Jane Williams, Stacy Carter, and Lucie Rychetnik
“This article draws on an empirical investigation of how Australia’s cervical screening program came to be the way it is. The study was carried out using grounded theory methodology and primarily uses interviews with experts involved in establishing, updating or administering the program. We found strong differences in experts’ normative evaluations of the program and beliefs about optimal ways of achieving the same basic outcome: a reduction in morbidity and mortality caused by invasive cervical cancer.”
Find abstract here.

Division and discord in the Clinical Trial Regulation

J Med Ethics doi:10.1136/medethics-2016-103422
Authors: David Shaw, David Townend
“The Clinical Trials Regulation is intended to harmonise and streamline the review and conduct of clinical trials in the European Union. In this paper, we identify and analyse several serious issues concerning the division imposed by the Regulation between scientific review and ethical review. We conclude that these problems may compromise the objectives of the Regulation.”
Find abstract here.

The patient’s voice: Patient involvement in medical product regulation

Medical Law International July 15, 2016 0968533216659105
Author: Barbara von Tigerstrom?
“Authorities responsible for regulating medicines and other medical products continue to expand opportunities for direct participation of patients and their representatives in regulatory processes. For example, patient representatives can participate as members of scientific committees and provide input in various ways. This article examines the current framework and recent initiatives for such participation in the US Food and Drug Administration and European Medicines Agency.”
Find abstract here.