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Introduction to Provider Conflicts of Interest in Health Care

This chapter evaluates provider conflicts of interest in healthcare. Healthcare providers and institutions typically balance an array of competing interests, such as economic gain, the desire to favor colleagues, to advance in one's academic or professional career, or the needs of other patients. Conflicts of interest pervade most healthcare systems and pose considerable risks, both systemic and patient- focused, including increasing costs, harming patients, limiting choice, biasing publication decisions, and eroding trust in healthcare providers and institutions. A key element common to most interpretations of conflicts of interest is the provider's exposure to undue influence from a secondary interest. A second key element is that a conflict of interest can occur when there is merely the perception of undue influence by a secondary interest. Perception that a healthcare provider's independence has been compromised leads to reputational risk and undermines the trust of other stakeholders.

conflicts of interest, healthcare, healthcare providers, healthcare institutions, healthcare systems, undue influence, bias

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