Résumé :
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Recent issues of financial conflicts of interest for physician are illuminated by the history of similar issues from 1890 to 1992 and the response of the organized medical profession to activities like payment of commissions, or "fee splitting", physical ownership of medical facilities, and dispensing of drug. The medical profession tried to confront these and related conflicts early in the century, in some cases by adopting ethical codes, but was enable to enforce standards of conduct... The medical profession still favors voluntary codes of ethics, setting aspirational goals, promoting a patient-centered ethos, and relying on the good will of individual doctors-tactis for dealing with financial conflicts of interest that this review of recent history suggests are inadequate. Instead, public intervention is required to address these problems. (R.A.)
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