The paradox of disclosure: shifting policies from revealing to resolving conflicts of interest

被引:0
|
作者
Sah, Sunita [1 ]
机构
[1] Cornell Univ, Johnson Grad Sch Management, Ithaca, NY 14850 USA
关键词
conflicts of interest; disclosure policies; biased advice; professional norms; trust; insinuation anxiety; PATIENT TRUST; PHYSICIANS; INDUSTRY; MODEL;
D O I
10.1017/bpp.2023.37
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This paper explores the complexities and unintended consequences of conflict of interest (COI) disclosures in various professional settings. It highlights key psychological processes encountered by recipients of such disclosures. Notably, it describes the burden of disclosure effect, which paradoxically reduces trust while increasing compliance due to social pressures, and disclosure's expertise cue, where disclosures inadvertently increase trust and persuasiveness by signalling expertise. The paper also outlines best practices for improving COI disclosures, emphasising the need for external third-party involvement and encouraging deliberation. It concludes that effective disclosure depends not only on how recipients process information but also critically on how the disclosure influences the behaviour of advisors, underscoring the need for a holistic approach to managing COIs that goes beyond mere transparency. A version of this paper was presented as a keynote at the Second Annual International Behavioural Public Policy Conference at the University of North Carolina in September 2023.
引用
收藏
页码:1 / 12
页数:12
相关论文
共 50 条
  • [1] Implementation of financial disclosure policies to manage conflicts of interest
    Boyd, EA
    Lipton, S
    Bero, LA
    [J]. HEALTH AFFAIRS, 2004, 23 (02) : 206 - 214
  • [2] Nursing Journal Policies on Disclosure and Management of Conflicts of Interest
    Barnsteiner, Jane
    Kennedy, Maureen
    Flanagin, Annette
    Sietmann, Caroline
    [J]. JOURNAL OF NURSING SCHOLARSHIP, 2020, 52 (06) : 680 - 687
  • [3] A national survey of policies on disclosure of conflicts of interest in biomedical research
    McCrary, SV
    Anderson, CB
    Jakovljevic, J
    Khan, T
    McCullough, LB
    Wray, NP
    Brody, BA
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2000, 343 (22): : 1621 - 1626
  • [4] Are journals following the ICMJE recommendations complying with conflicts of interest disclosure policies
    Dal-Re, Rafael
    Marusic, Ana
    [J]. EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2018, 57 : E17 - E19
  • [5] Resolving Unreported Conflicts of Interest
    DeAngelis, Catherine D.
    Fontanarosa, Phil B.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (02): : 198 - 199
  • [6] CJASN and Disclosure of Conflicts of Interest
    Mehrotra, Rajnish
    [J]. CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2019, 14 (06): : 785 - 786
  • [7] RESOLVING CONFLICTS IN PRACTICE POLICIES
    EDDY, DM
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (03): : 389 - 391
  • [8] RECOGNIZING AND RESOLVING CONFLICTS-OF-INTEREST
    IRLAND, LC
    [J]. JOURNAL OF FORESTRY, 1995, 93 (09) : 26 - 29
  • [9] Conflicts of interest at the NIH - Resolving the problem
    Steinbrook, R
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (10): : 955 - 957