Two's company, is three a crowd? Ethical cognition in decision making and the role of industry third parties in pediatric diabetes care.

Document Type

Article

Publication Date

2-2019

Identifier

DOI: 10.1111/pedi.12786

Abstract

Families of children with diabetes increasingly obtain health information from a variety of sources. Doctor-patient relationships have accordingly become more fluid and dynamic with input from other parties. These outside parties include representatives from the diabetes health care industry-industry third parties (ITPs). This review is an exploration of the ethical principles and cognitive processes involved when doctors and patients negotiate around health care practices and the role of ITPs in that dialogue. Ethical principles of conflicts of interest, beneficence (act in the best interests of the patient), non-maleficence (act so as to do no harm) and justice (act so as to allocate resources fairly or justly) are relevant considerations. Reflexive and analytic thinking and various cognitive biases also play a significant part in clinical decision making. A complex case example is analyzed to highlight a process of ethical cognition in decision making to ensure high-value care and optimal patient outcomes.

Journal Title

Pediatric diabetes

Volume

20

Issue

1

First Page

15

Last Page

22

MeSH Keywords

Child; Decision Making; Diabetes Mellitus, Type 1; Drug Industry; Humans; Pediatrics; Physician-Patient Relations; Professional Role; Public-Private Sector Partnerships; Rationalization; Therapies, Investigational

Keywords

cognition; ethics; industry third parties

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