Journal of Bioethical Inquiry 14 (1):135-149 (2017)

Christopher Mayes
Deakin University
The pharmaceutical industry plays an increasingly dominant role in healthcare, raising concerns about “conflicts of interest” on the part of the medical professionals who interact with the industry. However, there is considerable disagreement over the extent to which COI is a problem and how it should be managed. Participants in debates about COI have become entrenched in their views, which is both unproductive and deeply confusing for the majority of medical professionals trying to work in an increasingly commercialized environment. We used a modified meta-narrative review method to analyse debates about COI in the academic and grey literature. We found two Discourse Models: The Critical Discourse Model sees COI in health and biomedicine as a major problem that both can and should be addressed, while the Defensive Discourse Model argues that current efforts to control COIs are at best unnecessary and at worst harmful. Each model is underpinned by profoundly differing views about how society should be organized—in particular whether market forces should be encouraged or curtailed—and how the dangers associated with market forces should be managed. In order to make any headway, academics and policymakers must recognize that these debates are underpinned by profoundly differing worldviews.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/s11673-016-9764-7
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,489
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

View all 7 references / Add more references

Citations of this work BETA

The Ninth Circle: Who and What Do We Trust In Today’s World?Michael Ashby - 2017 - Journal of Bioethical Inquiry 14 (1):7-12.

Add more citations

Similar books and articles

Teaching Conflict: Professionalism and Medical Education.K. J. Holloway - 2015 - Journal of Bioethical Inquiry 12 (4):675-685.
The Nerve to Break Taboos: New Realism in the Dutch Discourse on Multiculturalism.Prins Baukje - 2002 - Journal of International Migration and Integration 3 (3&4):363-379.
Women's Voices in Nineteenth-Century Medical Discourse: A Step Toward Deconstructing Science.N. Theriot - forthcoming - History and Theory: Feminist Research, Debates, Contestations.
The Human Body as Field of Conflict Between Discourses.Gerrit K. Kimsma & Evert van Leeuwen - 2005 - Theoretical Medicine and Bioethics 26 (6):559-574.
Research, Ethics and Conflicts of Interest.M. Little - 1999 - Journal of Medical Ethics 25 (3):259-262.
Conflict of Interest in Industry-Sponsored Clinical Research.Sarah Roberts-Cady - 2010 - International Journal of Applied Philosophy 24 (1):47-59.


Added to PP index

Total views
20 ( #560,831 of 2,520,893 )

Recent downloads (6 months)
1 ( #405,457 of 2,520,893 )

How can I increase my downloads?


My notes