Abstract
Truth, Trust, and Transparency—The Highly Complex Nature of Patients’ Perceptions of Conflicts of Interest in Medicine
Highlights
In their national study of 1388 US adults, Kanter et al[3] performed a difference-in-difference analysis comparing the longitudinal change in trust among respondents in states where industry payments were newly disclosed via Open Payments with states where industry payment information was already available due to state disclosure laws
Several major assumptions must be made to attribute this nationwide decline in patient trust to Open Payments
We would have to assume that respondents even know that Open Payments exists; prior research shows that only 12% of US adults are aware of the data.[4]
Summary
In their national study of 1388 US adults, Kanter et al[3] performed a difference-in-difference analysis comparing the longitudinal change in trust among respondents in states where industry payments were newly disclosed via Open Payments with states where industry payment information was already available due to state disclosure laws. We would have to assume that respondents even know that Open Payments exists; prior research shows that only 12% of US adults are aware of the data.[4] Second, we would have to assume that patients care about these payments.
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