Some physicians dispense drugs, devices and remedies in their office. The American Academy of Dermatology has offered guidance for how this can be done ethically by its members. The recommendations also apply to other specialities.
Parameter
Acceptable
Not Acceptable
priority
best interest and welfare of the patient
financial gain by the physician
atmosphere
free and open
coercive, linking care to purchase
disclosure of contents
full and complete
undisclosed or partial disclosure, misleading
disclosure of availability
lets patients know if product is readily available elsewhere
withholds information
claims about the benefits of the product
clear and substantiated
unsubstantiated; unfounded; false, misleading
effect of product
beneficial to the patient
harmful or of no benefit
cost to patients
fair and reasonable
excessive
legality of practice
legal
illegal (selling controlled substances, etc)
where:
• These guidelines are based on the principles of professionalism and patient self-determination. Unfortunately, not everyone agrees on ideals, especially when profit is involved.
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