Sports medicine clinicians face conflicts of interest in providing medical care to athletes. Using a survey of college football players, this study evaluates whether athletes are aware of these conflicts of interest, whether these conflicts affect athlete trust in their health care providers, or whether conflicts or athletes' trust in stakeholders are associated with athletes' injury reporting behaviors.
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References
1.
B.Wolverton, “Coach Makes the Call. Athletic Trainers Who Butt Heads with Coaches Over Concussion Treatment Take Career Hits,”Chronicle of Higher Education, September02, 2013, available at <http://chronicle.com/article/Trainers-Butt-Heads-With/141333/> (last visited April 23, 2020).
B.Lo and M.J.Field, eds., Conflict of Interest in Medical Research, Education, and Practice (Washington, DC: The National Academies Press, 2009) at 46, available at <https://www.nap.edu/read/12598/chapter/1> (last visited April 23, 2020).
8.
Id.
9.
M.McCrea, T.Hammeke, G.Olsen, P.Leo, and K.Guskiewicz, “Unreported Concussion in High School Football Players: Implications for Prevention,”Clinical Journal of Sports Medicine14, no. 1 (2004): 13-17.
10.
McCrae, id.; Kroshus 2013, id.
11.
See Chrisman, supra note 9; Kroshus, Baugh 2014, supra note 9; Kerr 2016, supra note 9.
12.
E.Kroshus, C.M.Baugh, C.J.Stein, S.B.Austin, and J.P.Calzo, “Concussion Reporting, Sex, and Conformity to Traditional Gender Norms in Young Adults,”Journal of Adolescence54 (2017): 110-119.
13.
F.W.Peabody, “The Care of the Patient,”Journal of the American Medical Association88, no. 12 (1927): 877-82; E.D.Pellegrino, R.M.Veatch, and J.P.Langan, Ethics, Trust, and the Professions: Philosophical and Cultural Aspects (Washington, DC: Georgetown University Press, 1991).
14.
J.D.Piette, M.Heisler, S.Krein, and E.A.Kerr, “The Role of Patient-Physician Trust in Moderating Medication Nonadherence Due to Cost Pressures,”Archives of Internal Medicine165, no. 15 (2005): 1749-1755.
15.
Hall, id.
16.
See Baugh 2015, supra note 12.
17.
P.McCrory, W.H.Meeuwisse, M.Aubry, R.C.Cantu, J.Dvorak, R.J.Echemendia, L.Engebretsen, et al., “Consensus Statement on Concussion in Sport: The 4th International Conference on Concussion in Sport, Zurich, November 2012,”Journal of Athletic Training48, no. 4 (2013): 554-575.
18.
N.L.Keating, T.K.Gandhi, E.J.Orav, D.W.Bates, and J.Z.Avanian, “Patient Characteristics and Experiences Associated with Trust in Specialist Physicians,”Archives of Internal Medicine164, no. 9 (2004): 1015-1020.
19.
Id.
20.
See Hall, supra note 14.
21.
E.Kroshus, C.M.Baugh, D.H.Daneshvar, C.J.Nowinski, and R.C.Cantu, “Concussion Reporting Intention: A Valuable Metric for Predicting Reporting Behavior and Evaluating Concussion Education,”Clinical Journal of Sports Medicine25, no. 3 (2015): 243-247.
22.
E.Kroshus and S.P.D.Chrisman, “A New Game Plan for Concussion Education,”Health Education and Behavior46, no. 6 (2019): 916-921.
23.
E.Kroshus and C.M.Baugh, “Concussion Education in U.S. Collegiate Sport: What is Happening and What Do Athletes Want?”Health Education and Behavior43, no. 2 (2016): 66-75.
24.
E.Kroshus, C.M.Baugh, M.J.Hawrilenko, and D.H.Daneshvar, “Determinants of Coach Communication About Concussion Safety in U.S. Collegiate Contact and Collision Sport,”Annals of Behavioral Medicine49, no. 4 (2015): 532-541.
25.
T.A.Buckley, C.M.Baugh, W.P.Meehan, and M.S.DiFabio, “Concussion Management Plan Compliance: A study of NCAA Power 5 Conference Schools,”Orthopaedic Journal of Sports Medicine5, no. 4 (2017): 2325967117702606.
26.
See Kroshus, supra note 1; see NATA, supra note 6.
27.
See Baugh 2014, supra note 12.
28.
C.M.Baugh, W.P.Meehan, E.Kroshus, T.G.McGuire, and L.A.Hatfield, “College Football Players Less Likely to Report Concussions and Other Injuries with Increased Injury Accumulation,”Journal of Neurotrauma36, no. 13 (2019): 2065-2072.
29.
See Kroshus, supra note 1; see NATA supra note 6.
30.
M.Junge, “Obligations of Team Physicians,”AMA Journal of Ethics6, no. 7 (2004): 318-321.