Credit FreePik

University of Auckland researchers are investigating how New Zealand patients feel about and respond to ‘self-referrals’ when doctors refer patients to healthcare providers in which they have a financial stake.

Principal investigator Professor Jaime King said the issue of self-referral has been a growing concern in the medical profession as doctors increasingly have investments in the clinics, labs and specialists to which they refer patients. “This creates a conflict of interest,” said Prof King, who specialises in health law. “Patients trust their doctors to recommend the best care, but financial incentives could be influencing these referrals.”

Although the Medical Council of New Zealand requires doctors to disclose such conflicts of interest, research suggests disclosure alone may not be enough to protect patients.

International studies show that patients often feel uncomfortable questioning their doctor’s recommendation, even when they are advised of, or suspect that, a financial motivation may be influencing the medical advice, said Prof King.

To better understand the experience of New Zealand patients and whether it reflects the international findings, a survey has been launched to gather patient perspectives on self-referral.

The researchers said they are particularly interested in the views of Māori patients, who may face additional barriers to questioning their healthcare providers. The survey is available here.