Webbläsaren som du använder stöds inte av denna webbplats. Alla versioner av Internet Explorer stöds inte längre, av oss eller Microsoft (läs mer här: * https://www.microsoft.com/en-us/microsoft-365/windows/end-of-ie-support).

Var god och använd en modern webbläsare för att ta del av denna webbplats, som t.ex. nyaste versioner av Edge, Chrome, Firefox eller Safari osv.

Bild på Shai Mulinari. Privat bild.

Shai Mulinari

Docent | Universitetslektor

Bild på Shai Mulinari. Privat bild.

Pharmaceutical company promotional payments to English general practices: : longitudinal study

Författare

  • Shai Mulinari
  • Minahil Malik
  • James Larkin
  • Mostafa Elsharkawy
  • Tom Fahey
  • Frank Moriarty
  • Piotr Ozieranski

Summary, in English

BACKGROUND: General practices have been a long-standing focus of pharmaceutical promotion, but their financial relationships with pharmaceutical companies remain understudied.

AIM: Examine pharmaceutical company payments to general practices in England from 2015-2022, focusing on changing patterns of payments and what this reveals about companies' marketing.

DESIGN & SETTING: Descriptive analysis of pharmaceutical company payments made to practices using data from industry's Disclosure UK database, covering 4430 recipient practices and 54 companies over an eight-year period.

METHOD: Annual Disclosure UK data from 2015-2022 were merged, identifying practices using a novel algorithm-based methodology, and categorising payments by type (eg, donations and grants, event sponsorship). Trends were analysed by company and payment type. The Gini coefficient measured payment concentration, and the persistence of relationships was assessed over time.

RESULTS: Pharmaceutical payments to general practices rose from £2.5 million in 2015 to £7.5 million in 2022. While 54 companies made payments, just one company, Chiesi-marketing commonly prescribed respiratory inhalers-accounted for over 50% of the payment value from 2017 onwards. More than 40% of practices received payments from only one company, and 74% of company-practice relationships lasted just one study year. A few companies dominated, with a Gini coefficient of 0.86, driven by Chiesi's payments.

CONCLUSION: The growing scale and concentration of payments and the dominance of one company raise concerns about bias in general practice. Future research should investigate the impact of payments on clinical decision-making, but to do so, payment disclosures need enhanced transparency, particularly through including product-specific payment details.

Avdelning/ar

  • Sociologi
  • Birgit Rausing Centrum för Medicinsk Humaniora (BRCMH)
  • LUCSUS

Publiceringsår

2025-08-08

Språk

Engelska

Publikation/Tidskrift/Serie

BJGP open

Dokumenttyp

Artikel i tidskrift

Förlag

Royal College of General Practitioners

Ämne

  • Sociology (excluding Social Work, Social Anthropology, Demography and Criminology)
  • Industrial engineering and management

Aktiv

Epub

Projekt

  • Following the money: cross-national study of pharmaceutical industry payments to medical associations and patient organisations

ISBN/ISSN/Övrigt

  • ISSN: 2398-3795