Reforming Pharmaceutical Industry-Physician Financial Relationships: Lessons from the United States, France, and Japan

Author:

Rodwin Marc A.

Abstract

Post-industrial societies confront common problems in pharmaceutical industry-physician relations. In order to promote sales, drug firms create financial relationships that influence physicians' prescriptions and sometimes even reward physicians for prescribing drugs. Three main types exist: (1) kickbacks, (2) gifts, and (3) financial support for professional activities. The prevalence of these practices has evolved over time in response to changes in professional codes, law, and markets. There are certainly differences among these types of ties, but all of them can compromise physicians' independent judgment and rational prescribing.Drug firms have paid kickbacks for prescribing drugs, purchasing drugs, switching brands prescribed, adding a drug to a hospital formulary, enrolling patients in post-marketing clinical trials, and writing practice guidelines that encourage the use of certain drugs.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference57 articles.

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2. 46. ACCME, “Standards for Commercial Support,” available at (last visited September 6, 2011).

3. “Compliance Program Guidance,”;Federal Register,2003

4. 34. Petersen, M. , “Vermont to Require Drug Makers to Disclose Payments to Doctors,” New York Times, June 13, 2002, at 1.

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