Doctors Taking Industry $$ Prescribe More Brands: Propublica
A new ProPublica analysis finds that doctors who receive payments from industry tend to prescribe more brand-name medications than their colleagues who don’t. ProPublica says its analysis doesn’t prove industry payments sway doctors to prescribe particular drugs, or even a particular company’s drugs. “Rather, it shows that payments are associated with an approach to prescribing that, writ large, benefits drug companies’ bottom line,” it says.
“It again confirms the prevailing wisdom … that there is a relationship between payments and brand-name prescribing,” comments Harvard Medical School associate professor Aaron Kesselheim. “This feeds into the ongoing conversation about the propriety of these sorts of relationships. Hopefully we’re getting past the point where people will say, ‘Oh, there’s no evidence that these relationships change physicians’ prescribing practices.’”
ProPublica has been tracking drug company payments to doctors since 2010 through a project known as Dollars for Docs. “There’s wide variation from state to state when it comes to the proportion of prescribers who take industry money,” the analysis found. The rate in Nevada, Alabama, Kentucky and South Carolina was twice as high as in Vermont, Minnesota, Wisconsin and Maine. “But overall, payments are widespread,” it says. “Nationwide, nearly nine in 10 cardiologists who wrote at least 1,000 prescriptions for Medicare patients received payments from a drug or device company in 2014, while seven in 10 internists and family practitioners did.”