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Relationship between physician and industry in Aragon (Spain)
Elena Lobo1, M José Rabanaque, Patricia Carrera
1Departamento de Medicina Preventiva y Salud Pública, Universidad de Zaragoza, Zaragoza, Spain. elobo@unizar.es
Gaceta Sanitaria
|January 17, 2012
Summary
Physician-industry relationships varied by specialty and practice setting in Spain. Clinical specialists and those not in primary care received more industry benefits, impacting prescription practices.
Area of Science:
- Medical Ethics and Professionalism
- Pharmaceutical Industry Relations
- Health Services Research
Background:
- Physician interactions with the pharmaceutical industry are common.
- Understanding factors influencing these relationships is crucial for transparency and prescribing practices.
- Previous research has explored physician-industry ties, but regional variations require further investigation.
Purpose of the Study:
- To characterize the relationship between physicians and the pharmaceutical industry in Aragon, Spain.
- To identify physician characteristics associated with receiving industry benefits.
Main Methods:
- An observational, cross-sectional study was conducted.
- Anonymous web-based questionnaires were administered to physicians in Aragon, Spain (June-November 2008).
- Data on industry interactions (visits, samples, gifts, reimbursements, payments) and physician characteristics (specialty, work setting, experience) were collected and analyzed using regression.
Main Results:
- 87% of 659 surveyed physicians reported receiving industry benefits in the prior year.
- 90.1% reported monthly meetings with industry representatives.
- Non-clinical specialists and primary care physicians received significantly fewer gifts, reimbursements, and payments compared to clinical specialists and other settings.
Conclusions:
- Physician-industry relationships in Aragon, Spain, show significant variation based on medical specialty and work setting.
- Findings highlight the need for greater transparency in these interactions.
- Results offer insights for future research on prescription appropriateness and efficiency in Spain and similar healthcare systems.
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