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Characteristics of Advanced Practice Nurses Receiving Top Industry Payments and Their Practice Settings: a
Quinn Grundy1, Fabian Held2, Dana Hart3
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. quinn.grundy@utoronto.ca.
Journal of General Internal Medicine
|November 14, 2023
Summary
Top advanced practice nurses (APNs) receiving over $50,000 in industry payments often hold leadership roles and may lack oversight. Policies on industry relationships need to include all healthcare providers.
Area of Science:
- Health Policy
- Pharmaceutical Industry
- Advanced Practice Nursing
Background:
- The pharmaceutical industry cultivates key opinion leaders to promote prescribing.
- Advanced practice nurses (APNs) are increasingly influential prescribers.
- Publicly reported industry payments to APNs offer insights into their influence.
Purpose of the Study:
- To characterize APNs receiving substantial industry payments.
- To identify their leadership positions and co-recipient relationships.
- To explore payment patterns and associated practice settings.
Main Methods:
- Cross-sectional analysis of US Open Payments data (2021).
- Focused on APNs receiving >$50,000 in personal fees (speaking, consulting, honoraria).
- Examined practice setting, specialty, leadership roles, and payment recipients at the same address.
Main Results:
- 99 APNs received >$50,000, with a median of $74,080 in aggregate payments.
- Top recipients often held clinical leadership (36%), research leadership (25%), or academic appointments (18%).
- 42% owned practices, including cosmetic and mental/behavioral health clinics.
Conclusions:
- Top APN recipients are linked to high-value payments in areas of high-cost drug development.
- Potential for limited oversight of APN-industry relationships exists.
- Policy development must encompass interprofessional providers and their industry ties.
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