制药公司向英语通用实践提供促销支付:纵向研究
Shai Mulinari1, Minahil Malik2, James Larkin3
1Department of Sociology, Lund University, Lund, Sweden shai.mulinari@soc.lu.se.
BJGP open
|August 8, 2025
概括
2015年至2022年期间,制药公司向英格兰的全科医院支付的费用显著增加. 一家名为Chiesi的公司主导了这些支付,引发了人们对临床决策中的潜在偏见的担忧.
科学领域:
- 医药营销和医疗保健中的财务关系.
- 一般实践和初级保健经济学.
- 卫生政策和监管透明度.
背景情况:
- 制药行业的推广针对的是一般的做法.
- 制药公司与一般实践之间的财务关系未得到充分研究.
- 了解这些关系对于评估对医疗保健的潜在影响至关重要.
研究的目的:
- 分析2015年至2022年英格兰制药公司向一般实践机构支付的费用.
- 识别支付模式和营销策略的趋势.
- 评估这些财务关系的集中程度和持续时间.
主要方法:
- 来自英国披露 (2015-2022) 的支付数据的描述性分析.
- 利用一种新的算法来识别接收者实践.
- 按类型分类支付,分析趋势,并使用金尼系数测量度.
主要成果:
- 总支付额从250万英 (2015年) 增加到75万英 (2022年).
- 从2017年开始,Chiesi占支付价值的50%以上.
- 观察到支付的高度集中 (吉尼系数为0.86) 和短期关系.
结论:
- 越来越多的,专注的药品支付给一般实践引起了对潜在偏见的担忧.
- 未来的研究需要提高透明度,包括产品特定细节.
- 建议调查这些支付对临床决策的影响.
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