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Pharmaceutical industry paid Irish doctors €3.7 million for "undisclosed" reasons in 2015

The industry’s payments to both doctors and healthcare institutions here is under the spotlight at present.

shutterstock_71661760 Shutterstock / ravl Shutterstock / ravl / ravl

THE PHARMACEUTICAL INDUSTRY made payments worth €6.8 million to Irish doctors and €10.7 million to Irish healthcare institutions in 2015.

The disclosure of figures has come following a report into the operations of Big Pharma in Ireland in yesterday’s Sunday Business Post.

That report claims that Big Pharma is paying millions of euro to Irish doctors for education, travel, and speaking fees.

It also suggests that the choice a patient’s doctor may make when prescribing drugs may be influenced by the pharmaceutical industry itself.

Speaking to RTÉ’s Morning Ireland today, Professor Michael Barry, clinical director of the National Centre for Pharmacoeconomics, said that “there is little doubt hat the spending of the pharmaceutical industry in this area does influence the prescribing behaviour of doctors”.

“We know that we see a change in the prescribing habits of doctors, some say it leads to non-rational prescribing,” he said.

We even see it ourselves in our own prescribing, when we have a choice of medication for example, the medications we’d use for treating dyspepsia (indigestion) for example – we’ve five choices, and the most frequently prescribed one is the most expensive one, that doesn’t happen by accident.
So marketing works, and that’s why the industry does it.

“Highly regulated”

Speaking on the same programme, Oliver O’Connor, chief executive with the  Irish Pharmaceutical Healthcare Association (IPHA), said that interactions between doctors and clinicians and the pharmaceutical industry is “highly regulated already by European law”.

“The way to make sure that patients know decisions are being made in their interests is to see that there is full disclosure of whatever payments are being made,” he said.

Asked whether or not he accepts that there is a link between payments made by pharmaceutical companies regarding sponsored meetings or educational events and how doctors prescribe, O’Connor responded: “I actually don’t.”

michael barry Professor Michael Barry Rollingnews.ie Rollingnews.ie

“No one in this report has offered any evidence whatsoever that doctors in Ireland have prescribed inappropriately for their patients.”

Doctors are under obligations under Medical Council rules to have good prescribing practice, and to put the patient at the heart of their prescribing decisions.

If there’s a problem it is with doctors not adhering to those rules.

Professor Barry retorted: “There is no such thing as a free lunch here.”

“Doctors are influenced by the spend of pharmaceutical companies. The fact is, the industry paid €6.8 million on 3,000 payments to doctors last year. It spent €10.7 million to healthcare institutions, many of them hospital,” he said.

€3.7 million was undisclosed. Now what was that for?

According to O’Connor that €3.7 million is for instances in which “doctors have not given their consent” for payments made to them to be made public.

“We put out transparency rules this summer – we’ve encouraged them (doctors) to consent to payments being made public.”

If there is any breach of that it’s important that it be brought to the Medical Council and not aired simply in the media, everybody has a duty.

Regarding the fact that many of the payments made have been regarding educational events, Professor Barry said “there is no role for the pharmaceutical industry in medical education”.

“The pharmaceutical industry’s job is to sell medicines, not educate doctors. They have a marketing budget, not an education budget,” he said.

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61 Comments
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    Mute Morgan Freeman
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    Mar 27th 2018, 10:31 PM

    Good product. Well done to them.

    101
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    Mute Michelle Wallace
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    Mar 27th 2018, 11:03 PM

    Brilliant good news story. Well done. Great to see you bringing the jobs back to dublin. Don’t be minding the begrudgers!

    115
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    Mute Adrian
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    Mar 27th 2018, 10:27 PM

    Ha. A unicorn that’s (last line) “trending aggressively to becoming a profitable company”!

    32
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    Mute Ferg Flannery
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    Mar 27th 2018, 10:47 PM

    @Adrian: only applies to the definition of its valuation not its profitability

    32
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    Mute ForeverFeel1ng
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    Mar 28th 2018, 7:40 PM

    @Adrian: Twitter has been around over 15 years and still hasn’t posted a profit. Profitability in Tech is not as important as in traditional businesses

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    Mute Andrew Carroll
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    Apr 10th 2018, 7:25 AM

    @ForeverFeel1ng: You’re joking right? Twitter surviving for 15 years without making a profit hints that it’s being kept afloat for other reasons, just like loss making newspapers.

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    Mute Andrew Carroll
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    Apr 10th 2018, 7:29 AM

    @ForeverFeel1ng: Said no investor ever. Twitter is being kept afloat like a newspaper making losses: it’s a great propaganda and political agitation tool.

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    Mute Paddy O Sullivan
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    Mar 27th 2018, 10:46 PM

    Intercom, isn’t that a communication device used in shopping centres. A mic and a speaker. The simple things, eh! Wish I thought of it.

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    Mute Declan McArdle
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    Mar 28th 2018, 1:33 AM

    @Paddy O Sullivan: That’s a tannoy.

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    Mute Rory J Leonard
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    Mar 28th 2018, 8:14 AM

    Very interesting and innovative business model!

    Finally, a powerful, scalable, efficient, growth supporting, and cost effective management tool / business platform capable of capturing and pulling together all channels of communications between likely participators in the global marketplace seeking the particular product or service and the firm offering same.

    Early days, but with 25,000 customers already contributing $50 mil in annual Revenues, outlook is excellent for Intercom. Tenfold increase in customer base is a distinct possibility, which would comfortably justify existing valuations mentioned. Clearly, with $241 m invested already, someone has lots of faith!

    Congratulations to all concerned!

    13
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    Mute Paddy O Sullivan
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    Mar 27th 2018, 10:50 PM

    And btw what is it? A messaging service wow, probably a advanced data collection service. That’s were the money is, apparently. Well done Irish guys! You’ve sold your soul for a few bob.

    18
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    Mute Sean Stevenson
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    Mar 28th 2018, 3:38 AM

    @Paddy O Sullivan: Jesus you’re some begrudger. They’re making money and putting Ireland on the tech map globally. Selling their souls? Would you rather them be on the dole? They’re working.

    99
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    Mute DJ François
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    Mar 28th 2018, 10:11 AM

    @Paddy O Sullivan: Close…but no cigar. It is customer service software actually with plenty of uses. Instead of whinging about it familiarise yourself with the company and the software it provides

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    Mute Dara O'Brien
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    Mar 28th 2018, 7:06 AM

    I’m a bit uncomfortable with these valuations on, thus far, unprofitable companies.

    The FAANG companies are already responsible for a huge proportion of market valuations. I hope we’re not heading for another dotcom bubble.

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    Mute Stevie Doran
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    Mar 28th 2018, 11:33 PM

    I wouldn’t be investing in them, they are swelled with VC money, $50mil Revenue is peanuts and VC money will need to be paid back sometime. Their product is essentially a chatbox which is tiresome for website visitors and very expensive compared to free alternatives (Drift etc)

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    Mute Tomas Kuodis
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    Mar 28th 2018, 7:40 AM

    They will be bust in a couple of years, big valuation comes with a price… But hopefully they will make a lot of moneys for them self’s.

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    Mute ForeverFeel1ng
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    Mar 28th 2018, 7:44 PM

    This is the type of homegrown success and entrepnurial spirit we need to foster.

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