Do you trust pharma?

Asthma UK's Chief Executive, Neil Churchill

Neil Churchill - Chief Executive

14 Apr 09 | 1 comment
Tagged: pharmaceutical industry

That’s a question I have been invited to answer at a meeting of the British pharmaceutical industry, so am interested to hear your views.

What are some of the issues?

Firstly, pharmas have been criticised for the way they educate healthcare professionals, for example paying for them to go to conferences and courses.

I should declare an interest there, as I have been taken to respiratory conferences by pharma companies. I’d argue that it helped me improve my knowledge of asthma research but you might have other views. Is it different if it’s a GP or consultant who’s being taken? Could such links distort prescribing practice?

You might have questions about R&D. To what extent do you think that pharmas invest in R&D that’s a priority to the patient? Is sufficient interest being given to developing new treatments for asthma? And if you have been involved in clinical trials, what was your experience?

Or maybe your concerns relate to the developing world. It might be OK for pharmas to price medicines in rich (well, we used to be) nations. But do they put too much emphasis on patents in developing nations who can’t afford them? What do you think of the Chief Executive of GSK’s proposal to put medicines into a patent pool for poor nations? Should other pharmas follow suit?

Or do you think the question of trust is over-played? Pharmas are tightly regulated, as you will see if you look at the guidelines published by the industry’s trade body, the ABPI (Association of British Pharmaceutical Industry). If only – you might say – banks were regulated to the same degree.

Let me know your thoughts and I will relay them at the conference.

For the record, Asthma UK works with pharma - we publish details of all our funding from pharmaceutical companies on our website. They must be corporate members of Asthma UK and we will not let pharma money rise above 10% of our income in any one year (not that it has got that far).

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cathbear

14 April 09
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From an education/conference/courses point of view, pharmaceutical companies can often provide a service to medical education. As you mention, Neil, the conference you attended was educational. Yes, the pharma reps will have their few minutes' worth promoting their product at the start of the meeting, but the main emphasis is on education. A lot of the updates and educational activities that go on would simply not happen if there were no drug compay funding, leaving a lot of doctors "out of touch". Debate the reasons behind the lack of funding if you wish, but that's a separate issue. Regulations nowadays prevent the "wining and dining" luxury that used to go on, so before anyone brings out the old chestnut of golf holidays and jollies out, I'm afraid that simply doesn't happen any more. All rep-sponsored events must be primarily educational. Of course it is important when seeing reps that doctors remember that they are essentially talking to salespeople, and all information given must be evaluated independently. Can it influence prescribing practice? Yes, but I would argue that influences can be positive rather than negative. I saw a rep from a calcium-supplement company last week who was telling us about their new product which is likely to be taken by patients more so than their tablet format, because it is much more pleasant to take. The only result from this would be increased patient medication compliance, and hence increased health and less fractures.
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