The public does care and paying attention

November 15, 2010

  Look at the legs Pro-Public’s Dollars for Docs grew.  They will be adding three more pharmaceutical companies to their data bank next year.

The Pro-Publica Treasure Trove: Payments to Physicians and Why Conflict-of-Interest Policies, Gift Bans, and Sunshine Laws Matter 

ProPublica, a center for journalism in the public interest, launched their Dollars for Docs program last month.  The ongoing investigation includes a searchable database that includes 17,000 U.S. doctors and allows their patients to search to determine whether their physician has taken money from the pharma industry.    The ProPublica site includes ongoing analysis and opinion articles, including articles from partners NPR, the Chicago Tribune, the Boston Globe, Consumer Reports, and PBS. 

One area of specific interest to state legislators is the ability to break down payments to physicians by state and to see which pharmaceutical manufacturers are the biggest spenders for state docs.  The data show that California, New York, Texas, Florida, and Pennsylvania top the list of payments to physicians.  Because aggregate payments are shown, more populous states would be expected to top the list, but data on comparable states is also useful to state legislators.

The ProPublica investigation reaches into many aspects of the industry payments to physicians.  These data has spurred a new wave into the investigation of the relationships between physicians and the pharmaceutical industry.  Following is a round-up of noteworthy articles and commentary on specific aspects of the recent coverage.

Payments to physicians who have been subject to professional sanctions

ProPublica: Docs on Pharma Payroll Have Blemished Records, Limited Credentials

Forbes: The Best Bits Of ProPublica’s Pharma Payroll Investigation

HealthWatch: Big Pharma paying docs with dubious records to promote drugs

Medical Marketing and Media: Report says pharmas pay quacks to hawk drugs

Failures of conflict of interest policies and physician attitudes towards payments

The Boston Globe: Prescription for Prestige: Drug firms’ speaking fees flow to Harvard doctors; concerns about influence prompt new restrictions

Hooked Blog: Review Time: Rationalizations Doctors Tell about Pharma Money

Hooked Blog: From ProPublica: The Seamy Side of Pharma Speakers’ Bureaus

PBS: Pharma & Physicians

Payments to physicians and other marketing drives up costs by increasing the overprescribing of brand-name drugs.

NPR: How to Win Doctors and Influence Prescriptions

Sentinel/Source: Prescription Conflicts: Doctors Draw a Second Income from Drug Companies

Analysis and criticism of the project:

Carlat Psychiatry Blog ProPublica’s Dollars for Docs Website

Scientific American How much money was your doctor paid by a drug company?

PostScript Blog Money and misconduct in drug company talks: early sunshine from ProPublica

How to use the Dollars for Docs Database for Patients

ProPublica: How Patients Can Use This Data

Consumer Reports: Consumers wary of doctors who take drug-company dollars

How to use the Dollars for Docs Database for Reporters and Advocates

Columbia Journalism Review: How to Use ProPublica’s “Dollars for Docs” Database: Tips for reporters and editors

State-by-State Analysis of the ProPublica Results

NJ.com: Drug companies paid N.J. doctors millions to promote their products

Syracuse.com: Drug makers pay 51 Central New York doctors nearly $1 million to talk about their products

The Baltimore Sun: HealthKey: Database details pharmaceutical payments to doctors

Denver ABC 7: Report: Colorado Doctors Getting Thousands From Drug Companies

KUOW.org: Washington Doctors On Drug Company Payrolls

Cleveland.com: ProPublica database reveals Ohio, national docs relationships with big pharma