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1 em 12 médicos nos EUA obtiveram pagamento de fabricantes de opioides • Suprimatec
À medida que as autoridades de saúde pública combatem a epidemia de overdose de opioides , em parte, reduzindo a prescrição desnecessária, um estudo mostra que os fabricantes de medicamentos pagaram mais de US $ 46 milhões a mais de 68 mil médicos ao longo de um período de 29 meses.
Em um novo estudo publicado no Jornal Americano de Saúde Pública, Brandon Marshall, professor associado de epidemiologia na Escola Universitária de Saúde de Brown, e colegas relatam pela primeira vez, dezenas de milhões de dólares que as empresas farmacêuticas estão pagando aos médicos por meio de refeições , honorários e outros programas de marketing e educação.
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“A epidemia de opioides, que é responsável por milhares de mortes a cada ano, é uma tragédia nacional que devemos trabalhar e combater em todos os níveis” , disse Marshall em um relatório do Centro Médico de Boston sobre os resultados. Scott Hadland do Centro Médico de Boston é o principal autor do estudo.
“É nossa esperança que este estudo desencadeie uma conversa maior sobre o papel das empresas farmacêuticas na prescrição excessiva de medicamentos opioides e solicita uma investigação mais aprofundada sobre o que precisamos fazer para enfrentar esse problema”.
Aqui, Marshall compartilha pensamentos adicionais sobre o que a equipe encontrou e o que isso pode significar:
Que conexão pode haver entre os pagamentos dos fabricantes de medicamentos aos médicos e a atual epidemia de uso de opioides? Nesse estudo nacional, utilizamos dados dos Centros de Serviços Medicare e Medicaid (CMS) para rastrear os pagamentos relacionados a uma medicação opioide da indústria farmacêutica aos médicos. De acordo com uma lei implementada recentemente, as empresas farmacêuticas agora são obrigadas a denunciar todos os “valores de pagamentos” – pagamentos a médicos dos EUA.
O que achamos surpreendente: entre agosto de 2013 e dezembro de 2015, mais de 375 mil pagamentos relacionados a opiáceos foram feitos para mais de 68 mil médicos nos EUA. Embora o pagamento médio aos médicos tenha sido de US $ 15, mais de 1% dos médicos relataram receber mais de US $ 2,600 por ano em pagamentos relacionados à promoção de produtos opioides.
Embora a maioria dos desembolsos tenha sido pequena, para atividades como refeições patrocinadas pela indústria, pesquisas anteriores sugerem que os pagamentos das empresas farmacêuticas resultam em uma maior prescrição de medicamentos comercializados, mesmo quando esses pagamentos são de baixo valor monetário.
Como tal, é possível que esses pagamentos – particularmente um número tão grande de pagamentos – tenham levado ao alto nível de prescrição de opioides que continuamos a ver hoje. No mínimo, provavelmente são contraproducentes para esforços nacionais para reduzir a prescrição excessiva de opioides.
Como esses dados avançam nossa compreensão dessa possível conexão? A nosso conhecimento, este estudo é o primeiro a rastrear os pagamentos da indústria farmacêutica especificamente relacionados aos medicamentos opiáceos. Mostramos que esses medicamentos continuam a ser amplamente promovidos e comercializados, mesmo à luz da acelerada epidemia de opiáceos nos EUA.
Os pacientes devem saber que podem descobrir o tipo de pagamentos que seu médico recebeu para todos os medicamentos relacionados a coisas como viagens, presentes, taxas de fala e refeições – visitando o site do CMS.
O que te surpreendeu nesses números? Ficamos mais surpresos com o grande número de médicos que receberam um pagamento relacionado com opiáceos. Na verdade, um em cada 12 médicos (e um em cada cinco médicos de família) aceitou um pagamento relacionado a um produto opioide presencial durante o período de estudo. Esses números demonstram até que ponto as empresas farmacêuticas comercializam amplamente esses medicamentos para médicos em quase todas as partes do país.
Os pagamentos foram muito concentrados em 1% dos médicos, mas também foram muito difundidos (um em cada cinco médicos de família). Qual pode ser o significado desses padrões? Estamos muito preocupados com o grande número de médicos que receberam um pagamento relacionado a uma medicação opióide. Estamos particularmente preocupados com a alta porcentagem de médicos de família que receberam pagamentos, já que os médicos de cuidados primários são os provedores de primeira linha para os pacientes.
No entanto, o pequeno número de médicos que receberam pagamentos muito elevados requer uma investigação adicional. É possível que alguns médicos, depois de receber tanto dinheiro da indústria farmacêutica, promovam esses produtos para outros médicos em suas práticas e hospitais. Esta é outra maneira pela qual esses pagamentos podem estar influenciando os padrões de prescrição em geral.
Qual é o próximo? Existem outras questões-chave relacionadas a esta questão que devem ser exploradas? Atualmente, estamos estudando se as regiões do país com o maior número de pagamentos também são as mais afetadas pela mortalidade por excesso de opioides. Em última análise, gostaríamos de determinar se e como esses pagamentos afetam a prescrição de opiáceos e, por sua vez, como as práticas de prescrição estão relacionadas a maiores mortes por overdose.
Fonte: Futurity.org
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