Interactions between Non-Physician Clinicians and Industry: A Systematic Review
Publication Date
November 26, 2013
Journal
PLOS Medicine
Authors
Quinn Grundy, Lisa Bero & Ruth Malone
Volume
10
Issue
11
Pages
e1001561
DOI
https://dx.plos.org/10.1371/journal.pmed.1001561
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1001561
Scopus
84888992602
Mendeley
http://www.mendeley.com/research/interactions-between-nonphysician-clinicians-industry-systematic-review
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Mendeley | Further Information

{"title"=>"Interactions between Non-Physician Clinicians and Industry: A Systematic Review", "type"=>"generic", "authors"=>[{"first_name"=>"Quinn", "last_name"=>"Grundy", "scopus_author_id"=>"36237571300"}, {"first_name"=>"Lisa", "last_name"=>"Bero", "scopus_author_id"=>"7006671378"}, {"first_name"=>"Ruth", "last_name"=>"Malone", "scopus_author_id"=>"7102088135"}], "year"=>2013, "source"=>"PLoS Medicine", "identifiers"=>{"pui"=>"370401973", "pmid"=>"24302892", "issn"=>"15491277", "doi"=>"10.1371/journal.pmed.1001561", "isbn"=>"1549-1277", "scopus"=>"2-s2.0-84888992602", "sgr"=>"84888992602"}, "id"=>"d7d4403f-06be-32f4-a0a5-c9246b4d16cc", "abstract"=>"BACKGROUND: With increasing restrictions placed on physician-industry interactions, industry marketing may target other health professionals. Recent health policy developments confer even greater importance on the decision making of non-physician clinicians. The purpose of this systematic review is to examine the types and implications of non-physician clinician-industry interactions in clinical practice.\\n\\nMETHODS AND FINDINGS: We searched MEDLINE and Web of Science from January 1, 1946, through June 24, 2013, according to PRISMA guidelines. Non-physician clinicians eligible for inclusion were: Registered Nurses, nurse prescribers, Physician Assistants, pharmacists, dieticians, and physical or occupational therapists; trainee samples were excluded. Fifteen studies met inclusion criteria. Data were synthesized qualitatively into eight outcome domains: nature and frequency of industry interactions; attitudes toward industry; perceived ethical acceptability of interactions; perceived marketing influence; perceived reliability of industry information; preparation for industry interactions; reactions to industry relations policy; and management of industry interactions. Non-physician clinicians reported interacting with the pharmaceutical and infant formula industries. Clinicians across disciplines met with pharmaceutical representatives regularly and relied on them for practice information. Clinicians frequently received industry \"information,\" attended sponsored \"education,\" and acted as distributors for similar materials targeted at patients. Clinicians generally regarded this as an ethical use of industry resources, and felt they could detect \"promotion\" while benefiting from industry \"information.\" Free samples were among the most approved and common ways that clinicians interacted with industry. Included studies were observational and of varying methodological rigor; thus, these findings may not be generalizable. This review is, however, the first to our knowledge to provide a descriptive analysis of this literature.\\n\\nCONCLUSIONS: Non-physician clinicians' generally positive attitudes toward industry interactions, despite their recognition of issues related to bias, suggest that industry interactions are normalized in clinical practice across non-physician disciplines. Industry relations policy should address all disciplines and be implemented consistently in order to mitigate conflicts of interest and address such interactions' potential to affect patient care. Please see later in the article for the Editors' Summary.", "link"=>"http://www.mendeley.com/research/interactions-between-nonphysician-clinicians-industry-systematic-review", "reader_count"=>63, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>3, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>8, "Student > Master"=>13, "Other"=>5, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>3, "Researcher"=>11, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>6, "Student > Postgraduate"=>8, "Student > Master"=>13, "Other"=>5, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>11, "Agricultural and Biological Sciences"=>2, "Medicine and Dentistry"=>27, "Philosophy"=>2, "Arts and Humanities"=>1, "Pharmacology, Toxicology and Pharmaceutical Science"=>4, "Business, Management and Accounting"=>1, "Psychology"=>2, "Chemistry"=>1, "Social Sciences"=>6}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>27}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>6}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>11}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>5}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>4}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Philosophy"=>{"Philosophy"=>2}}, "reader_count_by_country"=>{"Canada"=>2, "Turkey"=>1, "United States"=>1, "United Kingdom"=>1, "Spain"=>2}, "group_count"=>10}

Scopus | Further Information

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