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Research Letter
June 10, 2019

Understanding the Nature and Extent of Pharmaceutical Industry Payments to Nonphysician Clinicians

Author Affiliations
  • 1Charles Perkins Centre, School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia
  • 2Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
JAMA Intern Med. Published online June 10, 2019. doi:10.1001/jamainternmed.2019.1371

Payments from pharmaceutical companies to physicians are pervasive and associated with poorer-quality prescribing and increased health care costs.1 Little is known about payments to nonprescribing clinicians, despite their vital role in patient care, medication management, and health care administration.2 Assumptions persist among clinicians and policy makers that marketing to nonphysicians is inconsequential because they do not prescribe3; however, emerging evidence suggests that nurses and pharmacists frequently interact with sales representatives.2

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