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Abstract
Institutional conflicts of interest (ICOIs) with pharmaceutical companies can bias internal operation of healthcare organizations. Naturally, a scholarship donation—which is a donation scheme unique to Japan, provided to healthcare organizations and their subunits to encourage educational and academic activities related to the development of new drugs—fall into the ICOI category. While anecdotal evidence exists that scholarship donations have been used as bribes by pharmaceutical companies, there has been little case study research that would illuminate the workings of this “gray area” mechanism. From this perspective, we offer an in-depth analysis of a recent scandal involving the Department of Clinical Anesthesiology, Mie University and Ono Pharmaceutical, where a scholarship donation was used by a pharmaceutical company to increase the prescription of one of its key drugs at a hospital department. Available evidence also suggests that a professor based within the department originally requested a scholarship donation from the company, which became an initial trigger of the scandal. We argue that by scrutinizing scholarship donations we can gain insight into problems specific to ICOIs between the pharmaceutical companies and the healthcare sector in Japan. In addition, scholarship donations can be understood as a form of “gifts” which have been found to underpin certain forms of pharmaceutical companies' promotional activities in Japan but also in other countries. We conclude by highlighting potential institutional remedies, which may alleviate ICOIs and corrupt behavior affecting the healthcare sector.
Original language | English |
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Article number | 762637 |
Journal | Frontiers in Public Health |
Volume | 9 |
DOIs | |
Publication status | Published - 3 Jan 2022 |
Bibliographical note
Funding Information:We appreciate constructive opinion from Professor Andy Crump on this manuscript.
Funding
Conflict of Interest: AO receives personal fees from Medical Network Systems outside the scope of the submitted work. TT receives personal fees from Medical Network Systems and Bionics Co. Ltd. outside the scope of the submitted work. PO’s Ph.D. student was supported by a grant from Sigma Pharmaceuticals, a UK pharmacy wholesaler and distributor (not a pharmaceutical company). The Ph.D. work funded by Sigma Pharmaceuticals is unrelated to the subject of this paper.
Keywords
- anesthesiology
- conflicts of interest
- ethics
- Japan
- Mie University
- pharmaceutical companies
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
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Dive into the research topics of 'How Do Institutional Conflicts of Interest Between Pharmaceutical Companies and the Healthcare Sector Become Corrupt? A Case Study of Scholarship Donations Between Department of Clinical Anesthesiology, Mie University, and Ono Pharmaceutical in Japan'. Together they form a unique fingerprint.Projects
- 1 Finished
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Following the money: cross-national study of pharmaceutical industry payments to medical associations and patient organisations
Ozieranski, P. (PI)
1/01/21 → 31/12/24
Project: Other