Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

A “patient-industry complex”? Investigating the financial dependency of UK patient organisations on drug company funding

Ozieranski, Piotr ; Janos, Pitter ; Rickard, Emily ; Mulinari, Shai LU and Csanadi, Marcell (2022) In Sociology of Health & Illness 44(1). p.188-210
Abstract
We examined the minimum extent of dependency of UK patient organisations on pharmaceutical industry funding using drug company disclosure reports and patient organisation financial accounts from 2012 to 2016. We used linear regression to explain the overall share of industry funding (‘general dependency’) and top donor funding (‘company-specific dependency’) in organisations’ income. Predictors included patient organisations’ goal; having members and volunteers; geographical scope of activity; headquarter location; expenditure/income ratio; and disease area. The prevalent low levels of general dependency (IQR, 0.1%–6.0%) and company-specific dependency (IQR, 0.1%–4.3%) made a widespread capture of patient organisations unlikely, though... (More)
We examined the minimum extent of dependency of UK patient organisations on pharmaceutical industry funding using drug company disclosure reports and patient organisation financial accounts from 2012 to 2016. We used linear regression to explain the overall share of industry funding (‘general dependency’) and top donor funding (‘company-specific dependency’) in organisations’ income. Predictors included patient organisations’ goal; having members and volunteers; geographical scope of activity; headquarter location; expenditure/income ratio; and disease area. The prevalent low levels of general dependency (IQR, 0.1%–6.0%) and company-specific dependency (IQR, 0.1%–4.3%) made a widespread capture of patient organisations unlikely, though only if one excludes the possibility of significant payment under-reporting. However, organisations with considerably higher dependency than others might be more prone to co-optation by industry. Of the 398 organisations, 18 (4.5%) and 8 (2.0%) had general and company-specific financial dependency over 50%, respectively. However, the shares of outliers exceeding the third quartile plus 1.5 times IQR were 51 (12.8%) and 56 (14.1%) for each dependency type. Certain characteristics including activity profile (advocacy) or indicating limited access to resources (remote location) made organisations vulnerable to developing financial dependency. Future research should examine both financial and non-financial links between the two sides and their impact on patient organisations’ activity. (Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
conflicts of interest, financial dependency, patient organisations, pharmaceutical industry, transparency
in
Sociology of Health & Illness
volume
44
issue
1
pages
188 - 210
publisher
Wiley-Blackwell
external identifiers
  • scopus:85120626753
  • pmid:34874566
ISSN
1467-9566
DOI
10.1111/1467-9566.13409
project
What can be learnt from the new pharmaceutical industry payment disclosures? A network and policy analysis of ties between companies and health professionals and organisations
Following the money: cross-national study of pharmaceutical industry payments to medical associations and patient organisations
language
English
LU publication?
yes
id
3b490082-d03e-45fb-a5f1-b86c9cd1eeb8
date added to LUP
2021-11-03 22:29:25
date last changed
2022-11-08 05:27:05
@article{3b490082-d03e-45fb-a5f1-b86c9cd1eeb8,
  abstract     = {{We examined the minimum extent of dependency of UK patient organisations on pharmaceutical industry funding using drug company disclosure reports and patient organisation financial accounts from 2012 to 2016. We used linear regression to explain the overall share of industry funding (‘general dependency’) and top donor funding (‘company-specific dependency’) in organisations’ income. Predictors included patient organisations’ goal; having members and volunteers; geographical scope of activity; headquarter location; expenditure/income ratio; and disease area. The prevalent low levels of general dependency (IQR, 0.1%–6.0%) and company-specific dependency (IQR, 0.1%–4.3%) made a widespread capture of patient organisations unlikely, though only if one excludes the possibility of significant payment under-reporting. However, organisations with considerably higher dependency than others might be more prone to co-optation by industry. Of the 398 organisations, 18 (4.5%) and 8 (2.0%) had general and company-specific financial dependency over 50%, respectively. However, the shares of outliers exceeding the third quartile plus 1.5 times IQR were 51 (12.8%) and 56 (14.1%) for each dependency type. Certain characteristics including activity profile (advocacy) or indicating limited access to resources (remote location) made organisations vulnerable to developing financial dependency. Future research should examine both financial and non-financial links between the two sides and their impact on patient organisations’ activity.}},
  author       = {{Ozieranski, Piotr and Janos, Pitter and Rickard, Emily and Mulinari, Shai and Csanadi, Marcell}},
  issn         = {{1467-9566}},
  keywords     = {{conflicts of interest; financial dependency; patient organisations; pharmaceutical industry; transparency}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  pages        = {{188--210}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Sociology of Health & Illness}},
  title        = {{A “patient-industry complex”? Investigating the financial dependency of UK patient organisations on drug company funding}},
  url          = {{https://lup.lub.lu.se/search/files/110640582/1467_9566.13409.pdf}},
  doi          = {{10.1111/1467-9566.13409}},
  volume       = {{44}},
  year         = {{2022}},
}