Pharmaceutical Industry Support of US Patient Advocacy Organizations: An International Context

Objectives. To examine whether We share or pharmaceutical industry Funds allocated to patient advocacy organizations (PAOs) is disproportionately large in the United States relative to other industrialized countries and to compare pharmaceutical companies' disclosure practices across industrialized countries. Methods. We examined funding or PAOs among the 10 largest pharmaceutical corn panics in 2016. We compared Funding allocated to organizations across 8 large industrialized countries and pharmaceutical companies' disclosure practices in each country. Results. Only 6 or the 10 largest pharmaceutical companies disclosed their financial transactions with PAOs in the United States. All 10 companies disclosed transactions in France, Germany, and the United Kingdom, with varying levels of disclosure in other countries. In 2016, the 6 companies that disclosed transactions in the United States allocated 74% of their patient advocacy funding ($88 million) in the United States. Conclusions, The disproportionate Funding or US PAOs in the absence of any disclosure requirements suggests that the United States should consideradoption of regulatory actions to enhance the transparency of relationships between the pharmaceutical industry and PAOs, and to ensure the integrity of public health decision-making.