{"id":370,"date":"2015-04-29T06:22:58","date_gmt":"2015-04-29T06:22:58","guid":{"rendered":"http:\/\/www.dailyrounds.org\/blog\/?p=370"},"modified":"2015-04-29T14:54:12","modified_gmt":"2015-04-29T14:54:12","slug":"ucpmp-code-gifting-freebies-to-doctors-can-be-an-offence-soon","status":"publish","type":"post","link":"https:\/\/www.dailyrounds.org\/blog\/ucpmp-code-gifting-freebies-to-doctors-can-be-an-offence-soon\/","title":{"rendered":"UCPMP code: Gifting freebies to doctors can be an offence soon"},"content":{"rendered":"
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\n
\u200bAnnouncement : Hello Doctors, We have launched this Clinical Case + MCQ\u200b \u00a0Android App called “Daily Rounds”. You can install it from the Google Play Store<\/a>. This news is supported by the News section of Daily Rounds. Thank you, Read on<\/em><\/strong><\/div>\n<\/div>\n

 <\/p>\n

The pharmaceutical companies have been accused of massive enticements to secure prescriptions from a very long time. You all might have observed this trend right from the beginning of your internship or postgraduate program. Remember, these companies are catching you all right at the start of your career. The more you grow and develop the capacity to generate more business; heftier will be your enticements. And yes, it\u2019s business as usual for them. Needless to say that many doctors do resist these temptations but a sizeable doctors do not. Those who do not resist have seen a phenomenal increase in value of enticements they are offered over the years.<\/p>\n

The free for all enticements are inching towards an end. The pharmaceutical marketing is going to get a huge makeover in the coming days. The give and take policy employed by certain pharmaceutical companies might see an end. If you have been getting attractive gifts, entertainment tickets and expensive travel facilities from pharmaceutical firms, gear up for a life without all these freebies. The government is all set to tighten the noose around the erring companies in the coming days but before that there is a six-month window period allowed for companies to execute UCPMP voluntarily.<\/p>\n

So what exactly is UCPMP?<\/strong>
\nUniform code for Pharmaceutical Marketing Practices (UCPMP) is a voluntary code adopted by pharmaceutical industry to curb unethical practices. An interesting fact about this code; you all should know is that it existed from 2012 but most of the companies had turned a blind eye to this voluntary restraining code.<\/p>\n

You might have known or experienced companies blatantly violating these rules. Bigger and smaller companies, both without hesitation were involved in flaunting ethics to secure prescriptions. The extravaganza was so obvious that the government was forced to step in.
\nIf we start dissecting the present code, the opening statement presents us a clue that government is serious about it this time.
\n\u201cthe implementation will be reviewed after a period of six months from the date of issue, if it is found that it has not been implemented effectively by the Pharma Associations\/Companies, the Government may consider making it a statutory code.\u201d<\/strong><\/em>
\nThe pharmaceutical companies till now have succeeded in persuading the government against any such statutory code but any serious violations this time around might well change the government\u2019s attitude.<\/p>\n

What went wrong?<\/strong>
\nYou might have been wondering why the government waited so long to act on these practices. It was an open secret for many years that these enticements were controlling the prescriptions. There could be two reasons, which can explain the change in stance of government.<\/p>\n

The extravaganza was visible all over <\/strong><\/p>\n

The first reason seems quite plausible and most of you have guessed it right by now. The case of a phenomenal growth of an Ahmedabad based firm and the investigation into firm\u2019s activities resulted in over 300 doctors being questioned. The government might have shown a classical knee jerk reaction and issued a threat of a strict statutory law. IDMA is an organization, which represents domestic pharmaceutical firms.\u00a0In The Times of India article about ending freebies culture, Indian Drug Manufacturers Association (IDMA) general secretory Daara Patel opines that the code is too strict and they are in consultation with the government and further questions,\u201cif the companies don\u2019t educate about a particular medicine or disseminate information; how will doctors know about it.\u201d\u00a0<\/em><\/p>\n

Look, the MNCs have a obligation to avoid gifts<\/strong><\/p>\n

The second reason could well be lobbying from a certain group of pharmaceutical companies itself. In August 2014, Business Standard carried out an article where in it mentions the association; Organization of pharmaceutical Producers of India (OPPI) has urged Department of pharmaceuticals (DoP) to make the UCPMP a statutory code. OPPI Director General Ranjana Smetacek had quoted that UCPMP would bring in transparency and a level playing field in marketing. OPPI represents \u201cresearch based\u201d pharmaceutical companies; in short the foreign Multi National Companies (MNC\u2019s) in India. Is there a lobby within pharmaceutical companies; with one association pitting against other? The answer seems to be a positive one.<\/p>\n

Though many MNC\u2019s have been accused of unethical promotional activities in every other country, they are mainly related to promotion of offline indications. But the pressure on them to hold back on any unethical practices is growing steadily. With their research oriented approach and innovative molecules, they can afford for entirely scientific marketing.<\/p>\n

A Delhi based industry executive points out in a business world article that foreign MNCs have a compulsion for ethical behavior as their Indian actions can be questioned under the Bribery Act 2010 of UK and the Foreign Corrupt Practices Act of US. These laws make it difficult for them to compete and are voicing their support to ensure a level playing field.<\/p>\n

Freebies get a strict “no” in the code<\/strong>
\nFreebies played a central stage for many companies to secure prescriptions. You might have observed the freebies including many expensive and luxurious appliances. Hold your breath, these freebies might not be forthcoming in the coming days. The code makes it clear in no uncertain terms that any type of gifts or monetary compensation should not be given and so are the entertainment appeasements like movie tickets to healthcare professionals and their family. The companies will have a second thought about doling out any such freebies in the coming months.<\/p>\n

Travel facilities may persist<\/strong>
\nThe code bans companies and its associates from offering any kind of hospitability including travel, accommodation to any of the scientific activities, but mentions that it applies to all those who travels as a delegate. And if you are travelling as a delegate to a company sponsored event, be ready to shell out your own penny. But there is a slight catch here.
\nThe ensuing paragraph also mentions \u201cwhere there is any item missing, the Code of MCI as per Indian Medical Council (Professional conduct, etiquette and ethics) regulation prevails\u201d.
\nSo, as long as the activity is scientific, you need not have to think about spending much. The funding of scientific activity, of late is rerouted through associations of doctors and the Code of MCI has a clause wherein these associations can accept the donations from pharmaceutical companies. The result is that the scientific activity funding will stay; although in an indirect manner.<\/p>\n

The implementation burden<\/strong>
\nFinally, the burden of implementation rests with the managing team of the pharmaceutical companies. The penalties for non-compliance include removing of the erred company from the pharmaceutical association to initiating process of recovery of illegal enticements from the healthcare professional. And be ready to give back the enticements you receive; if ever these laws are strictly implemented. As the code clearly makes the company responsible for the violations, the freebies might well begin to trickle down significantly as the companies try to do a wait and watch game for the six months before the government takes a call on the code.<\/p>\n

You may be wondering why there is so much fuzz about these new codes if it is aiming at curtailing unethical practices. For this, you need to understand the importance of interaction between pharmaceutical industry and healthcare professional, which plays an important role in integrating the laboratory research into patient\u2019s healthcare. So, the need of the hour is the healthy relationship between healthcare professionals and pharmaceutical companies. The present code poses substantial threat to such meaningful interactions. The dissemination of accurate scientific information will result in better patient outcomes. More stringent measures, which make scientific funding more transparent like compulsory declaration of interests in any forum, will be a welcome move. The need for curbing unethical promotional activities is much necessary, but the laws should not be too restrictive for scientific promotional activities.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u200bAnnouncement : Hello Doctors, We have launched this Clinical Case + MCQ\u200b \u00a0Android App called “Daily Rounds”. You can install it from the Google Play Store. This news is supported by the News section of Daily Rounds. Thank you, Read on   The pharmaceutical companies have been accused of massive enticements to secure prescriptions from […]<\/p>\n","protected":false},"author":1,"featured_media":371,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[12],"tags":[],"class_list":["post-370","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"\nUCPMP code: Gifting freebies to doctors can be an offence soon - DailyRounds<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dailyrounds.org\/blog\/ucpmp-code-gifting-freebies-to-doctors-can-be-an-offence-soon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UCPMP code: Gifting freebies to doctors can be an offence soon - DailyRounds\" \/>\n<meta property=\"og:description\" content=\"\u200bAnnouncement : Hello Doctors, We have launched this Clinical Case + MCQ\u200b \u00a0Android App called “Daily Rounds”. 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