Ontario bill would require disclosure of pharmaceutical payments to health professionals

Ontario would become the first province to require public disclosure of payments that pharmaceutical and medical device
companies make to doctors, under legislation that will be introduced Wednesday.

Health Minister Eric Hoskins said it's about empowering patients. "It gives them tools and information that they can then use to make more informed decisions about their own health care, so I believe it's something Ontarians want and deserve," he said in an interview Tuesday.

"We are the first jurisdiction in Canada to undertake this, so I think that that leadership by Ontario is important on an issue that I think resonates with all Canadians."

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The province consulted over the summer with patient groups, health-care providers and the pharmaceutical and medical device industries about payments such as speaking engagement fees, paid meals, and travel expenses. The legislation would require disclosure of the payments and create an online, searchable database of that information.

Ten major pharmaceutical companies released data earlier this year showing they had paid nearly $50 million to Canadian health-care professionals and organizations last year. Payments from pharmaceutical companies to health-care providers can raise concerns about conflicts of interest in the prescribing
and promotion of certain drugs.

But Hoskins said introducing legislation shouldn't imply that the government believes there are negative connotations to such payments. "What we want to do is we want to ... present information so that patients and health providers and the industry can have a better understanding of the nature of the transactions that are taking place."

There are already some restrictions in Ontario on the types of benefits that can be received, but disclosure isn't always required.

A policy from the regulatory body for doctors in the province says physicians must not accept compensation from the pharmaceutical, biotechnology and medical device industries in exchange for meeting with promotional representatives, and they must not accept personal gifts.

They can, however, accept items such as teaching aids that benefit patients, under the College of Physicians and Surgeons of Ontario's policy. They can also accept drug samples.

Doctors are allowed to accept compensation at "fair market value" for presenting at industry-supported continuing education events, sitting on advisory or consultation boards, and for participating in industry research.

The Ontario Medical Association has said it hoped any changes to disclosure rules would be applied to all health-care professionals to ensure doctors are on a level playing field.  Hoskins said Tuesday it would apply to all regulated health professions in the province.

'Substantial consultation'

But many of the details, such as the minimum payment that would trigger the disclosure requirement, will be left out of the legislation and decided through regulations.

"We had a substantial consultation over the course of the summer and there was clear and broad support for the direction that we're taking and the support for this proposed legislation," Hoskins said. "We'll have that opportunity as we go forward...to continue the dialogue and continue the consultation and learn from other jurisdictions, but also hear from stakeholders."

Patients in the United States, Australia and some European countries can already go online to see how much money their health-care providers have received from pharmaceutical companies.