Incentive-linked prescribing and preventable medication-related harm: A narrative review

Authors
Muhammad Naveed Noor, Mishal Sameer Khan, Janice Linton, Rumina Hasan, and Sadia Shakoor
Published
July 25, 2026
Abstract
Medication-related harm is a leading cause of adverse health outcomes worldwide. However, incentive-linked prescribing – a practice where physicians prescribe expensive or unnecessary medications in exchange for incentives from pharmaceutical companies – is often overlooked as a contributing factor to medication-related harm. In this narrative review, we discuss how incentive-linked prescribing is not only medically harmful to patients and financially burdensome for both patients and healthcare systems but also has significant negative societal consequences. Since incentive-linked prescribing is covert and difficult to quantify, assessing its impact on medication-related harm and patient health outcomes becomes challenging. In addition to dedicated investments in future research on the harms associated with incentive-linked prescribing, the implementation of clear ethical guidelines for medical practice and robust regulatory controls is essential to mitigate this practice.
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