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Healthy Skepticism Library item: 8322

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Skutnik S, Katsanis LP.
Impact of initial noncompliance in Canadian retail pharmacies: descriptive examination
Journal of Pharmaceutical Marketing Management 1997; 11:(4):35-54


Abstract:

To examine the characteristics of unclaimed prescriptions in retail pharmacy outlets in a major metropolitan city and to determine whether the pharmaceutical industry, pharmacists, and physicians can play a role in the area of initial noncompliance, a descriptive study was conducted in 9 retail pharmacies belonging to the same corporate chain; an inventory of prepared and unclaimed prescriptions was surveyed 1 pharmacy at a time at random over a 4 wk period. Data was collected on a total of 254 unclaimed prescriptions. The average age of an unclaimed prescription was 39.4 days. The most noticeable group of unclaimed prescriptions were new verbals (32.6%), followed by renewed written prescriptions (27.2%) and new written prescriptions (20%). The majority of unclaimed prescriptions were for drugs taken more than once a day, the most common being cardiac drugs (13%), dermatologicals (11%), antibiotics (10%), hormones (10%), and respiratory drugs (9%). A higher proportion of the unclaimed prescriptions were for females (64.2%) vs males (35.8%) and the average age of the patients for whom the prescriptions were prepared was 44.5 yr. Almost one-quarter (23%) of the unclaimed prescriptions were paid for by a government program. It was concluded that a reminder, along with patient counseling by physicians, can be an effective tool for increasing patient compliance.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909