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Healthy Skepticism Library item: 12406

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

Arrais PS, Barreto ML, Coelho HL.
[Drug prescription and dispensing from the patient's perspective: a community-based study in Fortaleza, Ceará State, Brazil].
Cad Saude Publica 2007 Apr; 23:(4):927-37
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2007000400020&lng=en&nrm=iso&tlng=en


Abstract:

The objective of this study was to analyze aspects of the physician-patient and pharmacist-patient relationship, based on patients’ opinions. It consists of community-based research performed in Fortaleza, Ceará State, Brazil, where 957 persons were interviewed; 904 answered questions about the last visit to the physician and 831 about the last visit to the pharmacy. The data reflect several aspects of medical and pharmaceutical practice and patients’ attitudes towards the questions posed and information provided to guide rational use of drugs. In the therapeutic choice, physicians failed to ask their patients about hypersensitivity to drugs (65%) and use of other medication (64.1%) and ignored recommendations concerning adverse drug reactions (73.3%) and drug interactions (58.2%). The situation was even worse in hospitals, where in most cases a pharmacist’s assistant was responsible for dispensing to patients (57.1%). The study suggests poor quality in the medical and pharmaceutical roles and patient apathy towards proceedings involving the prescription and receipt of drugs in pharmacies, as well as in rational use.

Keywords:
Adolescent Adult Attitude of Health Personnel* Brazil Communication Cross-Sectional Studies Drug Packaging/standards* Female Humans Male Middle Aged Pharmaceutical Services/standards* Pharmaceutical Services/statistics & numerical data Pharmacists/standards Pharmacists/statistics & numerical data Physician-Patient Relations Prescriptions, Drug/standards* Prescriptions, Drug/statistics & numerical data Private Sector Professional-Patient Relations* Public Sector Questionnaires

 

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A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.