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Healthy Skepticism Library item: 13946

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

Mamdani M, Ching A, Golden B, Melo M, Menzefricke U.
Challenges to evidence-based prescribing in clinical practice.
Ann Pharmacother. 2008 May; 42:(5):704-7
http://www.theannals.com/cgi/content/full/42/5/704


Abstract:

Although there appears to be widespread support of evidence-based medicine as a basis for rational prescribing, the challenges to it are significant and often justified. A multitude of factors other than evidence drive clinical decision-making, including patient preferences and social circumstances, presence of disease-drug and drug-drug interactions, clinical experience, competing demands from more pressing clinical conditions, marketing and promotional activity, and system-level drug policies.

Keywords:
Evidence-Based Medicine/methods Evidence-Based Medicine/standards* Evidence-Based Medicine/trends Family Practice/methods Family Practice/standards* Family Practice/trends Humans Practice Guidelines as Topic/standards Prescriptions, Drug/standards*

 

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As an advertising man, I can assure you that advertising which does not work does not continue to run. If experience did not show beyond doubt that the great majority of doctors are splendidly responsive to current [prescription drug] advertising, new techniques would be devised in short order. And if, indeed, candor, accuracy, scientific completeness, and a permanent ban on cartoons came to be essential for the successful promotion of [prescription] drugs, advertising would have no choice but to comply.
- Pierre R. Garai (advertising executive) 1963