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Healthy Skepticism Library item: 16079

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: report

D'Arcy E
Aligning Aspirations and Realising Ambitions: the challenges of the new era of engagement between experts and the pharmaceutical industry.
: KeywordPharma 2009 May
http://www.keywordpharma.com/selection6/


Abstract:

Interaction between the pharmaceutical industry and healthcare professionals has long been the subject of great scrutiny. Despite helping to produce significant advances in medical care, industry/physician collaboration still manages to evoke widespread criticism – from the media, right down to the grass roots of the medical profession; some journalists dismiss Key Opinion Leaders as being “drug representatives in disguise”, whereas many medical students regard the drug industry as a “necessary evil”. Recent calls for a “comprehensive ban on all industry funding of continuing medical education” show that a tipping point is fast approaching. So what does the pharmaceutical industry need to do to improve the perception of industry/physician interaction and deliver true value to its most important customer group: the patient?

Progress depends on addressing a series of key challenges. The contribution that physician-pharmaceutical industry interactions (PPII) make to medical science needs to be assessed objectively. The industry must move away from the ‘command and control’ mentality with which it has often approached collaboration and instead encourage transparent engagement with all stakeholders, to align aspirations towards a shared goal – the improvement of human health. The adoption of web and multimedia technologies will undoubtedly enhance the sector’s ability to interact with its customers, and promises significant cost savings. At the same time, efforts need to be made to provide medical students with formal education about the pharmaceutical industry, to ensure tomorrow’s doctors don’t have today’s doubts and yesterday’s knowledge…


Notes:

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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