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Healthy Skepticism Library item: 17392

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: Newspaper Article

Vogin GD
PhRMA Adopts New Marketing Code
Medscape Medical News 2002 Aug 9
http://www.medscape.com/viewarticle/439960


Abstract:

A new marketing code written by the Pharmaceutical Research and Manufacturers of America (PhRMA) to govern the industry’s relationships with physicians and other healthcare professionals went into effect last month.

“The new code makes it crystal clear that the interactions of company sales representatives with healthcare professionals are to benefit patients and enhance the practice of medicine,” said PhRMA President Alan F. Holmer. “It explicitly spells out that all interactions should be focused on informing healthcare professionals about products, providing scientific and educational information, and supporting medical research and education.”

The PhRMA Code on Interactions with Healthcare Professionals permits informational presentations and discussions – that provide valuable scientific and educational benefits – by industry representatives and others speaking on behalf of a company. According to the code, “In connection with such presentations and discussions, meals (but no entertainment/recreational events) may be offered so long as they: (a) are modest as judged by local standards; and (b) occur in a venue and manner conducive to informational communication and provide scientific or educational value.”

The code also states that inclusion of a healthcare professional’s spouse or other guests is not appropriate. And offering “take-out” meals or meals to be eaten in the absence of a company representative – such as “dine and dash” programs – is also inappropriate.

The code provides that token consulting or advisory arrangements should not be used to justify compensating healthcare professionals for their time or their travel, lodging, and other out-of-pocket expenses.

In addition, the code specifies that items primarily for the benefit of patients may be offered to healthcare professionals if they are not of substantial value ($100 or less). “For example,” the code states, “an anatomical model for use in an examination room primarily involves a patient benefit, whereas a VCR or CD player does not.”

The new code also provides that no grants, scholarships, subsidies, support, consulting contracts, or educational or practice-related items should be provided or offered to a healthcare professional in exchange for prescribing products or for a commitment to continue prescribing products. “Nothing should be offered or provided in a manner or on conditions that would interfere with the independence of a healthcare professional’s prescribing practices,” the code states.

The code also contains 10 frequently asked questions and answers to those questions. One question, for example, is whether golf balls and sports bags may be provided if they bear a company or product name. The answer: “No. Golf balls and sports bags, even if of minimal value, do not primarily entail a benefit to patients and are not primarily associated with the healthcare professional’s practice, even if they bear the name of a company or product.”

 

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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