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Healthy Skepticism Library item: 18250

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

Ed.
Rational use of medicines
Lancet 2010 Jun 12; 375:(9731):2052
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60944-0/fulltext


Abstract:

According to a fact sheet by WHO (May, 2010) about the rational use of medicines, more than 50% of all medicines are not correctly prescribed, dispensed, and sold; and more than 50% of patients take their drugs incorrectly. The situation is worse in developing countries, with less than 40% of patients in the public sector and less than 30% in the private sector being treated according to clinical guidelines. Several factors contribute to the incorrect use of medicines-eg, prescribers might obtain information about treatments from pharmaceutical companies rather than referring to evidence-based clinical guidelines; incomplete diagnosis of a patient’s disease could result in inadequate provision of treatment; and patients might seek affordable versions of expensive drugs on the internet that are not quality assured.

 

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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