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Healthy Skepticism Library item: 18741

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: news

Silverman E
Doctors To Sales Reps: Go Away And Stay There!
Pharmalot 2010 Oct 13
http://www.pharmalot.com/2010/10/doctors-to-sales-reps-go-away-and-stay-there/


Full text:

So how many reps visit a doctor’s office each week? A survey finds that nearly 98 percent of physicians who are accustomed to multiple visits from sales reps each week reported that the number of appearances were unchanged between June 2010 and December 2009, when the survey was last undertaken. Either way, the implication is that a rep comes knocking comes knocking every two hours.
Meanwhile, about 77 percent of all docs allow reps across the threshhold, a percentage that has actually held steady since a December 2008 survey. And almost half of the docs require reps to make an appointment, a figure that remains unchanged from December 2009, but up from 38 percent at the end of 2008. The survey of 680,000 docs was conducted by SK&A, a market research firm.
Who’s most likely to turn reps away? More than 92 percent of diagnostic radiologists, almost 92 percent of pathologists and about 91 percent of neuroradiologists have a ‘no-access’ policy, and these rates have remaind the same for the past couple of years. On the other hand, allergists and diabetes specialists have welcoming arms (see the results here).
Meanwhile, practices with fewer patients seen each day are less likely to see sales reps. For instance, nearly 29 percent of those with a daily patient volume of one to 10 people refuse reps, while those with a daily patient volume of 31 to 40 have a 13.4 percent no-access rate. Why the discrepancy? SK&A says practices with just one doc are too busy to break from patients to see reps.
At the same time, larger practices are less likely to grant access. Practices with one to two docs have a no-access rate of 13.3 percent, and practices with 10 or more docs have a no-access rate of 42.2 percent. Not surprisingly, offices owned by health systems and hospitals are tougher: these have no-access rates of 30.8 percent and 29.6 percent, respectively.

 

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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