Healthy Skepticism Library item: 2138

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

Watkins C, Moore L, Harvey I, Carthy P, Robinson E, Brawn R.
Characteristics of general practitioners who frequently see drug industry representatives: national cross sectional study.
BMJ 2003 May 31; 326:(7400):1178-9
http://bmj.bmjjournals.com/cgi/content/full/326/7400/1178

Keywords:
MeSH Terms: Adult Aged Attitude of Health Personnel Cross-Sectional Studies Drug Industry* Family Practice/statistics & numerical data* Female Great Britain Humans Interprofessional Relations* Male Middle Aged Odds Ratio Physician's Practice Patterns Physicians, Family/psychology* Research Support, Non-U.S. Gov't

Notes:

Introduction

Variation in prescribing costs between general practitioners is well documented. We previously found that frequent general practitioner contact with drug industry representatives was strongly and independently associated with higher prescribing costs. This paper describes the attitudes and behaviour of general practitioners who report seeing drug representatives frequently.

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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