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Healthy Skepticism Library item: 2143

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

Haayer F.
Rational prescribing and sources of information.
Soc Sci Med 1982; 16:(23):2017-23


Abstract:

The hypothesis that prescribing rationality is related to physician rather than patient characteristics was investigated and the relationship between prescribing rationality and the use of different sources of drug information and age of the General Practitioner was examined. Prescribing rationality was assessed by a panel of experts with the case-history method. Data on the use of different sources of information were collected in a follow-up interview. One hundred sixteen (116) General Practitioners in Twente (a region in the east of the Netherlands) cooperated in the study. It was found that prescribing rationality is a physician characteristic. Younger General Practitioners prescribe in a more rational way than their older colleagues and this is partly reflected in the patterns of obtaining information. None of the studied professional sources of information seemed to have a great impact on prescribing rationality, with the exception of reliance on general medical journals instead of on drug oriented journals as a source of drug-information. This was negatively associated with prescribing rationality as well as reliance on the information of drug firms.

Keywords:
Publication Types: Case Reports MeSH Terms: Adult Aged Drug Information Services Drug Therapy/education* Drug Utilization Education, Medical, Continuing Family Practice Female Humans Male Prescriptions, Drug* Research Support, Non-U.S. Gov't

 

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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