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Healthy Skepticism Library item: 2972

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

Shearer SW, Gagnon JP, Eckel FM.
Community, hospital and clinical pharmacists and drug information centers as physician drug information sources.
Am J Hosp Pharm 1978 Aug; 35:(8):909-14


Abstract:

The use of drug information centers and clinical, hospital and community pharmacists by university and community practice physicians in North Carolina was examined. Questionnaires were sent to 674 nonfederal physicians with a response rate of 203 (35.5%). Approximately half of the sample were staff members of a university hospital. The questionnaire covered eight types of drug information. Significant results were reported at the p = 0.05 level. Physicians sought specific drug information approximately one to four times a month. University hospital-affiliated physicians rated clinical and hospital pharmacists significantly higher than community pharmacists for six subject areas, and they also ranked clinical pharmacists over hospital pharmacists on four subject areas and considered them more reliable than other pharmacy drug information sources. Physicians associated with community hospitals ranked hospital pharmacists over community pharmacists as sources of information for four areas and rated them more reliable than other pharmacy drug information sources; this group preferred to use community pharmacists for information on product availability. It appears that clinical pharmacists are used by university-associated physicians as drug information sources. Use in community hospitals of the hospital pharmacist as a drug information source is better than the literature might suggest.

Keywords:
*analytic survey/United States/doctors/source of information/attitude toward promotion/Physicians’ Desk Reference/PDR/commercial compendia/sales representatives/journal advertisements/direct mail/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSION STUDENTS/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS Attitude of Health Personnel Community Pharmacy Services/utilization Drug Information Services/utilization* Information Services/utilization* North Carolina Pharmaceutical Services/utilization* Pharmacy Service, Hospital/utilization Physicians* Questionnaires Research Support, U.S. Gov't, Non-P.H.S.

 

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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