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Healthy Skepticism Library item: 3063

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

Christensen DB, Bush PJ.
Drug prescribing: patterns, problems and proposals.
Soc Sci Med [A] 1981 May; 15:(3):


Abstract:

(Limited to parts of article dealing with promotion.) The trend in recent years has been away from the use of drug industry-based sources of information by physicians. It is difficult to ascertain the reason for this shift. One possible explanation is that physicians coming into practice are better educated, with better alternative drug information sources available. Another is that this trend is a reaction to increased skepticism and criticism toward the drug industry. Other studies have demonstrated that more appropriate prescribers used journal articles more frequently as sources of prescribing information and journal advertisements less frequently. Better prescribers also had less favourable attitudes toward the pharmaceutical industry.

Keywords:
*nonsystematic review/source of information/quality of prescribing/sales representatives/journal advertisements/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/PROMOTIONAL TECHNIQUES: DETAILING/PROMOTIONAL TECHNIQUES: JOURNAL ADVERTISEMENTS Drug Industry Drug Information Services Drug Utilization/trends* Health Services Research/trends Models, Theoretical Physicians* Prescriptions, Drug*

 

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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