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Healthy Skepticism Library item: 3551

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

Hopley PJ, Rich AJ.
Pharmaceutical company representatives - an activity analysis
Pharmaceutical Journal 1988; 241:R21-22


Abstract:

A code of practice for pharmaceutical representatives was introduced for a 640-bed teaching hospital. The six main points of the code were: (1) reps should register their visit and purpose at a reception desk in the pharmacy, (2) they should wear an ID badge, (3), visits should be by prior appointment where possible, (4) reps must not enter clinical areas without permission, (5) all medicine supplies must be arranged through the pharmacy, (6) reps should respect hospital drug use policies. The reception desk provided information including staff lists, the hospital formulary, and policy statements. During six months, 85 companies were represented by 655 recorded visits, and 1,020 individuals or departments were called on. The number of calls per working day was 7.8. Nine companies made 40% of calls; this correlates poorly with sales value, number of products, and product changes. The code was generally well observed, but ID badges were often not worn and it can be assumed that not all calls were recorded. It is felt that similar codes should be more widely used. Some companies, in conjunction with hospital staff, should consider whether there may be more economical and efficient means of providing information to prescribers and pharmacists.

Keywords:
*retrospective observational study/United Kingdom/

 

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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