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Healthy Skepticism Library item: 4012

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

Greenwood J.
Prescribing and salesmanship
HAI News 1989 Aug; (48):1-2, 11


Abstract:

The study examined the use general practitioners made of information sources and their impact upon prescribing for both new and current medications. Although most general practitioners considered professional sources more important than commercial ones, 36% considered the sales representative a “very important influence”. When GPs were asked to state which source they had used in the decision to prescribe a new drug, the sales representative received the highest frequency of mentions. In the case of one product,some 77% of GPs favoured the “commercial” view of a product rather than the weight of medical evidence, while “commercial” views of three other products were favoured by 55%, 28% and 13% of GPs respectively. Sales representatives were also interviewed. The most striking finding here was that two thirds of the responses could be regarded as critical of the pharmaceutical industry as a whole and just under half of the responses were comments which were directly critical of representatives as a group.

Keywords:
*analytic survey/United Kingdom/primary care doctors/sales representatives/source of information/attitude toward promotion/attitude toward industry/quality of prescribing/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ATTITUDES REGARDING PROMOTION: SALES REPRESENTATIVES/EVALUATION OF PROMOTION: DETAILING/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS

 

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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