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Healthy Skepticism Library item: 4050

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

Cockerill R.
Report on the 1989 survey of the dispensing practices and attitudes toward prescription drugs of Ontario pharmacists
1990;


Abstract:

Pharmacists report relatively little contact with sales representatives. The majority place few, if any, restrictions on visits by these people and they indicate that they have been offered very few benefits by them. The most important sources of information for pharmacists are the Compendium of Pharmaceuticals and Specialties, journal articles and drug information centres. Pharmaceutical company representatives and ads and promotional literature are ranked as least important, but even with these sources, approximately a quarter of the pharmacists claimed they are an important, or very important source of information. Pharmacists licensed after 1980 are more likely to rely on journal articles, drug information centres and consultations with prescribers and pharmacists for their drug information. Only about half of the pharmacists feel that there is a potential conflict of interest in pharmacists accepting benefits from pharmaceutical companies, and this percent is significantly lower for those licensed after 1980. Only about half agree that the Ontario College of Pharmacists should set and enforce guidelines for conflict of interest concerning benefits from pharmaceutical companies. Pharmacists are supportive of regulations requiring drug companies to include information about contraindications, side-effects and costs in their advertisements.

Keywords:
*analytic survey/Canada/pharmacies and pharmacists/source of information/value of promotion/sales representatives/conflict of interest/gift giving/regulation of promotion/guidelines, discussion of/quality of information/safety & risk information/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSION STUDENTS/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/PROMOTION AS A SOURCE OF INFORMATION: PHARMACISTS/PROMOTIONAL TECHNIQUES: DETAILING/PROMOTIONAL TECHNIQUES: JOURNAL ADVERTISEMENTS/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS

 

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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