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Healthy Skepticism Library item: 417

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

Westfall JM, McCabe J, Nicholas RA.
Personal use of drug samples by physicians and office staff.
JAMA 1997 Jul 9; 278:(2):141-3
http://jama.ama-assn.org/cgi/content/abstract/278/2/141?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=1&author1=Westfall+JM&author2=Nicholas+RA&title=Personal+&andorexacttitle=and&andorexacttitleabs=and&andorexactfulltext=and&searchid=1124524024400_83&stored_search=&FIRSTINDEX=0&sortspec=relevance&journalcode=jama


Abstract:

CONTEXT: Pharmaceutical samples are commonly used in ambulatory care settings. There is limited research on their use or impact on health care providers and patients. OBJECTIVE: To determine the extent of personal use of drug samples over a 1-year period by physicians and medical office staff. DESIGN, SUBJECTS, AND SETTING: An anonymous cross-sectional survey of all physicians, resident physicians, nursing staff, and office staff in a family practice residency. MAIN OUTCOME MEASURE: Quantity of drug samples taken for personal or family use. RESULTS: Of 55 surveys issued, 53 (96%) were returned. A total of 230 separate drug samples were reported taken in amounts ranging from 1 dose to greater than 1 month’s supply. Two respondents reported no use of drug samples, while 4 respondents reported taking more than 10 different samples. CONCLUSION: Drug samples are commonly taken by physicians and office staff for personal and family use. The ethical implications of this practice warrant further discussion.

Keywords:
*analytic survey United States doctors office staff drug samples physicians in training bioethics EVALUATION OF PROMOTION: SAMPLES PROMOTIONAL TECHNIQUES: SAMPLES

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963