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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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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