Healthy Skepticism Library item: 4193

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

Hume AL, Shaughnessy AF.
Sources of influence on the prescribing practices of residents in family medicine.
DICP 1991 Jan; 25:(1):102-3

Abstract:

In a survey of 381 residents in family medicine, sales representatives and journal articles tied for third place as the most important source of drug information. 97% of respondents said that detailers had direct access to the medical staff. Several respondents noted that the widespread availability of samples influenced prescribing behaviour.

Keywords:
*letter to the editor/*analytic survey/United States/physicians in training/primary care doctors/sales representatives/source of information/drug samples/quality of prescribing/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/PROMOTIONAL TECHNIQUES: DETAILING/PROMOTIONAL TECHNIQUES: SAMPLES Drug Information Services* Family Practice* Humans Physician's Practice Patterns* Prescriptions, Drug

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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