Healthy Skepticism Library item: 4324

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

Caudill TS, Lurie N, Rich EC.
The influence of pharmaceutical industry advertising on physician prescribing
Journal of Drug Issues 1992; 22:331-338

Abstract:

The pharmaceutical industry liberally supplies physicians with information on new drugs. Multiple advertising techniques are used to relay this information. Preliminary evidence suggests that industry information is valued by many physicians and is often used when making drug therapy decisions. As a result, many agencies and organizations are taking steps to regulate industry marketing and physician prescribing. More research is needed, however, to determine the nature and the degree of the effects of industry-provided information. This information can inform both physicians and policy makers regarding the appropriate role of the pharmaceutical industry in medical practice.

Keywords:
*nonsystematic review/attitude toward promotion/doctors/relationship between medical profession and industry/sales representatives/regulation of promotion/quality of prescribing/developed countries/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/EVALUATION OF PROMOTION: DETAILING/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/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