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Healthy Skepticism Library item: 6275

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: news

Roner L.
Collateral Damage: Drug samples under fire
eye for pharma 2006 Oct 11
http://www.eyeforpharma.com/index.asp?nli=o&g-p&nld=10/17/2006&news=52965


Full text:

Collateral Damage: Drug samples under fire
(10/11/2006)

Print version

A new study to be published in the October issue of Journal of Medical Ethics reports that one in three US physicians believes getting free drug samples from pharmaceutical companies affects doctors’ decisions about which medicines to prescribe to their patients.

Among 217 US obstetricians and gynecologists surveyed for the study, 92% said getting samples was ethically acceptable, but a third acknowledged that the handouts might influence their drug choice. Participating physicians tended to believe, however, that free samples were likely to have more influence on other doctors than on their own prescribing habits.

According to the study conducted by a research team at the American College of Obstetricians and Gynecologists, drug samples are the fastest-growing form of marketing by drug companies. The value of free samples reached $16 billion, or 63%, of the $25.3 billion the industry spent in the US to market their products in 2003.

“Fewer than two-thirds of our respondents indicated that they distributed free samples on the basis of their knowledge of the drug’s effectiveness,” the study says.

Doctors in the study said they mostly handed out samples based on patients’ perceived financial need. Others said they distributed samples because they were available and convenient for patients.

The study’s authors recommend discontinuing free samples and other gifts from drug makers.

“The only way to exclude bias is to do away with incentive items entirely, because bias remains even when people are taught about bias,” the study’s authors say.

Drug samples are just the latest focus in the ongoing scrutiny of the industry’s marketing practices. Pharmas need to anticipate that marketing reform advocates will eventually get their way and have the practice of providing doctors – and patients – with free samples prohibited.

The shame is that although the industry will adapt and find other ways to get its product messages out to physicians, patients in financial need will lose one more avenue to access the drugs they need in a system that increasingly fails to meet their needs.

Author: Lisa Roner, Editor, eyeforpharma Briefing

 

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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