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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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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.