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Healthy Skepticism Library item: 647

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

Williams PA, Cockerill R, Lowy FH.
The physician as prescriber: relations between knowledge about prescription drugs, encounters with patients and the pharmaceutical industry, and prescription volume
Health and Canadian Society 1995; 3:135-166

Keywords:
*analytic survey Canada doctors quality of prescribing source of information sales representatives attitude toward promotion gift giving drug company sponsored meals and travel sponsored symposia & conferences promotion costs and volume ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS EDUCATING ABOUT PROMOTION: PHYSICIANS IN TRAINING INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE PROMOTION AS A SOURCE OF INFORMATION: DOCTORS VOLUME OF AND EXPENDITURE ON PROMOTION


Notes:

(Limited to parts of article dealing with promotion.) This paper analyzes data on interactions between physicians and the pharmaceutical industry based on a data from a representative survey of Ontario doctors. Overall doctors were skeptical about industry sources of information but despite this contacts between physicians and the industry were frequent. Over 25% of the highest volume prescribers rated “company representatives” as important sources of information and more than a third judged corporate seminars in the same way. Doctors frequently received benefits from sales representatives such as meals, stationary and 10% had accepted “conference fees.” Recommendations for changing the way that physicians interact with the industry are offered.

 

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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