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Healthy Skepticism Library item: 7745

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

Smith NV, Ramseyer KE.
Taking the package insert into the electronic age
Drug Information Journal 2002; 36:(2):429-434


Abstract:

The United States Package Insert, often referred to as the package insert (PI), contains information critical to appropriate prescribing of pharmaceutical products. This printed document evolves throughout the life cycle of a product, and under Current regulated dissemination methods, having the PI physically accompany the product may not provide information to prescribers, Pharmacists, and other health care providers as efficiently as proposed enhanced dissemination methods. To overcome this and other inherent problems of present PIs, the Pharmaceutical Research and Manufacturers of America established a task force. This task force published a white paper detailing the idea of a real-time electronic version of the package insert (ePI). However, opposition to this transition abounds from multiple sources. To better assess the opposition to and the impact of the ePI on pharmacists and pharmacy practice, information was collected through a survey at the 2000 American Society of Health-Systems Pharmacists Midyear Clinical Meeting in Los Vegas, Nevada. Results of this survey demonstrate that 65% of the individuals questioned claim they have never heard of the idea of an ePI, 57.5% reported printing out a PI from a company Web page, and 77.5% of those sun,eyed thought that dissemination of the PI should change to an electronic format. Pharmacists are well positioned to be integral in the successful transition to an ePI.

 

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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