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Healthy Skepticism Library item: 7903

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

Richardson K, Basskin L.
Cost benefit analysis of methods used to access manufacturers' pharmaceutical assistance programs
ASHP Midyear Clinical Meeting 2000 Dec; 35:


Abstract:

The net benefits and user satisfaction of different methods used by federally qualified health centers to access manufacturers’ pharmaceutical assistance programs were compared. Twelve hundred four entities participating in the Public Health Service 340B Discounted Drug Pricing Program were surveyed by mail regarding methods used to access pharmaceutical assistance programs. There were 92 respondents to the survey for a response rate of 8%. There were 3 groups of access methods used: Group A (no access, no net benefit), Group B (manual users, median net benefit=$47,868.00, 25th to 75th interquartile range=$10,417.00-207,790.00), Group C (computer users, median net benefit=$404,060.00, 25th to 75th interquartile range $160,420.00-995,408.00). The method associated with the greatest median net benefit was group C (p<0.01). Other variables, such as charging fees to patients and recovering a higher number of prescriptions, appeared to contribute to greater median net benefit. There was no significant difference in user satisfaction between the groups. Further studies should be conducted to explore factors affecting net benefit.

 

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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