Healthy Skepticism Library item: 8154

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

McCaffrey DJ, Smith MC, Banahan BF, Frate DA, Gilbert FW.
Continued look into the financial implications of initial noncompliance in community pharmacies: unclaimed prescription audit pilot
Journal of Research in Pharmaceutical Economics 1998; 9:(2):33-57

Abstract:

The results of an audit of unclaimed prescriptions for one day’s worth of prescriptions in a nationwide sample of 128 community pharmacies are presented and the financial implications of this noncompliance behavior on the community pharmacy and the pharmaceutical industry are addressed. Audit results revealed that prescriptions remained unclaimed at a rate of approximately 1.5% of all prescriptions received and/or filled. Chain pharmacies were found to have a higher rate of unclaimed prescriptions (1.8) than independent pharmacies (1.04). The estimated annual retail worth of unclaimed prescriptions was just over 1 billion dollars.

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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