Healthy Skepticism Library item: 9432

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

Perri M, Kotzan JA.
Application of a Medicaid database to assess pharmacy conflict of interest potential in long term care facilities
Journal of Geriatric Drug Therapy 1991; 5:(4):51-66

Abstract:

To investigate the potential for conflict of interest in the long term care setting, a 2 month study measuring the average prescription utilization rate and the total cost/patient in nursing homes in Georgia was conducted; in addition, demographic and descriptive information on each nursing home with Medicaid recipients was surveyed. A total of 312 nursing homes responded to the survey, a 93% response rate. During the study, 177,917 prescriptions (13.5% of the total prescription volume) were provided to Medicaid nursing homes. A written contract existed for a consultant pharmacist in 91.4% of the facilities. One-third of nursing home medical directors did not receive the consultant pharmacist’s monthly report. The only potential conflict of interest documented was a higher medication number and cost where a relationship existed between the consultant and provider pharmacist.

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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