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Healthy Skepticism Library item: 3123

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

Strickland-Hodge B, Jepson MH.
Identification and characterization of early and late prescribers in general practice.
J R Soc Med 1982 May; 75:(5):341-5


Abstract:

National Health Service prescriptions written by general medical practitioners in one urban area were analyzed over a fifteen-month period to classify doctors into those who prescribed a named drug early or relatively later in its market life. A questionnaire, designed to answer a number of hypotheses intended to characterize these groups of practitioners, was mailed to the 100 doctors in each group. Statistical analysis of the results suggests that there are several identifiable characteristic differences between “early” and “late” prescribers. Early prescribers have larger list sizes than late prescribers and rely more on commercial sources for information about drugs.

Keywords:
*analytic survey/United Kingdom/primary care doctors/source of information/analysis of prescribing pattern/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS Advertising Cimetidine/therapeutic use England Family Practice Humans Periodicals Prescriptions, Drug* Reading Research Support, Non-U.S. Gov't

 

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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