Healthy Skepticism Library item: 3209

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

Parboosingh J, Lockyer J, McDougall G, Chugh U.
How physicians make changes in their clinical practice: a study of physicians’ perception of factors that facilitate this process
Annals of the Royal College of Physicians and Surgeons of Canada 1984; 17:429-435

Abstract:

(Limited to parts of article dealing with promotion.) A convenience survey was undertaken of internists, surgeons and gynecologists concerning how physicians make changes in their clinical practice. Sales representatives were important as the initial source of information about drug therapy but were less important as agents that precipitated changes in prescribing behaviour.

Keywords:
*analytic survey/Canada/doctors/analysis of prescribing pattern/sales representatives/continuing medical education/source of information/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS

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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