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Healthy Skepticism Library item: 3942

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

Greenwood J.
Pharmaceutical representatives and the prescribing of drugs by family doctors
1989;


Abstract:

The study examined the use general practitioners made of information sources and their impact upon prescribing for both new and current medications. Although most general practitioners considered professional sources more important than commercial ones, 36% considered the sales representative a “very important influence”. When GPs were asked to state which source they had used in the decision to prescribe a new drug, the sales representative received the highest frequency of mentions. In the case of one product,some 77% of GPs favoured the “commercial” view of a product rather than the weight of medical evidence, while “commercial” views of three other products were favoured by 55%, 28% and 13% of GPs respectively. Sales representatives were also interviewed. The most striking finding here was that two thirds of the responses could be regarded as critical of the pharmaceutical industry as a whole and just under half of the responses were comments which were directly critical of representatives as a group.

Keywords:
*analytic survey/United Kingdom/primary care doctors/sales representatives/source of information/attitude toward promotion/attitude toward industry/quality of prescribing

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.