Healthy Skepticism Library item: 4171

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

Chan J, Einarson T.
Drug detailing in the hospital: background for policy development
Canadian Journal of Hospital Pharmacy 1991; 44:161-166

Abstract:

The drug detailer, a common sight to all hospitals, has often been the subject of controversy. Many pharmacy managers are concerned about the potential negative effects of drug detailers on physicians’ prescribing and the possible disruption of the workings of the pharmacy department. Thus, in order to deal with these issues, some hospitals have found it necessary to implement policies to guide the handling and the conduct of pharmaceutical service representatives. Some of these policies have been published in the literature and may prove to be useful in the developement of policies in other hospitals. This article is intended to provide background reading on drug detailing by summarizing relevant literature and published policies. From this review, suggestions may then be offered toward the development of policies in individual hospitals.

Keywords:
*nonsystematic review/pharmacies and pharmacists/hospitals/sales representatives/regulation of promotion/Pharmaceutical Manufacturers Association of Canada/quality of prescribing/Canada/United States/United Kingdom/formularies/EVALUATION OF PROMOTION: DETAILING/INFLUENCE OF PROMOTION: FORMULARY INCLUSION/REGULATION, CODES, GUIDELINES: HOSPITALS/REGULATION, CODES, GUIDELINES: INDUSTRY SELF-REGULATION

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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