Pharmacology Book

Miscellaneous

http://www.fpnotebook.com/

Pharmaceutical RepresentativesAka: Drug Reps, Prescribing Costs

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  1. Studies
    1. Evaluation of 446 physicians surveyed
      1. Higher prescribing cost risks
        1. Pharmaceutical representative exposure
        2. Group practice setting
      2. References
        1. Caudill (1996) Arch Fam Med 5:201
    2. Direct drug advertising to healthcare consumers
      1. Appears to increase sale of drugs
      2. May result in appropriate prescribing practices
      3. Mintzes (2002) BMJ 324:278
    3. Pharmaceutical samples raise overall prescribing costs
      1. Symm (2006) J Am Board Fam Med 19(5):443
    4. Poorest patients are the least likely to receive free drug samples
      1. Typical drug sample recipient has health insurance and lives far above poverty line
      2. Cutrona (2008) Am J Public Health 98(2):284
    5. >25% ($16 billion) of drug company advertising ($57 billion) was spent on samples (2004)
      1. Gagnon (2008) PLoS Med 5(1):e1
  2. Resources
    1. No Free Lunch
      1. http://nofreelunch.org
  3. References
    1. Dachs (2009) Am Fam Physician 79(10):891

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