医生和制药行业:礼物是否只是礼物?
1McGill University, Montreal, Quebec, Canada. cxwz@musica.mcgill.ca
JAMA
|January 27, 2000
概括
医生与制药公司的互动,包括礼物和赞助教育,影响处方习惯和专业行为. 这些关系,从医学院开始,保证政策和教育干预.
科学领域:
- 医学伦理 医学伦理
- 药品营销 药品营销 药品营销
- 医生行为 医生行为
背景情况:
- 医生与制药行业代表的接触是常见的,涉及到重要的财务促进.
- 实践包括礼物,餐点,旅行补贴,赞助教学和研讨会.
研究的目的:
- 评估医生与制药行业关系的程度和态度.
- 评估这些互动对医生的知识,态度和行为的影响.
主要方法:
- 进行了MEDLINE搜索 (1994年至今) 并审查了参考列表.
- 搜索了互联网数据库,采访了关键线人.
- 在538个目标研究中分析了29个检索的研究,优先考虑分析设计的质量.
主要成果:
- 医生和制药公司的代表互动,平均每月4次,从医学院开始,通常得到认可.
- 互动与表单请求和处方实践的变化相关.
- 赞助的持续医学教育 (CME) 和旅行资金增加了赞助药物的处方率,并与非理性的处方有关.
结论:
- 医生与行业的互动显著影响了处方和专业行为.
- 这些关系需要通过政策和教育改革进一步关注.
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