Thursday, October 19, 2006

Is the end of drug samples nigh?

A new study to be published in the October issue of Journal of Medical Ethics reports that one in three US physicians believes getting free drug samples from pharmaceutical companies affects doctors’ decisions about which medicines to prescribe to their patients.

Among 217 US obstetricians and gynecologists surveyed for the study, 92% said getting samples was ethically acceptable, but a third acknowledged that the handouts might influence their drug choice.

Participating physicians tended to believe, however, that free samples were likely to have more influence on other doctors than on their own prescribing habits.

According to the study conducted by a research team at the American College of Obstetricians and Gynecologists, drug samples are the fastest-growing form of marketing by drug companies.

The value of free samples reached $16 billion, or 63%, of the $25.3 billion the industry spent in the US to market their products in 2003.

“Fewer than two-thirds of our respondents indicated that they distributed free samples on the basis of their knowledge of the drug’s effectiveness,” the study says.

Doctors in the study said they mostly handed out samples based on patients’ perceived financial need. Others said they distributed samples because they were available and convenient for patients.

The study’s authors recommend discontinuing free samples and other gifts from drug makers.
“The only way to exclude bias is to do away with incentive items entirely, because bias remains even when people are taught about bias,” the study’s authors say.

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