Castresana Leonardo, Mejia Raul, Aznar Mireya
Programa de Medicina Intema General, Hospital de Clínicas José de San Martín, Facultad de Medicina, Universidad de Buenos Aires, Argentina.
Medicina (B Aires). 2005;65(3):247-51.
Pharmaceutical companies invest large sums of money promoting their products. They use a multifaceted approach to drug promotion, incorporating techniques such as hospital and office detailing by pharmaceutical representatives. Although these practices are commonly used, little has been published about the attitude of physicians concerning their interaction with the pharmaceutical industry. We performed a cross sectional anonymous survey to identify the extent of and attitudes towards the relationship between the physicians and the pharmaceutical industry and its representatives with its impact on the knowledge, attitude and behavior of the physicians. Internists, cardiologists and dermatologists who work in ambulatory settings from private and public hospitals in Buenos Aires city participated in this study, 44% were female, 35% residents, 65% staff physicians, averaging 41 years of age. Of these, 86% receive medical samples frecuently, 39% desk gifts, 19% invitations to congresses and 12% free lunches. Half of the doctors believe that receiving benefits from the pharmaceutical industry has an influence on medical prescription, but only 27% accept this as influential in their own prescriptions. Residents consider, more frequently than others, that these activities affect their decisions, (42% vs. 18% p = 0.007, global 30%). Most of the participants consider appropriate receiving these benefits, although 35% think that they affect the final price of medications. In conclusion, there is a high level of interaction between the pharmaceutical industry and our medical population. Although the latter recognize the influence of these interactions on prescriptions and the elevation of the cost of the final product, they find it appropriate to receive benefits.
制药公司投入大量资金推广其产品。他们采用多方面的药物推广方法，包括制药代表在医院和诊所进行的详细介绍等技巧。尽管这些做法很常见，但关于医生对其与制药行业互动的态度却鲜有报道。我们进行了一项横断面匿名调查，以确定医生与制药行业及其代表之间关系的程度和态度，以及这种关系对医生的知识、态度和行为的影响。在布宜诺斯艾利斯市私立和公立医院从事门诊工作的内科医生、心脏病专家和皮肤科医生参与了这项研究，44%为女性，35%为住院医师，65%为在职医生，平均年龄41岁。其中，86%经常收到药品样品，39%收到桌上礼品，19%收到参加学术会议的邀请，12%收到免费午餐。一半的医生认为从制药行业获得好处会影响医疗处方，但只有27%认为这对他们自己的处方有影响。住院医师比其他医生更频繁地认为这些活动会影响他们的决定（42%对18%，p = 0.007，总体为30%）。大多数参与者认为接受这些好处是合适的，尽管35%的人认为这会影响药品的最终价格。总之，制药行业与我们的医疗群体之间存在高度互动。尽管后者认识到这些互动对处方和最终产品成本提高的影响，但他们认为接受好处是合适的。
