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“低调行事”:执业护士开处方与医药行业促销

"Under the radar": nurse practitioner prescribers and pharmaceutical industry promotions.

机构信息

Institute of Health Professions School of Nursing, 36 First Ave, Boston, MA 02129, USA.

出版信息

Am J Manag Care. 2010 Dec 1;16(12):e358-62.

PMID:21291293
Abstract

OBJECTIVE

To assess nurse practitioners' interactions with pharmaceutical industry promotional activities and their perception of information reliability and self-reported prescribing behaviors.

STUDY DESIGN

Self-administered online survey.

METHODS

A nationally randomized sample of nurse practitioner prescribers was surveyed. Eligibility criteria included current clinical practice and licensure to prescribe medications in their state of practice.

RESULTS

A total of 263 responses were analyzed. Almost all respondents (96%) reported regular contact with pharmaceutical sales representatives, and most (71%) reported receiving information on new drugs directly from pharmaceutical sales representatives some or most of the time. A large portion (66%) dispensed drug samples regularly to their patients, and 73% believed that samples were somewhat or very helpful in learning about new drugs. Eighty-one percent of respondents thought that it was ethically acceptable to give out samples to anyone, and 90% believed that it was acceptable to attend lunch and dinner events sponsored by the pharmaceutical industry. Almost half (48%) stated that they were more likely to prescribe a drug that was highlighted during a lunch or dinner event. Most respondents stated that it was ethically acceptable for speakers to be paid by industry.

CONCLUSIONS

Nurse practitioner prescribers had extensive contact with pharmaceutical industry promotional activities such as pharmaceutical representative contact, receipt of drug samples, and regular attendance at industry-sponsored meal events and continuing education programs. They reported that industry interface with nurse practitioner prescribers in the form of sponsored meals, education events, and paid speakers was ethically acceptable.

摘要

目的

评估执业护士与制药业促销活动的互动情况,以及他们对信息可靠性的看法和自我报告的处方行为。

研究设计

自我管理的在线调查。

方法

对全国范围内随机选择的执业护士处方者进行了调查。合格标准包括当前的临床实践和在其执业州开处方药的许可。

结果

共分析了 263 份回复。几乎所有的受访者(96%)都报告说经常与药品销售代表接触,而且大多数(71%)报告说他们有时或大部分时间都直接从药品销售代表那里收到新药信息。很大一部分(66%)定期向他们的病人发放药物样本,73%的人认为样本在了解新药方面有些帮助。81%的受访者认为向任何人发放样本在道德上是可以接受的,90%的人认为参加制药业赞助的午餐和晚宴活动是可以接受的。近一半(48%)的人表示,他们更有可能开处方推荐在午餐或晚宴活动中强调的药物。大多数受访者表示,行业发言人收取行业报酬在道德上是可以接受的。

结论

执业护士处方者与制药业促销活动(如药品代表接触、接受药品样本以及定期参加行业赞助的餐饮活动和继续教育项目)有广泛的联系。他们报告说,以赞助餐饮、教育活动和付费演讲者的形式与执业护士处方者进行行业互动在道德上是可以接受的。

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