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. 1991 Jan;37:100–104.

The Doctor's, the Druggist's, and the Detail Rep's Dance

Who leads, who follows?

JP Rovers
PMCID: PMC2145146  PMID: 21234083

Abstract

The author reviews some of the literature about interventions designed to influence physicians' prescribing patterns, particularly how the pharmacist and drug industry alter prescribing by primary care physicians. Many of the usual interventions are probably ineffective; a personal relationship with the physician is necessary to modify prescribing behavior consistently.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Avorn J., Soumerai S. B. Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based "detailing". N Engl J Med. 1983 Jun 16;308(24):1457–1463. doi: 10.1056/NEJM198306163082406. [DOI] [PubMed] [Google Scholar]
  2. Carter B. L., Helling D. K., Jones M. E., Moessner H., Waterbury C. A., Jr Evaluation of family physician prescribing: influence of the clinical pharmacist. Drug Intell Clin Pharm. 1984 Oct;18(10):817–821. doi: 10.1177/106002808401801010. [DOI] [PubMed] [Google Scholar]
  3. Goldman L. Changing physicians' behavior. The pot and the kettle. N Engl J Med. 1990 May 24;322(21):1524–1525. doi: 10.1056/NEJM199005243222110. [DOI] [PubMed] [Google Scholar]
  4. Hawkey C. J., Hodgson S., Norman A., Daneshmend T. K., Garner S. T. Effect of reactive pharmacy intervention on quality of hospital prescribing. BMJ. 1990 Apr 14;300(6730):986–990. doi: 10.1136/bmj.300.6730.986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Lexchin J. Pharmaceutical promotion in Canada: convince them or confuse them. Int J Health Serv. 1987;17(1):77–89. doi: 10.2190/4W1H-E70T-TL9X-VGGC. [DOI] [PubMed] [Google Scholar]
  6. Schaffner W., Ray W. A., Federspiel C. F., Miller W. O. Improving antibiotic prescribing in office practice. A controlled trial of three educational methods. JAMA. 1983 Oct 7;250(13):1728–1732. [PubMed] [Google Scholar]
  7. Schroeder S. A., Myers L. P., McPhee S. J., Showstack J. A., Simborg D. W., Chapman S. A., Leong J. K. The failure of physician education as a cost containment strategy. Report of a prospective controlled trial at a university hospital. JAMA. 1984 Jul 13;252(2):225–230. [PubMed] [Google Scholar]
  8. Schwartz R. K., Soumerai S. B., Avorn J. Physician motivations for nonscientific drug prescribing. Soc Sci Med. 1989;28(6):577–582. doi: 10.1016/0277-9536(89)90252-9. [DOI] [PubMed] [Google Scholar]
  9. Smeeding J. E. Direct-to-consumer advertising of prescription pharmaceuticals: strategic issues for the pharmaceutical industry. Top Hosp Pharm Manage. 1990 May;10(1):40–64. [PubMed] [Google Scholar]
  10. Soumerai S. B., Avorn J. Predictors of physician prescribing change in an educational experiment to improve medication use. Med Care. 1987 Mar;25(3):210–221. doi: 10.1097/00005650-198703000-00005. [DOI] [PubMed] [Google Scholar]
  11. Soumerai S. B., McLaughlin T. J., Avorn J. Improving drug prescribing in primary care: a critical analysis of the experimental literature. Milbank Q. 1989;67(2):268–317. [PubMed] [Google Scholar]
  12. Stein L. I., Watts D. T., Howell T. The doctor-nurse game revisited. N Engl J Med. 1990 Feb 22;322(8):546–549. doi: 10.1056/NEJM199002223220810. [DOI] [PubMed] [Google Scholar]
  13. Stergachis A., Fors M., Wagner E. H., Sims D. D., Penna P. Effect of clinical pharmacists on drug prescribing in a primary-care clinic. Am J Hosp Pharm. 1987 Mar;44(3):525–529. [PubMed] [Google Scholar]

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