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. 2017 May 2;317(17):1785–1795. doi: 10.1001/jama.2017.4039

Table 3. Regression Analysis Results and Sample Mean Market Shares, 2006-2012.

No. of
Observationsa
Detailed Drugs Nondetailed Drugs
Mean Market Share, 2006-2012, %b Change in Market Share After Implementation of Detailing Policy,
Percentage Points
(95% CI)c
P
Value
Mean Market Share, 2006-2012, %b Change in Market Share After Implementation of Detailing Policy,
Percentage Points
(95% CI)c
P
Value
All Academic Medical Centers (AMCs) and All Drugs 14 791 612 19.3 −1.67 (−2.18 to −1.18) <.001 14.2 0.84 (0.54 to 1.14) <.001
AMC-Specific Results Ordered by Date of Policy Intervention
Stanford University School of Medicine 122 319 21.7 −1.05 (−2.91 to 0.80) .27 15.1 −0.23 (−1.46 to 1.01) .72
Northwestern University Feinberg School of Medicine 385 205 23.1 −0.65 (−3.40 to 2.11) .64 15.4 −0.06 (−1.71 to 1.68) .94
University of California-Davis School of Medicine 120 327 19.1 −2.13 (−5.19 to 0.96) .18 14.0 1.37 (−0.49 to 3.23) .15
University of California-Los Angeles School of Medicine 2 539 672 18.3 −2.72 (−4.39 to −1.04) .02 13.4 1.60 (0.80 to 2.40) <.001
University of California-San Francisco School of Medicine 232 137 21.9 0.54 (−1.54 to 2.67) .62 16.3 0.21 (−0.21 to 0.64) .33
Boston University School of Medicine 610 277 14.8 −2.48 (−4.93 to −0.04) .05 14.9 1.92 (−0.63 to 4.47) .14
University of Illinois-Chicago College of Medicine 501 076 21.0 −2.03 (−3.70 to −0.38) .02 13.9 1.56 (0.15 to 2.96) .03
Mount Sinai School of Medicine 605 651 21.2 −2.29 (−5.09 to 0.51) .11 12.6 −0.14 (−3.23 to 2.97) .93
University of Southern California Keck School of Medicine 869 500 19.4 −1.87 (−3.69 to −0.02) .04 13.7 0.90 (−0.21 to 2.00) .11
University of Pittsburgh School of Medicine 1 058 972 19.9 −1.96 (−2.87 to −0.82) <.001 13.8 1.23 (0.52 to 1.95) <.001
University of Rochester School of Medicine 116 538 21.9 −1.46 (−5.30 to 2.61) .48 18.6 1.03 (−1.82 to 3.87) .48
University of California-San Diego School of Medicine 1 180 198 19.2 −0.62 (−1.23 to −0.02) .03 14.2 0.40 (0.01 to 0.62) .03
University of Massachusetts Medical School 769 198 15.8 −1.51 (−2.17 to −0.85) <.001 13.8 1.47 (0.79 to 2.15) <.001
Rush Medical College 4 246 339 17.7 −0.91 (−2.23 to 0.41) .18 11.8 0.62 (0.01 to 1.22) .04
Temple University School of Medicine 233 190 22.3 0.32 (−7.29 to 7.34) .94 16.7 −0.51 (−12.88 to 11.89) .93
New York Medical College 300 923 22.5 −4.72 (−11.27 to 1.80) .16 15.4 0.37 (−1.80 to 2.56) .74
State University of New York, Downstate Medical School 325 786 21.9 −1.59 (−2.87 to −0.31) .01 14.0 1.58 (0.84 to 2.31) <.001
Tufts University School of Medicine 434 177 17.6 −1.02 (−2.02 to −0.01) .04 17.6 0.70 (0.02 to 1.36) .04
Thomas Jefferson University Medical College 140 109 21.5 −1.23 (−4.36 to 1.89) .44 14.6 0.51 (−0.37 to 1.40) .25
Drug Class–Specific Results Ordered by Size of Effect
Sleep aidsd 375 753 51.4 −10.5 (−18.87 to −2.16) .01 50.9 4.67 (0.81 to 8.50) .02
Gastroesophageal reflux disease drugs 1 166 894 37.0 −6.89 (−9.10 to −4.70) <.001 22.7 3.98 (2.63 to 5.31) <.001
Attention-deficit/hyperactivity disorder drugs 149 703 29.0 −5.03 (−9.92 to −0.05) .04 40.6 2.51 (−1.02 to 6.05) .16
Antidepressant drugs 2 453 111 22.5 −2.32 (−3.26 to −1.37) <.001 12.4 1.17 (0.68 to 1.66) <.001
Lipid-lowering drugs 2 490 775 28.8 −1.51 (−2.36 to −0.66) .001 10.5 1.31 (0.69 to 1.92) <.001
Antihypertensive drugs 5 496 003 9.2 −0.84 (−1.34 to −0.35) .002 9.1 0.67 (0.37 to 0.96) <.001
Antipsychotic drugs 335 149 37.8 −0.55 (−2.79 to 1.70) .63 28.0 0.89 (−0.53 to 2.32) .22
Diabetes drugs 2 311 089 10.9 0.60 (−0.26 to 1.47) .24 16.6 −0.05 (−1.08 to 0.98) .92
a

Total number of physician-drug-month observations for the given sample.

b

Given as a reference to interpret the size of the reported change in market share associated with AMC policies restricting pharmaceutical detailing.

c

Associated with AMC policies restricting pharmaceutical detailing.

d

Hypnotic drugs approved for the treatment of insomnia.