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 |
Total number of physician-drug-month observations for the given sample.
Given as a reference to interpret the size of the reported change in market share associated with AMC policies restricting pharmaceutical detailing.
Associated with AMC policies restricting pharmaceutical detailing.
Hypnotic drugs approved for the treatment of insomnia.