Following the script: How drug reps make friends and influence doctors
2007

How Drug Reps Influence Doctors

publication Evidence: moderate

Author Information

Author(s): Adriane Fugh-Berman, Shahram Ahari

Primary Institution: Georgetown University Medical Center, University of California San Francisco

Hypothesis

This article explores the strategies used by pharmaceutical sales representatives to manipulate physician prescribing behaviors.

Conclusion

Pharmaceutical companies spend billions to ensure that physicians susceptible to marketing prescribe the most expensive drugs.

Supporting Evidence

  • Pharmaceutical companies spent over $15.7 billion on promoting prescription drugs in the US in 2000.
  • More than $4.8 billion was spent on detailing, the one-on-one promotion of drugs to doctors.
  • Studies show that samples influence prescribing choices.
  • Physicians often view drug information from reps as a convenient educational service.

Takeaway

Drug reps try to befriend doctors to get them to prescribe certain medications, often using gifts and personal connections.

Potential Biases

The authors have potential conflicts of interest as one is a former drug rep and the other has been an expert witness in related litigation.

Limitations

The article does not provide empirical data or specific studies to support its claims.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040150

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