Personal use of drug samples by physicians and office staff.

CONTEXT Pharmaceutical samples are commonly used in ambulatory care settings. There is limited research on their use or impact on health care providers and patients. OBJECTIVE To determine the extent of personal use of drug samples over a 1-year period by physicians and medical office staff. DESIGN, SUBJECTS, AND SETTING An anonymous cross-sectional survey of all physicians, resident physicians, nursing staff, and office staff in a family practice residency. MAIN OUTCOME MEASURE Quantity of drug samples taken for personal or family use. RESULTS Of 55 surveys issued, 53 (96%) were returned. A total of 230 separate drug samples were reported taken in amounts ranging from 1 dose to greater than 1 month's supply. Two respondents reported no use of drug samples, while 4 respondents reported taking more than 10 different samples. CONCLUSION Drug samples are commonly taken by physicians and office staff for personal and family use. The ethical implications of this practice warrant further discussion.

[1]  M. Chren,et al.  Doctors, drug companies and gifts. , 1989, Rhode Island medical journal.

[2]  Squires Bp Physicians and the pharmaceutical industry , 1993 .

[3]  M. Chren,et al.  Physicians' behavior and their interactions with drug companies. A controlled study of physicians who requested additions to a hospital drug formulary. , 1994, JAMA.

[4]  D. Mark,et al.  Policies regulating the activities of pharmaceutical representatives in residency programs. , 1992, The Journal of family practice.

[5]  Mainous Ag rd,et al.  Patient perceptions of physician acceptance of gifts from the pharmaceutical industry. , 1995, Archives of family medicine.

[6]  W P McKinney,et al.  Attitudes of internal medicine faculty and residents toward professional interaction with pharmaceutical sales representatives. , 1990, Journal of the American Medical Association (JAMA).

[7]  Judicial Affairs,et al.  Code of medical ethics : current opinions with annotations , 1994 .

[8]  J Lexchin,et al.  Interactions between physicians and the pharmaceutical industry: what does the literature say? , 1993, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[9]  K. L. Tong,et al.  Do pharmaceutical representatives misuse their drug samples? , 1995, Canadian family physician Medecin de famille canadien.

[10]  T. Bodenheimer Making Medicine, Making Money , 1993 .

[11]  A. Goldstein Gifts to physicians from industry. , 1991, JAMA.

[12]  J. Frey,et al.  There is no such thing as a free lunch. Developing policies on pharmaceutical industry support. , 1992, The Journal of family practice.

[13]  M. Koenigsberg,et al.  Sample medication dispensing in a residency practice. , 1992, The Journal of family practice.

[14]  A. Shaughnessy Drug promotion in a family medicine training center. , 1988, JAMA.

[15]  Ostergaard Dj Relationships between family physicians and the pharmaceutical industry. , 1992 .