Interactions and conflicts of interests between prescribers and medical sales representatives (MSRs) regarding prescribing and drug promotion practices in Karachi, Pakistan

Naqvi, Atta, Zehra, Fatima, Khan, Nabeel, Ahmed, Rizwan and McGarry, Kenneth (2018) Interactions and conflicts of interests between prescribers and medical sales representatives (MSRs) regarding prescribing and drug promotion practices in Karachi, Pakistan. Pakistan Journal of Pharmaceutical Sciences. ISSN 1011-601X (In Press)

[img]
Preview
PDF
Galley 4032 PJPS.pdf - Accepted Version

Download (481kB) | Preview
Official URL: http://www.pjps.pk/

Abstract

Pharmaceutical drug promotion practices are found to have potentially controversial ethical standards and may compromise on patient’s wellbeing especially when it inordinately affects the clinical care and patient’s interests by influencing the prescribing behavior of physicians. There is no proper system to keep a watch on the drug marketing and promotion strategies by the pharmaceuticals in Pakistan. A cross sectional study using a specially designed questionnaire and convenience sampling was conducted in Karachi for 6 months targeting prescribers and medical sales representative (MSRs). A total of 600 MSRs and prescribers consented to participate. 66% of MSRs highlighted that prescribers follow ethical prescribing but only (58%) seek evidence base behind promoted drug. This was contradictory to prescribers’ response to same, which was 87%. Only (10%) of prescribers acknowledged demanding expensive gifts such as laptops, ACs, furniture and renovation of the clinic from MSRs the fig. for which according to MSRs was about 40%. This study offered intricate insights into the MSR and physicians interactions. It highlighted various aspects of these relationships from both MSRs’ and prescribers’ point of view. Although majority of the physicians negated the notion of expecting expensive favors from the sales representatives, responses by the MSRs suggest that anticipation of gifts and incentives exists on part of the physicians which have the potential to indulge in unethical promotion and irrational prescribing on part of MSRs and prescribers respectively that can further contribute to untoward patient outcomes such as increased treatment costs and adverse drug reactions.

Item Type: Article
Subjects: Sciences > Pharmacy and Pharmacology
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Kenneth Mcgarry
Date Deposited: 05 Jun 2018 08:30
Last Modified: 05 Jun 2018 08:30
URI: http://sure.sunderland.ac.uk/id/eprint/9212

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year