Skip to main content
Top
Published in: BMC Health Services Research 1/2011

Open Access 01-12-2011 | Research article

GPs' opinions of public and industrial information regarding drugs: a cross-sectional study

Authors: Ingmarie Skoglund, Cecilia Björkelund, Kirsten Mehlig, Ronny Gunnarsson, Margareta Möller

Published in: BMC Health Services Research | Issue 1/2011

Login to get access

Abstract

Background

General Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs' opinions on public- and industry-provided drug information are presented in this article.

Methods

A cross-sectional study using a questionnaire was answered by 368 GPs at 97 primary-health care centres {PHCC}. The centres were invited to participate by eight out of 29 drug and therapeutic committees {DTCs}. A multilevel model was used to analyse associations between opinions of GPs regarding drug information and whether the GPs worked in public sector or in a private enterprise, their age, sex, and work experience. PHCC and geographical area were included as random effects.

Results

About 85% of the GPs perceived they received too much information from the industry, that the quality of public information was high and useful, and that the main task of public authorities was to increase the GPs' knowledge of drugs. Female GPs valued information from public authorities to a much greater extent than male GPs. Out of the GPs, 93% considered the main task of the industry was to promote sales. Differences between the GPs' opinions between PHCCs were generally more visible than differences between areas.

Conclusions

Some kind of incentives could be considered for PHCCs that actively reduce drug promotion from the industry. That female GPs valued information from public authorities to a much greater extent than male GPs should be taken into consideration when designing evidence-based drug information from public authorities to make implementation easier.
Literature
1.
go back to reference ABLA II: Mindre sjukdom och bättre hälsa genom ökad följsamhet till läkemedelsordinationerna. Professionernas roll. (Less disease and better health through higher adherence to drug prescription.) The role by professions. 2001, Stockholm: ABLA ABLA II: Mindre sjukdom och bättre hälsa genom ökad följsamhet till läkemedelsordinationerna. Professionernas roll. (Less disease and better health through higher adherence to drug prescription.) The role by professions. 2001, Stockholm: ABLA
2.
go back to reference SBU: Moderately Elevated Blood Pressure. A Systematic Review. 2004, Stockholm: SBU SBU: Moderately Elevated Blood Pressure. A Systematic Review. 2004, Stockholm: SBU
3.
go back to reference Henry DA, Hill SR, Harris A: Drug prices and value for money: the Australian Pharmaceutical Benefits Scheme. JAMA. 2005, 294 (20): 2630-2632. 10.1001/jama.294.20.2630.CrossRefPubMed Henry DA, Hill SR, Harris A: Drug prices and value for money: the Australian Pharmaceutical Benefits Scheme. JAMA. 2005, 294 (20): 2630-2632. 10.1001/jama.294.20.2630.CrossRefPubMed
4.
5.
go back to reference Evidence-Based Medicine Working Group: Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA. 1992, 268 (17): 2420-2425.CrossRef Evidence-Based Medicine Working Group: Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA. 1992, 268 (17): 2420-2425.CrossRef
6.
go back to reference Avorn J: Keeping science on top in drug evaluation. N Engl J Med. 2007, 357 (7): 633-635. 10.1056/NEJMp078134.CrossRefPubMed Avorn J: Keeping science on top in drug evaluation. N Engl J Med. 2007, 357 (7): 633-635. 10.1056/NEJMp078134.CrossRefPubMed
7.
go back to reference Kassirer JP: Commercialism and medicine: an overview. Camb Q Healthc Ethics. 2007, 16 (4): 377-386. 10.1017/S0963180107070478. discussion 439-342CrossRefPubMed Kassirer JP: Commercialism and medicine: an overview. Camb Q Healthc Ethics. 2007, 16 (4): 377-386. 10.1017/S0963180107070478. discussion 439-342CrossRefPubMed
8.
go back to reference Lexchin J, Bero LA, Djulbegovic B, Clark O: Pharmaceutical industry sponsorship and research outcome and quality: systematic review. BMJ. 2003, 326 (7400): 1167-1170. 10.1136/bmj.326.7400.1167.CrossRefPubMedPubMedCentral Lexchin J, Bero LA, Djulbegovic B, Clark O: Pharmaceutical industry sponsorship and research outcome and quality: systematic review. BMJ. 2003, 326 (7400): 1167-1170. 10.1136/bmj.326.7400.1167.CrossRefPubMedPubMedCentral
9.
go back to reference Korenstein D, Keyhani S, Ross JS: Physician attitudes toward industry: a view across the specialties. Arch Surg. 2010, 145 (6): 570-577. 10.1001/archsurg.2010.75.CrossRefPubMedPubMedCentral Korenstein D, Keyhani S, Ross JS: Physician attitudes toward industry: a view across the specialties. Arch Surg. 2010, 145 (6): 570-577. 10.1001/archsurg.2010.75.CrossRefPubMedPubMedCentral
10.
go back to reference Eliasson G, Werkö L: Dags för läkarkåren att ta ansvar för sin professionella utveckling. (It is time for physicians to be responsible for their professional career.). Läkartidningen. 2005, 102 (7): 490-493.PubMed Eliasson G, Werkö L: Dags för läkarkåren att ta ansvar för sin professionella utveckling. (It is time for physicians to be responsible for their professional career.). Läkartidningen. 2005, 102 (7): 490-493.PubMed
11.
go back to reference Örn P: Läkarförbundets egen studie avlivar en myt. Industrins ekonomiska betydelse för läkares fortbildning överdrivs. Resultatet väcker förvåning och besvikelse. "Landstinget tar sitt fortbildningsansvar". (The Swedish Medical Association's own study puts a myth to death. The importance of Pharmaceutical industries for physicians' continuing education is exaggerated. The results raise astonishment and disappointment. "The county councils do not take their responsibility for continuing education."). Läkartidningen. 2005, 102 (7): 452-453. Örn P: Läkarförbundets egen studie avlivar en myt. Industrins ekonomiska betydelse för läkares fortbildning överdrivs. Resultatet väcker förvåning och besvikelse. "Landstinget tar sitt fortbildningsansvar". (The Swedish Medical Association's own study puts a myth to death. The importance of Pharmaceutical industries for physicians' continuing education is exaggerated. The results raise astonishment and disappointment. "The county councils do not take their responsibility for continuing education."). Läkartidningen. 2005, 102 (7): 452-453.
13.
go back to reference Wettermark B, Godman B, Andersson K, Gustafsson LL, Haycox A, Bertele V: Recent national and regional drug reforms in Sweden: implications for pharmaceutical companies in Europe. Pharmacoeconomics. 2008, 26 (7): 537-550. 10.2165/00019053-200826070-00001.CrossRefPubMed Wettermark B, Godman B, Andersson K, Gustafsson LL, Haycox A, Bertele V: Recent national and regional drug reforms in Sweden: implications for pharmaceutical companies in Europe. Pharmacoeconomics. 2008, 26 (7): 537-550. 10.2165/00019053-200826070-00001.CrossRefPubMed
14.
go back to reference Prosser H, Walley T: New drug uptake: qualitative comparison of high and low prescribing GPs' attitudes and approach. Fam Pract. 2003, 20 (5): 583-591. 10.1093/fampra/cmg516.CrossRefPubMed Prosser H, Walley T: New drug uptake: qualitative comparison of high and low prescribing GPs' attitudes and approach. Fam Pract. 2003, 20 (5): 583-591. 10.1093/fampra/cmg516.CrossRefPubMed
15.
go back to reference Mason A: New medicines in primary care: a review of influences on general practitioner prescribing. J Clin Pharm Ther. 2008, 33 (1): 1-10. 10.1111/j.1365-2710.2008.00875.x.CrossRefPubMed Mason A: New medicines in primary care: a review of influences on general practitioner prescribing. J Clin Pharm Ther. 2008, 33 (1): 1-10. 10.1111/j.1365-2710.2008.00875.x.CrossRefPubMed
16.
go back to reference Caamano F, Figueiras A, Gestal-Otero JJ: Influence of commercial information on prescription quantity in primary care. Eur J Public Health. 2002, 12 (3): 187-191. 10.1093/eurpub/12.3.187.CrossRefPubMed Caamano F, Figueiras A, Gestal-Otero JJ: Influence of commercial information on prescription quantity in primary care. Eur J Public Health. 2002, 12 (3): 187-191. 10.1093/eurpub/12.3.187.CrossRefPubMed
17.
go back to reference Schramm J, Andersen M, Vach K, Kragstrup J, Kampmann JP, Sondergaard J: Promotional methods used by representatives of drug companies: a prospective survey in general practice. Scand J Prim Health Care. 2007, 25 (2): 93-97. 10.1080/02813430701339659.CrossRefPubMedPubMedCentral Schramm J, Andersen M, Vach K, Kragstrup J, Kampmann JP, Sondergaard J: Promotional methods used by representatives of drug companies: a prospective survey in general practice. Scand J Prim Health Care. 2007, 25 (2): 93-97. 10.1080/02813430701339659.CrossRefPubMedPubMedCentral
18.
go back to reference Vancelik S, Beyhun NE, Acemoglu H, Calikoglu O: Impact of pharmaceutical promotion on prescribing decisions of general practitioners in Eastern Turkey. BMC Public Health. 2007, 7: 122-10.1186/1471-2458-7-122.CrossRefPubMedPubMedCentral Vancelik S, Beyhun NE, Acemoglu H, Calikoglu O: Impact of pharmaceutical promotion on prescribing decisions of general practitioners in Eastern Turkey. BMC Public Health. 2007, 7: 122-10.1186/1471-2458-7-122.CrossRefPubMedPubMedCentral
19.
go back to reference Layton MR, Sritanyarat W, Chadbunchachai S, Wertheimer AI: Sources of information for new drugs among physicians in Thailand. Pharm World Sci. 2007, 29 (6): 619-627. 10.1007/s11096-007-9112-4.CrossRefPubMed Layton MR, Sritanyarat W, Chadbunchachai S, Wertheimer AI: Sources of information for new drugs among physicians in Thailand. Pharm World Sci. 2007, 29 (6): 619-627. 10.1007/s11096-007-9112-4.CrossRefPubMed
20.
go back to reference Fretheim A, Oxman AD: International variation in prescribing antihypertensive drugs: its extent and possible explanations. BMC Health Serv Res. 2005, 5 (1): 21-10.1186/1472-6963-5-21.CrossRefPubMedPubMedCentral Fretheim A, Oxman AD: International variation in prescribing antihypertensive drugs: its extent and possible explanations. BMC Health Serv Res. 2005, 5 (1): 21-10.1186/1472-6963-5-21.CrossRefPubMedPubMedCentral
21.
go back to reference Caudill TS, Johnson MS, Rich EC, McKinney WP: Physicians, pharmaceutical sales representatives, and the cost of prescribing. Arch Fam Med. 1996, 5 (4): 201-206. 10.1001/archfami.5.4.201.CrossRefPubMed Caudill TS, Johnson MS, Rich EC, McKinney WP: Physicians, pharmaceutical sales representatives, and the cost of prescribing. Arch Fam Med. 1996, 5 (4): 201-206. 10.1001/archfami.5.4.201.CrossRefPubMed
22.
go back to reference McGettigan P, Golden J, Fryer J, Chan R, Feely J: Prescribers prefer people: The sources of information used by doctors for prescribing suggest that the medium is more important than the message. Br J Clin Pharmacol. 2001, 51 (2): 184-189. 10.1111/j.1365-2125.2001.01332.x.CrossRefPubMedPubMedCentral McGettigan P, Golden J, Fryer J, Chan R, Feely J: Prescribers prefer people: The sources of information used by doctors for prescribing suggest that the medium is more important than the message. Br J Clin Pharmacol. 2001, 51 (2): 184-189. 10.1111/j.1365-2125.2001.01332.x.CrossRefPubMedPubMedCentral
23.
go back to reference Snijders: Multilevel analysis. 1999, London: Sage publications Ltd Snijders: Multilevel analysis. 1999, London: Sage publications Ltd
25.
go back to reference Ross JS, Keyhani S, Korenstein D: Appropriateness of collaborations between industry and the medical profession: physicians' perceptions. Am J Med. 2009, 122 (10): 955-960. 10.1016/j.amjmed.2009.04.013.CrossRefPubMedPubMedCentral Ross JS, Keyhani S, Korenstein D: Appropriateness of collaborations between industry and the medical profession: physicians' perceptions. Am J Med. 2009, 122 (10): 955-960. 10.1016/j.amjmed.2009.04.013.CrossRefPubMedPubMedCentral
26.
go back to reference Theodorou M, Tsiantou V, Pavlakis A, Maniadakis N, Fragoulakis V, Pavi E, Kyriopoulos J: Factors influencing prescribing behaviour of physicians in Greece and Cyprus: results from a questionnaire based survey. BMC Health Serv Res. 2009, 9: 150-10.1186/1472-6963-9-150.CrossRefPubMedPubMedCentral Theodorou M, Tsiantou V, Pavlakis A, Maniadakis N, Fragoulakis V, Pavi E, Kyriopoulos J: Factors influencing prescribing behaviour of physicians in Greece and Cyprus: results from a questionnaire based survey. BMC Health Serv Res. 2009, 9: 150-10.1186/1472-6963-9-150.CrossRefPubMedPubMedCentral
27.
go back to reference Tobin L, de Almedia Neto AC, Wutzke S, Patterson C, Mackson J, Weekes L, Williamson M: Influences on the prescribing of new drugs. Aust Fam Physician. 2008, 37 (1-2): 78-80. 83PubMed Tobin L, de Almedia Neto AC, Wutzke S, Patterson C, Mackson J, Weekes L, Williamson M: Influences on the prescribing of new drugs. Aust Fam Physician. 2008, 37 (1-2): 78-80. 83PubMed
28.
go back to reference Spurling GK, Mansfield PR, Montgomery BD, Lexchin J, Doust J, Othman N, Vitry AI: Information from pharmaceutical companies and the quality, quantity, and cost of physicians' prescribing: a systematic review. PLoS Med. 2010, 7 (10): e1000352-10.1371/journal.pmed.1000352.CrossRefPubMedPubMedCentral Spurling GK, Mansfield PR, Montgomery BD, Lexchin J, Doust J, Othman N, Vitry AI: Information from pharmaceutical companies and the quality, quantity, and cost of physicians' prescribing: a systematic review. PLoS Med. 2010, 7 (10): e1000352-10.1371/journal.pmed.1000352.CrossRefPubMedPubMedCentral
29.
go back to reference Lea D, Spigset O, Slordal L: Norwegian medical students' attitudes towards the pharmaceutical industry. Eur J Clin Pharmacol. 2010, 66 (7): 727-733. 10.1007/s00228-010-0805-6.CrossRefPubMed Lea D, Spigset O, Slordal L: Norwegian medical students' attitudes towards the pharmaceutical industry. Eur J Clin Pharmacol. 2010, 66 (7): 727-733. 10.1007/s00228-010-0805-6.CrossRefPubMed
30.
go back to reference Skoglund I, Segesten K, Bjorkelund C: GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A descriptive focus group study. Scand J Prim Health Care. 2007, 25 (2): 98-104. 10.1080/02813430701192371.CrossRefPubMedPubMedCentral Skoglund I, Segesten K, Bjorkelund C: GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A descriptive focus group study. Scand J Prim Health Care. 2007, 25 (2): 98-104. 10.1080/02813430701192371.CrossRefPubMedPubMedCentral
31.
go back to reference Sackett D: Evidence-based medicine. How to Practice and Teach EBM. Evidence-based medicine. How to Practice and Teach EBM. 2000 Sackett D: Evidence-based medicine. How to Practice and Teach EBM. Evidence-based medicine. How to Practice and Teach EBM. 2000
32.
go back to reference Angell M: The truth about drug companies.How they deceive us and what to do about it. 2004, New York: Random House Angell M: The truth about drug companies.How they deceive us and what to do about it. 2004, New York: Random House
33.
go back to reference Fugh-Berman AJ, Scialli AR, Bell AM: Why lunch matters: assessing physicians' perceptions about industry relationships. J Contin Educ Health Prof. 2010, 30 (3): 197-204. 10.1002/chp.20081.CrossRefPubMed Fugh-Berman AJ, Scialli AR, Bell AM: Why lunch matters: assessing physicians' perceptions about industry relationships. J Contin Educ Health Prof. 2010, 30 (3): 197-204. 10.1002/chp.20081.CrossRefPubMed
34.
go back to reference Roter DL, Hall JA, Aoki Y: Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002, 288 (6): 756-764. 10.1001/jama.288.6.756.CrossRefPubMed Roter DL, Hall JA, Aoki Y: Physician gender effects in medical communication: a meta-analytic review. JAMA. 2002, 288 (6): 756-764. 10.1001/jama.288.6.756.CrossRefPubMed
35.
go back to reference Sequeira RP, Al Khaja KA, Damanhori AH, Mathur VS: Physician gender and antihypertensive prescription pattern in primary care. J Eval Clin Pract. 2003, 9 (4): 409-415. 10.1046/j.1365-2753.2003.00393.x.CrossRefPubMed Sequeira RP, Al Khaja KA, Damanhori AH, Mathur VS: Physician gender and antihypertensive prescription pattern in primary care. J Eval Clin Pract. 2003, 9 (4): 409-415. 10.1046/j.1365-2753.2003.00393.x.CrossRefPubMed
36.
go back to reference Montgomery BD, Mansfield PR, Spurling GK, Ward AM: Do advertisements for antihypertensive drugs in Australia promote quality prescribing? A cross-sectional study. BMC Public Health. 2008, 8: 167-10.1186/1471-2458-8-167.CrossRefPubMedPubMedCentral Montgomery BD, Mansfield PR, Spurling GK, Ward AM: Do advertisements for antihypertensive drugs in Australia promote quality prescribing? A cross-sectional study. BMC Public Health. 2008, 8: 167-10.1186/1471-2458-8-167.CrossRefPubMedPubMedCentral
37.
go back to reference Agreement on forms of cooperation between pharmaceutical companies and medical professionals in the public health care sector. [http://www.lif.se] Agreement on forms of cooperation between pharmaceutical companies and medical professionals in the public health care sector. [http://​www.​lif.​se]
38.
go back to reference Jägestedt M: Rationell läkemedelsförskrivning: en kunskaps- och linjefråga. Kvalitativ intervjustudie på 10 vårdcentraler i Stockholms läns landsting. (Rational drug prescribing: a question of knowledge and management. Qualitative interviews at 10 primary health care centres in the county council of Stockholm.). Läkartidningen. 2008, 105 (42): 1924-1929. Jägestedt M: Rationell läkemedelsförskrivning: en kunskaps- och linjefråga. Kvalitativ intervjustudie på 10 vårdcentraler i Stockholms läns landsting. (Rational drug prescribing: a question of knowledge and management. Qualitative interviews at 10 primary health care centres in the county council of Stockholm.). Läkartidningen. 2008, 105 (42): 1924-1929.
Metadata
Title
GPs' opinions of public and industrial information regarding drugs: a cross-sectional study
Authors
Ingmarie Skoglund
Cecilia Björkelund
Kirsten Mehlig
Ronny Gunnarsson
Margareta Möller
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2011
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-11-204

Other articles of this Issue 1/2011

BMC Health Services Research 1/2011 Go to the issue