drug

Conflict-of-interest training reduces brand-name antidepressant prescription

Saturday, February 09, 2013 by: David Gutierrez, staff writer
Tags: brand name drugs, antidepressants, conflicts of interest

eTrust Pro Certified

Delicious Pin It
(NaturalNews) Doctors who underwent residencies at institutions with conflict-of-interest policies are significantly less likely to prescribe brand name drugs over generics than doctors who underwent residencies at institutions without such policies, according to a study conducted by researchers from the University of Pennsylvania, Yale School of Public Health, Harvard Medical School and Johns Hopkins Bloomberg School of Public Health.

Health professionals and policymakers have expressed growing concern in recent years over the potential for conflicts of interest in relationships between health providers and pharmaceutical or medical device companies. One specific concern was that the gifts the drug companies provide to physicians and physicians in training, including meals and drug samples, could unduly influence those doctors to prescribe those companies' brand-name products even when generic or other lower-cost alternatives exist.

Such concerns spurred a number of institutions to adopt conflict-of-interest policies; Penn Medicine, for example, adopted one in 2006. The Association of American Medical Colleges adopted a broad conflict-of-interest policy in 2008.

The researchers analyzed the prescriptions written in 2009 by 1,652 psychiatrists who had participated in 162 different residency programs; data was obtained from IMS Health. Approximately half of the psychiatrists in the sample had completed their residencies in 2001, when there were nearly no conflict-of-interest policies in place, while the other half had completed their residencies in 2008, after widespread adoption of such policies. The researchers further ranked the psychiatrists based on the strictness of the policies at the institutions they had attended.

"Our study focuses on antidepressants because they have been among the most heavily marketed drug classes," said first author Andrew J. Epstein. "Data show that antidepressant use increased nearly 400 percent from 1988 to 2008. The goal for this study was to determine whether exposure to COI policies during residency would influence psychiatrists' antidepressant prescribing patterns after graduation."

Brand name antidepressants, like drugs from many other classes, are heavily promoted to both consumers and medical professionals. One concern with over-prescription of brand name drugs is that such a practice drives up medical costs for both patients and for public healthcare agencies, such as Medicare.

Policies yield concrete results

Because brand name antidepressants are more expensive, the researchers predicted that psychiatrists with fewer conflicts of interest with drug companies would be more likely to prescribe less expensive, generic drugs. And indeed, the researchers found that psychiatrists who had completed their residency in 2008 prescribed brand name antidepressants at significantly lower rates than those who had finished in 2001. Graduates of 2008 programs with the strictest conflict-of-interest policies had the lowest rates of brand name antidepressant prescription.

The study is the first to provide empirical evidence that conflict-of-interest policies have a real effect on the future prescribing behaviors of medical residents. Epstein noted that further research is now needed to see if the same results can be seen with doctors in different specialties and in different classes of drugs.

"Our study clearly shows that implementation of [conflict-of-interest] policies have helped shield physicians from the often persuasive aspects of pharmaceutical promotion," Epstein said.

Sources:

http://www.sciencedaily.com/releases/2013/01/130118104123.htm

Get breaking news alerts on GMOs, fluoride, superfoods, natural cures and more...
Join over four million monthly readers. Email privacy 100% protected. Unsubscribe at any time.


Have comments on this article? Post them here:

comments powered by Disqus

Take Action: Support NaturalNews.com

Email this article to a friend

Permalink to this article:

Reprinting this article: Non-commercial use OK, cite NaturalNews.com with clickable link.

Embed article link: (copy HTML code below):
Most Popular
Today | Week | Month | Year

See all Top Headlines...



GET SHOW DETAILS
+ a FREE GIFT

Now Available at ShopNaturalNews.com

O3 Essentials OraJuvenate™
A powerful, cleansing dental cream for maximum oral/dental health.
New Cancer Solutions
Over 3 hours of content covering today’s best cancer tests, how to kill cancer cells and the best diets and exercise routines.
Freeze-Dried 100% Organic Whole Corn
Our freeze-drying method preserves taste, texture and nutrients better than any other food preservation method ever invented.
Fenix TK35 Flashlight
Tough, waterproof, extremely bright and it’s touted to throw an 800+ lumen beam more than 1,000 feet into the night.
Inca Treasure Smoothie Pack
This pack of our four most popular superfoods from South America is the perfect combo pack for smoothie lovers.
Pink Himalayan Salt
This salt delivers significant levels of magnesium, zinc and selenium, with trace levels of dozens of other elements.
Pinhole Glasses - Aviator Style
Pinhole glasses are becoming famous for helping people improve their vision without the risks of laser surgery.
Oxy-Rich Facial Serum
O3 Essentials Jojoba Oxy-Rich Facial Serum is cellular nourishment for your skin. Helps smooth fine lines while enhancing tissue elasticity.
Freeze-Dried 100% Blackberry Halves
Our freeze-dried blackberry halves are grown in Serbia under strict organic standards.

Also on NaturalNews:

Health Ranger Videos
Activist music
CounterThink Cartoons
Food documentaries
FREE Special Reports
Podcasts
Colloidal Silver

Advertise with NaturalNews...

Support NaturalNews Sponsors:

Advertise with NaturalNews...

Most Popular Stories

Flu shot kills 19-year-old, but vaccine industry still has total immunity against lawsuits
Here's a nutty fact: Eating more tree nuts lowers the risk of all-cause death by up to 20 percent
Six important facts you're not being told about lost Malaysia Airlines Flight 370
Malaysia Airlines Flight 370 now clearly a government cover-up: All evidence contradicts official story
10 other companies that use the same Subway yoga mat chemical in their buns
BLM fracking racket exposed! Armed siege and cattle theft from Bundy ranch really about fracking leases
High-dose vitamin C injections shown to annihilate cancer
U.S. treating meat with ammonia, bleach and antibiotics to kill the '24-hour sickness'
USDA to allow U.S. to be overrun with contaminated chicken from China
Vaccine fraud exposed: Measles and mumps making a huge comeback because vaccines are designed to fail, say Merck virologists
Battle for humanity nearly lost: global food supply deliberately engineered to end life, not nourish it
Diet soda, aspartame linked to premature deaths in women

25 Amazing Facts About Food

This FREE downloadable report unveils a collection of astonishing and little-known facts about the food we eat very day. Click here to read it now...

 

Resveratrol and its Effects on Human Health and Longevity - Myth or Miracle.

Unlock the secrets of cellular health with the "miracle" nutrient Resveratrol Click here to read it now...

 

Nutrition Can Save America

FREE online report shows how we can save America through a nutrition health care revolution. "Eating healthy is patriotic!" Click here to read it now...

The Healing Power of Sunlight and Vitamin D

In this exclusive interview, Dr. Michael Holick reveals fascinating facts on how vitamin D is created and used in the human body to ward off chronic diseases like cancer, osteoporosis, mental disorders and more. Click here to read it now...

Vaccines: Get the Full Story

The International Medical Council on Vaccination has released, exclusively through NaturalNews.com, a groundbreaking document containing the signatures of physicians, brain surgeons and professors, all of which have signed on to a document stating that vaccines pose a significant risk of harm to the health of children. Click here to read it now...

Health Ranger Storable Organics

GMO-free, chemical-free foods and superfoods for long-term storage and preparedness. See selection at www.StorableOrganics.com



Recommended Resources On:

Natural News trends
Health Ranger news
Natural News GMOs
Mike Adams tracker
Natural News photos
Natural News Global
Natural News in focus
Natural News connect
Natural News shocking stories
Natural News radar
GMOs
Quackwatch
Vaccines
Health freedom
Dr. Paul Offit

This site is part of the Natural News Network © 2014 All Rights Reserved. Privacy | Terms All content posted on this site is commentary or opinion and is protected under Free Speech. Truth Publishing International, LTD. is not responsible for content written by contributing authors. The information on this site is provided for educational and entertainment purposes only. It is not intended as a substitute for professional advice of any kind. Truth Publishing assumes no responsibility for the use or misuse of this material. Your use of this website indicates your agreement to these terms and those published here. All trademarks, registered trademarks and servicemarks mentioned on this site are the property of their respective owners.

eTrust Pro Certified Android app on Google Play

Sign up for the FREE Natural News Email Newsletter

Receive breaking news on GMOs, vaccines, fluoride, radiation protection, natural cures, food safety alerts and interviews with the world's top experts on natural health and more.

Join over 7 million monthly readers of NaturalNews.com, the internet's No. 1 natural health news site. (Source: Alexa.com)

Your email address *

Please enter the code you see above*

No Thanks

Already have it and love it!

Natural News supports and helps fund these organizations:

* Required. Once you click submit, we will send you an email asking you to confirm your free registration. Your privacy is assured and your information is kept confidential. You may unsubscribe at anytime.