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Drug freebies not getting to the poor

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Harvard Medical School

A new study by Harvard-affiliated researchers has drawn a conclusion which, if widely accepted, could shift the dialog on the use of pharma-provided drug samples. The study has concluded that while the poor do receive free drug samples, almost all go to well-off patients who have insurance. This puts a stake in the argument that physicians need to accept samples to ease the burden carried by the poor and uninsured. The study, which was conducted by physicians with Harvard Medical School and the Cambridge Health Alliance, concluded that 82 percent of patients getting free samples during 2003 were insured throughout the year. Only 18 percent of those receiving free samples were uninsured for part of all of the year. Ethnicity also seems to play a role in who gets samples--a head-turning 81 percent of free-drug recipients were white. The study is set to be published in the February 2008 issue of the American Journal of Public Health.

To find out more about the study:
- read this Modern Healthcare piece
- see the Boston Globe report

Related Articles:
Time to take on the drug samples problem. Editorial
More providers limit use of free drug samples. Article
Henry Ford bans pharma perks, vendor drop-ins. Report
Stanford bans sales rep gifts to doctors. Article
UC Davis mulls pharma freebies ban. Article
FierceHealthcare readers debate ethics of freebies. Letters

Comments

No surprise here. I have been running a cash-only clinic for 9 months and am doing well. Most of my patients are uninsured. I haven't seen one drug rep yet. I wonder why?

Dr. Ryan,

I am researching health care issues for a Pacific Northwestern state. I would love to hear more about your cash only clinic. Do you have a few minutes to talk?

Smells like a drug industry sponsored study. Since very few doctors' offices maintain a log of samples given to patient how can this study even be considered for publication? Even if an EMR is used, unless the Big Pharma subsidies a bar coding reader that automatically logs freebies at the point of delivery, the data will be grossly inaccurate and worthy of the dustbin. The study seems to have been done by someone sitting in an ivory tower....How does Harvard university track sample usage?

its no surprise this is why our country is in the condition that is and getting worst to much prejudice and greed its a damn shame.

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