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-One Time For The #DrugRep's; Two Times For My #Belly...Y'all Save Da Kidd So Much đ°Moneyđ°-âď¸âď¸âď¸

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Physicians under the influence
Pharma firms use financial and non financial tactics to influence health care providerâs attitudes and decision making.
Financial Inducements includeÂ
honoraria
gifts
speakersâ fees
unrestricted education grants
sponsored research
and other funder resources
Non financial inducements includeÂ
use of deference
the opportunity to be referred as an expert
publication productivity facilitated by industry funded ghostwriters that further the health care professionals career
âPhysicians often do not recognize their vulnerability to commercial information and subtle selling techniquesâ (p.667)
People even doctors are more strongly influenced by messages delivered with confidence and especially if there is money involved, extracting objective information in messages becomes difficult. Most physicians think they are immune to marketing strategies and often believe their own prescribing behavior is unaffected by industry influence, while at the same time they place blame on other physicians for being susceptible to industry influence. So there is an issue with self serving biases within the culture of physicians. There is also a sense of entitlement. Physicians who receive industry funded benefits (like the ones written above) usually use those as a way to unconsciously rationalize questionable behavior regarding ethics in their practice.
Principles of Influence
Reciprocity
Obligations to help those who have helped you
Relationship between physicians and industry uses formalized gift giving rituals
physicians pay back the industry gifts through changes in their practice, however this is seen as showing loyalty in the business relationship NOT a bribe
Commitment and consistencyÂ
Pharma industry knows the power help in small commitments
Example: drug rep asks a doctor âwill you try my drug on next 5 patients with diabetes?â and because this is a small request it increases the likelihood that the physician will start using the targeted drug
Drugs reps tract physiciansâ prescriptions and those who havenât honored their commitments are reminded and encouraged again and again to try the drug - so there is a lot pressure on doctors as well
Social Proof
Accepting industry gifts is a cultural norm in medicine, so it will continue to happenÂ
Opinions of colleagues are used by industry reps to sway physicians to adopt particular way of thinking
They create social validation and conformity
LikingÂ
Rapport increases with familiartiyÂ
The more interactions and the longer you have a relationship matters in medicine
Drug reps spend a considerable amount of time and effort befriending physicians - they try to make everything seem like a gesture of friendship instead of a business dealÂ
They do this by providing free samples of products, office lunches or dinners etc.
It is similar to buying love in a sense because doctors will write prescriptions for who they like because remember, doctors are people too
Physicians feel overworked, underpaid and unappreciated
Drug reps show sympathy, flattery, food, gifts, services, and income enhancing opportunities and pretend that they want nothing in return. However, this usually is beneficial for their drugs.
Drug reps will usually not continue a relationship with a physician who isnât prescribing a targeted drug or helping in a way to boost its market share
Authority and ScarcityÂ
Physicians want to have a âkey opinion leaderâ status
This leads to research funding, consulting fees, and more publication productivity that the industry funds
They also feel the personal achievement of being special and important in the medical world
The concept of receiving a âkey opinion leaderâ status obviously gives physicians the feeling they are authoritative figures and it also makes them fight for the stars because of scarcity. This is because the opportunity seems limited so it must mean its more valuable.
Through these methods the industry gives off this illusion that they are generous to physicians when really there have underlining motives.
Sah, S., & Fugh-Berman, A. (2013). Physicians under the Influence: Social Psychology and Industry Marketing Strategies. The Journal of Law, Medicine & Ethics, 41(3), 665-672.
The #FireWifeLife... Or Just Life.
Disclaimer: Not a wife, yet đ
Let me start by saying that that hashtag carries a certain stigma with it that makes me puke in my mouth a bit. It makes me think of those wives who mainly pretend to have it all together and glorify their spouses job. And at least around here, the trend is the more ya talk about it, the worse you probably are at it. Just the way that cookie crumbles. I make no effort to hide this shit show. If I did, well, I wouldnât have anything to write about. So, as a collective whole can we agree that this life is anything but glorious and weâre probably all just looking at the clock and doing the mental math and counting down the hours until weâre reunited again? Because that. Is. Me. Let me tell ya, 24 hours has never felt longer and donât get me started on 36. Some days weâre just ships passing in the night and miss each other by a few minutes. At the same time, I also really appreciate having the bed to just me and my dogs. Itâs called balance, right?
Our story: Tom and I met while I was working at the local harness racing track for a trainer. He was on standby on the medic, and I had an little run in with a 1200lb animal, and the rest is history.
At that point in my life, (which was only three months ago,) I really wasnt looking for anything at all. I was happy being single. I didnât have time for men. Dating was rough for me. Every guy that took me out was just missing SOMETHING. Wasnât talkative enough, too talkative, too touchy feely, or, my favorite, would just flat out undermine me. I was working three jobs and was just tired of wasting my time and had honestly taken a solid break from men. It was the holidays and I was ready to spend time with my family and enjoy a much needed break from pharma and spend time with my four legged boys.
And so my first day of winter break, I let Tom take me for a drink. A drink turned into dinner (because I am never going to say no to a beer and nachos.) Dinner turned to coming home at 1am. A car ride filled with whiskey induced singing to Bowling for Soup and Frank Turner is really what won me over. Because let me tell ya, I was skeptical that he was too good to be true because the connection we have has been there since the very beginning. He claims he fell in love with me that night. What an idiot.
Whenever his job gets brought up in conversation, people are constantly taken aback and the average response is âomg thatâs so dangerous, how donât you stress or worry all the time?!â
I donât let the stress of his job burden me. I donât make a conscious effort to really worry about him or his safety. Heâs a trained professional. Sure, the âwhat ifâsâ creep into my head sometimes, but Iâm sure he feels the same way while Iâm on top of a 1200lb animal and Iâm alone. But weâve both been doing it for so long itâs second nature.
Then the second go to is âyou poor thing, you must spend so much time alone!â Let me tell yâall, 90% of the time, I LOVE my alone time. I work alone and I also live alone besides my dogs. I love my ability to be independent. I live a life completely separate from his. I work my own jobs, on my own time. Sure we absolutely enjoy our time together and get as much as that together as we can, but if I didnât have my own life outside of our relationship, Iâd just be waiting for him to come home. Independence is key to making this relationship work. As I mentioned last week, I donât have much time for anything other than work right now anyway. The balance in my life is so delicate, when it gets off by even a bit, it tends to throw the rest of my week off.
The âsecretâ to our relationship success from the beginning has always been open communication. About anything. Any time. 3am even. We talk about our work days. Our stresses and anxieties. Tom has a a lot of his plate- full time at the department, part time as a private paramedic, graduate school, air national guard, being a dad, and of course me. Weâre never shy about how we feel. And thatâs why this works. And weâre always there when the other needs us to be.
Thatâs not whatâs going to make me a good FireWife. Thatâs whatâs going to make me a good wife in general. I am so excited to see where he takes me. And I know that even short term, I may not get to be a legit FireWife. Tom finishes his MBA program in July and from there, who knows where weâll end up. But for now, Iâm endlessly proud and he deserves all the recognition and then some.
Read more: http://bit.ly/1yNHwo5
Doctor's Last Drug-Rep Pen Running Out of Ink, Future Prescribing Decisions Uncertain
Cranquisville, USA â The Affordable Care Act of 2010 brought many changes to the US healthcare (insurance) system, and doctors have already felt the impact in many ways â in their finances, their reputations, their blood pressure readings. One component of the ACA in particular,...
Read more on http://www.gomerblog.com/2014/12/prescribing/
www.gomerblog.com #Full_Articles, #Internal_Medicine, #Pharmacy, #Primary_Care drugrep, medicaldecisions, prescribing Full Articles, Internal Medicine, Pharmacy, Primary Care