d limited to 5 drug classes, the results suggest some potential concerns. Dr. Adair continues, "Access to drug samples influenced prescribing decisions of resident physicians, something that would seem to violate published national guidelines on physician interactions with the pharmaceutical industry. This finding contradicts two widespread beliefs: Drug samples are inherently different from other forms of marketing, and samples help patients manage drug costs in the long term. They raise questions about whether drug samples belong in clinics where residents are learning or low-income patients are receiving care. Other studies have shown that many Americans do not take prescribed medications because they cannot afford them. Whether to provide 'free' samples of expensive drugs to these patients is an ethical dilemma for many doctors."

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28-Jul-2005

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