// Drug pens soon a thing of the past
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« on: Jan 20, 2008 05:42 AM »


Minn. Health System Purges Drug Trinkets

Minnesota Health System Purges Its Hospitals and Clinics of Drug Company Trinkets

MINNEAPOLIS (AP) -- When a Duluth-based operator of hospitals and clinics purged the pens, notepads, coffee mugs and other promotional trinkets drug companies had given its doctors over the years, it took 20 shopping carts to haul the loot away.

The operator, SMDC Health System, intends to ship the 18,718 items to the west African nation of Cameroon.

The purge underscored SMDC's decision to join the growing movement to ban gifts to doctors from drug companies.

SMDC scoured its four hospitals and 17 clinics across northeastern Minnesota and northwestern Wisconsin for clipboards, clocks, mouse pads, stuffed animals and other items decorated with logos for such drugs as Nexium, Vytorin and Lipitor.

Trinkets, free samples, free food and drinks, free trips and other gifts have pervaded the medical profession, but observers say that's starting to change.

"We just decided for a lot of reasons we didn't want to do that any longer," Dr. Kenneth Irons, chief of community clinics for SMDC, said Friday.

So SMDC put together a comprehensive conflict-of-interest policy that, among other things, limits access to its clinics by drug company representatives. Employees suggested the "Clean Sweep" trinket roundup, Irons said.

Ken Johnson, a spokesman for the Pharmaceutical Research and Manufacturers of America, had heard of hospitals and clinics banning promotional items before, but said SDMC's purge was unprecedented.

"I've never seen nor heard of a systematic roundup of pens and coffee mugs before," Johnson said. "It's a bit draconian. But the onus is on us now to do a better job of explaining the job and the importance of marketing representatives. Unfortunately there are a lot of cynics in America who want to think the worst."

SDMC's effort was motivated by a desire to show patients that its 450 doctors were serious about keeping prescription drug costs down and making unbiased medical decisions, Irons said.

The backlash against the cozy relationships between doctors and drug makers gained steam from article in the Journal of the American Medical Association in 2006. It said research had shown that even cheap gifts, such as pens, can affect doctors' prescribing decisions.

http://biz.yahoo.com/ap/080119/drug_trinket_roundup.html
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« Reply #1 on: Feb 13, 2008 01:54 AM »

As salaamu alaikum

Changes in ethics laws are often the driving force behind moves such as this to ensure that gifts don't impact decision-making in favor of who gives the best gift.  At least in New York one of the biggest changes is a move from an identified monetary value of such "giveaway", "gifts", etc. to "nothing above a nominal value" which of course has yet to be defined.  We've had running jokes that include that we could accept coffee but not in a cup provided by the vendor, not even a paper cup.  Or that nominal means nothing that is worth more than a stick of gum.

At least in this instance the items aren't being thrown away but rather given to those who can use them.  Still I wonder, what's the harm in a pen or coffee mug especially for someone who is not in a decision-making position.

As salaamu alaikum

Fa'izah
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