Four of 10 doctors grant brand-name drug requests over generics when patients ask, a survey found.
Of the eligible physicians sampled from internal medicine, family practice, pediatrics, anesthesiology, psychiatry, general surgery and cardiology, 1,891 participated (64%). Results appeared online in a research letter published Jan. 7 in JAMA Internal Medicine.
Among the variables studied:
--43% of physicians in practice more than 30 years sometimes or often give in to patients' demands for brand-name drugs compared with 31% physicians in practice for 10 years or less (P=.001);
--Pediatricians, anesthesiologists, cardiologists, and general surgeons were significantly less likely to give in to patient demands compared to internists (P less than .001).
--Physicians working in one- or two-doctor practices primarily were significantly more likely to give in to patient demands than those working in a hospital or medical school setting (46% vs 35%; P=.04).
As far as pharma industry involvement was concerned, more doctors honored patient requests sometimes or often compared with those who had not if they:
--received free food in the workplace (39% vs 33%; P=.003),
--received drug samples (40% vs 31%; P=.005) and,
--sometimes or often met with industry representatives to stay up to date (40% vs 34%; P=.007).
Perhaps this car's bumper sticker says it all ...