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Attitudes and relationship between physicians and the pharmaceutical industry in a public general hospital in Lima, Peru

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dc.contributor.author De Ferrari, Aldo
dc.contributor.author Gentille, Cesar
dc.contributor.author Davalos, Long
dc.contributor.author Huayanay, Leandro
dc.contributor.author Malaga, German
dc.date.accessioned 2020-06-10T18:12:19Z
dc.date.available 2020-06-10T18:12:19Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/8106
dc.description.abstract BACKGROUND: The interaction between physicians and the pharmaceutical industry influences physicians' attitudes and prescribing behavior. Although largely studied in the US, this topic has not been well studied in resource-poor settings, where a close relationship between physicians and industry still exists. OBJECTIVE: To describe physician interactions with and attitudes towards the pharmaceutical industry in a public general hospital in Lima, Peru. DESIGN: Descriptive, cross-sectional study through an anonymous, self-filled questionnaire distributed among faculty and trainee physicians of five different clinical departments working in a Peruvian public general hospital. A transcultural validation of an existing Spanish questionnaire was performed. Exposure to marketing activities, motivations to contact pharmaceutical representatives and attitudes towards industry were studied. Collected data was analyzed by degree of training, clinical department, gender and teaching status. Attitudes were measured on a four-point LIKERT scale. RESULTS: 155 physicians completed the survey, of which 148 were included in the study sample. 94.5% of attending physicians reported ongoing encounters with pharmaceutical representatives. The most common industry-related activities were receiving medical samples (91.2%), promotional material (87.8%) and attending meetings in restaurants (81.8%). Respondents considered medical samples and continuing medical education the most ethically acceptable benefits. We found significant differences between attendings and residents, and teaching and non-teaching attendings. An association between the amount of encounters with pharmaceutical representatives, and attitudes towards industry and acceptance of medical samples was found. CONCLUSIONS: A close physician-industry relationship exists in the population under study. The contact is established mainly through pharmaceutical representatives. Medical samples are the most received and ethically accepted benefit. The attitudes of physicians on the ethical standards of acceptance of medical samples and other benefits are closely related with their exposure to the pharmaceutical industry. Future studies could explore the motivations of physicians working in resource-poor settings to maintain a close relationship with industry. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartof urn:issn:1932-6203
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Attitude of Health Personnel en_US
dc.subject Ethics, Medical en_US
dc.subject Adult en_US
dc.subject Conflict of Interest en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Drug Industry/economics/ethics en_US
dc.subject Female en_US
dc.subject Gift Giving/ethics en_US
dc.subject Hospitals, General en_US
dc.subject Hospitals, Public/ethics en_US
dc.subject Humans en_US
dc.subject Interprofessional Relations/ethics en_US
dc.subject Male en_US
dc.subject Marketing/ethics en_US
dc.subject Middle Aged en_US
dc.subject Peru en_US
dc.subject Physicians/economics/ethics en_US
dc.subject Practice Patterns, Physicians'/economics/ethics en_US
dc.subject Surveys and Questionnaires en_US
dc.title Attitudes and relationship between physicians and the pharmaceutical industry in a public general hospital in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0100114
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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