Patients Get the Drugs They Want
Researchers at the Center for Health Services Research in Primary Care at the University of California, Davis have found that patients who tell their doctor about a specific medication they saw in a television ad often walk out with an unnecessary prescription. The experiment sent actors on almost 300 visits to over 150 doctors’ offices in three cities feigning symptoms of various degrees of depression. The actors followed one of three approaches concerning receiving antidepressant prescriptions: asked for Paxil by name, asked for antidepressants in general, or didn’t ask at all. Interestingly, the results showed the prescription rate to be independent of the seriousness of the symptoms portrayed. Doctors were most likely to write prescriptions when a general request was made (76%), slightly less when Paxil was requested (53%, 27% of those for Paxil), and much less when no mention was made at all (<33%). While this is good news for those whose symptoms warrant aggressive treatment, the trend is bad for patients on the clinical margin.
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Correlation to Patient Load? by markmcb
I wonder if there’s any correlation to the patient load of these doctors. I’d be willing to guess that a doctor stressing out to get through all of the patients he/she has scheduled for the day would be more likely to go a self-diagnosis than a less-stressed doctor would. I didn’t see any links to the complete findings.
Wills not pills by Brandon
I don’t necessarily support more stringent laws on the direct-to-patient advertising of prescription drugs, but it is unfortunate that they seem to feed the trend Americans have of reaching for a pill instead of reaching into their will. Pills to lose weight and pills to gain weight; pills to get rid of headaches and hangovers; pills to calm your stomach, calm your nerves, and calm you down; pills to help with sex and prevent pregnancy; pills to sleep easier and pills to wake up easier; and, most disturbing of all, pills to make you ‘happy’.
Don’t get me wrong, certain cases warrant aggressive treatment. However, while part of that treatment might include prescription drugs, the solution to almost every issue that must be faced cannot be obtained without some appeal to willpower. I think people should concentrate more on changing their lives instead of changing the color or number of pills they pop each morning.