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Master Thesis

Perception par les médecins généralistes de l'influence de la promotion pharmaceutique sur leurs prescriptions selon le montant des cadeaux reçus : une enquête d'opinion réalisée en France en 2020 à l'aide des données de la base Transparence Santé de 2019

Abstract : Context : Physicians' exposure to pharmaceutical promotion is correlated with lower quality and more expensive drug prescriptions. On average, physicians consider themselves to be little influenced by pharmaceutical promotion. Objective : To study the association between the financial value of gifts received by general practitioners and their perception of the influence of pharmaceutical promotion on their drug prescriptions. Methods : This cross-sectional study was carried out from May 4th to June 30th 2020, and included liberal general practitioners settled and having practiced in France in 2019, separated in two groups according to the financial value of their cumulated benefits declared in the Transparency in Healthcare database in 2019. Data collection was carried out using a phone survey. Results : 236 physicians participated in this study. On average, physicians who received between € 10 and € 69 in cumulated benefits in 2019 rated the influence of pharmaceutical promotion on their drug prescriptions at 3,2 ± 2,5 on a scale from 0 (no influence) to 10 (very strong influence). Physicians who received € 1 000 or more in cumulated benefits in 2019 rated this influence at 5,0 ± 2,2 (p < 10-9). The number of contacts per month in the doctor's office with sales representatives of pharmaceutical companies was the variable that explained the most this influence, with an increase of 2.7 points ; IC95 [1,8 ; 3,6] for 1 to 6 contacts per month, and of 3,7 points ; IC95 [2,7 ; 4,6] for 7 to 40 contacts per month. Conclusion: The more gifts general practitioners received, the more they reported being influenced in their drug prescriptions by pharmaceutical promotion. This study is subject to the existence of unidentified confounding factors, so no causal relationship should be inferred.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03262610
Contributor : Santé Rennes 1 <>
Submitted on : Wednesday, June 16, 2021 - 4:06:16 PM
Last modification on : Thursday, July 8, 2021 - 3:37:12 AM

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Marc Lagarde. Perception par les médecins généralistes de l'influence de la promotion pharmaceutique sur leurs prescriptions selon le montant des cadeaux reçus : une enquête d'opinion réalisée en France en 2020 à l'aide des données de la base Transparence Santé de 2019. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03262610⟩

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