PATIENTS' VIEWS

  • Gibbons, JGIM 1998;13:151-154

    • INFLUENCE

  • NYT May 14, 2004
  • Oregonian May 13, 2005

    • BIAS

  • NYT June 15, 2004

    • EDUCATION SOURCES
    1. The Medical Letter on Drugs and Therapeutics is an independent, peer-reviewed, nonprofit publication that offers unbiased critical evaluations of drugs, with special emphasis on new drugs, to physicians and other members of the health professions. It evaluates virtually all new drugs and reviews older drugs when important new information becomes available on their usefulness or adverse effects. Published every other week in a four-page newsletter format, it carries no advertising and is supported entirely by subscription fees (free to OHSU library card holders).

    The preliminary draft is sent to:

    1. every member of the Advisory Board of The Medical Letter
    2. 10-20 other investigators who have clinical and experimental experience with the drug or type of drug or disease under review
    3. the FDA
    4. the CDC
    5. the first authors of all the articles cited in the text
    6. appropriate representatives of the pharmaceutical companies making the drugs under review
    7. companies that make competitor drugs
    2. Prescriber's Letter (similar service, with online access, and Palm software for $88 a year)

    3. Pharmacist's Letter (similar service offered by the same company, directed to pharmacists)

    4. The Drug Effectiveness Review Project began in 2001 when the state of Oregon, provoked by the soaring cost of state-run prescription drug programs, began funding research on the effectiveness and safety of comparable drugs. Since then other states have joined with Oregon to fund and use the research. The collaboration is managed by the Center for Evidence-based Policy in the School of Public Health and Preventive Medicine at OHSU.

    5. Attorney General Consumer and Prescriber Education Grant Program

    PHYSICIANS AS SOURCE OF PROBLEM

  • New Yorker 10/25/04
  • Wall Street Journal 6/6/02 (Shark Fin)
    • OTHER ORGANIZATIONS
  • No Free Lunch Website
  • Kaiser Family Foundation (see Jerome Kassirer video)
  • www.healthyskepticism.org
  • AMSA: New Policy for Members regarding Conflict of Interest

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