IJMDC. 2020; 4(1): 244-252

Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review

Authors: Mohammed Saud Almasri, Yousef Rafat Bukhari, Bandar Saleh Alzuair, Mansour Khalid Almadi, Amro Khalid Bin Abdulrahman.

ABSTRACT

The Physicians-Drug Representative (PDR) relationship is a concerning ethical issue in the medical field. Negative effects resulting from these interactions affect major aspects of health institutions, such as knowledge of physicians and their prescribing practices. A better understanding of PDR interactions could be a key factor in minimizing the negative outcomes. The aim of this review was to discuss the PDR relationship from an ethical point of view and to give a better picture of what the current literature says. We performed a literate search in the databases (PubMed, Science Direct, MEDLINE, and Google Scholar) using the terms “Physicians-Drug Representative Relationship” “Medical Ethics” “Gift Acceptance” “Change in Knowledge” “Prescribing Behavior” “Interest Conflicts” “Physician–Patient Relations” “Pharmaceutical Marketing” to identify relevant articles. Subheadings were chosen and discussed in this review based on common measurements of previous related articles. The review showed that the interactions between the physicians and the pharmaceutical companies have multiple effects on physicians from different aspects, ranging from minimal changes in knowledge into irrational changes in practice. Apparently, there is a need for more focus on the training programs of physicians regarding PDR interactions. Further studies should also focus on PDR implications on patients’ perceptions and their general health status.

Keywords:
Physicians-drug representative relationship, medical ethics, gift acceptance, change in knowledge, prescribing behavior, conflict of interest, health care system, doctor–patient trust, pharmaceutical marketing


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Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review


Authors
Mohammed Saud Almasri
Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Yousef Rafat Bukhari
Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Bandar Saleh Alzuair
Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Mansour Khalid Almadi
Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Amro Khalid Bin Abdulrahman
Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Mohammed Saud Almasri, Imam Mohammad Ibn Saud Islamic University College of Medicine, Riyadh, Saudi Arabia.; m-mohammed-s@hotmail.co.uk

Publication history
Received 03 Nov 2019
Accepted 24 Dec 2019
Published online 04 Jan 2020
Published in print 13 Jan 2020

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Pubmed Style

Almasri MS, Bukhari YR, Alzuair BS, Almadi MK, Abdulrahman AKB. Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. IJMDC. 2020; 4(1): 244-252. doi:10.24911/IJMDC.51-1572794591


Web Style

Almasri MS, Bukhari YR, Alzuair BS, Almadi MK, Abdulrahman AKB. Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. http://www.ijmdc.com/?mno=72210 [Access: January 25, 2020]. doi:10.24911/IJMDC.51-1572794591


AMA (American Medical Association) Style

Almasri MS, Bukhari YR, Alzuair BS, Almadi MK, Abdulrahman AKB. Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. IJMDC. 2020; 4(1): 244-252. doi:10.24911/IJMDC.51-1572794591


Vancouver/ICMJE Style

Almasri MS, Bukhari YR, Alzuair BS, Almadi MK, Abdulrahman AKB. Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. IJMDC. (2020), [cited January 25, 2020]; 4(1): 244-252. doi:10.24911/IJMDC.51-1572794591


Harvard Style

Almasri, M. S., Bukhari, . Y. R., Alzuair, . B. S., Almadi, . M. K. & Abdulrahman, . A. K. B. (2020) Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. IJMDC, 4 (1), 244-252. doi:10.24911/IJMDC.51-1572794591


Turabian Style

Almasri, Mohammed Saud, Yousef Rafat Bukhari, Bandar Saleh Alzuair, Mansour Khalid Almadi, and Amro Khalid Bin Abdulrahman. 2020. Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. International Journal of Medicine in Developing Countries, 4 (1), 244-252. doi:10.24911/IJMDC.51-1572794591


Chicago Style

Almasri, Mohammed Saud, Yousef Rafat Bukhari, Bandar Saleh Alzuair, Mansour Khalid Almadi, and Amro Khalid Bin Abdulrahman. "Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review." International Journal of Medicine in Developing Countries 4 (2020), 244-252. doi:10.24911/IJMDC.51-1572794591


MLA (The Modern Language Association) Style

Almasri, Mohammed Saud, Yousef Rafat Bukhari, Bandar Saleh Alzuair, Mansour Khalid Almadi, and Amro Khalid Bin Abdulrahman. "Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review." International Journal of Medicine in Developing Countries 4.1 (2020), 244-252. Print. doi:10.24911/IJMDC.51-1572794591


APA (American Psychological Association) Style

Almasri, M. S., Bukhari, . Y. R., Alzuair, . B. S., Almadi, . M. K. & Abdulrahman, . A. K. B. (2020) Ethical considerations in doctors & pharmaceutical industries relationship: a narrative review. International Journal of Medicine in Developing Countries, 4 (1), 244-252. doi:10.24911/IJMDC.51-1572794591


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