索雷尔的寓意是:教育,而不是立法。

George R Gooch, J James Rohack, Marisa Finley
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引用次数: 0

摘要

本文认为,作为对美国最高法院2011年Sorrell诉IMS Health Inc.一案判决的回应,州立法者应避免制定处方保密法,而是实施支持学术细节的政策,这是一种继续医学教育的形式,由训练过的卫生专业人员(如医生、注册护士、高级执业护士和药剂师)向开处方者提供有关处方药的循证信息。根据索雷尔的说法,制药公司可以自由地使用医生的处方数据,在没有政府干预的情况下更好地向医生推广或“详细介绍”产品。虽然制药公司可能从向医生详细介绍药物中获利,但详细说明会增加患者的医疗保健成本,并对患者的健康结果产生负面影响。这些问题促使缅因州、新罕布什尔州和佛蒙特州颁布了处方保密法,禁止利用医生开处方习惯的信息向医生推销药品。最近各州试图停止向医生提供药物细节的做法被认为违反了宪法第一修正案。这篇文章提供了药物详细过程的历史和背景,并分析了最近与处方保密有关的法律决定。它的结论是,学术细节是解决药物细节负面影响的可行方案,并且符合第一修正案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The moral from Sorrell: educate, don't legislate.

This Article argues that in response to the United States Supreme Court's 2011 decision in Sorrell v. IMS Health Inc., state legislators should refrain from enacting prescription confidentiality laws and instead implement policies supporting academic detailing, a form of continuing medical education in which trained health professionals such as physicians, registered nurses, advanced practice nurses, and pharmacists provide evidence-based information about prescription drugs to prescribers. According to Sorrell, pharmaceutical companies may freely use physicians' prescribing data to better promote, or "detail," products to physicians without government interference. While pharmaceutical companies may profit from detailing drugs to physicians, detailing increases health care costs for patients and negatively affects patient health outcomes. These problems motivated Maine, New Hampshire, and Vermont to enact prescription confidentiality laws that banned the use of information about the prescribing habits of physicians to help market drugs to physicians. Recent state attempts to stop drug detailing to physicians have been found to violate the First Amendment. This Article provides a history and background on the pharmaceutical-detailing process and analyzes recent legal decisions relating to prescription confidentiality. It concludes that academic detailing is a viable solution to the negative effects of pharmaceutical detailing and is consistent with the First Amendment.

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