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Research ArticleResearch

Drug sample management in University of Montreal family medicine teaching units

Marie-Thérèse Lussier, Marie-Claude Vanier, Marie Authier, Fatoumata Binta Diallo and Justin Gagnon
Canadian Family Physician September 2015; 61 (9) e417-e424;
Marie-Thérèse Lussier
Associate Professor in the Department of Family Medicine and Emergency Medicine at the University of Montreal in Quebec, Director of the University of Montreal primary care research network, and Regional Network Director in Quebec for the Canadian Primary Care Sentinel Surveillance Network.
MD MSc FCMF
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Marie-Claude Vanier
Full Clinical Professor in the Faculty of Pharmacy at the University of Montreal and a pharmacist in the Family Medicine Teaching Clinic at Cité de la Santé de Laval Hospital.
MSc(Pharm)
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Marie Authier
Assistant Professor in the Department of Family Medicine and Emergency Medicine at the University of Montreal, a research assistant at Hôpital Maisonneuve-Rosemont in Montreal, and Practice Facilitator for the Réseau de recherche en soins primaires de l’Université de Montréal.
PhD
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Fatoumata Binta Diallo
Research coordinator for the Équipe de recherche en soins de première ligne of the Centre intégré de santé et de services sociaux de Laval and Cité de la Santé de Laval Hospital.
PhD
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Justin Gagnon
At the time of manuscript preparation, a coordinator and research assistant for the Réseau de recherche en soins primaires de l’Université de Montréal, and a research assistant for the Équipe de recherche en soins de première ligne of the Centre intégré de santé et de services sociaux de Laval and the Canadian Primary Care Sentinel Surveillance Network.
MA
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  • For correspondence: just.gagnon{at}gmail.com
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Article Figures & Data

Figures

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    Figure 1.

    Trajectory of drug samples in the FMUs

    FMU—family medicine teaching unit.

  • Figure 2.
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    Figure 2.

    Presence and storage of drug samples in the FMUs

    FMU—family medicine teaching unit.

  • Figure 3.
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    Figure 3.

    Classes of medications distributed to patients over the previous 6 months

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    Figure 4.

    Primary reasons cited by respondents for dispensing drug samples to patients

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    Figure 5.

    Frequency of dispensers’ documentation in patients’ charts upon issuing a drug sample: N = 191.

Tables

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    Table 1.

    Respondents’ occupations according to their roles in drug sample management and dispensing

    OCCUPATIONDISPENSERS, N (%)MANAGERS, N (%)
    Supervising physicians118 (40.1)9 (40.9)
    Family medicine residents
      • First year71 (24.1)0 (0.0)
      • Second year40 (13.6)0 (0.0)
    Nurses30 (10.2)8 (36.4)
    Pharmacists4 (1.4)4 (18.2)
    Research assistants0 (0.0)1 (4.5)
    Not specified by the respondent31 (10.5)0 (0.0)
    Total294 (100.0)22 (100.0)
    • View popup
    Table 2.

    Drug sample dispensers’ knowledge about sample management policies: N = 224 dispensers (who distributed drug samples in the previous 6 months) in FMUs with drug sample cabinets.

    KNOWLEDGE OF DRUG SAMPLE MANAGEMENT POLICYYES, N (%)NO, N (%)DOES NOT KNOW, N (%)
    Existence of a written drug sample management policy at the FMU25 (11.2)84 (37.5)115 (51.3)
    Existence of a written drug sample management policy at the health care institution24 (10.7)22 (9.8)178 (79.5)
    Existence of sample selection criteria at the FMU38 (17.0)71 (31.7)115 (51.3)
    Existence of a list of drug samples accepted at the FMU32 (14.3)85 (37.9)107 (47.8)
    Existence of a written policy governing contact between residents and pharmaceutical representatives at the FMU63 (28.1)55 (24.6)106 (47.3)
    • FMU—family medicine teaching unit.

    • View popup
    Table 3.

    Distribution of and desire for samples by medication class: N = 224 dispensers (who distributed drug samples in the previous 6 months) in FMUs with drug sample cabinets.

    DRUG CLASSESDISPENSERS WHO DISTRIBUTE THIS CLASS OF SAMPLE, %DISPENSERS WHO WANT ACCESS TO THIS CLASS OF SAMPLE, %
    Oral contraceptives62.991.9
    Analgesics62.587.0
    Ointments33.065.5
    Antacids38.764.6
    Inhaled medications26.861.4
    Intranasal corticosteroids41.559.2
    Antihistamines18.857.0
    Antimigraine medications15.655.6
    Antidepressants24.652.5
    Vitamins and supplements22.340.4
    Erectile dysfunction medications21.033.6
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Canadian Family Physician: 61 (9)
Canadian Family Physician
Vol. 61, Issue 9
1 Sep 2015
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Drug sample management in University of Montreal family medicine teaching units
Marie-Thérèse Lussier, Marie-Claude Vanier, Marie Authier, Fatoumata Binta Diallo, Justin Gagnon
Canadian Family Physician Sep 2015, 61 (9) e417-e424;

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Drug sample management in University of Montreal family medicine teaching units
Marie-Thérèse Lussier, Marie-Claude Vanier, Marie Authier, Fatoumata Binta Diallo, Justin Gagnon
Canadian Family Physician Sep 2015, 61 (9) e417-e424;
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  • Drug samples in family medicine teaching units: a cross-sectional descriptive study: Part 1: drug sample management policies and the relationship between the pharmaceutical industry and residents in Quebec
  • Drug samples in family medicine teaching units: a cross-sectional descriptive study: Part 3: availability and use of drug samples in Quebec
  • Reflective practice
  • Drug samples in family medicine teaching units: a cross-sectional descriptive study: Part 2: portrait of drug sample management in Quebec
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