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Research ArticleResearch

Drug samples in family medicine teaching units: a cross-sectional descriptive study

Part 2: portrait of drug sample management in Quebec

Andréa Lessard, Marie-Thérèse Lussier, Fatoumata Binta Diallo, Michel Labrecque, Caroline Rhéaume, Pierre Pluye and Roland Grad
Canadian Family Physician December 2018, 64 (12) e540-e545;
Andréa Lessard
Clinician scientist in the Department of Family Medicine and Emergency Medicine at the University of Sherbrooke in Quebec and at the Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean in Quebec.
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Marie-Thérèse Lussier
Full Professor in the Department of Family Medicine and Emergency Medicine at the University of Montreal in Quebec, a member of the Équipe de recherche en soins de première ligne of the Centre intégré de santé et de services sociaux de Laval in Quebec, Director of the University of Montreal Primary Care Research Network, Regional Network Director for the Canadian Primary Care Sentinel Surveillance Network in Quebec, and a teacher and practising physician at the Cité de la Santé Family Medicine Teaching Unit in Laval.
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Fatoumata Binta Diallo
Research coordinator in the Équipe de recherche en soins de première ligne of the Centre intégré de santé et de services sociaux de Laval and at the Cité de la Santé Family Medicine Teaching Unit.
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  • For correspondence: fabinta2@gmail.com
Michel Labrecque
Professor Emeritus in the Department of Family Medicine and Emergency Medicine at Laval University.
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Caroline Rhéaume
Clinical researcher in the Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec and in the Department of Family Medicine and Emergency Medicine at Laval University.
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Pierre Pluye
Professor in the Department of Family Medicine at McGill University in Montreal.
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Roland Grad
Family physician in the Herzl Family Practice Centre in Montreal and Associate Professor in the Department of Family Medicine at McGill University.
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Abstract

Objective To draw a portrait of drug sample management in academic primary health care settings and assess conformity to existing Canadian guidelines.

Design Descriptive cross-sectional survey.

Setting All 33 family medicine teaching units (FMTUs) in Quebec that kept drug samples.

Participants Health care professionals or FMTU staff who managed drug samples (ie, managers).

Main outcome measures Drug sample managers completed a self-administered questionnaire between February and December 2013. Questionnaires inquired about sample selection, procurement, reception, storage, inventory, and disposal. Results were compared with the Canada’s Research-Based Pharmaceutical Companies Code of Ethical Practices (2012) and the Canadian Medical Association Guidelines for Physicians in Interactions with Industry (2007).

Results All 33 FMTUs responded to the questionnaire. According to managers, no FMTUs had written selection criteria to guide sample choice. Almost one-third (30%) of FMTUs had uncontrolled access to drug sample cabinets. Even though pharmaceutical companies must distribute drug samples to authorized professionals only, these professionals were involved in the procurement and the reception of samples in 79% and 56% of FMTUs, respectively. Only 15% of FMTUs kept track of samples distributed, 82% checked expiration dates, and 85% ensured proper disposal as recommended.

Conclusion The management of drug samples in the FMTUs in Quebec is heterogeneous, with many FMTUs and pharmaceutical companies not following Canadian guidelines.

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Canadian Family Physician: 64 (12)
Canadian Family Physician
Vol. 64, Issue 12
1 Dec 2018
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Drug samples in family medicine teaching units: a cross-sectional descriptive study
Andréa Lessard, Marie-Thérèse Lussier, Fatoumata Binta Diallo, Michel Labrecque, Caroline Rhéaume, Pierre Pluye, Roland Grad
Canadian Family Physician Dec 2018, 64 (12) e540-e545;

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Drug samples in family medicine teaching units: a cross-sectional descriptive study
Andréa Lessard, Marie-Thérèse Lussier, Fatoumata Binta Diallo, Michel Labrecque, Caroline Rhéaume, Pierre Pluye, Roland Grad
Canadian Family Physician Dec 2018, 64 (12) e540-e545;
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