Wednesday, July 25, 2007

Data Mining



Physicians know all too well that the pharmaceutical reps have data about our prescribing patterns long before they come for a visit. But the state of New Hampshire has been trying to outlaw the data mining of prescription information the drug companies use to provide this information to the reps.

Unfortunately, the federal court struck down a 2006 state law that barred data-miners from using patients’ prescription drug information to directly market pharmaceuticals to physicians.

This ruling in April from U.S. District Judge Paul Barbadoro in Concord, N.H., said the law is a violation of constitutional guarantees of free speech. The suit was filed by two plaintiffs, data-miners Verispan, Yardley, Pa., and IMS Health, Norwalk, Conn.

The process goes like this; prescription data information is sold by drugstores to data-miners, who then refine the data and sell it to drug companies. The drug companies use the data to arm their sales representatives when they “detail” their drugs to doctors.

Many states would like to curb the multibillion-dollar healthcare data-mining industry but this ruling will cause some to reconsider. New Hampshire is planning an appeal.

New Hampshire officials believe the ruling will prove hurtful for residents and physicians and can prove harmful to the doctor patient relationship. They also believe it increases overall healthcare costs.

Some of the arguments centered on the fact that the transfer of prescription data was not speech, and that even if it were, it was not protected, given that there exists a lower standard for commercial speech than private speech.

The appeal is said to be straightforward with the process involving the filing with the District Court which then gets forwarded to the 1st Circuit Court of Appeals in Boston.

Labels: ,

16 Comments:

Anonymous Anonymous said...

Essential information for daily living:

http://www.wikihow.com/Use-a-Bidet

P.s. Drinking from a bidet is not recommended. See "Warning" section for details.

7/25/2007 02:53:00 PM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/25/2007 03:17:00 PM  
Anonymous Anonymous said...

Now this is in the mid 80's, so things may have changed. But when I worked in pharmaceuticals the only information that we have about prescibing habits was if a certain physician was a high prescriber of a particular class of drugs. For instance, a 5 on antibiotics meant that physician was a high prescriber of antibiotics, so if your company sold antibiotics then you needed to see that physician if you wanted him to start using your product. I'm not sure doing away with that type of information is going to lower healthcare costs significantly because many physicians feel that drug reps do not influence their prescribing habits. Imagine that?

7/25/2007 04:14:00 PM  
Blogger Iamhoosier said...

I know from the animal health side, our company reports sales info that includes NAME, ADDRESS, PHONE #, QUANTITY PURCHASED, AMOUNT CHARGED, and even an INVOICE #.

It all goes to a "mining" outfit who report it back to each drug company. If we don't do it, we cannot distribute the product(s). We do NOT get paid for the information.

7/25/2007 04:31:00 PM  
Anonymous Anonymous said...

From this point forward, the hospital topic is ended and comments will be deleted as I see them whether they be positive or negative.

Stick with the daily topic or don't comment.

iamhoosier, maybe you need to start charging and see how far you get or start a new business. A little extra income couldn't hurt.

7/25/2007 04:46:00 PM  
Anonymous Anonymous said...

Dr. Dan, I sure will miss hearing from you and the hospital happenings. I'm sorry that you have chosen to close this blog. What will I do now while I drink my morning coffee?

7/25/2007 05:19:00 PM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/25/2007 06:14:00 PM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/25/2007 10:06:00 PM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/25/2007 10:58:00 PM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/26/2007 06:06:00 AM  
Anonymous Anonymous said...

This comment has been removed by the author.

7/26/2007 07:59:00 AM  
Blogger Iamhoosier said...

I think the difference is that we are a wholesaler who buys direct from the drug companies and they write the info requirements into our contracts. Retailers are a step removed so the drug companies have to offer them an incentive to do it.

I hope your other statement means that you are at least reconsidering keeping the blog open. I would miss the opportunity to "cuss", discuss, and even poke at you every now and then.

Your left wing friend,
Mark

7/26/2007 08:15:00 AM  
Anonymous Anonymous said...

You spent days scaring the devil out of your readers regarding the staffing levels at Floyd. Now is it true that it is too dangerous for your patients or not? Were you just trying to drive out the CEO or should we really be concerned about family members not getting proper care there. You started this, now finish it.

7/26/2007 12:41:00 PM  
Anonymous Anonymous said...

This is a problem which is rooted in our current medical mindset of having to prescribe a drug as an intial response to most problems. I feel that instead of constantly giving meds physicians should learn more about nutrition and exercise and their effect on health, which they are generally pitifully uneducated about and do not practice themselves. The effects of omega 3s and other nutritional goldmines, would help to eliminate a good amount of need for arthritic meds as well as help with cardiac/blood pressure needs. Physician heal thyself and learn how to better take care of the general public. However, if you do that the drug reps won't bring the office another one of those free lunches.

7/26/2007 01:36:00 PM  
Anonymous Anonymous said...

THIS LAW ABSOLUTELY NEEDS TO BE PASSED - AS A PHYSICIAN I AM CONSTANTLY HASSLED BY DRUG REPS SAYING " YOU ARENT WRITING FOR MY DRUG'. well i usually write generics when possible ,then the next cheapest.DRUG COS ARE OUT OF CONTROL AND NEED TO BE REELED IN-THATS WHY I SEND A LOT OF MY PATIENTS TO CANADA TO GET MEDS. ITS A CRIME WHAT THEY CHARGE IN THIS COUNTRY - AND THE INSURANCE COS ARE IN CAHOOTS WITH THEM AND COVER VERY LITTLE.

8/02/2007 09:12:00 AM  
Anonymous Anonymous said...

THOSE FREE LUNCHES BRING SAMPLES I CAN HAND OUT

8/02/2007 09:13:00 AM  

Post a Comment

<< Home