[Physicians and the drug industry].
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OBJECTIVE: To work out and validate a questionnaire that can be self-filled and has closed answers to describe: 1) the kind of relationship between family doctors and the pharmaceutical industry; 2) the attitude of family doctors towards this relationship, and 3) the conduct of family doctors when faced with concrete offers from the industry. DESIGN: Cross-sectional study. PARTICIPANTS: Representative sample of family doctors working in primary care teams in Aragon, stratified by province, rural or urban setting and sex. MAIN MEASUREMENTS: A questionnaire with closed answers that can be self-filled was worked out. It had 55 items on three scales. It was referred to a group of experts in methodology, administration, health law and Bioethics, for an appraisal of its contents, criteria and construction. It was then re-sent to three of them for appraisal of the stability of their scoring. RESULTS: The questionnaire was valid in contents, criteria and construction. The results of the re-test sent to a part of the total sample gave information on replies' stability and served as a measurement of the reliability of the questionnaire. CONCLUSIONS: The questionnaire worked out met established psychometric criteria. The analysis of its results after its distribution to a representative sample of Aragonese family doctors may contribute previously unknown information on their attitudes to the drug industry.
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Physicians need to establish a protocol for drug testing. Drug testing is, by its nature, often adversarial. Despite the confusing lack of standardized methods for handling positive and negative industrial drug tests, both pre-employment and random, physicians must be methodical in adhering to basic principles of privacy and careful in the interpretation of positive results. Errors in handling drug testing have and will continue to lead to avoidable lawsuits.
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