National Center for Farmworker Health

MOMENTS OF COMPROMISE

Evidence Based Prescribing Free of Pharmaceutical Marketing Influence 

NCFH conducted focus groups with three large C/MHCs to identify the most important issues facing C/MHC staff around pharmaceutical marketing, the influence of the industry on prescribing practices and educational needs relative to marketing practices.  An issue identified by many prescribers in the focus group was what we came to name “a moment of compromise”.  A “moment of compromise” is described as a situation where prescribers felt their patient care was compromised when making prescription choices because their patients were unable to afford the latest and greatest name brand drugs.  To address this issue, NCFH partnered with Dr. George Rust of Morehouse School of Medicine and the National Center for Primary Care, to develop “Moments of Compromise: Evidence Based Prescribing Free of Pharmaceutical Marketing Influence”.


Prescribers at NCFH’s three partner C/MHCs participated in the 2 hour workshop in which they learned about how pharmaceutical industry marketing could potentially influence their prescribing patterns and how to use sources of objective, high-quality evidence to inform prescribing decisions.   The “Moments of Compromise” curriculum focused on general strategies for evidence based prescribing around 5 most frequently occurring diagnoses among the federally funded C/MHCs across the country.  The 5 selected diagnoses were asthma, diabetes, hypertension, otitis media, and depression.    Prescribers worked in small groups to discuss case studies and identify the most effective treatment options for these diagnoses.   Click here to view sample case studies. 

Participants also discussed prescribing moments that illustrate when prescribing a widely-accessible, cheap generic drug might represent (a) the best choice for the patient; (b) a reasonable, safe, and effective alternative; and (c) a moment of compromise, when cost has become a barrier to the evidence-based best-practice treatment.    Participants were awarded 1.5 CEU credits for this workshop from Morehouse School of Medicine. An independent study version of this curriculum is currently under development.  If you are interested in participating and earning 1.5 CEUs, please check back soon.