Physicians and Patients Don't Trust Clinical Trials

By Silverman, Jennifer | Clinical Psychiatry News, April 2004 | Go to article overview

Physicians and Patients Don't Trust Clinical Trials


Silverman, Jennifer, Clinical Psychiatry News


BETHESDA, MD. -- Recruiters for clinical trials face barriers from physicians and patients who don't trust the health care system, Dr. John Hogan said at a symposim on health disparities in clinical trials sponsored by the National Institute of Allergy and Infectious Diseases.

"There's a deep-rooted mistrust among patients who don't have access to ivory tower institutions and the physicians who don't work in them," said Dr. Hogan, a primary care and HIV specialist in Washington. Physicians who refer their patients to trials are often anxious about their patients' welfare and their prospects of getting experimental drugs.

"This is why physicians don't refer patients--and why patients don't want to go." he said.

But patient recruitment is just one roadblock. Site variability and inefficient referral management are some of the other deterrents to successful clinical trials, said Kathleen Drennan, chief of global marketing and strategic business development with Iris Global Clinical Trial Solutions, Chicago.

"An estimated $1 billion wordwide is spent on patient recruitment," but only 10% of eligible patients actually participate in the trials. Up to 75% of study volunteers can either drop out or get lost because of improper scheduling, lack of support and education, and inadequate tracking during the trial, Ms. Drennan said.

Many community-based physicians want to support clinical trials, but they lack the time and the resources to gain enough information about the trials, Dr. Hogan said.

Physicians need to come out of their "comfort zone" and become more informed about clinical trials, he said.

Clinical trial sponsors could improve matters by holding open houses or arranging teleconferences with physicians to educate them about trials and give them the opportunity to meet the staff of a trial, Dr. Hogan said.

It's unclear how many physicians in private practice understand how many phases there are in a trial. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Physicians and Patients Don't Trust Clinical Trials
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.