Pharmaceutical
companies don't have nearly the access to doctors that they once enjoyed.
ZS, a
global sales and marketing firm, analyzed call reports from 70 percent of pharmaceutical
sales reps and found that for the first time since it began conducting such
reports, more than half of physicians were classified as restricted to a
certain extent from engaging with pharma reps.
The decline
in access has been dramatic over the past five years. While nearly 80 percent
of doctors were considered accessible in the first quarter of 2009, only 47
percent are unrestricted today.
The effect has been even more significant in
certain areas of medicine. While 75 percent of oncologists were labeled
"accessible" in 2010, 73 percent are now considered
"access-restricted."
The levels of access differ significantly
between fields. More than 70 percent of prescribers in dermatology, urology and
rheumatology remain accessible. In contrast, only 40 percent of primary care
physicians are accessible, while 24 percent are severely-restricted.
Doctors
were labeled as accessible if at least 70 percent of sales reps were able to
reach them. Those who were reached by between 30 percent and 70 percent were
labeled "access-restricted," while those reached by less than 30
percent of salespeople were described as "severely-restricted."
"The
pharmaceutical industry is in the middle of a fast, steady decline in physician
access — and we expect this pattern to continue for the foreseeable future.
Even traditionally rep-friendly physicians now limit sales rep access,"
said Pratap Khedkar, managing principal and leader of ZS's global
pharmaceuticals practice.
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ZS attributed the trend awayfrom rep access to a variety of factors, including new policies put in place by medical schools against engaging with reps. In fact, the study showed that recent graduates of the top 12 medical schools were less likely to be accessible than those with degrees from other universities.
However, ZS
also suggested that even doctors who aren't discouraged from meeting with reps
are spending less time with them because of decisions driven by recent mergers
of health care systems.
The report
recommends that if sales reps want to continue getting their products to
doctors, they'll have to adopt other methods of communicating with physicians
who aren't willing or able to meet with them in person.