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Healthy Skepticism Library item: 8338

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Fahey M.
Guide to consumers' pharmaceutical purchasing behavior
Journal of Managed Care Pharmacy 1996 Sep-Oct; 2:489-490, 494, 498-499


Abstract:

To examine consumers’ purchasing decisions for prescription and nonprescription medications, a survey of 5000 consumers was conducted to determine their sources of advice about medications, their communications with prescribers about cost and impact on quality of life, their opinions about price equity of medications, the importance of the pharmacy benefit in health plans, and the role of advertising in purchasing decisions for nonprescription medications. Results revealed that Medicaid patients more often went to pharmacists for advice than to physicians. Those with traditional insurance and those in managed care plans also gathered information from multiple sources: 83% talked to the physician; 71% also consulted pharmacists. Survey data showed that only slightly more than one-half of patients reported having discussions with their physicians about both quality of life and cost considerations when a course of treatment was chosen. Approximately 60-70% of survey respondents who had insurance believe that the cost of prescription drugs is unfair. A majority (more than 70%) of all consumers considered the inclusion of a pharmacy benefit to be a very important criterion in their decision to purchase a health plan. One-half reported that they considered pharmaceutical advertisements as educational, helping them become more informed consumers. Forty-two percent said they would base their next purchase decision on such advertising.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909