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Healthy Skepticism Library item: 10568

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

Grande D.
Prescriber profiling: time to call it quits.
Ann Intern Med 2007 May 15; 146:(10):751-2
http://www.annals.org/cgi/content/full/146/10/751


Abstract:

Pharmaceutical marketing to physicians recently surpassed $23 billion per year, and the pharmaceutical industry currently employs 1 sales representative for every 5 office-based physicians (1, 2). In this setting, policymakers and patients are understandably concerned about commercial influences on physicians’ prescribing decisions.

Real-time, physician-specific data on prescribing habits are a powerful tool that pharmaceutical sales representatives rely on when visiting a physician’s office. A representative can quickly access a breakdown of pharmaceuticals prescribed by any physician on a handheld computer, enabling that representative to deliver a tailored marketing pitch to physicians selected for their current prescribing habits. Within weeks, the sales representative can monitor each physician’s response to the pitch-as well as to inducements, such as meals, gifts, and drug samples-and can make repeated visits to achieve sales goals…

Keywords:
Publication Types: Comment Editorial Research Support, Non-U.S. Gov't MeSH Terms: Drug Industry/ethics* Ethics, Pharmacy* Marketing* Physician's Practice Patterns* Prescriptions, Drug* United States


Notes:

Comment on:
Ann Intern Med. 2007 May 15;146(10):742-8.

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963