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Healthy Skepticism Library item: 11276

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

Miller JD.
Study affirms PhRMA's influence on physicians.
J Natl Cancer Inst 2007 Aug 1; 99:(15):1148-50
http://jnci.oxfordjournals.org/cgi/content/extract/99/15/1148


Abstract:

Physicians are under more intense financial pressure than ever to prescribe pharmaceutical manufacturers’ expensive new drugs even when cheaper, more established drugs may be at least as effective. Coupled with psychological or social pressure that may distort a doctor’s judgment, the influence of free gifts and subtle economic incentives may have financial costs, according to several recent studies on the interactions between doctors and drug company representatives.

In 2004, pharmaceutical companies spent an average of $10,000 per practicing American physician on free meals, free continuing medical education (CME) training, free trips to conferences, and payments for various services, according to data compiled by IMS Health, a company monitoring the industry’s finances. Those drug representatives also gave the average doctor an extra $21,000 in free drug samples. The total 2004 tab for drug representative strategies: $23.7 billion.

That’s twice as much money as drug manufacturers spent influencing physicians just 6 years . . .

Why Drug Reps Court Doctors

Company Culture

Keywords:
Publication Types: News MeSH Terms: Data Collection/legislation & jurisprudence Drug Industry*/ethics Drug Industry*/legislation & jurisprudence Drug Industry*/methods Drug Industry*/organization & administration Drug Utilization Ethics, Business Gift Giving*/ethics Humans Lobbying* Marketing*/ethics Marketing*/legislation & jurisprudence Marketing*/methods Marketing*/statistics & numerical data Organizational Culture Persuasive Communication Physician's Practice Patterns Physicians/psychology* Prescriptions, Drug Privacy Students, Medical/psychology

 

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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