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Healthy Skepticism Library item: 13306

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

Richard O, Van Horn L.
Persistence in prescriptions of branded drugs
International Journal of Industrial Organization 2003 Dec 19; 22:(4):523-540
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V8P-4B8BST2-1&_user=10&_coverDate=04%2F30%2F2004&_rdoc=5&_fmt=summary&_orig=browse&_srch=doc-info(%23toc%235876%232004%23999779995%23490895%23FLA%23display%23Volume)&_cdi=5876&_sort=d&_docanchor=&_ct=9&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=f83412caf487e79e0bebbdd221ef44f4


Abstract:

The American Medical Association and the Pharmaceutical Research and Manufacturers of America have developed new standards to curb the influence sales representatives may have on physicians’ drug choices. Yet the literature fails to clarify the extent to which shares of prescriptions for branded drugs are driven by advertising to physicians or by usage persistence in choices. Using unique aggregate data on major Therapeutic Classes (i.e. Statins, SSRIs, COX2s), we show that a majority of prescriptions are best characterized as automatic renewals for current users. Choice probabilities across all other prescriptions seem driven by brand attributes and promotion to physicians.

Keywords:
Market structure; Advertising; Monte Carlo; Pharmaceutical drugs

 

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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