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Healthy Skepticism Library item: 13900

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

Shankar PR.
PharmedOut.
Singapore Med J 2008 Apr; 49:(4):363-5
http://smj.sma.org.sg/4904/4904le2.pdf


Abstract:

Dear Sir,
Pharmaceutical promotion is a fact of life for doctors and prescribers the world over. In the United States of America (USA), almost USD 21 billion was spent on promotion in 2002.(1) In many developing countries, medical representatives frequently serve as the only source of drug information.(1) In India, the huge number of products on the market makes selection of the right drug, and its correct use, increasingly difficult. Commercial drug information far outweighs independent and unbiased drug information.(2) In Nepal, many rural areas may lack access to medicines, but Kathmandu and other cities are booming markets for pharmaceuticals.(3) Aggressive promotion has a substantial impact on prescribing behaviour.(3) In Singapore, drug companies spend about $60 million a year-roughly 9% of sales-on promoting their products. As they are not allowed to advertise directly to consumers, they spend the money on educating doctors and providing free samples which are not meant for sale.(4)

Aggressive promotion has been shown to influence the prescribing behaviour of doctors…

Keywords:
Advertising as Topic* Drug Industry* Humans Internet Patient Education as Topic Physician's Practice Patterns*

 

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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