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Healthy Skepticism Library item: 16913

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: news

Iskowitz M
Health ed. firms benefit from pharma's compliance woes
Medical Marketing & Media 2009 Nov 25
http://www.mmm-online.com/health-ed-firms-benefit-from-pharmas-compliance-woes/article/158532/


Full text:

More drug firms are exploring compliance strategies, both through external partnerships and by growing internal competencies, to boost patient adherence.

Companies working with outside compliance firms include Eli Lilly, Merck and Novartis, The Financial Times reports.

In addition, Pfizer’s Health Solutions division is staffed with nurses who call or visit patients to encourage them to follow their doctors’ orders, while Johnson and Johnson has bought two companies in an effort to improve compliance.

The Times sees the activity as part of a growing trend among pharmaceutical companies to aid sales and justify prices.
Clinical trials subjects take their medicines on schedule, but post-launch is a different story, due in part to cost, side effects or just plain patient forgetfulness. Payers, both governments and private, may be more willing to cover branded meds if the effects on patients were less variable.

Hence the efforts to make compliance more predictable. In one example cited by the Times, Novartis is working with Proteus Biomedical, a company which manufactures a micro chip placed in pills. The chip sends a text message to patients who do not take their medication.

Healthy Interactions is working on Lilly’s behalf to engage patients in board games designed to reinforce medication regimens.

 

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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