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Healthy Skepticism Library item: 17895

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

Patients make balanced decisions whether to take drugs
BMJ 2002 Oct 19; 325:(7369):
http://www.bmj.com/cgi/content/full/325/7369/0/b


Abstract:

Patients balance reservations about drugs generally against positive experiences with doctors, perceived benefits of medication, or a consideration of pragmatic issues. Patients receiving treatment for chronic conditions often hold reservations about their drugs and make active decisions about continuing to use them. Benson and Britten (p 873) interviewed patients taking antihypertensive drugs and developed a taxonomy of patients’ reservations about drugs and their reasons for taking them. Patients’ ideas may derive from considerations unrelated to drugs’ pharmacological properties. Different patients may balance similar perceptions differently, and a single patient may balance multiple reservations against different reasons to take a drug. Taking patients’ views into account when reviewing or initiating hypertensive treatment may be helped by directly asking about their reservations, their reasons for taking drugs, and the balance between them.

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.