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Healthy Skepticism Library item: 18141

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

Castro Pinto J, Ferreira da Silva A, Dias Curto J
Determinant values in the medical act of prescribing in the Portuguese context
J Med Market 2010 Apr 23; 10:(3):213–230
http://www.palgrave-journals.com/jmm/journal/v10/n3/abs/jmm201011a.html


Abstract:

The purpose of this work is to identify and understand the preferential hierarchy of values set by the medical profession in the act of prescribing. Our target population consisted of physicians with practice in Portugal. From this universe, a random sample of 102 doctors was selected as the basis for this investigation. To achieve our aim, we used conjoint analysis as the principal statistical tool. Briefly, the main results can be described as follows: statistically significant results demonstrated that great care is taken by physicians to use pharmaceutical products with demonstrably greater effectiveness. Nevertheless, it was also observed that institutional brands play an important role in choosing the product prescribed.

Keywords:
conjoint analysis; effectiveness; tolerability; price and institutional brand

 

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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