Healthy Skepticism Library item: 2485

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

Castaigne A.
[Role of drugs in therapeutic strategies].
Rev Prat. 2002 March 1; 52:(5):491-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11949500

Abstract:

When a medication receives an authorization for the release onto the market, it is necessary to determine the place that it will occupy in the therapeutic strategies with 2 regulatory steps: The Commission de la transparence (Commission for Transparency) gives an opinion on the target population, the placing in the therapeutic strategies, the level of medical benefit for patient, the restriction or not to hospital usage, and the inclusion in the national medical insurance reimbursement scheme for the medications that are not reserved to hospitals. The second step is the passage before the Comite economique du medicament (Medical Economics Committee) that fixes the price of re-emboursement of the product. The place that the medication will occupy depends on the expectations of the doctors, and through them the patients, and the promotional efforts of the pharmaceutic industry. The publicity is framed by a control a posteriori that relies on the advertising elements diffused in the press as much as on the documents presented or put to the doctors. The final place of a given medication in the therapeutic strategies depends on numerous factors that can lead to 2 specialised medicines having the same indications occupying very different parts of the market, without the prescribers being capable to easily justify the reasons that makes them choose one molecule over another.

Keywords:
Drug Approval* Drug Industry Drug Therapy/trends* English Abstract Evidence-Based Medicine* Health Policy Humans Marketing of Health Services Specialties, Medical *analysis France Commission de la transparence Comite economique du medicament marketing strategies INFLUENCE OF PROMOTION: MARKET SHARE PROMOTIONAL STRATEGIES: INDUSTRY