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Healthy Skepticism Library item: 27

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

Mintzes B, Barer ML, Kravitz RL, Kazanjian A, Bassett K, Lexchin J, et al.
Influence of direct to consumer pharmaceutical advertising and patients' requests on prescribing decisions: two site cross sectional survey
BMJ 2002; 324:278-279
http://bmj.bmjjournals.com/cgi/content/full/324/7332/278


Abstract:

This study examined the relation between direct to consumer advertising and patients’ requests for prescriptions and the relation between patients’ requests and prescribing decisions. Physicians were ambivalent about the choice of treatment in half the cases when patients had requestede advertised drugs compared with 12% for drugs not requested by patients.

Keywords:
*analytic survey Canada United States DTCA direct-to-consumer advertising doctor-patient relationship attitude toward promotion quality of information quality of prescribing ATTITUDES REGARDING PROMOTION: CONSUMERS PATIENTS INFLUENCE OF PROMOTION: CONSUMERS AND PATIENTS INFLUENCE OF PROMOTION: DOCTOR-PATIENT RELATIONSHIP INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE PROMOTION AS A SOURCE OF INFORMATION: CONSUMERS AND PATIENTS


Notes:

Methodology note: Actual prescribing practices of physicians were not measured. There is the possibility of a social acceptability bias. Patients and physicians were surveyed in one city in Canada and the United States and the results may not be generalizable.
Part of a larger study: Mintzes et al. An assessment of the health system impact of direct-to-consumer advertising of prescription medicines (DTCA). Volume III: patient information on medicines. Comparative patient/doctor survey in Vancouver and Sacramento
ProCite field5: Analytic survey
ProCite field38: http://bmj.com/cgi/reprint/324/7332/278

 

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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.