Healthy Skepticism Library item: 3115

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

O'Malley K, O'Hanrahan M.
Drug promotion and the doctor.
Br J Clin Pharmacol 1982 Nov; 14:(5):661-4

Abstract:

Promotional methods are direct or indirect. Direct promotion includes the activities of medical representatives, advertising in medical journals and direct mail advertising. Indirect advertising, which is more difficult to identify and may be more important ethically, involves the association of the industry with research policy, relationships with medical academic units and staff and the financing of medical journals, medical groupings and postgraduate education. The article discusses sales representatives, journal advertising and indirect promotion. The authors do not think that the relationship between industry and the medical profession puts the welfare of patients at risk.

Keywords:
*analysis/sales representatives/journal advertisements/promotion costs and volume/sponsored symposia & conferences/continuing medical education/CME/drug company sponsored research/regulation of promotion/Association of the British Pharmaceutical Industry/ABPI/Food and Drug Administration/FDA/United Kingdom/doctors/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS/PROMOTION DISGUISED: SUPPORT FOR CME/PROMOTIONAL TECHNIQUES: DETAILING/PROMOTIONAL TECHNIQUES: JOURNAL ADVERTISEMENTS/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION/REGULATION, CODES, GUIDELINES: INDUSTRY SELF-REGULATION Advertising* Drug Industry* Great Britain Physicians*

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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