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Healthy Skepticism Library item: 3334

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

Comanor WS.
The political economy of the pharmaceutical industry.
J Econ Lit 1986; 24:(3):1178-1217


Abstract:

(Limited to parts of article dealing with promotion.) There is little doubt that industry selling efforts have a substantial effect on the prescribng behaviour of physicians, buy it is unclear if much advertising is deceptive and misleading. Various reports have estimated outlays on promotion from 10-15% of sales up to 20-25%, but the lower figures did not include all forms of promotion. Early research suggested that the main purpose of promotion is to place small firms and new entrants at a competitive disadvantage however this hypothesis is not readily subject to empirical testing and the supporting evidence is largely impressionistic. Another hypothesis is that more innovative firms spend larger sums on promoton than others so that advertising is used generally for procompetitive ends. One study found that the relationship between promotion and sales is brand-specific and depends critically on both the product’s position in the innovative race as well as the therapeutic characteristics of the product. There is also a question about whether the level of expenditure on promoiton is optimal for informational gains.

Keywords:
*nonsystematic review/promotion costs and volume/value of promotion/competitive consequences of promotion/ market share/INFLUENCE OF PROMOTION: MARKET SHARE/VOLUME OF AND EXPENDITURE ON PROMOTION Economics, Medical/history* History, Modern 1601- Legislation, Pharmacy/history* United States

 

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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.