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Healthy Skepticism Library item: 6974

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

Giannakakis IA, Ioannidis JP.
Arabian nights-1001 tales of how pharmaceutical companies cater to the material needs of doctors: case report.
BMJ 2000 Dec 23-30; 321:(7276):1563-4
http://www.bmj.com/cgi/content/full/321/7276/1563


Abstract:

Objective: To describe how pharmaceutical companies cater to the material needs of doctors. Design: Case report of memoirs. Setting: Facilities that have nothing to do with medicine, somewhere in the Arabian peninsula. Patient population: Random sample of doctors. Interventions: Promotion by the pharmaceutical industry. Main outcome measures: Short term outcomes were travel, pleasure, amusement, and gifts, and long term outcomes were the market share of specific companies. Results: Short term outcomes were heterogeneous, underlying the diversity of the means employed by the pharmaceutical industry to subvert, divert, and influence medical practice. Overall, 200doctors were dressed in white gowns, a doctor in preventive medicine quoted Hippocrates in favour of smoking, a senior doctor became a poet, a doctor trying to understand the Methods section of a poster paper wondered whether he should have been sunbathing at the beach instead, and two women doctors were kidnapped by Bedouin warriors. Long term outcomes on the sales of the company drugs are pending but are likely to be most favourable. Conclusions: Eat, drink, be merry, and boost prescriptions.

Keywords:
*analysis/GREECE/relationship between medical profession and industry/drug company sponsored meals and travel/conferences/parody/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/ETHICAL ISSUES IN PROMOTION: PAYMENT FOR MEALS, ACCOMODATION, TRAVEL, ENTERTAINMENT/INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE/PROMOTION DISGUISED: CONFERENCES AND MEETINGS Drug Industry* Family Practice Humans Interprofessional Relations* Marketing of Health Services Wit and Humor*

 

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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.