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Healthy Skepticism Library item: 7736

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

Koo M, Krass I, Aslani P.
Consumer opinions on medicines information and factors affecting its use - an Australian experience
International Journal of Pharmacy Practice 2002; 10:(2):107-114


Abstract:

Background – Consumer Medicine Information (CMI) is brand-specific, written drug information produced by pharmaceutical companies and intended for consumers in Australia. The content of CMI is defined in legal regulations. Objectives – This exploratory study investigated: (a) consumers’ awareness, perceptions and modes of CMI use, (b) the impact of CMI on consumers, and © possible factors affecting CMI use. Methods – Six focus groups (n=57 consumers) were conducted. Discussions were tape-recorded, transcribed verbatim and thematically analysed. Setting – Metropolitan Sydney, New South Wales, Australia. Key findings – Most participants were aware of written information about prescription medications but were unfamiliar with the term “CMI”. Few had experienced a health care professional providing or discussing CMI but most had read it and found it useful. There were many suggestions for improvements to the format and content of CMI to increase its “user-friendliness”. CMI had caused anxiety in some participants but increased awareness of their medications in others. Several factors appeared to increase the likelihood of CMI use: information-oriented coping mechanism, severe disease, internal locus of control, appropriate timing of information provision, and care-giver role. Conversely, difficulty in reading and understanding CMI, confidence in health care professionals and perceived “problem-free” therapies appeared to reduce CMI use. Conclusions – Although consumers were aware of and read written drug information, there was limited interaction with a health professional when written information was provided.

 

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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