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Healthy Skepticism Library item: 7986

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: report

Bradford WD, Kleit AN, Nietert PJ, Ornstein S
The Effect of Direct to Consumer Television Advertising on the Timing of Treatment
: AEI-Brookings Joint Center for Regulatory Studies 2005 Sep
http://www.aei-brookings.com/admin/authorpdfs/page.php?id=1191&PHPSESSID=332b85b41ce5d5bc48eef6b5d7e21f05


Abstract:

We examine how direct to consumer advertising (DCA) affects the delay between diagnosis and pharmacological treatment for patients suffering from a common chronic disease. The primary data for this study consist of patients diagnosed with osteoarthritis (N=18,235) taken from a geographically diverse national research network of 72 primary care practices with 348 physicians in 27 states over the 1999 to 2002 time period. Brand specific advertising data was collected for local and network television at the monthly-level for the nearest media markets to the practices. Results of duration models of delay to treatment suggest advertising does affect the length of time that patients and physicians wait to initiate therapy. This evidence suggests these effects may be welfare enhancing, in that advertising tends to encourage more rapid adoption among patients who are good clinical candidates for the therapy, and leads to less rapid adoption among some patients who are poor clinical candidates.

 

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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