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Healthy Skepticism Library item: 8160

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

Hui KK.
Adverse drug reactions in hospitalized patients.
JAMA 1998 Nov 25; 280:(20):1742-3


Abstract:

Some factors affecting the incidence of adverse drug reactions (ADRs) are discussed, including prescribing in cases of chronic and multiple diseases, the emphasis of drug benefits over risks in advertising, inadequate education of health professionals in the safe and effective use of drugs, and the inadequate role played by government and industry in research efforts to minimize the occurrence of ADRs and drug interactions; the need for physicians, other health professionals, and patients to respect the benefits and risks of drug therapies is emphasized.

Keywords:
Drug Therapy/adverse effects* Hospitals/statistics & numerical data* Humans Inpatients/statistics & numerical data* Pharmaceutical Preparations/adverse effects*

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963