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Healthy Skepticism Library item: 8240

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

Hicks AR, Jackson MW, Barnard JF.
Pharmacoeconomic strategies for treating HIV patients in an indigent clinic
ASHP Midyear Clinical Meeting 1997 Dec; 32:


Abstract:

The cost of providing drug therapy to HIV patients is staggering. Most patients at our institution, who meet compliance guidelines, are on triple antiretroviral therapy at an average cost of $800/month. Many of our patients are also on prophylaxis therapy for MAC, PCP, and Candidiasis which can add an additional $250 or more per month to the cost of therapy. This report explains the methods used to provide prescription assistance to our HIV patients and how we were able to obtain over $84,000 of medications for 58 patients through pharmaceutical manufacturers’ assistance programs. Furthermore, by utilizing these patient assistance programs, we were able to justify the cost of a clinical pharmacist in the Retroviral Disease Clinic to provide these and other clinical services to this patient population.

 

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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