With billions of dollars spent every year to try to influence our physician’s prescribing pens, consumers might be rightfully wondering if our doctors are learning how to cut through the pharmaceutical spin machine.
In fact, during their four-years in college pharmacy or medical students spend, on average, about two hours learning about drug promotion, according to a recent world survey of medical and pharmacy schools. This state of affairs has catalyzed a group of researchers and world experts on pharma advertising to develop what is likely the world's first de-bamboozlement guide for health professionals—a primer that can help immunize health professionals from the shadowy side of pharmaceutical marketing. Last month, it was released at the World Health Assembly in Geneva.
Last year alone, drug manufacturers spent more than $5 billion in the U.S. on everything from pens and pads festooned with their drug logos to "medical education" and sponsored doctor dinners and trips and paying them as consultants or speakers on behalf of their newest products.
While most doctors would say that they are immune to drug promotion, but Joel Lexchin, MD, a professor of health policy at York University in Toronto, and one of the guide’s authors disagrees. "Drug companies are run by very clever people and they would not be spending such large sums if they were not increasing the bottom line for their companies."
There is a large body of evidence that shows physicians who rely on promotional messages as the basis for their prescribing are, in fact, worse prescribers. As Dr. Lexchin points out: "The bottom line is that patients will spend more money for their medicines and have less chance of getting any benefit for that money and, as Vioxx shows, may well end up with significant harm. We need to start immunizing doctors and pharmacists against promotion at the very beginning of their careers and this manual is one way of doing that."
The manual, which is in draft form and produced by Health Action International in combination with the World Health Organization will be evaluated over the next 18 months to see if the manual works and to see what changes, if any, are needed to it.
—Alan Cassels, guest blogger,
Alan is a pharmaceutical policy researcher at the University of Victoria, British Columbia and co-author of "Selling Sickness: How the World's Biggest Pharmaceutical Companies Are Turning Us All Into Patients."
Sample chapters of the manual are available here*. Schools, press, NGOs, and other interested groups can contact the Project Officer, Lisa Hayes to get a complete copy of the draft manual.
*links to PDF












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