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Healthy Skepticism Library item: 13443

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

Hartley H, Coleman CL.
News media coverage of direct-to-consumer pharmaceutical advertising: implications for countervailing powers theory.
Health (London) 2008 Jan; 12:(1):107-32
http://hea.sagepub.com/cgi/content/abstract/12/1/107


Abstract:

Since a 1997 regulatory shift on the part of the US Food and Drug Administration (FDA), there has been an explosion of televised direct-to-consumer (DTC) pharmaceutical advertising in the United States. The introduction and growth of this form of advertising, as well as other recent evolutions in the health care arena, have altered relationships among key countervailing powers in the health care system, suggesting the need to recast countervailing powers theory so as to account for these changes. Coming from the perspective that the news media play an important role in reflecting the balance of power among the various countervailing powers, the paper advances this theoretical framework through an empirical assessment of the relative prominence of those entities in print news media coverage of the DTC advertising phenomenon. The study finds that ‘corporate sellers’ (pharmaceutical industry) are accorded more prominence in news coverage than are providers, consumers, corporate purchasers, or state players and that DTC critics, in particular, have minimal representation. In addition, the findings point toward two modifications for countervailing powers theory: (1) an incorporation of the role of academic/research organizations, and (2) a consideration of the universe of possibilities with respect to each of the countervailing powers.

hartleyh@pdx.edu

Keywords:
countervailing powers • direct-to-consumer (DTC) advertising • news media • pharmaceutical industry Publication Types: Research Support, Non-U.S. Gov't MeSH Terms: Advertising as Topic/statistics & numerical data* Attitude of Health Personnel Attitude to Health Consumer Satisfaction Drug Industry/organization & administration* Drug Industry/statistics & numerical data Health Personnel Humans Mass Media/statistics & numerical data* Prescriptions, Drug Sociology, Medical United States

 

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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