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Healthy Skepticism Library item: 19145

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

Nissanholtz-Gannot R, Shani S, Shvarts S
The influence of the relationship between physicians and pharmaceutical companies on the patient from the point of view of policy-makers in Israel
Harefuah 2010 Nov; 149:(11):688-92
http://www.ncbi.nlm.nih.gov/pubmed/21250406


Abstract:

BACKGROUND: The relationship between
doctors and pharmaceutical companies
is an integral part of the health
system in Israel and the whole
world. The mutual need for such a
relationship requires us, as a
society, to examine its influence on
the individual and the system as a
whole.

AIM: This research examines the
relationship from the points of view
of the relevant parties within the
health system and outside the health
system (decision-makers).

METHODS: The authors used in-depth
interviews and qualitative research
methods in order to examine and
understand the various positions of
decision-makers.

FINDINGS AND CONCLUSION: The
position of the decision-makers,
regarding all the aspects of this
relationship, expresses their wishes
and depends on their point of view.
The impact of the relationship
between the doctors and the
pharmaceutical companies was
examined with regard to the
prescription behavior of the doctor.
All the government representatives,
all the physicians’ representatives
and those of the health funds,
believe that the physicians’
prescription behavior is impacted by
the relationship. There are those
who perceive this to be a negative
trend and some doctors believe it to
be a positive trend. With regard to
possible harm to the patient, the
parties believe that the
relationship does not harm the
patient, whereas most of the
government representatives identify
harm to the patients, both on the
economic and health levels. The
authors believe that the “influence”
which exists or could exist on the
part of the pharmaceutical companies
is the main stumbling block in this
relationship, which is expressed in
the decision-makers’ perspective.

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.