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Healthy Skepticism International News

August 2002

AN UNHEALTHY ALLIANCE: A discourse analytic study of General Practitioners and Pharmaceutical…

August - October 2002 Vol 20 No 8-10


A discourse analytic study of General Practitioners and Pharmaceutical Representatives, Gifts and Samples


ABSTRACT                                                                    iv

DECLARATION                                                                vi

ACKNOWLEDGEMENTS                                                       vii

CHAPTER ONE: INTRODUCTION                                            1         Pharmaceutical Promotion

1.1.1.      General Overview

1.1.2.      The Influence of Pharmaceutical Promotion on Prescribing

1.2         Medical Ethics

1.3         Ethical Dilemmas

CHAPTER TWO: METHODOLOGY                                        22

2.1         Discourse Analysis

2.2         Collection of Data

2.3         Analysis Procedure

2.4         Methodological Issues

2.5         Analysis Outline


3.1         The ‘Business’ Repertoire

        3.2         The ‘Information/Knowledge’ Repertoire

        3.3         Discussion

REFERENCES                                                                  59

APPENDICES:                                                                67

A:        Information Letter                                                    

B:        Consent Form                                                        

C:        Focus Group Information Sheet                                  

D:        Focus Group Questions and Issue Statements                    

E:        Transcript Notation                                                  

F:        MaLAM                                                            

G:        AMA Position Statement: Code of Ethics                        

H:        ‘Business’ Repertoire Extracts                                        

I:        ‘Information/Knowledge’ Repertoire Extracts



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  • Yahoo! Bookmarks 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.