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Healthy Skepticism International News

August 2002

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

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

Lynda Caudle
TABLE OF CONTENTS

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

CHAPTER THREE:        ANALYSIS AND DISCUSSION                       30

        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

 

 

HS Int News index

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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