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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

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



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