For and against: Direct to consumer advertising is medicalising normal human experience: Against

Bonaccorso, Silvia; Sturchio, Jeffrey L.

doi:10.1136/bmj.324.7342.910

Cited by 80 publications

(63 citation statements)

References 9 publications

(8 reference statements)

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“…[1][2][3][4][5][6][7][8][9] So far, there are few empirical data on the actual effects of DTCA, and available data are limited by small samples, 10 selected populations, 11 hypothetical scenarios, 12 or have been criticized on methodological grounds. 13,14 In an article published in the last issue of the Journal of the American Board of Family Practice, we examined the effects of DTCA on quality of care, health service utilization, and physician perceptions of its impact on the doctor-patient relationship.…”

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confidence: 99%

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Murray

Lo²,

Pollack³

et al. 2004

The Journal of the American Board of Family Medicine

119

109

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Purpose: To determine public perceptions of the effect of direct-to-consumer advertising (DTCA) of prescription medications on health behaviors, health care utilization, the doctor-patient relationship, and the association between socioeconomic status and these effects.Methods: Cross-sectional survey of randomly selected, nationally representative sample of the US public using computer-assisted telephone interviewing. Main outcome measures: numbers and proportions of respondents in the past 12 months who, as a result of DTCA, requested preventive care or scheduled a physician visit; were diagnosed with condition mentioned in advertisement; disclosed health concerns to a doctor; felt enhanced confidence or sense of control; perceived an effect on the doctor-patient relationship; requested a test, medication change, or specialist referral; or manifested serious dissatisfaction after a visit to a doctor.Results: As a result of DTCA, 14% of respondents disclosed health concerns to a physician, 6% requested preventive care, 5% felt more in control during a physician visit; 5% made requests for a test, medication change, or specialist referral, and 3% received the requested intervention. One percent of patients reported negative outcomes, including worsened treatment, serious dissatisfaction with the visit, or that the physician acted challenged. Effects of DTCA were greater for respondents with low socioeconomic status.Conclusions: DTCA has positive and negative effects on health behaviors, health service utilization, and the doctor-patient relationship that are greatest on people of low socioeconomic status. The benefits of DTCA in terms of encouraging hard-to-reach sections of the population to seek preventive care must be balanced against increased health care costs caused by clinically inappropriate requests generated by DTCA. (J Am Board Fam Pract 2004;17:6 -18.)

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confidence: 99%

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Murray

Lo²,

Pollack³

et al. 2004

The Journal of the American Board of Family Medicine

119

109

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“…On the one hand it is argued that drug companies effectively create new medical conditions through public relations and other promotional activities simply in order to sell more and new drugs (Moynihan, Heath, & Henry 2002). On the other hand, the contention is that human suffering is far beyond the capacity of medical science to ameliorate, that medical and pharmacological advances that reduce suffering are to be welcomed, and that the actions of drug companies are no more self-interested than those of medical professionals and governments (Bonaccorso 2002). The contribution of this article is to place this contemporary debate in the context of the substantial sociological and medical literature that already exists on medicalization.…”

Section: Introductionmentioning

confidence: 99%

Medicalization and Marketing

Brennan

Eagle

Rice

2009

Journal of Macromarketing

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Medicalization is the process by which aspects of the human condition, formerly considered nonmedical, are brought within the medical realm. Medical sociologists have asserted that medicalization is a prevalent contemporary sociocultural phenomenon that is actively promoted by pharmaceutical company marketing strategies and that has widespread negative societal effects. Medicalization has not been investigated from a business, marketing management, or macromarketing perspective. One of the principal implications of the medicalization thesis is that pharmaceutical marketing frequently acts to reduce human welfare. The central purposes of this article are to explain what evidence and argumentation has been deployed in medical sociology to implicate marketing practices in medicalization and to argue for the relevance of medicalization to the field of macromarketing. Medicalization is an intellectually robust concept of potential use when conducting macromarketing investigations into ethical and quality-of-life (QOL) aspects of the health care industries and quality of death and dying issues

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“…For example, even three decades ago an average of 11 lay consultations (advice seeking from family friends or work colleagues) prior to formal professional consultations was recorded (Scambler et al, 1981). The decision to consult a doctor is also influenced by experiences shared in the social setting (Tardy & Hale, 1998) or through the media, (Howe et al, 2002) and advertising (Bonaccorso & Sturchio, 2002;Weissman et al, 2004). Further influences include past experience with their own disease (Parker et al, 2007) and attempts to seek help (Mechanic, 2002;Ashworth et al, 2005).…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Social networks – The future for health care delivery

Griffiths

Cave

Boardman

et al. 2012

Social Science & Medicine

171

126

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• Health care information of value for improving health care is being assembled through digitally enhanced social networks• Social networking allows patients to control health information accrual without the constraints of traditional health care• The doctor-patient encounter is more influenced by information from social and professional networks than in the past• Social networking has the potential to change the pattern of health inequalities and access to health care• The stability of health care provision and the traditional role of professionals face challenges from social networking AbstractWith the rapid growth of online social networking for health, health care systems are experiencing an inescapable increase in complexity. This is not necessarily a drawback; self-organising, adaptive networks could become central to future health care delivery. This paper considers whether social networks composed of patients and their social circles can compete with, or complement, professional networks in assembling healthrelated information of value for improving health and health care. Using the framework of analysis of a two-sided network -patients and providers -with multiple platforms for interaction, we argue that the structure and dynamics of such a network has implications for future health care. Patients are using social networking to access and contribute health information. Among those living with chronic illness and disability and engaging with social networks, there is considerable expertise in assessing, combining and exploiting information. Social networking is providing a new landscape for patients to assemble health information, relatively free from the constraints of traditional health care.However, health information from social networks currently complements traditional sources rather than substituting for them. Networking among health care provider organisations is enabling greater exploitation of health information for health care planning. The platforms of interaction are also changing. Patient-doctor encounters are now more permeable to influence from social networks and professional networks.Diffuse and temporary platforms of interaction enable discourse between patients and professionals, and include platforms controlled by patients. We argue that social networking has the potential to change patterns of health inequalities and access to health M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 2 care, alter the stability of health care provision and lead to a reformulation of the role of health professionals. Further research is needed to understand how network structure combined with its dynamics will affect the flow of information and potentially the allocation of health care resources.

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For and against: Direct to consumer advertising is medicalising normal human experience: Against

Cited by 80 publications

References 9 publications

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Medicalization and Marketing

Social networks – The future for health care delivery

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