Influence of direct to consumer pharmaceutical advertising and patients' requests on prescribing decisions: two site cross sectional survey

Mintzes, Barbara; Barer, Morris L.; Kravitz, Richard L.; Kazanjian, Arminée; Bassett, Ken; Lexchin, Joel; Evans, Robert G.; Pan, Richard; Marion, Stephen A.

doi:10.1136/bmj.324.7332.278

Cited by 192 publications

(130 citation statements)

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“…[16] There is some evidence that patient expectation as well as physician characteristics, such as year of graduation and sex, may influence whether a prescription is given. [12,19] Mintzes and her colleagues [20] found that patients who requested a prescription were more likely to receive one (odds ratio Medication use may be higher among women because women have a higher prevalence of chronic disease, [1,2,13] in particular a higher prevalence of painful conditions such as arthritis and musculoskeletal diseases. [14] In the NPHS 1996-1997, 18% of women reported having arthritis or rheumatism as compared with 10% of men.…”

mentioning

confidence: 99%

Factors associated with women's medication use

Payne¹,

Robert²,

DesMeules³

et al. 2003

PsycEXTRA Dataset

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Health Issue: Research has consistently shown that while women generally live longer than men, they report more illness and use of health care services (including medication). In the literature, the reasons for women's elevated medication use are not clear. This paper investigates the associations between over-the-counter (OTC) and prescription (Rx) medication use and selected social and demographic variables in men and women.Key findings: While a larger proportion of women than men used medication throughout the study, the proportion of people using medication did not increase. The use of OTC and Rx medication increased by number of physician visits for women and men.Medication use increased with age, chronic disease and number of physician visits, and decreased with the perception of good to excellent health. The relationship with other factors varied for women and men depending on their education level, income and social roles. For women, the social roles of being married or previously married, being employed or being a parent did not increase their likelihood of medication use. Reported income adequacy is not associated with the chances of mediation use among highly educated women, but for women with low levels, medication use increases as income adequacy decreases. Data Gaps and Recommendations:More complete data are needed about social roles and their relation to mediation use. Data that would allow an assessment of the appropriateness of OTC and Rx drug use or the reasons for such use need to be collected. More research is needed to better understand the distribution and determinants of specific medication use.

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confidence: 99%

Factors associated with women's medication use

Payne¹,

Robert²,

DesMeules³

et al. 2003

PsycEXTRA Dataset

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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.…”

mentioning

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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“…Canadian researchers have long recognized the potential public health risks associated with the international spread of DTCA, as originally identified in studies examining the impact of crossborder transmission of US TV DTCA satellite broadcasts on prescription drug utilization and patient safety. [35][36][37] In addition, Canadian stakeholders have begun to recognize the unique threat posed by eDTCA for Canadian public health. 15 As an example, In 2013, the British Columbia Medical Association and others called for Health Canada to appoint a watchdog to block DTCA ads transmitted via the Internet and social media.…”

Section: Global Implicationsmentioning

confidence: 99%

Digital Direct-to-Consumer Advertising: A Perfect Storm of Rapid Evolution and Stagnant Regulation Comment on "Trouble Spots in Online Direct-to-Consumer Prescription Drug Promotion: A Content Analysis of FDA Warning Letters"

Mackey

2016

Int J Health Policy Manag

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The adoption and use of digital forms of direct-to-consumer advertising (also known as "eDTCA") is on the rise. At the same time, the universe of eDTCA is expanding, as technology on Internet-based platforms continues to evolve, from static websites, to social media, and nearly ubiquitous use of mobile devices. However, little is known about how this unique form of pharmaceutical marketing impacts consumer behavior, public health, and overall healthcare utilization. The study by Kim analyzing US Food and Drug Administration (FDA) notices of violations (NOVs) and warning letters regarding online promotional activities takes us in the right direction, but study results raise as many questions as it does answers. Chief among these are unanswered concerns about the unique regulatory challenges posed by the "disruptive" qualities of eDTCA, and whether regulators have sufficient resources and oversight powers to proactively address potential violations. Further, the globalization of eDTCA via borderless Internet-based technologies raises larger concerns about the potential global impact of this form of health marketing unique to only the United States and New Zealand. Collectively, these challenges make it unlikely that regulatory science will be able to keep apace with the continued rapid evolution of eDTCA unless more creative policy solutions are explored.

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Influence of direct to consumer pharmaceutical advertising and patients' requests on prescribing decisions: two site cross sectional survey

Cited by 192 publications

References 1 publication

Factors associated with women's medication use

Factors associated with women's medication use

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

Digital Direct-to-Consumer Advertising: A Perfect Storm of Rapid Evolution and Stagnant Regulation Comment on "Trouble Spots in Online Direct-to-Consumer Prescription Drug Promotion: A Content Analysis of FDA Warning Letters"

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