Disease Mongering in Drug Promotion Do Governments Have a Regulatory Role 英文参考文献.docVIP

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Disease Mongering in Drug Promotion Do Governments Have a Regulatory Role 英文参考文献.doc

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Disease Mongering in Drug Promotion Do Governments Have a Regulatory Role 英文参考文献

loicPy Forum Disease Mongering in Drug Promotion: Do Governments Have a Regulatory Role? Barbara Mintzes 28 product-speci?c marketing and steer them towards appropriate care. For the individual patient, drug treatment is worth pursuing if potential bene?ts outweigh potential harm. But as healthier people are targeted, the added bene?t of drug treatment can become increasingly elusive. plans for prescription drugs, from ten companies, obtained through subpoenas from 1999 to 2002; 3.5% of their budgets were devoted to DTCA [4]. A market analyst reports that drug companies spent US$85 million on unbranded DTCA in Europe in 2004 [5]. Spending is expected to reach US$345.5 million by 2008. In 2005, the Australia–US free trade agreement allowed unbranded advertising in Australian media to be linked to branded information on Web sites [6]. Canada introduced more lenient policies on unbranded advertising in 1996, a shift that has occurred without legislative change [7]. Limited Regulatory Oversight of Unbranded Disease-Awareness Adverts R ay Moynihan and colleagues describe disease mongering as, “widening the boundaries The US Food and Drug Administration (FDA) published a guidance in 2004 stating that unbranded adverts that are perceptually similar or otherwise linked to branded adverts are subject to FDA regulation, as are unbranded adverts by the manufacturer of the only drug in its class [9]. Otherwise, the FDA has no authority over the content of disease-oriented advertising, although it recommends responsible public health messages. The United Kingdom Medicines Health-Care Products of treatable illness in order to expand markets for those who sell and deliver treatments” [1]. In this article, I examine one aspect of disease mongering: activities ?nanced by drug companies to promote sales by expanding the pool of patients potentially treated by their products, when no bene?t in terms of reduced morbidity is likely. New diseases may be “created” or existing conditions