Façonner la prescription, influencer les médecins

In order to restrain the regulation by the public authorities of its activities, the pharmaceutical industry leaves in the shadows, as much as possible, the extent of its promotional effort. Yet, we show that drug promotion is one of its core businesses. The related expenses are tremendous. They rep...

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Main Authors: Jérôme Greffion, Thomas Breda
Format: Article
Language:English
Published: Association Recherche & Régulation 2015-06-01
Series:Revue de la Régulation
Subjects:
Online Access:https://journals.openedition.org/regulation/11272
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author Jérôme Greffion
Thomas Breda
author_facet Jérôme Greffion
Thomas Breda
author_sort Jérôme Greffion
collection DOAJ
description In order to restrain the regulation by the public authorities of its activities, the pharmaceutical industry leaves in the shadows, as much as possible, the extent of its promotional effort. Yet, we show that drug promotion is one of its core businesses. The related expenses are tremendous. They represent at least 20 % of the turnover of this sector and drug detailing request up to 40 % of the total staff of the large pharmaceutical companies, which have become marketing giants. But how can we reconcile this analysis on one hand and the fact that many physicians deny the influence of drug promotion on their practice and the results of econometric studies underlining the weak effect of drug detailing on the other hand? Do the large pharmaceutical firms shape the demand on their markets, according to the model of the revised sequence, or do they suffer from a rationality problem, massively investing into a low profitable activity? As an alternative to microeconomic studies of witch we discuss the results in the light of our ethnographic study, we intend to use a macroeconomic approach to deal with this question. Our results plead for a strong link between the intensity of the word of drug representatives and physicians’ prescriptions, which takes the form of an incentive to prescribe more expansive and newer drugs.
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spelling doaj-art-6567e530eb2f4299a14aea5bd01c4f572025-01-30T14:27:11ZengAssociation Recherche & RégulationRevue de la Régulation1957-77962015-06-011710.4000/regulation.11272Façonner la prescription, influencer les médecinsJérôme GreffionThomas BredaIn order to restrain the regulation by the public authorities of its activities, the pharmaceutical industry leaves in the shadows, as much as possible, the extent of its promotional effort. Yet, we show that drug promotion is one of its core businesses. The related expenses are tremendous. They represent at least 20 % of the turnover of this sector and drug detailing request up to 40 % of the total staff of the large pharmaceutical companies, which have become marketing giants. But how can we reconcile this analysis on one hand and the fact that many physicians deny the influence of drug promotion on their practice and the results of econometric studies underlining the weak effect of drug detailing on the other hand? Do the large pharmaceutical firms shape the demand on their markets, according to the model of the revised sequence, or do they suffer from a rationality problem, massively investing into a low profitable activity? As an alternative to microeconomic studies of witch we discuss the results in the light of our ethnographic study, we intend to use a macroeconomic approach to deal with this question. Our results plead for a strong link between the intensity of the word of drug representatives and physicians’ prescriptions, which takes the form of an incentive to prescribe more expansive and newer drugs.https://journals.openedition.org/regulation/11272pharmaceutical industrypromotiondrug representativesexpenseseffectivenessphysicians
spellingShingle Jérôme Greffion
Thomas Breda
Façonner la prescription, influencer les médecins
Revue de la Régulation
pharmaceutical industry
promotion
drug representatives
expenses
effectiveness
physicians
title Façonner la prescription, influencer les médecins
title_full Façonner la prescription, influencer les médecins
title_fullStr Façonner la prescription, influencer les médecins
title_full_unstemmed Façonner la prescription, influencer les médecins
title_short Façonner la prescription, influencer les médecins
title_sort faconner la prescription influencer les medecins
topic pharmaceutical industry
promotion
drug representatives
expenses
effectiveness
physicians
url https://journals.openedition.org/regulation/11272
work_keys_str_mv AT jeromegreffion faconnerlaprescriptioninfluencerlesmedecins
AT thomasbreda faconnerlaprescriptioninfluencerlesmedecins