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仅凭处方销售药品的直接面向消费者广告的经济学:旨在改善消费者福利?

The economics of direct-to-consumer advertising of prescription-only drugs: prescribed to improve consumer welfare?

作者信息

Morgan Steven, Mintzes Barbara, Barer Morris

机构信息

Centre for Health Services and Policy Research, University of British Columbia, 429-2194 Health Sciences Mall, Vancouver, V6T 1Z3, Canada.

出版信息

J Health Serv Res Policy. 2003 Oct;8(4):237-44. doi: 10.1258/135581903322403317.

Abstract

According to economic theory, one might expect that the informational content of direct-to-consumer advertising of prescription-only drugs would improve consumers' welfare. However, contrasting the models of consumer and market behaviour underlying this theory with the realities of the prescription-only drug market reveals that this market is distinct in ways that render it unlikely that advertising will serve an unbiased and strictly informative function. A review of qualitative evidence regarding the informational content of drug advertising supports this conclusion. Direct-to-consumer prescription drug advertising concentrates on particular products, and features of those products, to the exclusion of others, and the information provided has frequently been found to be biased or misleading in regulatory and academic evaluations. Governments that have so far resisted direct-to-consumer advertising should invest in independent sources of evidence that could help consumers and professionals to better understand the risks and benefits of treating disease with alternative drug and non-drug therapies, rather than permitting direct-to-consumer prescription drug advertising.

摘要

根据经济理论,人们可能会认为,仅凭处方销售药品的面向消费者的广告所包含的信息内容会改善消费者的福利。然而,将该理论背后的消费者和市场行为模型与仅凭处方销售药品市场的现实情况进行对比后发现,这个市场具有一些独特之处,这使得广告不太可能发挥公正且严格意义上的信息传播功能。对有关药品广告信息内容的定性证据进行审查后支持了这一结论。面向消费者的仅凭处方销售药品的广告专注于特定产品及其特性,而忽略其他产品,并且在监管和学术评估中经常发现所提供的信息存在偏差或具有误导性。迄今为止抵制面向消费者的广告的政府,应该投资于独立的证据来源,以帮助消费者和专业人员更好地理解使用替代药物和非药物疗法治疗疾病的风险和益处,而不是允许面向消费者的仅凭处方销售药品的广告。

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