Millstein Lloyd G
N C Med J. 2003 Nov-Dec;64(6):289-91.
It has been shown that drug companies will sell more drugs when they use DTC advertising, but it is also true that many consumers who are suffering--unaware there is help for their symptoms--will learn from these ads that help is available. Advertising to consumers, like advertising to professionals, will continue to be one of the best methods of providing information. Of course, healthcare professionals also have the sales representatives, their colleagues, medical journals, and medical conventions as additional options for needed information. The consumer may or may not use other methods, such as the Internet, the library or friends or family, but the advertising is a starting point for a dialogue. If the DTC ad provides consumers with "information," which is different from "advertising," the drug company will be providing a worthwhile service to consumers and potential patients. No doubt consumers will begin demanding higher quality information from DTC ads and will frown upon the ads that are blatantly trying just to sell a drug. It will also reap the benefits of improved consumer awareness and patient compliance. A DTC ad that is consumer-friendly, does not use fear appeal, is educational in tone, and downplays the "hard sell" and hype will go a long way in offering important information to the casual observer. Oversight by the FDA will ensure the information meets the requirements they have set down for prescription drug advertising. That is, advertising will be truthful and fairly balanced and will meet what the government, consumers and, no doubt, the medical community wants. Attempting to control drug costs, by controlling advertising, will not be an easy task. This has an implication across all product areas, not just drugs. DTC advertising has become a lightening rod for cost containment issues, but is it alone driving demand for prescription products? I don't think so.
研究表明,制药公司在采用直接面向消费者的广告(DTC广告)时会销售更多药品,但同样真实的是,许多正在遭受病痛折磨却未意识到其症状有解决办法的消费者,会从这些广告中了解到有办法可以缓解症状。向消费者做广告,就像向专业人士做广告一样,仍将是提供信息的最佳方式之一。当然,医疗保健专业人员还可以通过销售代表、同行、医学期刊和医学大会等途径获取所需信息。消费者可能会使用也可能不会使用其他途径,比如互联网、图书馆或者朋友及家人,但广告是对话的起点。如果DTC广告能为消费者提供不同于“广告”的“信息”,那么制药公司将为消费者和潜在患者提供一项有价值的服务。毫无疑问,消费者会开始要求DTC广告提供更高质量的信息,并对那些明显只是为了推销药品的广告表示不满。这也将带来提高消费者认知度和患者依从性的好处。一则对消费者友好、不使用恐惧诉求、语气具有教育性且淡化“强行推销”和炒作的DTC广告,对于向普通观众提供重要信息大有帮助。美国食品药品监督管理局(FDA)的监督将确保这些信息符合他们为处方药广告制定的要求。也就是说,广告将真实且平衡,并满足政府、消费者以及无疑还有医学界的期望。试图通过控制广告来控制药品成本并非易事。这在所有产品领域都有影响,而不仅仅是药品。DTC广告已成为成本控制问题的焦点,但它是唯一推动处方药需求的因素吗?我认为不是。