Weissman Joel S, Blumenthal David, Silk Alvin J, Newman Michael, Zapert Kinga, Leitman Robert, Feibelmann Sandra
Department of Medicine, Harvard Medical School, USA.
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-219-33. doi: 10.1377/hlthaff.w4.219.
We surveyed a national sample of 643 physicians on events associated with visits during which patients discussed an advertised drug. Physicians perceived improved communication and education but also thought that direct-to-consumer advertising (DTCA) led patients to seek unnecessary treatments. Physicians prescribed the advertised drug in 39 percent of DTCA visits but also recommended lifestyle changes and suggested other treatments. Referring to visits when the DTCA drug was prescribed, 46 percent said that it was the most effective drug, and 48 percent said that others were equally effective. Prescribing DTCA drugs when other effective drugs are available warrants further study.
我们对全国范围内643名医生进行了抽样调查，了解与患者讨论过广告药品的就诊相关事件。医生们认为沟通和教育得到了改善，但也认为面向消费者的直接广告（DTCA）导致患者寻求不必要的治疗。在39%的DTCA就诊中，医生开出了广告药品，但也建议改变生活方式并推荐了其他治疗方法。在提到开出DTCA药品的就诊时，46%的医生表示该药品是最有效的，48%的医生表示其他药品同样有效。在有其他有效药品可用时开出DTCA药品的情况值得进一步研究。
