Physicians' and consumer's attitude towards direct-to-consumer advertising of the pharmaceutical industry
DOI:
https://doi.org/10.63775/6rnpqr36Keywords:
direct-to-consumer advertising, prescription generation, consumer behavior, sustainable health systemsAbstract
The main purpose of the study is to examine consumers' attitudes towards direct-to-consumer advertising and, based on consumers' income, determine the effects of this type of advertising on consumers’ attitudes, differences in attitudes across income levels, and purchasing behavior. The target population of this study was doctors and consumers of leading hospitals. The sample comprises doctors and consumers. The findings of this research study reveal that the prescription is generated by the physician's positive attitude and the requested information. Survey respondents also reported that advertising and their income motivate them to take better care of their health. The researchers concluded that consumer attitude, physician attitude, and information requested do have a significant impact on prescription generation. Although some coefficients for attitude of consumers were negative, most showed positive correlations, and a positive and significant relationship among the variables was concluded. The significance of the research lies in understanding the relationship between physicians and consumers, the doctor-patient relationship, physicians’ behavior, and consumers’ behavior towards direct-to-consumer advertising.
References
Ahmed, R. R., Channar, Z. A., Soomro, R. A., Vveinhardt, J., Štreimikienė, D., & Parmar, V. (2018). Antecedents of symmetry in Physicians' prescription behavior: Evidence from an SEM-based multivariate approach. Symmetry, 10(12), 721. https://doi.org/10.3390/sym10120721
Ahmed, R. R., Romeika, G., Kauliene, R., Streimikis, J., & Dapkus, R. (2020). ES-QUAL Model and Customer Satisfaction in Online Banking: Evidence from Multivariate Analysis Techniques. Oeconomia Copernicana, 11(1), 55-89. http://dx.doi.org/10.24136/oc.2020.003
Ahmed, R. R., Vveinhardt, J., Štreimikienė, D., & Awais, M. (2016). Mediating and Marketing factors influence physicians' prescription behavior: an empirical investigation. Amfiteatru Economic, 18, 153–167.
Almasi, E. A., Stafford, R. S., Kravitz, R. L., & Mansfield, P. R. (2006). What are the public health effects of direct-to-consumer drug advertising?. PLoS medicine, 3(3), 145. https://doi.org/10.1371/journal.pmed.0030145
Arkkelin, D. (2014). Using SPSS to understand research and data analysis. Psychology Curriculum Material. Department of Psychology, Valparaiso University.
Basara, L. R. (1992). Direct-to-consumer advertising: today's issues and tomorrow's outlook. Journal of Drug Issues, 22(2), 317-330.
Bashir, S., Kishwar, S., Nasir, M., & Ali, S. (2024). Socioeconomic inequalities in out-of-pocket and catastrophic health expenditures in Pakistan. International Journal of Public Health, 69, 1607313. https://doi.org/10.3389/ijph.2024.1607313
Bradley, C., & Blenkinsopp, A. (1996). Over-the-counter drugs: the future for self-medication. BMJ, 312 (7034), 835-837. https://doi.org/10.1136/bmj.312.7034.835
Bradley, I. (2010). Talk to your doctor: Direct-to-consumer advertising of prescription drugs (Part 1). Clinical Correlations. Available online: https://www.clinicalcorrelations.org/2010/07/30/talk-to-your-doctor-direct-to-consumer-advertising-of-prescription-drugs-part-1/
Budhathoki, S. S., Pokharel, P. K., Good, S., Limbu, S., Bhattachan, M., & Osborne, R. H. (2017). The potential of health literacy to address the health related UN sustainable development goal 3 (SDG3) in Nepal: A rapid review. BMC Health Services Research, 17, 237. https://doi.org/10.1186/s12913-017-2183-6
Bukhari, F., Hussain, S., Ahmed, R. R., Streimkiene, D., Soomro, R. H., Channar, Z. A. (2020). Motives and Role of Religiosity towards Consumer Purchase Behavior in Western Imported Food Products. Sustainability, 12(1), 356. https://doi.org/10.3390/su12010356
Dogramatzis, D. (2015). Pharmaceutical marketing: a practical guide. Boca Raton: CRC Press. https://doi.org/10.1201/b14416
Donohue, J. M., & Berndt, E. R. (2004). Effects of direct-to-consumer advertising on medication choice: the case of antidepressants. Journal of Public Policy and Marketing, 23(2), 115-127. https://doi.org/10.1509/jppm.23.2.115.51395
Every-Palmer, S., Duggal, R., & Menkes, D. B. (2014). Direct-to-consumer advertising of prescription medication in New Zealand. NZ Medical Journal, 127(1401), 102-110.
Friedman, M., & Gould, J. (2007). Physicians' attitudes toward direct-to-consumer prescription drug marketing. Journal of Medical Marketing, 7(1), 33-44. https://doi.org/10.1057/palgrave.jmm.5050063
Gellad, Z. F., & Lyles, K. W. (2007). Direct-to-consumer advertising of pharmaceuticals. The American Journal of Medicine, 120(6), 475-480. https://doi.org/10.1016/j.amjmed.2006.09.030
Harker, M., & Harker, D. (2007). Direct-to-consumer advertising of prescription medicines: A theoretical approach to understanding. Leadership Health Services, 20(2), 76-84. https://doi.org/10.1108/17511870710745411
Hoek, J., & Gendall, P. (2002). Direct-to-consumer advertising down under: an alternative perspective and regulatory framework. Journal of Public Policy & Marketing, 21(2), 202-212. https://doi.org/10.1509/jppm.21.2.202.17586
Hood, K. M. (2009). Patients as Consumers: The Influence of DTCA and Becoming Little Doctors. Doctoral Dissertations, 38. https://trace.tennessee.edu/handle/20.500.14382/24955
Huh, J., & Becker, L. B. (2005). Direct-to-consumer prescription drug advertising: understanding its consequences. International Journal of Advertising, 24(4), 443-468. https://doi.org/10.1080/02650487.2005.11072938
Hussain, S., Ahmed, R. R., Shamsi, A. F. (2021). Technology Confirmation is associated to Improved Psychological Wellbeing: Evidence from an Experimental Design. Transformations in Business & Economics, 20(2), 177–196.
Jardine, A. (2004). Direct-to-consumer advertising: obliged to be healthy. ACR North American Advances.
Jasovský, D., Littmann, J., Zorzet, A., & Cars, O. (2016). Antimicrobial resistance — A threat to the world's sustainable development. Upsala Journal of Medical Sciences, 121(3), 159–164. https://doi.org/10.1080/03009734.2016.1195900
Lyles, A. (2002). Direct marketing of pharmaceuticals to consumers. Annual Review of Public Health, 23(1), 73-91. https://doi.org/10.1146/annurev.publhealth.23.100901.140537
Mintzes, B., Barer, M. L., Kravitz, R. L., Bassett, K., Lexchin, J., Kazanjian, A., ... & Marion, S. A. (2003). How does direct-to-consumer advertising (DTCA) affect prescribing? A survey in primary care environments with and without legal DTCA. CMAJ, 169(5), 405-412.
Mukherji, J., & Mukherji, A. (2017). Attitudes toward Pharmaceutical Direct-to-Consumer Advertising: The Role of Culture. Journal of Competitiveness Studies, 25(2), 114-125.
Parmar, V., & Ahmed, R. R. (2013). Factors Influencing Impulse Buying Behavior. European Journal of Scientific Research, 100(3), 67-79.
Polen, H. H., Khanfar, N. M., & Clauson, K. A. (2009). Impact of direct-to-consumer advertising (DTCA) on patient health-related behaviors and issues. Health Marketing Quarterly, 26(1), 42-55. https://doi.org/10.1080/07359680802473521
Porter, D. M. (2011). Direct-to-consumer (DTC) pharmaceutical marketing: impacts and policy implications. SPNHA Review, 7(1), 5.
Prosser, H., Almond, S., & Walley, T. (2003). Influence on GPs’ decision to prescribe new drugs – the importance of who says what. Family Practice, 20(1), 61-68. https://doi.org/10.1093/fampra/20.1.61
Qadeer, S., Aqil, M., Qureshi, M. A., & Ahmed, R. R. (2014). Determinants of Unemployment in Pakistan. International Journal of Physical and Social Sciences, 4(4), 676-682.
Robinson, A. R., Hohmann, K. B., Rifkin, J. I., Topp, D., Gilroy, C. M., Pickard, J. A., & Anderson, R. J. (2004). Direct-to-consumer pharmaceutical advertising: physician and public opinion and potential effects on the physician-patient relationship. Archives of Internal Medicine, 164(4), 427-432. https://doi.org/10.1001/archinte.164.4.427
Royne, Marla & Myers, Susan. (2008). Recognizing Consumer Issues in DTCA Pharmaceutical Advertising. Journal of Consumer Affairs, 42(1), 60-80. https://doi.org/10.1111/j.1745-6606.2007.00094.x
Siddiqi, A. A., & Shah, S. Z. A. (2017). Physicians’ attitude towards direct to consumer advertising of Pharmaceutical Drugs. International Journal of Pharmaceutical and Healthcare Marketing, 11 (1), 37-48. https://doi.org/10.1108/IJPHM-10-2015-0049
Umaru, O. T., & Aremu, T. O. (2026). Direct-to-consumer advertising of prescription drugs: What can the Swiss experience tell policy-makers in the United States? [Editorial]. Cureus, 18(1), e101400. https://doi.org/10.7759/cureus.101400
United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development (A/RES/70/1). United Nations General Assembly. https://sdgs.un.org/2030agenda
Van de Pol, P. K., & De Bakker, F. G. (2010). Direct-to-consumer advertising of pharmaceuticals as a matter of corporate social responsibility?. Journal of Business Ethics, 94(2), 211-224. https://doi.org/10.1007/s10551-009-0257-z
Ventola, C. L. (2011). Direct-to-consumer pharmaceutical advertising: therapeutic or toxic?. Pharmacy and Therapeutics, 36(10), 669-674.
Wilkes, M. S., Bell, R. A., & Kravitz, R. L. (2000). Direct-To-Consumer Prescription Drug Advertising: Trends, Impact, And Implications: Aiming drug ads at consumers means big business for drug companies, but its effect on clinical care is not yet known. Health Affairs, 19(2), 110-128. https://doi.org/10.1377/hlthaff.19.2.110
Zahradnik, A., Otto, C., Crackau, B., Löhrmann, I., Bischof, G., John, U., & Rumpf, H. J. (2009). Randomized controlled trial of a brief intervention for problematic prescription drug use in non‐treatment‐seeking patients. Addiction, 104(1), 109-117. https://doi.org/10.1111/j.1360-0443.2008.02421.x
Zaidi, S., Bigdeli, M., Aleem, N., & Rashidian, A. (2013). Access to essential medicines in Pakistan: Policy and health systems research concerns. PLoS ONE, 8(5), e63515. https://doi.org/10.1371/journal.pone.0063515
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