Direct-to-consumer (DTC) advertising of rofecoxib [Vioxx] and celecoxib [Celebrex] increased the number of patients with osteoarthritis (OA) seen by physicians each month,

2007 ◽  
Vol &NA; (1571) ◽  
pp. 4
Author(s):  
&NA;
Keyword(s):  
Direct To Consumer ◽  
Number Of Patients ◽  
Dtc Advertising

Direct-to-Consumer Genetic Testing: Value and Risk

2020 ◽  
Vol 72 (1) ◽  
Author(s):  
Mary A. Majumder ◽  
Christi J. Guerrini ◽  
Amy L. McGuire
Keyword(s):  
Genetic Testing ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Relevant Information ◽  
Third Party ◽  
Annual Review ◽  
Publication Date ◽  
Direct To Consumer ◽  
Number Of Patients ◽  
Health Related

Although the explosive growth of direct-to-consumer (DTC) genetic testing has moderated, a substantial number of patients are choosing to undergo genetic testing outside the purview of their regular healthcare providers. Further, many industry leaders have been expanding reports to cover many more genes, as well as partnering with employers and others to expand access. This review addresses continuing concerns about DTC genetic testing quality, psychosocial impact, integration with medical practice, effects on the healthcare system, and privacy, as well as emerging concerns about third-party interpretation services and non-health-related uses such as investigative genetic genealogy. It concludes with an examination of two possible futures for DTC genetic testing: merger with traditional modes of healthcare delivery or continuation as a parallel system for patient-driven generation of health-relevant information. Each possibility is associated with distinctive questions related to value and risk. Expected final online publication date for the Annual Review of Medicine, Volume 72 is January 27, 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Implementation and Application of Telemedicine in China: Cross-Sectional Study

10.2196/18426 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e18426
Author(s):  
Fangfang Cui ◽  
Qianqian Ma ◽  
Xianying He ◽  
Yunkai Zhai ◽  
Jie Zhao ◽  
...  
Keyword(s):  
Data Storage ◽  
Statistical Tests ◽  
Virtual Private Network ◽  
Remote Education ◽  
Cross Sectional ◽  
Telemedicine Service ◽  
Direct To Consumer ◽  
Number Of Patients ◽  
Tertiary Hospitals ◽  
Private Network

Background Telemedicine has been used widely in China and has benefited a large number of patients, but little is known about the overall development of telemedicine. Objective The aim of this study was to perform a national survey to identify the overall implementation and application of telemedicine in Chinese tertiary hospitals and provide a scientific basis for the successful expansion of telemedicine in the future. Methods The method of probability proportionate to size sampling was adopted to collect data from 161 tertiary hospitals in 29 provinces, autonomous regions, and municipalities. Charts and statistical tests were applied to compare the development of telemedicine, including management, network, data storage, software and hardware equipment, and application of telemedicine. Ordinal logistic regression was used to analyze the relationship between these factors and telemedicine service effect. Results Approximately 93.8% (151/161) of the tertiary hospitals carried out telemedicine services in business-to-business mode. The most widely used type of telemedicine network was the virtual private network with a usage rate of 55.3% (89/161). Only a few tertiary hospitals did not establish data security and cybersecurity measures. Of the 161 hospitals that took part in the survey, 100 (62.1%) conducted remote videoconferencing supported by hardware instead of software. The top 5 telemedicine services implemented in the hospitals were teleconsultation, remote education, telediagnosis of medical images, tele-electrocardiography, and telepathology, with coverage rates of 86.3% (139/161), 57.1% (92/161), 49.7% (80/161), 37.9% (61/161), and 33.5% (54/161), respectively. The average annual service volume of teleconsultation reached 714 cases per hospital. Teleconsultation and telediagnosis were the core charging services. Multivariate analysis indicated that the adoption of direct-to-consumer mode (P=.003), support from scientific research funds (P=.01), charging for services (P<.001), number of medical professionals (P=.04), network type (P=.02), sharing data with other hospitals (P=.04), and expertise level (P=.03) were related to the effect of teleconsultation. Direct-to-consumer mode (P=.01), research funding (P=.01), charging for services (P=.01), establishment of professional management departments (P=.04), and 15 or more instances of remote education every month (P=.01) were found to significantly influence the effect of remote education. Conclusions A variety of telemedicine services have been implemented in tertiary hospitals in China with a promising prospect, but the sustainability and further standardization of telemedicine in China are still far from accomplished.

Direct-to-Consumer Prescription Drug Advertising in a Global Context: A Comparison between New Zealand and the United States

2009 ◽  
pp. 189-207
Author(s):  
Michael Murray
Keyword(s):  
United States ◽  
New Zealand ◽  
Pharmaceutical Industry ◽  
Prescription Drug ◽  
The United States ◽  
Drug Advertising ◽  
Global Context ◽  
Direct To Consumer ◽  
Dtc Advertising ◽  
Global Influence

- The pharmaceutical industry is a transnational industry with a global influence and interests in expanding their markets to include as much of the world's population as possible. Direct-to-consumer (DTC) prescription drug advertising is a potential tool for the global spread of industry conceptions of health and illness, and can be seen as both a cause and a result of globalization. Among developed countries, DTC advertising is currently only legal in New Zealand and the United States, but debates are taking place worldwide as the pharmaceutical industry uses its global influence to lobby for the lifting of bans. As individual countries with distinct cultures and local histories try to decide whether or not they should continue banning this form of advertising, it is important to understand the character and effects of DTC advertising in a global context. A comparison between the United States and New Zealand showed that despite differences in the process of regulation and the conditions and mechanisms through which DTC advertising came to be legal in the two countries, the resulting character and effects of the advertising were remarkably similar. Advertisements in both contexts turned out to be misleading, unbalanced with regard to risks and benefits, make appeals to emotions, and focus on lifestyle problems over serious conditions. The effects of the ads were also very similar, as both countries' DTC advertisements drove patients to request specific drugs and were correlated to rising prescription drug prices and health costs. This suggests that while glocalization may cause a divergence in the exact methods used in the ads to get the message across, the message and its effect will likely still reflect the pharmaceutical industry's grobal interests.Keywords: drugs advertising, pharmaceutical industry, drugs prescription, globalization, glocalization, grobalization.Parole chiave: pubblicitÀ sui farmaci, industria farmaceutica, prescrizioni di farmaci, globalizzazione, glocalizzazione, grobalizzazione.

scholarly journals Implementation and Application of Telemedicine in China: Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Fangfang Cui ◽  
Qianqian Ma ◽  
Xianying He ◽  
Yunkai Zhai ◽  
Jie Zhao ◽  
...  
Keyword(s):  
Data Storage ◽  
Statistical Tests ◽  
Virtual Private Network ◽  
Remote Education ◽  
Cross Sectional ◽  
Telemedicine Service ◽  
Direct To Consumer ◽  
Number Of Patients ◽  
Tertiary Hospitals ◽  
Private Network

BACKGROUND Telemedicine has been used widely in China and has benefited a large number of patients, but little is known about the overall development of telemedicine. OBJECTIVE The aim of this study was to perform a national survey to identify the overall implementation and application of telemedicine in Chinese tertiary hospitals and provide a scientific basis for the successful expansion of telemedicine in the future. METHODS The method of probability proportionate to size sampling was adopted to collect data from 161 tertiary hospitals in 29 provinces, autonomous regions, and municipalities. Charts and statistical tests were applied to compare the development of telemedicine, including management, network, data storage, software and hardware equipment, and application of telemedicine. Ordinal logistic regression was used to analyze the relationship between these factors and telemedicine service effect. RESULTS Approximately 93.8% (151/161) of the tertiary hospitals carried out telemedicine services in business-to-business mode. The most widely used type of telemedicine network was the virtual private network with a usage rate of 55.3% (89/161). Only a few tertiary hospitals did not establish data security and cybersecurity measures. Of the 161 hospitals that took part in the survey, 100 (62.1%) conducted remote videoconferencing supported by hardware instead of software. The top 5 telemedicine services implemented in the hospitals were teleconsultation, remote education, telediagnosis of medical images, tele-electrocardiography, and telepathology, with coverage rates of 86.3% (139/161), 57.1% (92/161), 49.7% (80/161), 37.9% (61/161), and 33.5% (54/161), respectively. The average annual service volume of teleconsultation reached 714 cases per hospital. Teleconsultation and telediagnosis were the core charging services. Multivariate analysis indicated that the adoption of direct-to-consumer mode (<i>P</i>=.003), support from scientific research funds (<i>P</i>=.01), charging for services (<i>P</i>&lt;.001), number of medical professionals (<i>P</i>=.04), network type (<i>P</i>=.02), sharing data with other hospitals (<i>P</i>=.04), and expertise level (<i>P</i>=.03) were related to the effect of teleconsultation. Direct-to-consumer mode (<i>P</i>=.01), research funding (<i>P</i>=.01), charging for services (<i>P</i>=.01), establishment of professional management departments (<i>P</i>=.04), and 15 or more instances of remote education every month (<i>P</i>=.01) were found to significantly influence the effect of remote education. CONCLUSIONS A variety of telemedicine services have been implemented in tertiary hospitals in China with a promising prospect, but the sustainability and further standardization of telemedicine in China are still far from accomplished.

Sign in / Sign up

Export Citation Format

Share Document