Pharmaceutical Promotion in Canada: Convince Them or Confuse Them

1987 ◽  
Vol 17 (1) ◽  
pp. 77-89 ◽  
Author(s):  
Joel Lexchin
Keyword(s):  
Medical Profession ◽  
The Public ◽  
Adverse Health Effects ◽  
Drug Companies ◽  
Public Media ◽  
Pharmaceutical Promotion ◽  
The Government ◽  
To Come ◽  
Cost Of Drugs ◽  
The Cost

Currently, drug companies are spending in excess of $200 million annually on promoting their products to Canadian physicians. Although the industry has adopted a voluntary code of advertising practice, this has not prevented gross excesses in all forms of pharmaceutical promotion: drug-company sponsored continuing medical education, and promotion through the public media, detailers, direct mail, sampling, and journal advertising. Not only does advertising add to the cost of drugs, but physicians' reliance on information conveyed through advertising leads to poor prescribing and consequently to significant adverse health effects for patients. Reforms of promotional practices are possible, but the initiative is unlikely to come from either the medical profession or the government. Pressure applied through an emerging grass-roots movement is the best hope for change.

How Business Changes Government in the Information Age

2011 ◽  
pp. 928-932
Author(s):  
J. V.D. Heijden
Keyword(s):  
Public Administration ◽  
The Public ◽  
Management Consultancy ◽  
Technology Products ◽  
Making A Difference ◽  
Velocity Information ◽  
Business Changes ◽  
The Government ◽  
To Come ◽  
Liberal Vision

EzGov is a leading company providing online solutions for governments. Ed Trimble, EzGov CEO, states, “He’s doing something that’s changing government, that’s changing the world, that’s really making a difference” (Diana, 2004). This article is about changing government. Considered as the main agent to change government are politics. Mainstream studies of public administration also consider government itself, judges and citizens as change agents. This fits with the classical, liberal vision on the public domain, wherein these parties are the only known subjects (see Howlett & Ramesh, 1995, pp. 52-59; Stone, 1997, pp. 351-372). In this vision companies are considered to be citizens. Problem then is to see clearly the profound influence business has on governmental change. With increasing velocity information technology products appear on the market that are especially designed to change government. Also with other products the government buys its own change, for instance with management consultancy. In the study of public administration a good view lacks on the importance business has here in changing government. That’s the focus of this article, what’s its purpose? First purpose is to give an explanation of the way business changes government with the products it sells. Second purpose is to come up with ideas on how to deliberately accept change of government by way of business products. How to do that in a way that both government and business will function better and present society with legitimate solutions for physical and social problems?

scholarly journals Private health insurance and the Pharmaceutical Benefits Scheme: how effective has recent government policy been?

2004 ◽  
Vol 28 (1) ◽  
pp. 34 ◽  
Author(s):  
Jeff R J Richardson ◽  
Leonie Segal
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Public Hospitals ◽  
Common Element ◽  
Cost Shifting ◽  
The Public ◽  
Pharmaceutical Expenditures ◽  
The Government ◽  
The Cost ◽  
Pharmaceutical Benefits Scheme

The cost to government of the Pharmaceutical Benefits Scheme (PBS) is rising at over 10 percent per annum. The government subsidy to Private Health Insurance (PHI) is about $2.4 billion and rising. Despite this, the queues facing public patients ? which were the primary justification for the assistance to PHI ? do not appear to be shortening. Against this backdrop, we seek to evaluate recent policies. It is shown that the reason commonly given for the support of PHI ? the need to preserve the market share of private hospitals and relieve pressure upon public hospitals ? is based upon a factually incorrect analysis of the hospital sector in the last decade. It is similarly true that the ?problem? of rising pharmaceutical expenditures has been exaggerated. The common element in both sets of policies is that they result in cost shifting from the public to the private purse and have little to do with the quality or quantity of health services.

Back to Bedlam? Chelmsford and the Press

1993 ◽  
Vol 27 (1) ◽  
pp. 140-148 ◽  
Author(s):  
Deborah Lupton
Keyword(s):  
Psychiatric Care ◽  
Medical Profession ◽  
Royal Commission ◽  
The Public ◽  
Medical Regulation ◽  
South Wales ◽  
The Press ◽  
The Government ◽  
Role Of The Government

The Australian press played a vital part in bringing the events at Chelmsford Private Hospital to the attention of the general public, and in pressuring the New South Wales government to institute a Royal Commission into Deep Sleep Therapy. This paper describes the ways in which the press brought Chelmsford events onto the public agenda. It pays particular attention to aspects of the press coverage of the findings of the Royal Commission. The paper identifies the discourses concerning psychiatric care, the doctor-patient relationship and the role of the government in regulating the medical profession which were dominant in press accounts of Chelmsford. It is argued that while pre-existing stereotypes about mad psychiatrists and asylums were used to describe Chelmsford, more confronting ideas concerning the need for medical regulation and patient consumerism received press attention and therefore a public airing. The implications for psychiatric care in Australia are examined.

scholarly journals Costs of bariatric surgery in a teaching hospital and the financing provided by the Public Unified Health System

2010 ◽  
Vol 25 (2) ◽  
pp. 201-205 ◽  
Author(s):  
Wilson Salgado Júnior ◽  
Karoline Calfa Pitanga ◽  
José Sebastião dos Santos ◽  
Ajith Kumar Sankarankutty ◽  
Orlando de Castro e Silva Jr ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health System ◽  
Perioperative Period ◽  
University Hospital ◽  
Retrospective Evaluation ◽  
The Public ◽  
Unified Health System ◽  
The Government ◽  
The Cost ◽  
The University

PURPOSE: Analyze the effect of some measures on the costs of bariatric surgery, adopting as reference the remuneration of the procedure provided by the Unified Health System (SUS). METHODS: A retrospective evaluation conducted in the Costs Section of the University Hospital of Ribeirão Preto, of the costs involved in the perioperative period for patients submitted to bariatric surgery from 2004 to 2007. Changes in the routines and protocols of the service aiming at the reduction of these costs during the study period were also analyzed. RESULTS: Nine patients in 2004 and seven in 2007 submitted to conventional vertical banded "Roux-en-Y" gastric bypass were studied. All patients presented good postoperative evolution. The average cost with these patients was R$ 6,845.17 in 2004. Even though an effort was made to contain expenditures, the cost in 2007 was of R$ 7,525.64 because of the increase in the price of materials and medicines. The Government remuneration of the procedure in the two years was R$ 3,259.72. CONCLUSION: Despite the adoption of diverse measures to reduce the expenditures of bariatric surgery, in fact there was an increase in the costs, a fact supporting the necessity of permanent evaluation of the financing of public health.

scholarly journals Health policy and controlling Covid-19 in England: sociological insights

2020 ◽  
Vol 2 ◽  
pp. 40
Author(s):  
Michael Calnan
Keyword(s):  
Health Policy ◽  
Government Policy ◽  
Medical Profession ◽  
Economic Life ◽  
Effective Vaccine ◽  
Recent Book ◽  
Policy Response ◽  
Sources Of Information ◽  
The Public ◽  
The Government

The global Covid-19 pandemic is posing considerable challenges for governments throughout the world and has and will have a significant influence on the shape of peoples social and economic life and wellbeing in the short and longer term. This opinion paper discusses the current health policy response adopted in England to control or manage the epidemic and identifies the key sociological and political influences which have shaped these policies. Drawing on the theoretical approach set out in his recent book, which emphasises the interplay of powerful structural and economic interest groups, the author will consider the influence of the key players. Government policy has tied itself to scientific and medical evidence and protecting the NHS so the key roles of the medical profession, public health scientific community and NHS management and their respective and relative powerful influences will be discussed. The government needs the support of the public if their policies are to be successful, so how have the government addressed maintaining public trust in this ‘crisis’ and how much trust do the public have in the government and what has influenced it? The strong emphasis on social distancing and social isolation in the national government policy response to Covid-19 has placed an increasing public reliance on the traditional and social media for sources of information so how the media has framed the policy will be considered. One policy aim is for an effective vaccine and the influence of the drug industry in its development is discussed. Finally, the role of the state will be discussed and what has shaped its social and economic policies.

Pemenuhan Kebutuhan Energi dalam rangka Mewujudkan Ketahanan Nasional

2016 ◽  
Vol 5 (2) ◽  
pp. 67
Author(s):  
Gde Pradnyana
Keyword(s):  
Large Scale ◽  
Oil And Gas ◽  
Supply Side ◽  
Energy Availability ◽  
Energy Mix ◽  
The People ◽  
Production And Distribution ◽  
The Government ◽  
To Come ◽  
The Cost

<p>Indonesia has the potential vulnerability enormous energy availability. From the supply side, Indonesia has not showed the synergy between the depletion of oil and gas on a large scale with the search for new sources of its reserves. Searching new reserves abroad also yet to show tangible results and not get full supported from the government. Meanwhile, shares of oil and gas is still a very big role in the national energy mix of Indonesia up to 25 years to come. The government also has not succeeded in converting the results of oil and gas into industrial assets. Prioritizing local-content policy produces only rents of business that would increase the cost of production and distribution of oil and gas to the people.</p>

Unverified Prognosis

1884 ◽  
Vol 30 (130) ◽  
pp. 223-233
Author(s):  
H. Hayes Newington
Keyword(s):  
Clinical Experience ◽  
Medical Profession ◽  
The Other ◽  
Complex Nature ◽  
Partial Recovery ◽  
Direct Examination ◽  
The Public ◽  
The World ◽  
To Come ◽  
Insight Into

In none of the more practical aspects of insanity, with the exception perhaps of that of pathology, does the alienist stand at so much disadvantage with the other members of the medical profession as in the matter of prognosis. In diagnosis we have, as a rule, an easy task, though now and then cases arise in which it requires much thought to come to a determination whether some unhappy event is due to insanity or to crime. Again, in treatment we fairly hold our own, taking into consideration the complex nature of the organs and functions that are affected, coupled with the impossibility of direct examination and treatment of them. But in prognosis we are distinctly less sure of our footing, and it is unfortunate that this uncertainty is accompanied by a most pressing demand for accurate forecasts from the relatives of those who are placed under our charge. This pressure, no doubt, arises in chief from the necessity in nearly every case for modifying, either temporarily or for good, those circumstances, domestic, official, and pecuniary, from which the patient has been removed; but there is this further difficulty, that while in cases of general disease, other than insanity, the friends have some sort of knowledge and opinion of their own as to the probable result, gained from insight into similar cases, in insanity such clinical experience is denied them by the necessity for withdrawing patients from the observation of the public. They are thus almost entirely without guides of their own, and in consequence they come to lean more heavily on the doctor. The strain and responsibility for error thus cast on us would be intolerable were there only the two eventualities of absolute recovery and absolute loss of mind; but, fortunately, there are many stages to fill up the huge gap between these two extremes, stages of partial recovery which allow of the restoration of the patient to various degrees of liberty and usefulness in the world. It is not too much to say that the problem of the future of the patient has to be faced never less often, generally more frequently, than that of treatment.

THE VACCINE SCAPEGOAT

PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 777-777
Author(s):  
J. F. L.
Keyword(s):  
Public Health ◽  
Motor Vehicles ◽  
Health Clinic ◽  
The Public ◽  
Health Clinics ◽  
Just Price ◽  
Public Health Clinics ◽  
The Government ◽  
Public Clinics ◽  
The Cost

Cynics argue that the reason Bill and Hillary Clinton pistol-whipped the drug industry over vaccine prices just days before the State of the Union was to intimidate the rest of U.S. industry into silence oven the tax-laden economic proposal. And the reason cynicism like this is coming back into vogue is that the Clintons, as elsewhere, had so transparently demagogued the vaccine issue, leaving huge and obvious parts of the immunization problem unmentioned ... A more honest explanation of the problem at least would have mentioned both the famous liability suits that pushed up the cost of vaccines and the government bureaucracy's own failed efforts to immunize the poor. That brings us to the second widely known reason that so many children don't receive the proper immunizations: The bureaucracy can't figure out how to get the job done. Any child in any state can receive free vaccines at a public-health clinic paid for by state and federal money. So why don't more parents respond? One large reason is that the public system is very inconvenient. Before they will administer a vaccination, many public-health clinics require a physician's referral or a complete physical. They don't phone with a reminder that it's time again for the shots. And, like the department of motor vehicles, their hours often aren't convenient for working parents .... So yes, there's a problem, but clearly it's about something more complicated than just price. The President's answer is to spend $300 million to "improve outreach efforts" and hire more staff for the public clinics.

A prescription for improvement: Health and Safety Measures

2020 ◽  
Vol 2 (8) ◽  
pp. 01-16
Author(s):  
Abdeen Omer
Keyword(s):  
Public Health ◽  
Health And Safety ◽  
The Public ◽  
Quantitative Studies ◽  
Medical Supplies ◽  
Drug Companies ◽  
Drug Regulations ◽  
Government Deficit ◽  
The Government ◽  
The Impact

The strategy of price liberalization and privatization had been implemented in Sudan over the last decade, and has had a positive result on government deficit. The investment law approved recently has good statements and rules on the above strategy in particular to pharmacy regulations. Under the pressure of the new privatization policy, the government introduced radical changes in the pharmacy regulations. To improve the effectiveness of the public pharmacy, resources should be switched towards areas of need, reducing inequalities and promoting better health conditions. Medicines are financed either through cost sharing or full private. The role of the private services is significant. A review of reform of financing medicines in Sudan is given in this study. Also, it highlights the current drug supply system in the public sector, which is currently responsibility of the Central Medical Supplies Public Corporation (CMS). In Sudan, the researchers did not identify any rigorous evaluations or quantitative studies about the impact of drug regulations on the quality of medicines and how to protect public health against counterfeit or low quality medicines, although it is practically possible. However, the regulations must be continually evaluated to ensure the public health is protected against by marketing high quality medicines rather than commercial interests, and the drug companies are held accountable for their conduct.

Von der Finanzkrise zur Schuldenkrise

2011 ◽  
Vol 62 (1) ◽  
Author(s):  
Walter Wittmann
Keyword(s):  
Public Debt ◽  
Credit Rating ◽  
Debt Crisis ◽  
Foreign Debt ◽  
Subprime Crisis ◽  
The Public ◽  
Interbank Markets ◽  
Long Time ◽  
The Government ◽  
To Come

SummaryThis paper reviews the main developments leading to the actual financial and debt crisis. It starts with the expansionary monetary policy experiment in the US in 2002, which led to a bubble in stock markets and real estate markets. When the bubble burst, the latter provoked the subprime crisis. Banks holding subprime assets made substantial losses. Especially investment banks relying on refinancing in the capital market got in trouble. When Lehman Brothers failed the interbank markets collapsed and it was only due to the collective action of central banks and government that the financial system could be stabilized. The government involvement raised the public debt in many countries to unsustainable heights transforming the financial crisis into a public debt crisis. In Europe the weaker Euro member countries, burdened with both high public debt and high foreign debt, experienced steeply rising risk premia. In order to avoid a default of a member country as well as a default of their own banks, the stronger Euro countries made available guaranties, which will, in the longer run, diminish their own credit rating. The paper concludes with the skeptical note, that both the banking crisis and the public debt debt crisis may be with us for a long time to come.

Sign in / Sign up

Export Citation Format

Share Document