scholarly journals The Counterproductive Effect of Pharmaceutical Marketing in Pakistan: A Qualitative Study

2021 ◽  
Vol 6 (2) ◽  
pp. 11-29
Author(s):  
Dr. Fazle Malik ◽  
Dr. Muhammad Junaid ◽  
Dr. Muhammad Asif ◽  
Ilyas Sharif
Keyword(s):  
Regulatory Authority ◽  
Healthcare Professionals ◽  
Pharmaceutical Marketing ◽  
Skewed Data ◽  
Negative Consequences ◽  
Drug Regulatory Authority ◽  
Related Information ◽  
Prescribe Medicine ◽  
Organizational Perspective ◽  
Promotional Strategies

This study explores the effects of pharmaceutical marketing on patients and society in Pakistan. Pharmaceutical marketing is an integral part of the drug industry, which channels product-related information to healthcare professionals. Physicians are the target audience as they prescribe medicine to the users. The pharmaceutical industry mobilizes all resources to influence physicians’ prescriptions in favor of their brands. It is commendable from the organizational perspective, however; it leads to unintended negative consequences for society. The primary reason is the blind pursuit of commercial interest and near-total neglect of ethical behavior in marketing drugs. This study conducted open-ended 20 interviews from primary stakeholders of this issue that includes physicians, pharmaceutical managers, and officials of drug regulatory authority through purposive sampling. The findings show that misleading promotional strategies influencing physicians are responsible for the misuse and abuse of drugs and antibiotics. Pharmaceutical drug incentivization, the personal obligation for physicians, skewed data, and inappropriate promotions were the major categories developed during analysis. The study recommends various steps to minimize these ill effects.

scholarly journals The nocebo effect as a source of bias in the assessment of treatment effects

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 5 ◽  
Author(s):  
Karolina Wartolowska
Keyword(s):  
Healthcare Professionals ◽  
Treatment Effectiveness ◽  
Expected Improvement ◽  
Negative Consequences ◽  
Nocebo Effect ◽  
Related Information ◽  
Clinical Consultation ◽  
Negative Beliefs ◽  
The Media ◽  
Assessment Of Treatment Effects

The term nocebo effect refers to the harmful outcomes that result from people’s negative beliefs, anticipations, or experiences related to the treatment rather than the pharmacological properties of the treatment. These outcomes may include a worsening of symptoms, a lack of expected improvement, or adverse events, and they may occur after the active treatment and the placebo that is supposed to imitate it.  The nocebo effect is always unwanted and may distort estimates of treatment effectiveness and safety; moreover, it may cause discontinuation of therapy or withdrawal from a trial. The nocebo effect may be unintentionally evoked by the explanations given by healthcare professionals during a clinical consultation or consent procedures, or by information from other patients, the media, or the Internet. Moreover, it may be a consequence of previous bad experiences with the treatment, through learning and conditioning, and the conditioning may happen without patients’ conscious awareness. In trial settings, a study design, for example lack of blinding, may introduce bias from the nocebo effect. Unlike the placebo effect, which is usually taken into consideration while interpreting treatment outcomes and controlled for in clinical trials, the nocebo effect is under-recognised by clinical researchers and clinicians. This is worrying, because the nocebo phenomenon is common and may have potentially negative consequences for the results of clinical treatment and trials. It is therefore important that doctors and medical researchers consider any potential nocebo effect while assessing the treatment effect and try to minimise it through careful choice and phrasing of treatment-related information given to patients.

Innovative promotional strategies and diversification of flavoured mass merchandise cigar products: a case study of Swedish match

2021 ◽  
pp. tobaccocontrol-2020-056145 ◽  
Author(s):  
Ollie Ganz ◽  
Mary Hrywna ◽  
Kevin R J Schroth ◽  
Cristine D Delnevo
Keyword(s):  
Regulatory Authority ◽  
Business Practice ◽  
Smoking Prevention ◽  
Tobacco Products ◽  
The Family ◽  
Promotional Efforts ◽  
Promotional Strategies ◽  
Definition Of ◽  
The U.S

In 2009, the Family Smoking Prevention and Tobacco Control Act (TCA) granted the U.S. Food and Drug Administration (FDA) regulatory authority over tobacco products, although initially this only included cigarettes, smokeless tobacco and roll-your-own tobacco. In 2016, the deeming rule extended regulatory authority to include all tobacco products, including cigars. The deeming rule prohibited the introduction of new tobacco products into the marketplace without proper marketing authorisation and laid out pathways for tobacco companies to follow. The deeming rule should have frozen the cigar marketplace in 2016. In this paper, we describe how the cigarillo marketplace, nevertheless, continues to diversify with new brands, flavors, styles and packaging sizes entering the market regularly. As an example, we highlight recent promotional efforts by Swedish Match North America (Swedish Match) for their popular cigarillo brands, including White Owl, Night Owl and Garcia y Vega’s Game brand. We argue that ambiguities in the TCA make it unclear whether Swedish Match’s seemingly new cigarillos fit the definition of new tobacco products and, if so, whether they are on the market legally. Swedish Match and other cigarillo companies may be taking advantage of these ambiguities to promote a variety of cigarillo flavors and styles in innovative ways. Given that cigars are combustible tobacco products that pose many of the same risks as cigarettes, this business practice raises significant concerns regarding the protection of public health, particularly among young people.

The effects of following celebrities’ lives via SNSs on life satisfaction: The palliative function of system justification and the moderating role of materialism

2018 ◽  
Vol 20 (9) ◽  
pp. 3479-3497 ◽  
Author(s):  
Mihye Seo ◽  
Ki Deuk Hyun
Keyword(s):  
Life Satisfaction ◽  
Social Networking Sites ◽  
Relative Deprivation ◽  
System Justification ◽  
Negative Consequences ◽  
Positive Effects ◽  
Related Information ◽  
Materialistic Values ◽  
The Relationship

Social media increases opportunities to glimpse celebrities’ glamorous lifestyles and to interact with celebrities. This study examines how the use of social networking sites (SNSs) for celebrity-related information and interactions influences users’ life satisfaction. Data analysis demonstrates that celebrity-related SNS activities decrease users’ life satisfaction by increasing relative deprivation through comparison with celebrities. However, the comparison also leads to system justification, serving a palliative function to cope with the potentially negative consequences of such comparisons, which in turn increases life satisfaction. Interestingly, materialism moderates the relationship such that the effects of comparison with celebrities on system justification are observed only among SNS users who hold high materialism values. Also, the direct positive effects of celebrity-related SNS use on life satisfaction are stronger for those with high materialistic values than for those with low materialistic values. The multifaceted functions of celebrity-related SNS activities for life satisfaction are discussed.

Behaviours of healthcare professionals towards difficult patients: A structural equation modelling study

2019 ◽  
Vol 27 (2) ◽  
pp. 554-566
Author(s):  
Kamuran Cerit ◽  
Tuğba Karataş ◽  
Dilek Ekici
Keyword(s):  
Research Design ◽  
Structural Equation Modelling ◽  
Structural Equation ◽  
Healthcare Professionals ◽  
Ethical Dimension ◽  
Negative Consequences ◽  
Difficult Patients ◽  
Difficult Patient ◽  
Equation Modelling ◽  
Unit Increase

Background: Some patients are stigmatised as difficult patients by healthcare professionals. This phenomenon has great many negative consequences. The behaviours of healthcare professionals towards difficult patients are important. Objective: To explore the behaviours of all healthcare professionals towards difficult patients. Research Design: This study was based on a cross-sectional research design using structural equation modelling. Participants and Research Context: Two hundred and fifty-four healthcare professionals were involved in the study in Turkey. ‘Participant Information Form’ and the ‘Healthcare Professionals Behaviour Assessment Questionnaire For Difficult Patient’ were used to collect data from participants. Ethical Consideration: Ethical approval was obtained from Gazi University Ethics Committee for the study. Informed consent of the participants in the study was taken and the confidentiality of the participants was ensured. Findings: It was explored that the behaviours of healthcare professionals towards difficult patients were categorised into ethical, supportive and negative. The highest mean score was supportive behaviour and the least mean score was negative. According to structural equation modelling, the most important predictor of difficult encounters was an ethical dimension. One-unit increase in ethical behaviour contributed to 0.92 unit increase in positive patient behaviour. Discussion: Patients generally are perceived as ‘difficult patient’ by the healthcare professionals, so the patients’ treatment and care services are affected negatively due to healthcare professionals’ negative beliefs and attitudes. The healthcare professionals should behave supportively towards difficult patients. Conclusion: Healthcare professionals should be aware of management strategies in dealing with difficult encounters. The behaviours of healthcare professionals should be improved in a positive way and awareness of ethical dimension of difficult encounters should be increased.

scholarly journals The Face of Workplace Violence: Experiences of Healthcare Professionals in Surgical Hospital Wards

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Jenny Jakobsson ◽  
Malin Axelsson ◽  
Karin Örmon
Keyword(s):  
Focus Group ◽  
Gender Discrimination ◽  
Workplace Violence ◽  
Healthcare Professionals ◽  
Physical Violence ◽  
Preventive Strategies ◽  
Negative Consequences ◽  
Focus Group Interviews ◽  
Group Interviews ◽  
Hospital Wards

Background. Though workplace violence (WPV) is a global problem for healthcare professionals, research within in-hospital care has mainly focused on WPV in emergency healthcare settings. Thus, the number of qualitative studies that explores experiences of WPV in general hospital wards with a longer length of stay is limited. Aim. The aim of this study was to explore how healthcare professionals in surgical hospital wards experience and manage WPV perpetrated by patients or visitors. Method. The study applied a qualitative, inductive approach using focus group interviews for data collection. A purposeful sample of 16 healthcare professionals working in surgical wards was included. Data were analysed using a thematic analysis. Findings. The analysis resulted in four main themes: workplace violence characteristics, partly predictable yet not prevented, approaching workplace violence, and consequences from workplace violence. During the focus group interviews, the healthcare professionals described various acts of physical violence, verbal abuse, and gender discrimination perpetrated by patients or their visitors. Despite the predictability of some of the incidents, preventive strategies were absent or inadequate, with the healthcare professionals not knowing how to react in these threatful or violent situations. They experienced that WPV could result in negative consequences for the care of both the threatful or violent person and the other patients in the ward. WPV caused the healthcare professionals to feel exposed, scared, and unprotected. Conclusion and clinical implications. Exposure to WPV is a problem for healthcare professionals in surgical wards and has consequences for the patients. Preventive strategies, guidelines, and action plans are urgently needed to minimise the risk of WPV and to ensure a safe work and care environment.

scholarly journals Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Stephana J. Moss ◽  
Karla D. Krewulak ◽  
Henry T. Stelfox ◽  
Sofia B. Ahmed ◽  
Melanie C. Anglin ◽  
...  
Keyword(s):  
Acute Care ◽  
Scoping Review ◽  
Healthcare Professionals ◽  
Case Series ◽  
Well Being ◽  
Primary Data ◽  
Cochrane Central Register ◽  
Negative Consequences ◽  
Primary Research ◽  
Acute Care Settings

Abstract Background Restricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals. Methods We searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate. Results Of 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%). Conclusions Patients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals. Trial registration: The review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

Pay Transparency: Conceptualization and Implications for Employees, Employers, and Society as a Whole

2021 ◽  
Author(s):  
Peter A. Bamberger
Keyword(s):  
Employee Perceptions ◽  
Work Behavior ◽  
Negative Consequences ◽  
Related Information ◽  
Rate Information ◽  
Research Findings ◽  
Individual Task ◽  
Communication Practices ◽  
Gender Based ◽  
Communication Policies

Pay transparency refers to the degree to which pay communication policies and practices governing employee pay knowledge facilitate or restrict the sharing of pay-related information. While relatively few enterprises have adopted transparent pay-communication practices, a variety of institutional factors, such as government regulations and social norms, are driving employers to provide their employees with greater pay knowledge. Consensus has emerged around the existence of three main dimensions or forms of pay transparency, namely pay-outcome transparency, pay-process transparency, and pay-communication transparency. Research findings indicate that pay-outcome transparency, which relates to the degree to which pay rate information is disclosed by the employer, has both beneficial and problematic consequences, depending on the outcome. For example, while pay-outcome transparency has been consistently found to be associated with enhanced individual task performance and reduced gender-based pay discrepancies, it has also been associated with higher levels of envy, diminished helping, heightened levels of counterproductive work behavior, and pay compression (which could elicit negative sorting effects). In contrast, pay-process transparency, which relates to the degree to which employees are informed about the parameters underlying reward-related decisions, has been found to have largely beneficial consequences and few unintended negative consequences. Finally, while it is least studied, pay-communication transparency, capturing the degree to which restrictions are placed on employees’ ability to share pay knowledge with others, is positively associated with employee perceptions of employer fairness and trustworthiness and can have significant implications for employee retention.

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