Pharmaceutical Advertising

A poll of Pennsylvania adults 10 years after the first direct-to-consumer pharmaceutical television advertisement ran suggests that nearly half of the participants have asked their doctor about a specific prescription drug or medical procedure they saw advertised. 

According to The Patient Poll, conducted by the Institute for Good Medicine at the Pennsylvania Medical Society, 45 percent of Pennsylvania adults participating in the summer 2007 poll indicated that they have talked to their doctor about a specific drug and/or procedure that they saw advertised on television or in a magazine. 

But, instead of getting upset about this situation, one physician says it’s better for his colleagues to be prepared for questions. 

“Most physicians are divided about whether or not pharmaceutical advertisements directed towards patients are good,” said Peter Lund, MD, founder of the Pennsylvania Medical Society’s Institute for Good Medicine. “Some say it’s good to have patients informed, while others say it’s bad because of induced demand and incorrect self-diagnosing. Our advice to Pennsylvania physicians is to be alert to what’s being advertised and be prepared to answer questions since there’s a good chance they’ll be asked.” 

Although the Institute for Good Medicine says this is the first time The Patient Poll has studied this issue and thus it has no historical data to suggest patient trends, Dr. Lund points to a study published in the Aug. 16, 2007, edition of "The New England Journal of Medicine" that suggests total spending on pharmaceutical promotion grew from $11.4 billion in 1996 to $29.9 billion in 2005. Real spending on direct-to-consumer advertising increased by 330 percent during those years. 

“There’s clear evidence that the pharmaceutical industry is spending more to promote medications,” Dr. Lund, an Erie-Pa. urologist and past president of the Pennsylvania Medical Society, said. “If it wasn’t working for them, they wouldn’t be pumping more money into that budget area.”   

While direct-to-consumer pharmaceutical advertisements can be traced back to 1981, the debate on advertising directly to patients accelerated within the medical community 10 years ago when the Food and Drug Administration changed policy to allow television advertisements directed towards patients. 

“I don’t know a physician who hasn’t been asked by at least one patient about a specific drug they saw advertised,” Dr. Lund said.   

But, Dr. Lund also said that while patients are asking for certain prescription drugs, they realize that generic drugs may be available for some, and that they should be equally effective, according to two additional questions asked by The Patient Poll. 

Nearly 62 percent of participants in the poll believe that brand drugs and their generic versions are about the same. And, 53 percent have asked their doctor to prescribe a generic instead of a brand name. 

“Although generics may not be available as ads are being run for newer drugs, patients know that once a generic is available, it will likely do the same trick for less money,” Dr. Lund said. “Still, however, they’ll ask for a specific drug based upon what they remember seeing advertised.” 

The Institute for Good Medicine at the Pennsylvania Medical Society recommends the following websites for additional information. 

Patient Poll Data

Question 1 Have you ever talked with your doctor about a prescription drug or medical procedure you saw advertised on TV or in a magazine? (Please check all that apply)
Results

Yes, a prescription drug

Yes, a medical procedure

Yes, both a prescription drug and a medical procedure

No

26.6%

4.0%

14.4%

55.1%

Question 2 Have you ever asked your doctor to prescribe a generic drug instead of a brand name one?

Results

 

Yes

No

Don't recall

53.2%

38.6%

8.2% 

Conducted July 15, 2007
Margin of Error  5.05%
Eligibility  Pennsylvania adults 21 or older 
Survey Consultants Taylor Brand Group

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Last Updated: 2/23/2009
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