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| Author, Analytic (01) | : | Bell, Robert A.//Wilkes, Michael S.//Kravitz, Richard L. |
| Title, Analytic (04) | : | Advertisement-induced prescription drug requests: patients' anticipated reactions to a physician who refuses |
| Medium Designator (05) | : | Analytic survey |
| Journal Title (10) | : | Journal of Family Practice |
| Date of Publication (20) | : | 1999 |
| Volume ID (22) | : | 21560 |
| Location in Work (25) | : | 446-452 |
| Notes (42) | : | Methodology note: This survey was done in a single community and the results may not e generalizable. There is the possibility of a social acceptability bias. |
| Abstract (43) | : | BACKGROUND: Drug manufacturers increasingly encourage patient prescription drug demand through the use of direct-to-consumer (DTC) advertisements. We describe patients' forecasts of their reactions if their doctor were to deny an advertisement-motivated drug request and then identify significant predictors of these reactions. METHODS: We conducted a random phone survey of 329 Sacramento adults (response rate = 69%). Key outcomes were respondents' perceived likelihood of reacting to the nonfulfillment of a prescription request by becoming disappointed, trying to persuade the physician to reconsider, seeking a prescription from a different physician, and changing physicians. We also assessed associations between the likelihood of these reactions and respondents' evaluations of their physician's communication skills; attitudes toward, assumptions about the regulation of, and past responses to DTC advertising; health status; and demographic characteristics. RESULTS: Disappointment was the most likely reaction (46%). One fourth of the respondents anticipated resorting to persuasion and seeking the prescription elsewhere, while only 15% considered terminating their relationship with their physicians. Subjects who anticipated reacting in these 4 ways reported lower satisfaction with their physicians, evaluated DTC advertising more favorably, and possessed more confidence in the government's regulation of these advertisements. CONCLUSIONS: A sizable fraction of patients believed they would react negatively if their physician refused to provide a prescription for a drug advertised in the general media. Avenues for dealing effectively with patients' advertising-induced requests for prescription drugs are needed. |
| Keywords (45) | : | *analytic survey/United States/DTCA/direct-to-consumer advertising/doctor-patient relationship/patient demands/INFLUENCE OF PROMOTION: DOCTOR-PATIENT RELATIONSHIP |
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