Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders

PRINCIPLES: The literature has described opinion leaders not only as marketing tools of the pharmaceutical industry, but also as educators promoting good clinical practice. This qualitative study addresses the distinction between the opinion-leader-as-marketing-tool and the opinion-leader-as-educa...

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Main Authors: Anne-Laure Pittet, Michael Saraga, Friedrich Stiefel
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2015-11-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/2110
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author Anne-Laure Pittet
Michael Saraga
Friedrich Stiefel
author_facet Anne-Laure Pittet
Michael Saraga
Friedrich Stiefel
author_sort Anne-Laure Pittet
collection DOAJ
description PRINCIPLES: The literature has described opinion leaders not only as marketing tools of the pharmaceutical industry, but also as educators promoting good clinical practice. This qualitative study addresses the distinction between the opinion-leader-as-marketing-tool and the opinion-leader-as-educator, as it is revealed in the discourses of physicians and experts, focusing on the prescription of antidepressants. We explore the relational dynamic between physicians, opinion leaders and the pharmaceutical industry in an area of French-speaking Switzerland. METHODS: Qualitative content analysis of 24 semistructured interviews with physicians and local experts in psychopharmacology, complemented by direct observation of educational events led by the experts, which were all sponsored by various pharmaceutical companies. RESULTS: Both physicians and experts were critical of the pharmaceutical industry and its use of opinion leaders. Local experts, in contrast, were perceived by the physicians as critical of the industry and, therefore, as a legitimate source of information. Local experts did not consider themselves opinion leaders and argued that they remained intellectually independent from the industry. Field observations confirmed that local experts criticised the industry at continuing medical education events. CONCLUSIONS: Local experts were vocal critics of the industry, which nevertheless sponsor their continuing education. This critical attitude enhanced their credibility in the eyes of the prescribing physicians. We discuss how the experts, despite their critical attitude, might still be beneficial to the industry’s interests.
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spelling doaj.art-01e1058c2b744a2ba28e5f7fc01915a42022-12-22T04:24:32ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972015-11-01145495010.4414/smw.2015.14240Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leadersAnne-Laure PittetMichael SaragaFriedrich Stiefel PRINCIPLES: The literature has described opinion leaders not only as marketing tools of the pharmaceutical industry, but also as educators promoting good clinical practice. This qualitative study addresses the distinction between the opinion-leader-as-marketing-tool and the opinion-leader-as-educator, as it is revealed in the discourses of physicians and experts, focusing on the prescription of antidepressants. We explore the relational dynamic between physicians, opinion leaders and the pharmaceutical industry in an area of French-speaking Switzerland. METHODS: Qualitative content analysis of 24 semistructured interviews with physicians and local experts in psychopharmacology, complemented by direct observation of educational events led by the experts, which were all sponsored by various pharmaceutical companies. RESULTS: Both physicians and experts were critical of the pharmaceutical industry and its use of opinion leaders. Local experts, in contrast, were perceived by the physicians as critical of the industry and, therefore, as a legitimate source of information. Local experts did not consider themselves opinion leaders and argued that they remained intellectually independent from the industry. Field observations confirmed that local experts criticised the industry at continuing medical education events. CONCLUSIONS: Local experts were vocal critics of the industry, which nevertheless sponsor their continuing education. This critical attitude enhanced their credibility in the eyes of the prescribing physicians. We discuss how the experts, despite their critical attitude, might still be beneficial to the industry’s interests. https://www.smw.ch/index.php/smw/article/view/2110prescriptionopinion leaderspharmaceutical industry criticismmarketing strategiesantidepressants
spellingShingle Anne-Laure Pittet
Michael Saraga
Friedrich Stiefel
Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
Swiss Medical Weekly
prescription
opinion leaders
pharmaceutical industry criticism
marketing strategies
antidepressants
title Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
title_full Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
title_fullStr Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
title_full_unstemmed Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
title_short Building legitimacy by criticising the pharmaceutical industry: a qualitative study among prescribers and local opinion leaders
title_sort building legitimacy by criticising the pharmaceutical industry a qualitative study among prescribers and local opinion leaders
topic prescription
opinion leaders
pharmaceutical industry criticism
marketing strategies
antidepressants
url https://www.smw.ch/index.php/smw/article/view/2110
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