Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices?
Includes bibliographical references (page 9).
Egile Nagusiak: | , , , , |
---|---|
Beste egile batzuk: | |
Formatua: | Artikulua |
Hizkuntza: | English |
Argitaratua: |
BMC Medical Ethics
2016
|
Gaiak: | |
Sarrera elektronikoa: | http://hdl.handle.net/10361/5239 |
id |
10361-5239 |
---|---|
record_format |
dspace |
spelling |
10361-52392019-09-30T03:00:32Z Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? Mohiuddin, Mahrukh Rashid, Sabina Faiz Shuvro, Mofijul Islam Nahar, Nahitun Ahmed, Syed Masud James P Grant School of Public Health, BRAC University Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts Code of pharmaceutical marketing practices Bangladesh Includes bibliographical references (page 9). Background: The pharmaceutical market in Bangladesh is highly concentrated (top ten control around 70 % of the market). Due to high competition aggressive marketing strategies are adopted for greater market share, which sometimes cross limit. There is lack of data on this aspect in Bangladesh. This exploratory study aimed to fill this gap by investigating current promotional practices of the pharmaceutical companies including the role of their medical representatives (MR). Methods: This qualitative study was conducted as part of a larger study to explore the status of governance in health sector in 2009. Data were collected from Dhaka, Chittagong and Bogra districts through in-depth interview (healthcare providers and MRs), observation (physician-MR interaction), and round table discussion (chief executives and top management of the pharmaceutical companies). Results: Findings reveal a highly structured system geared to generate prescriptions and ensure market share instituted by the pharmaceuticals. A comprehensive training curriculum for the MRs prepares the newly recruited science graduates for generating enough prescriptions by catering to the identified needs and demands of the physicians expressed or otherwise, and thus grab higher market-share for the companies they represent. Approaches such as inducements, persuasion, emotional blackmail, serving family members, etc. are used. The type, quantity and quality of inducements offered to the physicians depend upon his/her capacity to produce prescriptions. The popular physicians are cultivated meticulously by the MRs to establish brand loyalty and fulfill individual and company targets. The physicians, willingly or unwillingly, become part of the system with few exceptions. Neither the regulatory authority nor the professional or consumer rights bodies has any role to control or ractify the process. Conclusions: The aggressive marketing of the pharmaceutical companies compel their MRs, programmed to maximize market share, to adopt unethical means if and when necessary. When medicines are prescribed and dispensed more for financial interests than for needs of the patients, it reflects system’s failed ability to hold individuals and entities accountable for adhering to basic professional ethics, code of conduct, and statutory laws. Mahrukh Mohiuddin Sabina Faiz Rashid Mofijul Islam Shuvro Nahitun Nahar Syed Masud Ahmed 2016-05-08T09:53:02Z 2016-05-08T09:53:02Z 2015 2015-06 Article Mohiuddin, M., Rashid, S. F., Shuvro, M. I., Nahar, N., & Ahmed, S. M. (2015). Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? BMC Medical Ethics, 16(1), 80. http://doi.org/10.1186/s12910-015-0075-z http://hdl.handle.net/10361/5239 en BRAC University Journals are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. 9 pages application/pdf BMC Medical Ethics |
institution |
Brac University |
collection |
Institutional Repository |
language |
English |
topic |
Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts Code of pharmaceutical marketing practices Bangladesh |
spellingShingle |
Medical representatives Pharmaceutical marketing Pharmaceutical promotional gifts Code of pharmaceutical marketing practices Bangladesh Mohiuddin, Mahrukh Rashid, Sabina Faiz Shuvro, Mofijul Islam Nahar, Nahitun Ahmed, Syed Masud Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
description |
Includes bibliographical references (page 9). |
author2 |
James P Grant School of Public Health, BRAC University |
author_facet |
James P Grant School of Public Health, BRAC University Mohiuddin, Mahrukh Rashid, Sabina Faiz Shuvro, Mofijul Islam Nahar, Nahitun Ahmed, Syed Masud |
format |
Article |
author |
Mohiuddin, Mahrukh Rashid, Sabina Faiz Shuvro, Mofijul Islam Nahar, Nahitun Ahmed, Syed Masud |
author_sort |
Mohiuddin, Mahrukh |
title |
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
title_short |
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
title_full |
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
title_fullStr |
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
title_full_unstemmed |
Qualitative insights into promotion of pharmaceutical products in Bangladesh: how ethical are the practices? |
title_sort |
qualitative insights into promotion of pharmaceutical products in bangladesh: how ethical are the practices? |
publisher |
BMC Medical Ethics |
publishDate |
2016 |
url |
http://hdl.handle.net/10361/5239 |
work_keys_str_mv |
AT mohiuddinmahrukh qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices AT rashidsabinafaiz qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices AT shuvromofijulislam qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices AT naharnahitun qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices AT ahmedsyedmasud qualitativeinsightsintopromotionofpharmaceuticalproductsinbangladeshhowethicalarethepractices |
_version_ |
1814307608047124480 |