Filed under: Medical Education, physician, research, Uncategorized | Tags: 2001, clinical study, Godfather, medical writing, pharmaceutical marketing, research
I’m one of those weirdos who most enjoys a movie when I know the plot or ending beforehand. 2001: A Space Odyssey? More interesting when you know the ambiguous plotline and can really think about what the surreal imagery and multilayered themes mean. The Godfather? More enjoyable if you’ve already seen the climactic, juxtaposed baptism/murder scene near the end of the film.
Often I’ll put a movie on my Netflix queue, then go immediately to Wikipedia to read the plot summary. And I just might take that DVD, watch the final scene, then view the movie from the beginning. Why? Well, I like surprises and plot twists and all, but I just find it more enjoyable to know the “end” so that I can better understand and more enjoy the “means”.
I got thinking about how this peculiar behavior relates to reading journal articles after seeing Teresa Rogstad’s recent AMWA Journal feature (2009;24(4):176-181), “Judging the Quality of Medical Literature.” In a succinct review, she lays out the key things (eg, study design, bias, sample size) to assess in determining the “methodologic strength” and “application usefulness” of published research. Now on my burgeoning “must-read” list for nonscientists in Pharma, her article might be of value to even the most CONSORT-literate folks.
Consumers of scientific literature might well combine my contradictory movie habit and Rogstad’s criteria by approaching their next scientific article as follows:
- Read the Abstract (plot) to help assess the quality and direction of the study.
- Read the Discussion section (ending) to understand the research implications.
- Read the entire article to understand the data’s finer points and full meaning. As with a film, this method can help maximize the reader’s use—and dare I say, enjoyment—of the “story” that the writer and researcher(s) have crafted.
We at SRMC believe this assessment of the quality of the research “story” is crucial to the most effective use of published clinical data. And it’s one of the many capabilities that we offer to help clients who want to optimize the impact of the research articles they use to support their products.
So if you’ve ever asked yourself—Is this/that journal article good? or Should I cite this study?—we can help you find the answer. And if you have questions about how the movie ends, we can answer those, too.
Ted J. Slowik, PhD
Director, Scientific Information, S+R Medical Communications
teds@srmedcom.com
Filed under: Uncategorized | Tags: advertising, adweek, Big Pharma, brands, Harris Interactive, tv
If you answered pharma, then you’re right when compared only to the financial industry. But according to a new poll conducted by Harris Interactive and AdweekMedia, when compared to the soft drink, fast food, and auto industries, pharmaceuticals ads come in as least trustworthy by Americans.
Of the five industries about which the poll inquired, soft drinks had the highest “most trustworthy” vote (34 percent) and the lowest “least trustworthy” score (4 percent). Fast food was the runner-up in both respects (22 percent “most trustworthy,” 10 percent “least trustworthy”).
Each of the polls’ other three ad categories had more negative than positive votes. Pharmaceuticals was ranked “most trustworthy” by 18 percent and “least trustworthy” by 29 percent. The automotive industry fared a bit better, at 14 percent “most trustworthy” and 19 percent “least trustworthy.” Financial services did worst of all, at 13 percent “most trustworthy” and 38 percent “least trustworthy.”
Want to weigh in on the conversation? Check out the full article here at Adweek.
Filed under: Uncategorized | Tags: Big Pharma, brands, healthcare, marketing, pharmaceutical rep, physicians, product manager, transparency, trust
New day. Same story.
Source:Minyanville
The pharmaceutical industry is going through a transformation — not only has it been consolidating with mega-mergers like the one between Merck (MRK) and Schering-Plough, but it’s facing a major patent cliff as the revenues from the blockbuster drugs of the 1990s fall prey to generic competition.
Yet, these larger changes have led to shifts in other parts of the industry, too. Since Big Pharma can no longer rely on new blockbuster drugs to pad their top line, these companies now have to transform how they do business to include the biotech model of finding drugs for diseases with smaller patient populations. This also means a major overhaul of how the industry sells its product to the masses.
Pharmaceutical sales reps will be the first to tell you that the industry is scaling down. Once plentiful — there were more than 100,000 reps in 2005 — the drug sales rep is quickly becoming part of the past. A recent report by Deloitte proclaimed to the industry to change its sales models or bust.
An article in the Indianapolis Star this week shows just how much sales rep are despised by the very doctors they’re supposed to woo. Doctors have been pushing for sales reps to make appointments and cut down their pitch time. In some cases, doctors are asking to ban their presence altogether (one in four doctors now refuses to meet with reps, according to the Deloitte report).
But doctors’ dislike of this incredibly aggressive and confident class of individuals isn’t the only reason that the sales rep is becoming extinct. Doctors are no longer the key decision makers when it comes to what drugs are being prescribed. That decision now rests heavily with consumers (who are highly affected by direct-to-consumer advertising), and even more so with insurers who are the primary payers for the often over-priced drugs being pushed by the pharma companies.
Pharmaceutical companies aren’t blind to the problem. The past year has been a bloodbath for pharmaceutical peddlers. AstraZeneca (AZN) said in 2007 that it would cut 7,600 people by 2013; it later upped that number to 15,000. The company didn’t say where those jobs would come from, but the sales force was offered the buyout first. Sepracor, wholly-owned subsidiary of Japan’s Dainippon Sumitomo Pharma, reduced its number by 530 in 2009, bringing its sales force to 1,325 people. King Pharmaceuticals (KG) eliminated 380 field sales positions last year, bringing its total number of reps down to 720 and Sanofi-Aventis (SNY) cut 750 people from its sales roster.
Jump to 2010: Pfizer (PFE) cut 556 sales reps as part of its broader layoffs due to its merger with Wyeth last year. Earlier in the month, Merck eliminated 400 positions from the Schering-Plough headquarters in New Jersey with a majority coming from the sales team. This is on top of the 1,000 sales reps that Schering laid off in 2008 before its merge.
So how will the new pharmaceutical sales landscape look?
It’s likely that insurance companies are going to be playing an even bigger role in which prescriptions become the drugs of choice. Meanwhile, Big Pharma will likely look to outsourced sales rep to educate those same insurance companies. As a plus for doctors, their knowledge will likely have to come more from medical journals and other non-biased sources.
“Pharma’s challenges require a detailed understanding of each stakeholder’s role and contribution to value,” says W. Scott Evangelista, principal at Deloitte. “By better understanding every stakeholder’s unique needs and motivators, a pharma company would be better equipped to improve its internal capabilities — e.g., knowledge, skills, tools — to interact more effectively with each constituent.”
Filed under: Uncategorized | Tags: Apps, Big Pharma, emrs, healthcare, iPhone, mac tablet, medical records, microsoft, mobile
After a lull of about 6 months the Mac Tablet buzz has started to heat up again with Apple announcing its release for March. Like the iPhone before it, the medical community has started to hail the Mac Tablet as a revolutionary healthcare device, most notably for electronic medical records (EMRs). Ease-of-use has been a primary barrier to EMR adoption, so Apple – known for intuitive design and usability – would be welcomed by physicians.
The EMR possibilities for the Mac Tablet have been covered in depth through an article at Softwareadvice.
“The Ultimate EMR User Interface
An Apple tablet would be the ultimate UI for electronic medical records. With a touch-screen display like the iPhone, using the EMR during an encounter would be simplified. For example, selecting an evaluation and management (E&M) code could be as easy as “dialing in” the code with a swipe of a finger…”
But are EMRs really making life for physicians easier? And will the Mac Tablet help? This video begs to differ.
Filed under: mobile, Uncategorized | Tags: Apps, IBM, mobile, novartis, pharma, technology, vodafone
A unique partnership between Vodafone, IBM, and Novartis has successfully launched a mobile health initiative that truly makes a difference in the treatment of malaria in remote areas of Tanzania. The SMS for Life program uses a combination of mobile phones, SMS (Short Messaging Service) technologies and intuitive web sites to track and manage the supply of Artemisinin-based Combination Therapy (ACT) drugs and Quinine injectables, both of which are key to reducing the number of deaths from malaria.
During the first few weeks of the pilot, the number of health facilities with stock-outs in one district alone, was reduced by over 75 percent. The early success of the SMS for Life pilot project has the Tanzanian authorities interested in implementing the solution across the rest of the country. Tanzania has around 5,000 clinics, hospitals and dispensaries, but at any one time, as many as half could potentially be out of stock of anti-malarial drugs.
Kudos to all those involved for making this happen. We can only hope that other drug companies continue to think of new and innovative ways technology can improve patient outcomes.
Full press release below via IBM.
LONDON - 14 Dec 2009: A new solution developed by IBM (NYSE: IBM), Novartis and Vodafone with the Roll Back Malaria Partnership, is helping to save lives using everyday technology to improve the availability of anti-malarial drugs in remote areas of Tanzania
Called “SMS for Life,” the initiative uses a combination of mobile phones, SMS (Short Messaging Service) technologies and intuitive web sites to track and manage the supply of Artemisinin-based Combination Therapy (ACT) drugs and Quinine injectables, both of which are key to reducing the number of deaths from malaria.
The mosquito-borne disease causes nearly one million deaths in Africa each year, mostly among pregnant women and young children, and many people die because they simply lack quick access to vital medication.
Tanzanian child helped by SMS for life program and IBM LotusLive.com cloud computing (Click on photo for print-quality version).
The concept of using text messaging to improve stock management of life-saving medicines was developed by pharmaceutical company Novartis and a team of international students taking part in IBM’s internship program, Extreme Blue. The team came up with SMS for Life, as it relies on simple technology and fosters self-sufficiency. IBM was tasked with managing the overall project and Vodafone was invited to develop and manage a system based on simple SMS messaging that would help ensure dispensaries did not run out of vital stock.
After visits to clinics, hospitals and dispensaries across Tanzania, IBM, Novartis and Vodafone initiated a five-month pilot of the SMS for Life solution, covering 135 villages and over a million people in different geographic locations across Tanzania.
Vodafone, together with its technology partner MatsSoft, developed a system in which healthcare staff at each facility receives automated SMS messages, which prompt them to check the remaining stock of anti-malarial drugs each week. Using toll-free numbers, staff reply with an SMS to a central database system hosted in the United Kingdom, providing details of stock levels, and deliveries can be made before supplies run out at local health centres.
“This is an example of a truly innovative solution helping solve a humanitarian problem,” says Peter Ward of IBM, SMS for Life Project Manager. “After spending time on the ground, we created a project plan, developed the application with Vodafone and Novartis and established the best way to deliver the pilot, working with the Tanzanian Ministry of Health. We expect other countries will also be able to benefit in the future.”
“Vodafone has worked closely with IBM, Novartis and MatsSoft, to develop a simple, robust and innovative system that is able to deliver even in the most remote African communities,” said Dr. Dianne Sullivan, Scientific Adviser, Mobile Health, of Vodafone. “The SMS for Life solution shows the tremendous potential of mobile technology to deliver social good through lateral thinking by helping to ensure supplies of life-saving drugs.”
During the first few weeks of the pilot, the number of health facilities with stock-outs in one district alone, was reduced by over 75 percent. The early success of the SMS for Life pilot project has the Tanzanian authorities interested in implementing the solution across the rest of the country. Tanzania has around 5,000 clinics, hospitals and dispensaries, but at any one time, as many as half could potentially be out of stock of anti-malarial drugs.
“The SMS for Life program has already had a positive effect in Tanzania,” says Senior Health Officer with Ministry of Health and Social Welfare, Tanzania, Winfred Mwafongo. “I’ve seen district medical officers ordering urgent stock replacements for various health facilities. During a visit to 19 rural health facilities in one district alone, I saw huge improvements in their inventory management systems. I’m very impressed with the results so far and look forward to following the rest of the pilot through to completion.”
“Collaboration is critical to tackle health problems of the developing world, and we are proud to be part of the SMS for Life partnership, a project that will reduce stock-outs, and ensure that mothers and their young children in Africa have access to life-saving anti-malarial medicines,” says Silvio Gabriel, Executive Vice President and Head of the Malaria Initiatives at Novartis.
Designed as a public and private partnership leveraging the skills and resources of several companies, SMS for Life could have far-reaching implications for existing health systems worldwide. Several other African states are already keen to introduce the project.
Malaria Clinic in Tanzania helped by SMS for Life and IBM LotusLive.com cloud computing. Copyright: Olympia Wereko-Brobby. Click on photo for print-quality version.
About the RBM Global Partnership
The RBM Partnership is the global coordinator of the fight against malaria. RBM draws its strength and experience from hundreds of partners from malaria endemic countries, country donors, companies, non-governmental and community organisations, foundations and research and academic institutions. RBM partners’ collective aim is to reduce annual malaria deaths from around one million to virtually zero by 2015 through the implementation of the Global Malaria Action Plan (GMAP). This outlines RBM’s vision for a substantial and sustained reduction in the burden of malaria in the near and mid-term, and the eventual global eradication of malaria in the long term with the introduction of new tools. www.rollbackmalaria.org
About IBM
For more information about IBM, please visit www.ibm.com.
About Novartis
Novartis provides healthcare solutions that address the evolving needs of patients and societies. Focused solely on healthcare, Novartis offers a diversified portfolio to best meet these needs: innovative medicines, cost-saving generic pharmaceuticals, preventive vaccines, diagnostic tools and consumer health products. Novartis is the only company with leading positions in each of these areas. In 2008, the Group’s continuing operations achieved net sales of USD 41.5 billion and net income of USD 8.2 billion. Approximately USD 7.2 billion was invested in R&D activities throughout the Group. Headquartered in Basel, Switzerland, Novartis Group companies employ approximately 99,000 full-time-equivalent associates and operate in more than 140 countries around the world. For more information, please visit http://www.novartis.com.
About Vodafone
Vodafone is the world’s leading international mobile communications group with approximately 323 million proportionate customers as at 30 September 2009. Vodafone currently has equity interests in 31 countries across five continents and around 40 partner networks worldwide. For more information, please visit www.vodafone.com.
Filed under: pharmaceutical marketing, Uncategorized | Tags: Big Pharma, bmj, brands, cochrane, pharma, pharmaceutical, tamiflu, transparency, trust
The internet was blazing hot yesterday and today about the latest, in now an ever-growing list of transparency issues with Big Pharma and blockbuster drugs. The latest victim – Roche’s Tamiflu. According to a recent analysis published by the British Medical Journal, it was concluded that Tamiflu had “modest effectiveness” against the symptoms of the flu in otherwise healthy adults — cutting symptoms by about a day.
The report, an update of a 2005 analysis by Cochrane Collaboration, excluded eight studies funded by Roche that haven’t been published and whose full data wasn’t given to the researchers. The exclusion reversed the group’s earlier finding that Tamiflu protects against complications.
The report raises questions about how drugs are reviewed, approved and distributed, Fiona Godlee, the British journal’s editor in chief, wrote in an editorial. The studies originally used to establish the benefits of Tamiflu were written by Roche employees and paid consultants, under-reported serious side effects and failed to clearly identify all the authors, she wrote. In at least one case, a study was attributed to a researcher who disavowed any involvement to the journal, Godlee wrote.
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