Notice: Undefined offset: 1 in /var/www/jopcr.com/article-detail-page.php on line 103
Pharmaceutical Promotions and Medical Students: A Critical Appraisal of Knowledge and Attitude
 
  • P-ISSN 0973-7200 E-ISSN 2454-8405
  • Follow us

Journal of Pharmaceutical Research

Article

Journal of Pharmaceutical Research

Year: 2025, Volume: 24, Issue: 3, Pages: 166–170

Original Article

Pharmaceutical Promotions and Medical Students: A Critical Appraisal of Knowledge and Attitude

Abstract

Drug promotional literature (DPL) plays a significant role in influencing prescribing behaviors among medical professionals. However, concerns persist regarding its ethical implications and impact on rational prescribing. This study aims to assess the knowledge and attitudes of undergraduate medical students towards DPL. A cross-sectional study was conducted among undergraduate medical students at KMCH Institute of Health Sciences & Research, Coimbatore, using a structured questionnaire via Google Forms. The questionnaire comprised demographic details, five knowledge-based questions, and eleven attitude-based questions on DPL. Data from 353 respondents were analyzed using SPSS version 27, applying descriptive statistics. The mean age of participants was 20.74 ± 1.3 years, with 60.6% females and 39.4% males. While 84.4% of students correctly identified the essential information in DPL, only 57.5% were aware of factors influencing prescriptions. A major gap was noted in recognizing strategies to mitigate the impact of drug promotion, with only 23.5% demonstrating awareness. The attitude assessment revealed that 59.8% believed DPL aids rational prescribing, while 61.8% deemed incentives like gifts or sponsored events unethical. Additionally, 59.5% and 70% stressed the importance of cost comparisons and references in DPL, respectively. The study highlights knowledge gaps and diverse perceptions among medical students regarding DPL. While many acknowledge its role in updating drug knowledge, concerns about ethical practices persist. Structured educational interventions and stricter regulations are essential to enhance critical evaluation skills and ensure ethical prescribing practices among future healthcare professionals.

Keywords: Drug promotional literature (DPL), Medical students, Knowledge, Attitude, Prescribing behaviour, Pharmaceutical marketing

References

  1. Lexchin J. Transparency in drug regulation: Mirage or oasis? Canadian Medical Association Journal. 2004;171(11):1363–1365. Available from: https://dx.doi.org/10.1503/cmaj.1041446
  2. Othman N, Vitry A, Roughead EE. Quality of Pharmaceutical Advertisements in Medical Journals: A Systematic Review. PLoS ONE. 2009;4(7):e6350. Available from: https://dx.doi.org/10.1371/journal.pone.0006350
  3. Spurling GK, Mansfield PR, Montgomery BD, Lexchin J, Doust J, Othman N, et al. Information from Pharmaceutical Companies and the Quality, Quantity, and Cost of Physicians' Prescribing: A Systematic Review. PLoS Medicine. 2010;7(10):e1000352. Available from: https://doi.org/10.1371/journal.pmed.1000352
  4. Chiu KC, Grundy Q, Bero LA. Selling sickness: A content analysis of pharmaceutical advertisements in medical journals. BMJ Glob Health. 2021;6(2):e004510.
  5. Goyal RC, Kadri AM. Ethical issues in medical advertisements: A review of pharmaceutical promotional practices in India. Indian J Community Med. 2015;40(4):221–225.
  6. Mahajan R, Sharma P. Drug promotional literature: How ethical is it? Indian J Pharmacol. 2016;48(3):217–219.
  7. Larrañaga SC, Hernández MJR. Estudiantes de medicina y marketing farmacéutico. Atención Primaria. 2014;46(3):156–166. Available from: https://dx.doi.org/10.1016/j.aprim.2013.08.003
  8. Jahnke K, Kremer MS, Schmidt CO, Kochen MM, Chenot JF. German medical students' exposure and attitudes toward pharmaceutical promotion: a cross-sectional survey. GMS Z Med Ausbild. 2014;31(3):1–15. Available from: https://doi.org/10.3205/zma000924
  9. Vainiomäki M, Helve O, Vuorenkoski L. A national survey on the effect of pharmaceutical promotion on medical students. Medical Teacher. 2004;26(7):630–634. Available from: https://dx.doi.org/10.1080/01421590400004890
  10. Sierles F, Brodkey A, Cleary L, McCurdy FA, Mintz M, Frank J, et al. Relationships Between Drug Company Representatives and Medical Students:Medical School Policies and Attitudes of Student Affairs Deans and Third-Year Medical Students. Academic Psychiatry. 2009;33(6):478–483. Available from: https://dx.doi.org/10.1176/appi.ap.33.6.478
  11. Saito S, Maeno T, Miyata Y, Maeno T. Medical students’ attitudes toward interactions with the pharmaceutical industry: a national survey in Japan. BMC Medical Education. 2018;18(1):286. Available from: https://dx.doi.org/10.1186/s12909-018-1394-9
  12. Tichelaar J, Richir MC, Avis HJ, Scholten HJ, Antonini NF, Vries TPGMD. Do medical students copy the drug treatment choices of their teachers or do they think for themselves? European Journal of Clinical Pharmacology. 2010;66(4):407–412. Available from: https://dx.doi.org/10.1007/s00228-009-0743-3
  13. Spurling GK, Mansfield PR, Montgomery BD, Lexchin J, Doust J, Othman N, et al. Information from Pharmaceutical Companies and the Quality, Quantity, and Cost of Physicians' Prescribing: A Systematic Review. PLoS Medicine. 2010;7(10):e1000352. Available from: https://dx.doi.org/10.1371/journal.pmed.1000352

Copyright

© 2025 Published by Krupanidhi College of Pharmacy. This is an open-access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/

DON'T MISS OUT!

Subscribe now for latest articles and news.