The Cost of Pushing Pills: A New Estimate of Pharmaceutical Promotion Expenditures in the United States
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{"title"=>"The cost of pushing pills: A new estimate of pharmaceutical promotion expenditures in the United States", "type"=>"journal", "authors"=>[{"first_name"=>"Marc Andr??", "last_name"=>"Gagnon", "scopus_author_id"=>"7102047320"}, {"first_name"=>"Joel", "last_name"=>"Lexchin", "scopus_author_id"=>"7006505283"}], "year"=>2008, "source"=>"PLoS Medicine", "identifiers"=>{"scopus"=>"2-s2.0-38949213691", "doi"=>"10.1371/journal.pmed.0050001", "isbn"=>"1549-1676 (Electronic)", "issn"=>"15491277", "pmid"=>"18177202", "pui"=>"351216978", "sgr"=>"38949213691"}, "id"=>"5541f53d-0f3c-3b9f-b86b-2dec034d7820", "abstract"=>"I n the late 1950s, the late Democratic Senator Estes Kefauver, Chairman of the United States Senate’s Anti-Trust and Monopoly Subcommittee, put together the first extensive indictment against the business workings of the pharmaceutical industry. He laid three charges at the door of the industry: (1) Patents sustained predatory prices and excessive margins; (2) Costs and prices were extravagantly increased by large expenditures in marketing; and (3) Most of the industry’s new products were no more effective than established drugs on the market [1]. Kefauver’s indictment against a marketing-driven industry created a representation of the pharmaceutical industry far different than the one offered by the industry itself. As Froud and colleagues put it, the image of life-saving “researchers in white coats” was now contested by the one of greedy “reps in cars” [2]. The outcome of the struggle over the image of the industry is crucial because of its potential to influence the regulatory environment in which the industry operates.", "link"=>"http://www.mendeley.com/research/cost-pushing-pills-new-estimate-pharmaceutical-promotion-expenditures-united-states", "reader_count"=>200, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>15, "Researcher"=>38, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>24, "Student > Postgraduate"=>9, "Student > Master"=>30, "Other"=>32, "Student > Bachelor"=>23, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>11}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>15, "Researcher"=>38, "Student > Doctoral Student"=>10, "Student > Ph. D. Student"=>24, "Student > Postgraduate"=>9, "Student > Master"=>30, "Other"=>32, "Student > Bachelor"=>23, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>11}, "reader_count_by_subject_area"=>{"Unspecified"=>9, "Agricultural and Biological Sciences"=>16, "Philosophy"=>4, "Arts and Humanities"=>1, "Business, Management and Accounting"=>18, "Chemistry"=>9, "Computer Science"=>1, "Decision Sciences"=>1, "Economics, Econometrics and Finance"=>12, "Engineering"=>2, "Environmental Science"=>1, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>3, "Medicine and Dentistry"=>82, "Neuroscience"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>4, "Psychology"=>3, "Social Sciences"=>29}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>82}, "Social Sciences"=>{"Social Sciences"=>29}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Psychology"=>{"Psychology"=>3}, "Unspecified"=>{"Unspecified"=>9}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>4}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Engineering"=>{"Engineering"=>2}, "Chemistry"=>{"Chemistry"=>9}, "Neuroscience"=>{"Neuroscience"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>12}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>16}, "Computer Science"=>{"Computer Science"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>18}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Philosophy"=>{"Philosophy"=>4}}, "reader_count_by_country"=>{"Colombia"=>1, "United States"=>8, "United Kingdom"=>2, "Spain"=>5, "Canada"=>3, "Netherlands"=>2, "Austria"=>1, "Luxembourg"=>1, "Ireland"=>1, "South Africa"=>1, "Italy"=>1, "Israel"=>1, "Australia"=>1, "Germany"=>5}, "group_count"=>10}

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Relative Metric

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