{"id":1176,"date":"2005-05-30T13:47:28","date_gmt":"2005-05-30T18:47:28","guid":{"rendered":"http:\/\/pmaworks.com\/observations\/?p=1176"},"modified":"2011-01-24T13:48:37","modified_gmt":"2011-01-24T19:48:37","slug":"overcoming-the-challenges-of-chiropractic-patient-education-in-the-pharmaceutical-environment","status":"publish","type":"post","link":"https:\/\/pmaworks.com\/observations\/overcoming-the-challenges-of-chiropractic-patient-education-in-the-pharmaceutical-environment\/","title":{"rendered":"Overcoming The Challenges of Chiropractic Patient Education in the Pharmaceutical Environment"},"content":{"rendered":"<p><em>You may not know the  extent to which your patients are being influenced to subscribe to the  pharmaceutical model of symptom relief, but it is enormous. This short  article gives some tips on how and why to combat it with effective  chiropractic patient education.<\/em><\/p>\n<p>Every now and  then we send out information about our colossal health care system and  the vested interests that profit most from it.<\/p>\n<p>Why? Because it is within this macro-system that your patients, and  their M.D.\u2019s, are being bombarded by a constant stream of propaganda  about \u201chealth\u201d care solutions.\u00a0 It is good to know, and be reminded of,\u00a0  what you are up against in promoting your own services.<\/p>\n<p>Our health care system and culture are under an all out assault by  drug companies to sell their products.\u00a0 In 2003, roughly 15.7 billion  was spent marketing drugs in the US, and this has been estimated to be  increasing annually about 20% each year.1\u00a0 Also in 2003, 4.8 billion  dollars were spent in \u201cdetailing\u201d physicians, which includes dropping  off free samples at the doctor\u2019s office, taking them to lunch, etc.\u00a0  Drug reps meet with individual M.D.\u2019s\u00a0 an average of four times per  month.2\u00a0 Then, there is the estimated $750 million dollars drug  companies have spent on lobbyists in the last 7 years to in influence  Congress and Administration officials. 3<\/p>\n<p>Why do they spend so much on marketing and lobbying? It pays. The  pharmaceutical industry continues to be the most profitable US industry,  with profit margins in the year 2000 nearly four times the average of  Fortune 500 Companies.4<\/p>\n<p>Driven by such marketing, \u201cthe value of the US pharmaceutical market  is expected to top $330 billion in 2006\u2026\u201d \u201cThe US market will thus  account for over 60% of the total Market Prognosis International market,  up from 56% in 2001. US per capita expenditure on drugs will reach well  over $1,000, which will be double the expenditure in Japan and three  times that in the UK.\u201d 5<\/p>\n<p>Medical students, not yet caught up in the Medical-Pharmaceutical  Complex, are protesting this kind of advertising.\u00a0\u00a0 The American Medical  Student Association (AMSA), the nation\u2019s largest, independent medical  student organization adopted, a policy at its annual meeting condemning  drug industry-sponsored advertising and supporting medical school  curriculum that prohibits pharmaceutical industry representatives from  marketing to medical students. 6<\/p>\n<p><span style=\"text-decoration: underline;\">Excellent service and care to your patients<\/span> is the first step to successful practice. <span style=\"text-decoration: underline;\">Good internal organization<\/span> that supports this comes next. And <span style=\"text-decoration: underline;\">effective marketing<\/span>, both internally and externally comes third.<\/p>\n<p>We  consider patient education part of your marketing efforts, though it  also has its clinical role as well.\u00a0\u00a0 Marketing is especially important  in chiropractic offices because of the leadership role you play in the  health care system.\u00a0 Chiropractors and their staffs have been at the  vanguard in natural health care for over 100 years.<\/p>\n<p>Patient  education is most effective, we feel, if it comes from a larger  understanding of the health care system your patients are in.\u00a0 It works  best when <span style=\"text-decoration: underline;\">its mission is more<\/span> than just to educate the patient, but <span style=\"text-decoration: underline;\">to enlighten and motivate them into action<\/span>. It has to counter the dominance of the medical-pharmaceutical forces bearing down on them.<\/p>\n<p>The  doctors we have seen who do the best at patient education have taken it  on as a personal issue, as the medical students who protest drug reps.  You and your staff have many opportunities to educate your patients:  \u201ctable talk\u201d in your adjusting rooms, in the reception area, during  therapy, back care classes, report of findings, group report of  findings, spinal care classes, newsletters, to name just a few.  Pamphlets will help, but for it to be effective, it has to be personally  driven by your passion and sense of leadership.<\/p>\n<p>Once a month or so, we also recommend that you read an article or  book relating to the this subject. The references\u00a0below may be helpful  in this regard.<br \/>\n1,2,3. New England Journal of Medicine, Meredith Rosenthal (<a href=\"http:\/\/www.therubins.com\/\">www.therubins.com<\/a>) 4. \u201cOff the Charts: Pay, Profits and Spending by the Drug Companies\u201d, a 38 page article found at\u00a0 <a href=\"http:\/\/www.familiesusa.org\/\">www.FamiliesUSA.org<\/a> <a href=\"http:\/\/www.familiesusa.org\/site\/DocServer\/drugceos.pdf?docID=767\">Click here <\/a>to go to article.\u00a0 5. IMS HEALTH is a supplier of market research to the global pharmaceutical industry. <a href=\"http:\/\/www.ims-global.com\/index.html\">www.ims-global.com\/index.html<\/a> <a href=\"http:\/\/www.ims-global.com\/\/insight\/news_story\/0203\/news_story_020327.htm\">Click here <\/a>to go to article. \u00a06. American Medical Students Association (<a href=\"http:\/\/www.amsa.org\/news\/release2.cfm?id=223\">www.amsa.org\/news\/release2.cfm?id=223<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>You may not know the extent to which your patients are being influenced to subscribe to the pharmaceutical model of symptom relief, but it is enormous. This short article gives some tips on how and why to combat it with &hellip; <a href=\"https:\/\/pmaworks.com\/observations\/overcoming-the-challenges-of-chiropractic-patient-education-in-the-pharmaceutical-environment\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1176","post","type-post","status-publish","format-standard","hentry","category-chiropractic-news"],"_links":{"self":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/comments?post=1176"}],"version-history":[{"count":1,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1176\/revisions"}],"predecessor-version":[{"id":1177,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/posts\/1176\/revisions\/1177"}],"wp:attachment":[{"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/media?parent=1176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/categories?post=1176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pmaworks.com\/observations\/wp-json\/wp\/v2\/tags?post=1176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}