Thick prescriptions: Toward an interpretation of pharmaceutical sales practices
Thick prescriptions: Toward an interpretation of pharmaceutical sales practices
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DOI：
10.1525/maq.2004.18.3.325
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发表时间：
2004-09-01
影响因子：
2.2
通讯作者：
Oldani, MJ
中科院分区：
文献类型：
--
作者：
Oldani, MJ
医学和科学人类学家越来越多地研究制药业实践的各个方面--从处方药的研究和开发到市场营销。本文从人种学的角度探讨了药品生命周期中的一个特定阶段：销售和营销。作者利用一系列的资料，包括调查性新闻、医学伦理学和民族志，研究了20世纪90年代医药销售人员或药品代表的日常活动。他详细描述了药品礼品循环，医生，销售人员和患者之间的三方交换网络以及这种交换过程目前如何处于内卷状态。这种礼品经济的存在是为了生成处方（脚本），并可以掩盖和/或使患者的风险和副作用永久化。随着制药行业实践的影响，从个人心理到全球政治经济的一切，医学人类学家可以在新兴的学术话语中发挥主导作用，涉及批判性药物研究。
Anthropologists of medicine and science are increasingly studying all aspects of pharmaceutical industry practices-from research and development to the marketing of prescription drugs. This article ethnographically explores one particular stage in the life cycle of pharmaceuticals: sales and marketing. Drawing on a range of sources-investigative journalism, medical ethics, and autoethnography-the author examines the day-to-day activities of pharmaceutical salespersons, or drug reps, during the 1990s. He describes in detail the pharmaceutical gift cycle, a three-way exchange network between doctors, salespersons, and patients and how this process of exchange is currently in a state of involution. This gift economy exists to generate prescriptions (scripts) and can mask and/or perpetuate risks and side effects for patients. With implications of pharmaceutical industry practices impacting everything from the personal-psychological to the global political economy, medical anthropologists can play a lead role in the emerging scholarly discourse concerned with critical pharmaceutical studies.