Document Detail


The 2007 ABJS Marshall Urist Award: The impact of direct-to-consumer advertising in orthopaedics.
MedLine Citation:
PMID:  17353799     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Direct-to-consumer advertising (DTCA) has become an influential factor in healthcare delivery in the United States. We evaluated the influence of DTCA on surgeon and patient opinions and behavior in orthopaedics by surveying orthopaedic surgeons who perform hip and knee arthroplasties and patients who were scheduled to have hip or knee arthro-plasty. Respondents were asked for their opinions of and experiences with DTCA, including the influence of DTCA on surgeon and patient decision making. Greater than 98% of surgeon respondents had experience with patients who were exposed to DTCA. The majority of surgeon respondents reported DTCA had an overall negative impact on their practice and their interaction with patients (74%), and their patients often were confused or misinformed about the appropriate treatment for their condition based on an advertisement (77%). Fifty-two percent of patient respondents recalled seeing or hearing advertisements related to hip or knee arthroplasty. These patients were more likely to request a specific type of surgery or brand of implant from their surgeon and to see more than one surgeon before deciding to have surgery. Direct-to-consumer advertising seems to play a substantial role in surgeon and patient decision making in orthopaedics. Future efforts should be aimed at improving the quality and accuracy of information contained in consumer-directed advertisements related to orthopaedic implants and procedures.
Authors:
Kevin J Bozic; Amanda R Smith; Sanaz Hariri; Sanjo Adeoye; John Gourville; William J Maloney; Brian Parsley; Harry E Rubash
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  458     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-06-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  202-19     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedic Surgery, University of California San Francisco, CA 94143-0728, USA. bozick@orthosurg.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Advertising as Topic / methods*
Awards and Prizes
Consumer Participation
Decision Making
Delivery of Health Care / methods
Female
Humans
Information Dissemination*
Male
Marketing of Health Services*
Middle Aged
Orthopedics / economics*,  trends
Patient Education as Topic / economics*,  trends
Physician-Patient Relations
Public Opinion
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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