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The effects of direct-to-consumer advertising of pharmaceuticals on adherence

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  • Cardon
  • Showalter

Abstract

We evaluate the effect of direct-to-consumer (DTC) advertising on adherence to the standard drug regimen for treating high cholesterol (statins). We use a rich panel data set from an insurance firm that includes all prescription drug purchases and insurance claims from 1997 to 2002.The data include the relevant demographic variables, including income. We match this data with unique data from Nielsen Monitor Plus on monthly DTC advertising expenditures by therapeutic category for all media types.The research strategy identifies individuals who have been diagnosed with specific chronic conditions and tracks whether adherence , as measured by purchases of specific prescription drugs within designated therapeutic classes, can be explained in part by the level and type of DTC advertising to which the individual was potentially exposed. Income has a positive effect on adherence. We find that advertising has a small negative effect on the average level of adherence. We find some suggestive evidence that this is because advertising induces less compliant individuals to start treatment. This result is consistent with research in marketing which finds higher sensitivity to advertising among consumers with less persistent purchasing patterns.

Suggested Citation

  • Cardon & Showalter, 2015. "The effects of direct-to-consumer advertising of pharmaceuticals on adherence," Applied Economics, Taylor & Francis Journals, vol. 47(50), pages 5432-5444, October.
    • Handle: RePEc:taf:applec:v:47:y:2015:i:50:p:5432-5444
    DOI: 10.1080/00036846.2015.1049336
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    1. Gary S. Becker & Kevin M. Murphy, 1993. "A Simple Theory of Advertising as a Good or Bad," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 108(4), pages 941-964.
    2. Avinash Dixit & Victor Norman, 1980. "Advertising and Welfare: Another Reply," Bell Journal of Economics, The RAND Corporation, vol. 11(2), pages 753-754, Autumn.
    3. Brekke, Kurt R. & Kuhn, Michael, 2006. "Direct to consumer advertising in pharmaceutical markets," Journal of Health Economics, Elsevier, vol. 25(1), pages 102-130, January.
    4. Carl Shapiro, 1980. "Advertising and Welfare: Comment," Bell Journal of Economics, The RAND Corporation, vol. 11(2), pages 749-752, Autumn.
    5. Franklin M. Fisher & John J. McGowan, 1979. "Advertising and Welfare: Comment," Bell Journal of Economics, The RAND Corporation, vol. 10(2), pages 726-727, Autumn.
    6. Avery, Rosemary J. & Eisenberg, Matthew D. & Simon, Kosali I., 2012. "The impact of direct-to-consumer television and magazine advertising on antidepressant use," Journal of Health Economics, Elsevier, vol. 31(5), pages 705-718.
    7. Stahl II Dale O., 1994. "Oligopolistic Pricing and Advertising," Journal of Economic Theory, Elsevier, vol. 64(1), pages 162-177, October.
    8. Michael Hoy & Richard Peter & Andreas Richter, 2014. "Take-up for genetic tests and ambiguity," Journal of Risk and Uncertainty, Springer, vol. 48(2), pages 111-133, April.
    9. Ackerberg, Daniel A, 2001. "Empirically Distinguishing Informative and Prestige Effects of Advertising," RAND Journal of Economics, The RAND Corporation, vol. 32(2), pages 316-333, Summer.
    10. Avinash Dixit & Victor Norman, 1978. "Advertising and Welfare," Bell Journal of Economics, The RAND Corporation, vol. 9(1), pages 1-17, Spring.
    11. W. David Bradford & Andrew N. Kleit, 2006. "Direct to Consumer Advertising," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, chapter 29, Edward Elgar Publishing.
    12. Gerard R. Butters, 1977. "Equilibrium Distributions of Sales and Advertising Prices," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 44(3), pages 465-491.
    13. Avinash Dixit & Victor D. Norman, 1979. "Advertising and Welfare: Reply," Bell Journal of Economics, The RAND Corporation, vol. 10(2), pages 728-729, Autumn.
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    Cited by:

    1. Katharina E. Blankart & Frank R. Lichtenberg, 2020. "Are patients more adherent to newer drugs?," Health Care Management Science, Springer, vol. 23(4), pages 605-618, December.
    2. Mark Egan & Tomas Philipson, 2016. "Health Care Adherence and Personalized Medicine," Working Papers 2016-H01, Becker Friedman Institute for Research In Economics.

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