The 2007 ABJS']JS Marshall Urist Award - The impact of direct-to-consumer advertising in orthopaedics

被引:38
作者
Bozic, Kevin J.
Smith, Amanda R.
Hariri, Sanaz
Adeoye, Sanjo
Gourville, John
Maloney, William J.
Parsley, Brian
Rubash, Harry E.
机构
[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94143 USA
[3] Massachusetts Gen Hosp, Dept Orthopaed Surg, Boston, MA 02114 USA
[4] Mt Sinai Sch Med, Dept Orthopaed Surg, New York, NY USA
[5] Harvard Univ, Sch Business, Boston, MA 02115 USA
[6] Stanford Univ, Dept Orthopaed Surg, Palo Alto, CA 94304 USA
[7] Baylor Coll Med, Dept Orthopaed Surg, Houston, TX 77030 USA
关键词
D O I
10.1097/BLO.0b013e31804fdd02
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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 arthroplasty. 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.
引用
收藏
页码:202 / 219
页数:18
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