Analyzing the Influence of Personal Selling Practices (Malpractices) on Physicians' Decision-Making in the Pharmaceutical Sector of Pakistan: The Role of Personal Selling Practices (Malpractices)

Authors

  • Sh. M. Fakhre Alam Siddiqui University of Karachi, Pakistan
  • Danish Ahmed Siddiqui University of Karachi, Pakistan

Keywords:

Personal selling malpractices, Pharmaceutical industry, Medical representatives, Physicians, Partial least square path model, Confirmatory factor analysis

Abstract

Pharmaceutical marketing malpractices, especially in Pakistan, are unethical ways to get doctors to prescribe drugs. This study examines how morally questionable personal selling malpractices (PSM) such as misleading information, disparaging remarks about competitors, and incentives affect Pakistani pharmaceutical physician prescribing judgments. We gather Pharmaceutical marketing unethical behaviors come under six categories: Misconduct in organizations 2. Physicians, 3. MR & Colleagues, 4. Culture, 5. Work pressure and competitiveness, 6. Job rewards and threats. We believe these unethical influences would cause personal selling malpractices and harm prescribing decisions. Adopted questionnaires surveys were completed by 391 medical representatives (MRs) and physicians in Karachi's, with an 82% net response rate. The model was tested using PLS Path Modelling (CFA). The study found that personal selling malpractices affect physicians prescribing. Organization, Physicians, MR-Colleagues, Culture, work pressure, and competition had a positive effect on personal selling malpractices, while job-related, rewards, and threat structure had an insignificant and negative effect. In contrast, MR-Colleagues' related influence seems to lower the personal selling malpractices. Thus, job rewards and threat structure did not affect personal selling malpractices. The results also show that personal selling malpractices mediate between pharmaceutical industry practices, physician interactions, medical representative and colleague behavior, work pressure and competition, cultural influences, and physician decision influences. Identifying PSM elements and motivations can assist PI stakeholders reduce malpractices, develop professional awareness, and improve public image.

References

Abdul Waheed, K., Jaleel, M. and Laeequddin, M. (2011), “Prescription loyalty behaviour of physicians: an empirical study in India”, International Journal of Pharmaceutical and Healthcare Marketing, Vol. 5 No. 4, pp. 279-298.

Abratt, R., & Penman, N. (2002). Understanding factors affecting salespeople’s perceptions of ethical behavior in South Africa. Journal of Business Ethics, 35, 269-280.

Ajzen, I. (1991). The theory of planned behavior. Organizational behavior and human decision processes, 50(2), 179-211.

Adobor, H. (2012), “Ethical issues in outsourcing: the case of contract medical research and the global pharmaceutical industry”, Journal of Business Ethics, Vol. 105No. 2, pp. 239-255.

Albers Mohrman, S., Shani, A.B. and McCracken, A. (2012), “Organizing for sustainable health care: the emerging global challenge”, in Albers Mohrman, S., Shani, A.B. and McCracken, A. (Eds), Organizing for Sustainable Health Care, Emerald Group Publishing Limited, London, pp. 1-39.

Alkhateeb, F. M., Clauson, K.A., & Latif, D.A. (2011). Pharmacist use of social media.

International journal of pharmacy practice, 19(2), 140-142.

Anderson, J. C., & Gerbing, G. W. (1988). Structural equation modelling in practice: A review and recommended two-step approach. Psychological Bulletin, 103(3), 411–423.

Bandura, A. and Walters, R. H. (1977), Social Learning Theory, Vol.1, Prentice-hall, Englewood Cliffs, NJ.

Banerjee, A., Das, A., & Chakrabarti, G. (2011). Tricks and truths of drug marketing: Aninsider’s experience of an Indian pharmaceutical organization. Asian Journal of Social Science, 39(5), 581-604.

Brodaty, H., Low, L. F., Gibson, L., & Burns, K. (2006). What is the best dementia screening instrument for general practitioners to use? The American Journal of Geriatric Psychiatry, 14(5), 391-400.

Chimonas, S., Rozario, N. M., & Rothman, D. J. (2010). Show us the money: lessons in transparency from state pharmaceutical marketing disclosure laws. Health services research, 45(1), 98-114.

Ching, A. T. and Ishihara, M. (2012), “Measuring the informative and persuasive roles of detailing on prescribing decisions”, Management Science, Vol. 58 No. 7, pp. 1374-1387.

Civaner, M. (2012), “Sale strategies of pharmaceutical companies in a ‘pharmerging’ country: the problems will not improve if the gaps remain”, Health Policy, Vol. 106 No.3, pp. 225-232.

Cooper, R. J., Anderson, C., Avery, T., Bissell, P., Guillaume, L., Hutchinson, A. and Murphy, E. (2008), “Nurse and pharmacist supplementary prescribing in the UK – a thematic review of the literature”, Health Policy, Vol. 85 No. 3, pp. 277-292.

Crigger, N. J. (2005), “Pharmaceutical promotions and conflict of interest in nurse practitioner’s decision making: the undiscovered country”, Journal of the American Academy of Nurse Practitioners, Vol. 17 No. 6, pp. 207-212.

Doney, P. M., & Cannon, J. P. (1997). An examination of the nature of trust in buyer–seller relationships. Journal of marketing, 61(2), 35-51.

Dubinsky, A. J. and Loken, B. (1989), “Analyzing ethical decision making in marketing”, Journal of Business Research, Vol. 19 No. 2, pp. 83-107.

Fraedrich, J. P. and Ferrell, O. (1992), “The impact of perceived risk and moral philosophy type on ethical decision making in business organizations”, Journal of Business Research, Vol.24 No. 4, pp. 283-295.

Hair, F. J., Jr., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): an emerging tool in business research. European Business Review, 26(2), 106–121.

Henseler, J., Ringle, C. M., & Sinkovics, R. R. (2009). The use of partial least squares path modeling in international marketing. In New challenges to international marketing (Vol. 20, pp. 277-319). Emerald Group Publishing Limited.

Hollon, M. F. (2005). Direct-to-consumer advertising: a haphazard approach to health promotion.

JAMA, 293(16), 2030-2033.

Hsu, Y.-H., Fang, W. and Lee, Y. (2009), “Ethically questionable behaviour in sales representatives–an example from the Taiwanese pharmaceutical industry”, Journal of Business Ethics, Vol. 88 No. 1, p. 155.

Hunt, S. D., & Vitell, S. (1986). A general theory of marketing ethics. Journal of macro marketing, 6(1), 5-16.

Ingram, D. E., & O'neill, S. (1999). Cross-Cultural Attitudes as a Goal of Language Teaching in the Global Context.

Katz, D., Caplan, A. L., & Merz, J. F. (2010). All gifts large and small: toward an understanding of the ethics of pharmaceutical industry gift-giving. The American Journal of Bioethics, 10(10), 11-17.

Kaur, A., Singla, S., Kaur, M., & Singh, J. (2023). Critical Evaluation of Drug Promotional Literature Using WHO Ethical Criteria and Perception of Clinicians at a Tertiary Care Hospital. Journal of Pharmacology and Pharmacotherapeutics, 14(1), 41-46.

Kock, N. (2015). Common method bias in PLS-SEM: A full collinearity assessment approach.

International Journal of e-Collaboration (ijec), 11(4), 1-10.

Markham, A. (2012). Fabrication as ethical practice: Qualitative inquiry in ambiguous internet contexts. Information, Communication & Society, 15(3), 334-353.

Janakiraman, R., Dutta, S., Sismeiro, C. and Stern, P. (2008), “Physicians’ persistence and its implications for their response to promotion of prescription drugs”, Management Science, Vol. 54 No. 6, pp. 1080-1093.

Kamioka, H., Okada, S., Tsutani, K., Park, H., Okuizumi, H., Handa, S., & Mutoh, Y. (2014). Effectiveness of animal-assisted therapy: A systematic review of randomized controlled trials. Complementary therapies in medicine, 22(2), 371-390.

Kotler, P. (2004). Ten deadly marketing sins: signs and solutions. John Wiley & Sons.

Lassman, S. M., Shopshear, O. M., Jazic, I., Ulrich, J., & Francer, J. (2017). Clinical trial transparency: a reassessment of industry compliance with clinical trial registration and reporting requirements in the United States. BMJ open, 7(9), e015110.

Masood, I., Ibrahim, M., Hassali, M., & Ahmed, M. (2009). Evolution of marketing techniques, adoption in pharmaceutical industry and related issues: a review. Journal of Clinical and Diagnostic Research, 3(6), 1942-1952.

Mehralian, G., Nazari, J. A., Zarei, L., & Rasekh, H. R. (2016). The effects of corporate social responsibility on organizational performance in the Iranian pharmaceutical industry: The mediating role of TQM. Journal of cleaner production, 135, 689-698.

Mikhael, E. M., & Alhilali, D. N. (2014). Gift acceptance and its effect on prescribing behavior among Iraqi specialist physicians. Pharmacology & Pharmacy, 2014.

Moubarak, G., Martins, R. P., Zuily, S., Mechulan, A., & Guiot, A. (2010). Frequency and type of gifts given by pharmaceutical industry to cardiology residents. Presse Medicale (Paris, France: 1983), 39(9), e197-204.

Murphy, P. and Laczniak, G. (1981), “Marketing ethics: are view with implications for managers, educators and researchers”, in Review of Marketing 1981, Enis B. M. and Roering K. J. (Eds), American Marketing Association, Chicago, pp. 251-266.

Murshid, M. A. and Mohaidin, Z. (2017), “A systematic review of the influence of medical representatives and promotional tools on prescribing: a comparison between developed and developing countries”, International Journal of Pharmaceutical and Healthcare Marketing, Vol. 11 No. 4, pp. 361-394.

Perkins, M. B., Jensen, P. S., Jaccard, J., Gollwitzer, P., Oettingen, G., Pappadopulos, E., & Hoagwood, K. E. (2007). Applying theory-driven approaches to understanding and modifying clinicians' behavior: what do we know? Psychiatric Services, 58(3), 342-348.

Ramsey, R. P., & Sohi, R. S. (1997). Listening to your customers: The impact of perceived salesperson listening behavior on relationship outcomes. Journal of the Academy of marketing Science, 25, 127-137.

Rallapalli, K., Vitell, S. and Barnes, J. (1998), “The influence of norms on ethical judgments and intentions: an empirical study of marketing professionals”, Journal of Business Research, Vol. 43 No. 3, pp. 157-168.

Rasoolimanesh, S. M. (2022). Discriminant validity assessment in PLS-SEM: A comprehensive composite-based approach. Data Analysis Perspectives Journal, 3(2), 1-8.

Ringle, C., DaSilva, D., & Bido, D. (2015). Structural equation modeling with the smart pls.

Brazilian Journal of Marketing, 13(2),

Robertson, D. C., & Anderson, E. (1993). Control system and task environment effects on ethical judgment: An exploratory study of industrial sales people. Organization Science, 4(4), 617- 644.

Román, S., & Luis Munuera, J. (2005). Determinants and consequences of ethical behaviour: an empirical study of salespeople. European Journal of marketing, 39(5/6), 473-495.

Sarstedt, M., Henseler, J., & Ringle, C. M. (2011). Multigroup analysis in partial least squares (PLS) path modeling: Alternative methods and empirical results. In Measurement and research methods in international marketing (pp. 195-218). Emerald Group Publishing Limited.

Schramm, M. E., Herbst, J. L. and Mattie, A. (2014), “The false claims act: a review and policy recommendations”, International Journal of Pharmaceutical and Healthcare Marketing, Vol. 8 No. 3, pp. 295-313.

Siddiqui, M. N., Garg, G., & Sharma, P. K. (2011). A short review on “A novel approach in oral fast dissolving drug delivery system and their patents”. Adv Biol Res, 5(6), 291-303.

Sillup, G. P. and Porth, S. J. (2008), “Ethical issues in the pharmaceutical industry: an analysis of USnewspapers”, International Journal of Pharmaceutical and Healthcare Marketing, Vol. 2 No. 3, pp. 163-180.

Singhapakdi, A. and Vitell, S.J. (1991), “Research note: Selected factors influencing marketers’ deontological norms”, Journal of the Academy of Marketing Science, Vol. 19 No. 1, pp. 37-42.

Skandrani, H. and Sghaier, M. (2016), “The dark side of the pharmaceutical industry”, Marketing Intelligence and Planning, Vol. 34 No. 7, pp. 905-926.

Suriyaprakash, C., & Stephan, C. (2022). A qualitative study on the factors contributing to organizational ethical behaviour of medical representatives. International journal of economic perspectives, 16(2), 83-98.

Verschoor, C. C. (2006). Pharma industry has many ethics issues. Strategic Finance, 87(8), 16.

Weeks, W. A., Loe, T. W., Chonko, L. B., & Wakefield, K. (2004). The effect of perceived ethical climate on the search for sales force excellence. Journal of personal selling & sales management, 24(3), 199-214.

Zarei, A., Arab, M., Froushani, A. R., Rashidian, A., & Ghazi Tabatabaei, S. M. (2012). Service quality of private hospitals: The Iranian Patients' perspective. BMC health services research, 12, 1-7.

Zipkin, D. A., & Steinman, M. A. (2005). Interactions between pharmaceutical representatives and doctors in training: a thematic review. Journal of general internal medicine, 20(8), 777- 786.

Published

2024-07-20

How to Cite

Alam Siddiqui, S. M. F., & Siddiqui, D. A. (2024). Analyzing the Influence of Personal Selling Practices (Malpractices) on Physicians’ Decision-Making in the Pharmaceutical Sector of Pakistan: The Role of Personal Selling Practices (Malpractices). IBT- JOURNAL OF BUSINESS STUDIES, 20(1), 1–40. Retrieved from https://ojs.ilmauniversity.edu.pk/index.php/ibtjbs/article/view/43

Similar Articles

<< < 1 2 3 > >> 

You may also start an advanced similarity search for this article.