周五效应:企业游说、药品安全警报发布时间与药物副作用

The Friday Effect: Firm Lobbying, the Timing of Drug Safety Alerts, and Drug Side Effects

Management Science · 2019
被引 22
人大 A+FT50UTD24ABS 4*

中文导读

研究发现周五发布的药品安全警报在社交媒体和新闻中传播更少,导致药物副作用减少效果更差;若改到其他工作日,可减少9%-36%的副作用、严重并发症和死亡。曾游说FDA的企业更可能让警报在周五发布。

Abstract

Safety alerts are announcements made by health regulators warning patients and doctors about new drug-related side effects. However, not all safety alerts are equally effective. We provide evidence that the day of the week on which the safety alerts are announced explains differences in safety alert impact. Specifically, we show that safety alerts announced on Fridays are less broadly diffused: they are shared 34% less on social media, mentioned in 23% to 66% fewer news articles, and are 12% to 51% less likely to receive any news coverage at all. As a consequence of this, we propose Friday alerts are less effective in reducing drug-related side effects. We find that moving a Friday alert to any other weekday would reduce all drug-related side effects by 9% to 12%, serious drug-related complications by 6% to 15%, and drug-related deaths by 22% to 36%. This problem is particularly important because Friday was the most frequent weekday for safety alert announcements from 1999 to 2016. We show that this greater prevalence of Friday alerts might not be random: firms that lobbied the U.S. Food and Drug Administration in the past are 49% to 56% more likely to have safety alerts announced on Fridays. This paper was accepted by Stefan Scholtes, healthcare management.

药品安全警报周五效应企业游说药物副作用