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. 2013 Sep;6(7):401–412.

Table 3.

Emerging Themes beyond the Brand Equity Model

Themes Interview findings
Formulary-protected drug class
  • Heart failure drug coverage should be mandated and added to the list of protected classes of therapeutic categories

Health disparities
  • Understanding race as a factor in disease etiology and therapeutic response

  • Real differences in how patients respond to therapies and how patients experience diseases as a function of race

  • Differences in the etiology of disease as a function of race

  • Need to understand genetic differences as they relate to disease incidence and treatment response

  • BiDil is an acknowledgment of differences in the way healthcare is accessed

  • Race references are only appropriate in discussions of civil rights, lead to poor physician–patient communication

  • Lack of physician–patient rapport may result in compromised treatment

Social construct of race in America
  • Historical distrust of white physicians by black patients

Physician decision-making
  • Continuous engagement with physicians to increase chance of product buy-in

  • Need for more effective communication with physicians

Social capital
  • Potential benefits of partnership opportunities

  • Role of opinion leaders in drug success

  • Need to elicit government support and commitment or that of other influential source of support

  • Media exposure

Target markets
  • Ensuing growth of personalized medicine and the need to define target groups by a more substantial means than race or other surrogate characteristics

Wall Street effect
  • Expectation that BiDil would be widely used and therefore be a strong performer in the stock market