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. 2023 Jan 12;10:1072708. doi: 10.3389/fpubh.2022.1072708

Table 3.

Advantages, disadvantages, and implementation considerations of policy options: 1. Prohibition.

Advantages Disadvantages Implementation considerations
• Preventive approach to unethical behavior (7, 23)
• Protection of physicians' professional judgment and patient care (2)
• Easier justification of this action in line with the public interest (7)
• Attracting public trust in the health system
• Management of pharmaceutical costs
• The threat caused by regulations can be the motivation to change professional behavior (48)
• Loss of industry financial support for educational and research programs, especially continuing education programs (29)
• Political impossibility (unpopular among affected groups such as physicians) (7)
• The information gap is caused by the lack of communication between physicians and pharmaceutical representatives (38)
• The need for strict supervision and clear legal sanctions (41)
• Limited effect (40)
• Payment by unobservable methods (such as cryptocurrency)
• Requires an official law approved by the parliament
• Lobbying and negotiating with various influential institutions and groups for the approval of the law
• Compilation of executive and penal regulations for non-compliance with the prohibition law (7, 48)
• Close monitoring of law enforcement and support for whistleblowers to report violations (52)
• Launching an up-to-date pharmaceutical information system to compensate for the lack of relationship between physicians and pharmaceutical representatives