In this study, we examine a key issue for the sustainability of our welfare state: the patterns of consumption of generic drugs, the Internet, and healthcare social work. Taking the online context (netnography) as an object of ethnographic analysis, we analyze climates of opinion in relation to the consumption of generic drugs. We identify and analyze the linguistic framing and social discrediting of generic drugs via misinformation and the creation of risk perception to curb the social acceptability and consumption of these medicines in Spain. Based on the results obtained, we provide strategies that can be used by healthcare social workers.
AdamBBeckUVan LoonJ (2005) The Risk Society and Beyond. Critical Issues for Social Theory, London, UK: SAGE.
2.
BanosJE (1995) Call for generic drug policy in Spain. The Lancet346(8971): 366–366.
3.
BlockE (2012) ‘That’s what I see’: Enhancing AIDS intervention research through deep ethnography. Qualitative Social Work11(4): 379–394.
4.
BrandomR (1998) Making it Explicit: Reasoning, Representing, and Discursive Commitment, Cambridge, MA: Harvard University Press.
5.
BrandomR (2008) Between Saying and Doing, Oxford: Oxford University Press.
6.
BrownleeS (2008) Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer, New York, NY: Bloomsbury USA.
7.
BurkeTK (2007) Providing ethics a space on the page: Social work and ethnography as a case in point. Qualitative Social Work6(2): 177–195.
8.
ButlerAFordDTregaskisC (2007) Who do we think we are? Self and reflexivity in social work practice. Qualitative Social Work6(3): 281–299.
9.
CampbellA (2006) The search for authenticity: An exploration of an online skinhead newsgroup. New Media Society8(2): 269–294.
10.
CastellsM (2009) Comunicación y Poder [Comunication and power], Madrid: Alianza Editorial.
11.
ChaseSE (2005) Narrative Inquiry: Multiple lenses, approaches, voices. In: DenzinNKLincolnYS (eds) The Sage Handbook of Qualitative Research, Thousand Oaks, CA: SAGE, pp. 651–679.
12.
CheungCChiuP-YLeeM (2011) Online social networks: Why do students use Facebook?Computers in Human Behavior4: 1337–1343.
13.
CheungCLeeM (2010) A theoretical model of intentional social action in online social networks. Decision Support Systems49(1): 24–30.
14.
DalyAJ (2010) Social Network Theory and Educational Change, Cambridge, MA: Harvard Education Press.
15.
Del FresnoM (2011a) Netnografía. Investigación, Análisis e Intervención Social Online [Netnography. Research, analysis and online social intervention], Barcelona: Universitat Oberta de Catalunya.
16.
Del FresnoM (2011b) Infosociabilidad: Monitorización e Investigación en la web 2.0 para la toma de decisiones [Infosociability: Monitoring and research on the web 2.0 for decisión making]. El profesional de la Información20(5): 548–554.
17.
Del FresnoMLópezA (2012) Innovación, riesgo y sostenibilidad: La estrategia de deslegitimación social de los medicamentos genéricos [Innovation, risk and sustainability: The strategy to socially delegitimise generic drugs]. Sistema Revista de Ciencias Sociales227: 3–22.
18.
DíezMVErrecaldeMF (1998) Aclaraciones al concepto de genérico [Clarifications to the concept of generic]. Información Terapéutica del Sistema Nacional de Salud22(3): 68–72.
European Generic Medicines Association (EGA) (2011) Generic Medicines: Where are the Opportunities and What Role will they Play? IMS and European Generic Medicines Association, Lisbon. Available at: http://www.egagenerics.com/images/factsheet/IMS_deck_for_website.pdf (accessed 30 July 2013).
GodmanBShrankWWettermarkBAndersenMBishopIBurkhardtT (2010) Use of generics – a critical cost containment measure for all healthcare professionals in Europe?Pharmaceuticals3(8): 2470–2494.
25.
GomoryTWongSECohenDLacasseJR (2011) Clinical social work and the biomedical industrial complex. Journal of Sociology and Social Welfare38(135): 1–13.
26.
HealyD (2013) Pharmageddon, Berkeley, CA: University of California Press.
HughesSCohenD (2011) Can online consumers contribute to drug knowledge? A mixed-methods comparison of consumer-generated and professionally controlled psychotropic medication information on the internet. Journal of Medical Internet Research13(3): e53–e53. Available at: http://www.jmir.org/2011/3/e53/ (accessed 30 July 2013).
29.
KozinetsRV (2009) Netnography: Doing Ethnographic Research Online, London, UK: SAGE.
30.
LakoffG (2004) Don’t Think of an Elephant: Know Your Values and Frame the Debate, White River Junction, Vermont: Chelsea Green Publishing.
31.
LakoffG (2008) The Political Mind, Why You Can’t Understand 21st-Century Politics with an 18th-Century Brain, New York, NY: Viking.
32.
LakoffGJohnsonM (1980) The metaphorical structure of the human conceptual system. Cognitive Science4(2): 95–208.
33.
LonghoferJFloerschJJenkinsJH (2004) Medication effect interpretation and the social grid of management. Social Work in Mental Health1(4): 71–89.
34.
JadadAREnkinMWGloubermanSGroffPSternA (2006) Are virtual communities good for our health?British Medical Journal332: 925–926.
35.
Madison DS (2005) Critical Ethnography: Method, Ethics, and Performance. Thousand Oaks, CA: Sage Publications.
36.
MarkhamA (1998) Life Online: Researching Real Experience in Virtual Space, Walnut Creek, CA: AltaMira Press, pp. 793–820.
37.
MarkhamA (2005) The methods, politics, and ethics of representation in online ethnography. In: DenzinNKLincolnYS (eds) Handbook of Qualitative Research, London, UK: SAGE.
38.
MeierA (2004) Technology-mediated groups. In: GarvinCDGutiérrezLMGalinskyMJ (eds) Handbook of Social Work with Groups, New York, NY: Guilford Press, pp. 479–503.
39.
MillerDSlaterD (2001) The Internet: An Ethnographic Approach, Oxford, UK: Berg Publishers.
40.
NavarroV (2009) La Situación Social en España [The social situation in Spain]Vol. III, Madrid: Biblioteca Nueva.
41.
IversenR (2009) ‘Getting out’ in ethnography: A seldom-told story. Qualitative Social Work8: 9–26.
42.
SmithRN (1972) Generic equivalence and non-equivalence of drugs. The Lancet300(7776): 528–528.
43.
StanhopeV (2012) The ties that bind: Using ethnographic methods to understand service engagement. Qualitative Social Work11(4): 412–430.
44.
The Lancet (2002) Countering delays in introduction of generic drugs. The Lancet359(9302): 181–181.
45.
TrotterJBrogatzkiLDugganLFosterELevieJ (2006) Revealing disagreement and discomfort through auto-ethnography and personal narrative: Sexuality in social work education and practice. Qualitative Social Work5(3): 369–388.
46.
WilsonSMPetersonLC (2002) The anthropology of online communities. Annual Review of Anthropology31: 449–467.
47.
ZastrowC (2010) Introduction to Social Work and Social Welfare, Belmont, CA: Brooks Cole.
