Although the techniques involved in drug safety monitoring (pharmacovi
gilance) have dramatically improved in recent years, communication of
these issues to health professionals and the public lags far behind. S
everal measures need to be taken in order to address this discrepancy.
A climate of greater openness concerning the basis of merit assessmen
ts-must be created. We need to develop merit-assessment formulations t
hat are more accurate and helpful when treating individual patients in
clinical situations. All of the involved groups must be educated abou
t the nature of drugs and drug therapy, and the possibilities and limi
tations of such therapy. More effective techniques and systems have to
be developed in order to stimulate higher rates of high quality spont
aneous reporting of adverse effects. More conscientious and purposeful
attention to the theory and practice of communications, in order to e
nsure the effective delivery of optimal benefits to patients, clinicia
ns and society at large, would also be advantageous. We must ensure th
at where issues of public health and confidence in the medical profess
ion are at stake, we employ the very best communications practices.