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Study Document 1.

Doctors receive gifts from pharmaceutical companies.

Identify and explain three negative effects this might have upon patients, as given by the authors of Document 1.

You should give three different explanations.

25:T163b,{ "questionId": "332179", "parts": [ { "partId": "1", "markschemeText": "Doctors receive gifts from pharmaceutical companies. \nIdentify and explain three negative effects this might have upon patients, as given by the authors of Document 1. \nYou should give three different explanations. \n\nRM Assessor annotation: \n✓ for each correct identification. The annotation should be placed within the body of the text to indicate where the marks were awarded. \n\nCredit 1 mark for correctly identifying [ID] an improvement plus 1 mark if this is correctly explained. [EXPL] e.g. \n• Patients may lose trust /confidence in their doctor ✓ [ID] \nif they realise the doctor feels obliged to return a favour ✓ [EXPL] OR if they find out that the doctor has been prescribing medicines for financial gain from the pharmaceutical companies. ✓ [EXPL] \n• Patients may have to pay more than necessary for their medicines / patients may not be able to afford ✓ [ID] \nif doctors prescribe the newer more expensive drugs recommended by the PCMRs ✓ [EXPL] \n• Patients might not get the best treatment / have their welfare disregarded ✓ [ID] \nif doctors are motivated by financial gain from PCMRs instead of what is best for the patient. ✓ [EXPL] \n\nCorrect explanation may be transferred between negative effects but: \nDo not credit the same explanation for more than one negative effect. \nDo not credit more than one explanation for the same negative effect. \n\nCredit 1 mark \n• for a correct identification and explanation that quotes wholly from the text e.g. \nDoctors are able to prescribe, without question, their favourite PCMR’s expensive drugs, with little thought for the poor patients who have to find the money to pay for them. ✓ \n\nAn explanation does not require the answer to develop the text from the candidate’s own understanding. However, it does require using the text rather than just quoting it. This might involve correct paraphrase, correct precis or correct synthesis of parts of the text.\n\nCredit 0 marks \n• for explanations and statements that relate to the positive effects upon patients e.g. Patients are benefitted if doctors are better informed about new drugs and therapies by free samples given by PCMRs, \n• for answers taken from the candidate’s own knowledge. \n• for answers with no creditworthy material", "totalMarks": 6, "answerPoints": [ { "type": "Identification", "point": "\n \n

Patients may lose trust /confidence in their doctor ✓ [ID]

\n ", "marks": 1, "guideline": "" }, { "type": "Explanation", "point": "\n \n

if they realise the doctor feels obliged to return a favour ✓ [EXPL] OR if they find out that the doctor has been prescribing medicines for financial gain from the pharmaceutical companies. ✓ [EXPL]

\n ", "marks": 1, "guideline": "Correct explanation may be transferred between negative effects but: Do not credit the same explanation for more than one negative effect. Do not credit more than one explanation for the same negative effect." }, { "type": "Identification", "point": "\n \n

Patients may have to pay more than necessary for their medicines / patients may not be able to afford ✓ [ID]

\n ", "marks": 1, "guideline": "" }, { "type": "Explanation", "point": "\n \n

if doctors prescribe the newer more expensive drugs recommended by the PCMRs ✓ [EXPL]

Patients might not get the best treatment / have their welfare disregarded ✓ [ID]

\n ", "marks": 1, "guideline": "" }, { "type": "Explanation", "point": "\n \n

if doctors are motivated by financial gain from PCMRs instead of what is best for the patient. ✓ [EXPL]

Credit 1 mark for a correct identification and explanation that quotes wholly from the text e.g. Doctors are able to prescribe, without question, their favourite PCMR’s expensive drugs, with little thought for the poor patients who have to find the money to pay for them. ✓

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2021 - M/J - 9239/13 | Q1

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