Pharmaceutical marketing has rapidly evolved over the past century and has now entered the digital revolution.Â This is exemplified by the rise of direct-to-consumer-advertising (â€œDTCAâ€), which has traditionally been only allowed in the United States and New Zealand in developed countries, but is now expanding in reach to other jurisdictions.Â Enabling the â€œglobalizationâ€ of pharmaceutical DTCA is Internet-related technologies that are not limited to geographical borders and are highly unregulated.Â This DTCA digital â€œspilloverâ€ into markets that prohibit it can have adverse impact on health outcomes and health-related spending. Â Emerging markets may represent the next logically step for digital DTCA proliferation, given their untapped market potential and explosive growth.Â Further research and global health policy reform is necessary to address this â€œemergingâ€ global health issue.
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