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Free report · 57 pages · 60+ sources

Pharma keeps publishing. Physicians stopped reading.

The Impact Gap Report 2026 puts the numbers side by side: what more than 60 peer-reviewed studies and industry surveys say about the gap between the science pharma publishes and the science physicians actually use.

Inside the pages
  • Why physicians read only the abstract 63% of the time, and what survives their 4.4-hour week
  • The channels that closed, the volume that exploded, the format that never changed
  • What congress momentum is actually worth once everyone flies home
  • The last chapter: what the evidence says actually works
57 pages · 9 chapters · every source cited and linked

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Why this report exists

The numbers the industry rarely puts side by side.

Each of these has been published for years. The report is what happens when you stop reading them one at a time.

63%

of the time, internists read only the abstract of the articles they engage with.

Peer-reviewed reading surveys, cited in full inside
4.4 hrs

a physician’s week for the entire literature of her field. Everything competes for it.

Physician time studies, cited in full inside
3M

new scientific articles a year across 33,000 journals, and the count keeps climbing.

STM Report · National Library of Medicine 2024
$1B+

the average investment to bring a single new medicine to market. It converges on one deliverable: the publication.

Wouters, McKee & Luyten, JAMA 2020
What’s inside

Nine chapters, one Tuesday.

The whole report follows one community oncologist through a single Tuesday, from the 6:41 a.m. feed refresh to the end of clinic, while the evidence stacks up around her. Built like a data book, paced like a story.

  1. The Flood
  2. What Physicians Actually Read
  3. The Eighteen-Minute Day
  4. The Doors That Closed
  5. The Physician Already Moved
  6. Everyone Thinks It’s Working
  7. What the Congress Didn’t Keep
  8. What It Costs
  9. What Actually Works

…plus the back matter: every source, linked, so you can check our math.

The setup $1B+ The most expensive document in the building is the one nobody opens twice. Years of trials, thousands of patients, a team that can defend every decimal, converging on one deliverable. FROM PUBLISHED TO UNDERSTOOD03
Chapter 01 · The Flood 3M Three million new papers a year. Every year. Your publication isn’t competing with silence. It’s competing with everything. FROM PUBLISHED TO UNDERSTOOD05
Chapter 02 7:52 a.m. Two referrals, one prior auth, a full waiting room. The tab with the trial stays open. It will stay open all day. What physicians actually read. FROM PUBLISHED TO UNDERSTOOD08
Chapter 02 · The reading 63% Most of the time, the abstract is the publication. Not negligence. Arithmetic. 4.4 hours a week against the entire literature of a field. FROM PUBLISHED TO UNDERSTOOD09
The promise

Not our research. Not a pitch.

This is a review of what more than 60 peer-reviewed studies and industry surveys say about the distance between published and understood. We collected the numbers the industry rarely puts side by side, because side by side, they’re hard to ignore. Full sources and method are at the back. Check our math. That’s the point of showing it.

JAMANEJMCochraneDeloitteVeevaIQVIA

Send it to yourself. Then send it to the team.

The meeting-ready numbers live on their own pages, sourced, quotable, and built for forwarding to whoever owns the publication plan.

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