Factors influencing GPs’ choice between drugs in a therapeutic drug group. A qualitative study

Buusman, Allan; Andersen, Morten; Merrild, Camilla Hoffmann; Elverdam, Beth

doi:10.1080/02813430701652036

Cited by 35 publications

(44 citation statements)

References 19 publications

(11 reference statements)

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“…This finding is in line with those of other researchers regarding physician prescribing behaviour and attitude [17-19]. Results in Denmark showed that drug price was considered an important factor influencing physician significantly [17].…”

Section: Discussionsupporting

confidence: 92%

Factors Influencing Antenatal Haematinics Prescription Behaviour of Physicians in Calabar, Nigeria

Akpan¹,

Agan²,

Monjok³

et al. 2017

Open Access Maced J Med Sci

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BACKGROUND:Routine iron and folic acid supplementation in pregnancy have been proved to be effective in reducing the prevalence and morbidities of anaemia. However, there is limited data regarding the prescription habits of physician obstetric care givers.AIM:This study set to investigate the attitudes and factors which influence the practice among physicians in University of Calabar Teaching Hospital (UCTH).MATERIAL AND METHODS:A questionnaire based cross-sectional survey was conducted among randomly recruited physician offering antenatal services between August and September 2015. Systemic sampling was used to select 70 doctors in the departmental duty roster. Data were presented in percentages and proportion. Chi-square test was used to test the association between variables. Statistical significance was set at p < 0.05.RESULTS:The response rate was 100%. The mean age of the respondents was 30.26 ± 6.67 years. All the respondents routinely prescribed haematinics to pregnant women but 34.3% of them did not prescribe to apparently healthy clients in their first trimester. Only 30% and 11.4% of them prescribed it in the postnatal and preconception periods respectively. Brands that contained iron, folate and vitamins as a single capsule were mostly favoured, and information about brands of drugs was mostly provided by the pharmaceutical sales representatives. Younger doctors were more likely to offer haematinics with nutritional counselling compared to older respondents. However, there was no significant relationship between haematinics prescription and sex (p = 0.3560), Age (p = 0.839), current professional status (p = 0.783), and client complaint of side effect of medication (p = 0.23). Oral medication was mostly utilised.CONCLUSION:Effort to effectively control anaemia in pregnancy should involve re-orientation of physician obstetric care providers especially about prenatal and postnatal medication and counselling.

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Section: Discussionsupporting

confidence: 92%

Factors Influencing Antenatal Haematinics Prescription Behaviour of Physicians in Calabar, Nigeria

Akpan¹,

Agan²,

Monjok³

et al. 2017

Open Access Maced J Med Sci

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“…Despite the several opinions on physicians’ decision-making in literature, none of the theories can solely explain the drug prescription decision of physicians and its related factors 16. Consequently, complex theories have been used to understand how several factors influence physician decision-making in general practice 17. This has resulted in demands for more theoretical research to develop better interventions needed to change the behavior of physicians.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have attributed inappropriate prescriptions to the behaviour of physicians17,18,19 and factors related to their decision-making 20. These factors include marketing efforts of pharmaceutical firms and patient characteristics (requests and expectations) 21,22,23.…”

Section: Introductionmentioning

confidence: 99%

Models and theories of prescribing decisions: A review and suggested a new model

Murshid¹,

Mohaidin²

2017

Pharm Pract (Granada)

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To date, research on the prescribing decisions of physician lacks sound theoretical foundations. In fact, drug prescribing by doctors is a complex phenomenon influenced by various factors. Most of the existing studies in the area of drug prescription explain the process of decision-making by physicians via the exploratory approach rather than theoretical. Therefore, this review is an attempt to suggest a value conceptual model that explains the theoretical linkages existing between marketing efforts, patient and pharmacist and physician decision to prescribe the drugs. The paper follows an inclusive review approach and applies the previous theoretical models of prescribing behaviour to identify the relational factors. More specifically, the report identifies and uses several valuable perspectives such as the ‘persuasion theory - elaboration likelihood model’, the stimuli–response marketing model’, the ‘agency theory’, the theory of planned behaviour,’ and ‘social power theory,’ in developing an innovative conceptual paradigm. Based on the combination of existing methods and previous models, this paper suggests a new conceptual model of the physician decision-making process. This unique model has the potential for use in further research.

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“…General practitioners (GPs) have reported that factors influencing prescribing include the price of the product for the patient, timeÁspace, regulatory framework, and benefit for the patient [4,5]. Some studies, although mostly cross-sectional, have investigated physicians' attitudes in relation to medication costs and prescribing behaviour [6Á8].…”

mentioning

confidence: 99%

Prescribing behaviour after the introduction of decentralized drug budgets: Is there an association with employer and type of care facility?

Andersson

Carlsten

Hedenrud

2009

Scandinavian Journal of Primary Health Care

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Factors influencing GPs’ choice between drugs in a therapeutic drug group. A qualitative study

Cited by 35 publications

References 19 publications

Factors Influencing Antenatal Haematinics Prescription Behaviour of Physicians in Calabar, Nigeria

Factors Influencing Antenatal Haematinics Prescription Behaviour of Physicians in Calabar, Nigeria

Models and theories of prescribing decisions: A review and suggested a new model

Prescribing behaviour after the introduction of decentralized drug budgets: Is there an association with employer and type of care facility?

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