Influence of pharmacists expertise on physicians prescription decisions

Murshid, Mohsen Ali; Mohaidin, Zurina; Nee, Goh Yen

doi:10.4314/tjpr.v15i7.27

Cited by 5 publications

(9 citation statements)

References 43 publications

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“…It was interesting to know that the physicians now understand the expanding role of the pharmacist and that they would like them to be a part of the healthcare team. In the past, the pharmacist has been the most underutilized healthcare professional; however, this is now changing, as pharmacists claim more space in the healthcare milieu [38,50,51]. This is in line with a study where both nurses and doctors referred to the pharmacist to provide advice regarding drug management and ADR reporting [52].…”

Section: Discussionmentioning

confidence: 66%

Physicians’ Understanding and Practices of Pharmacovigilance: Qualitative Experience from a Lower Middle-Income Country

Hussain

Hassali

Rehman

et al. 2020

IJERPH

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Developed countries have established pharmacovigilance systems to monitor the safety of medicines. However, in the developing world, drug monitoring and reporting are facing enormous challenges. The current study was designed to explore the challenges related to the understanding and practices of physicians in reporting adverse drug reactions in Lahore, Pakistan. Through the purposive sampling technique, 13 physicians were interviewed. All interviews were audio-recorded, transcribed verbatim, and analyzed for a thematic content analysis. The thematic content analysis yielded six major themes: (1) Familiarity with medication safety and adverse drug reaction (ADR) concept, (2) Knowledge about pharmacovigilance activities, (3) Practices related to ADR reporting, (4) Barriers impeding ADR reporting, (5) Acknowledgement of the pharmacist’s role, and (6) System change needs. The majority of the physicians were unaware of the ADR reporting system; however, they were ready to accept practice changes if provided with the required skills and training. A lack of knowledge, time, and interest, a fear of legal liability, poor training, inadequate physicians’ and other healthcare professionals’ communication, and most importantly lack of a proper reporting system were reported as barriers. The findings based on emerging themes can be used to establish an effective pharmacovigilance system in Pakistan. Overall, physicians reported a positive attitude towards practice changes, provided the concerned authorities support and take interest in this poorly acknowledged but most needed component of the healthcare system.

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Section: Discussionmentioning

confidence: 66%

Physicians’ Understanding and Practices of Pharmacovigilance: Qualitative Experience from a Lower Middle-Income Country

Hussain

Hassali

Rehman

et al. 2020

IJERPH

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show abstract

“…Although the relationship between physicians and pharmacists has been widely reported in the literature, there are very few studies regarding the influence of pharmacists' expertise on physicians' prescribing decisions. A review by Murshid et al . inferred that pharmacists' recommendations or consultation are consistent with the prescribing behavior of physicians.…”

Section: Literature Review and Development Of Hypothesesmentioning

confidence: 99%

“…After trust has been gained, physicians may be more willing to collaborate with pharmacists, and communication between them becomes more open . Empirical evidence has shown that trustworthiness improves and stimulates the collaboration process between physicians and pharmacists, which, in turn, positively affects physician prescribing behaviour . Thus, trustworthiness is a critical factor that can improve the prescribing decisions of a physician.…”

Section: Literature Review and Development Of Hypothesesmentioning

confidence: 99%

“…The expertise of pharmacists is based on their specialised knowledge, information or skills relevant to prescribing drugs . This expertise also comprises the skills of communicating and consulting with physicians and other allied health professionals .…”

Section: Introductionmentioning

confidence: 99%

“…It should also be noted that physicians may choose to either accept or decline the recommendations of pharmacists regarding drug prescriptions . Some studies have shown that recommendations and information from pharmacists can optimise the dispensing of drugs, with proven efficacies, and ensure the right dosage is prescribed …”

Section: Introductionmentioning

confidence: 99%

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Influence of the expertise, collaborative efforts and trustworthiness of pharmacists on the prescribing decisions of physicians

Murshid

Mohaidin

2019

Pharmacy Practice and Res

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Background: Collaboration between physicians and community pharmacists has been shown to be effective in influencing the prescribing decisions of physicians. However, little is known about the specific effects of different pharmacists' roles on prescribing decisions. Aim: The aim of this study was to determine the influence of the expertise, collaborative efforts and trustworthiness of pharmacists on the prescribing decisions of physicians. Methods: A survey was administered to a sample of 705 physicians in Sana'a city, Yemen. Data were analysed using partial least squares structural equation modelling (PLS-SEM). Results: In all, 410 surveys were completed and returned (response rate = 58%). The results showed that pharmacist expertise does not significantly influence physicians' decisions (b = 0.074, t = 1.13, p > 0.05, f 2 = 0.004), whereas pharmacist collaboration (b = 0.157, t = 2.00, p < 0.05, f 2 = 0.016) and trustworthiness (b = 0.203, t = 3.29, p < 0.05, f 2 = 0.036) positively influenced prescribing decisions, and explained 12.2% of the variance in prescribing decisions. Conclusion: The prescribing behaviour of physicians is influenced by collaboration with pharmacists, as well as the trustworthiness of pharmacists, whereas the effect of pharmacists' expertise was not validated. Implications of the findings and future research are discussed.

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Development and validation of an instrument designed to measure factors influencing physician prescribing decisions

Murshid¹,

Mohaidin²,

Zayed³

2019

Pharm Pract (Granada)

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Background:Previous attempts to develop an instrument to measure factors that influence prescribing decisions among physicians were relatively insufficient and lacked validation scale.Objective:We present a new tool that attempts to address this shortcoming. Hence, this study aims to develop and validate a self-administrated instrument to explain factors that influence the prescribing decisions of physicians.Methods:The questionnaire was developed based on literature and then subjected to an exhaustive assessment by a board of professionals and a pilot examination before being administered to 705 physicians. Three pre-tests were carried out to evaluate the quality of the survey items. In pre-test 1, after items are generated and the validity of their content is assessed by academics and physicians. In pre-test 2, the scale is carried out with a small sample of 20 respondents of physicians. In pre-test 3, fifty drop-off questionnaires were piloted amongst physicians to test the reliability.Results:On the basis of partial least squares structural equation modelling (PLS-SEM) analyses using SmartPLS 3, the content and convergent validity of the instrument were confirmed with 44 items grouped into four categories, namely, marketing efforts, patient characteristics, pharmacist variables, and contextual factors with 13 reflective constructs.Conclusions:The study outcomes prove that the scale is more valid and reliable for measuring factors that influence the decision of the physician to prescribe the drug. The development and presentation of a scale of thirteen factors related to physicians prescribing decisions help to ensure valid findings and facilitates comparisons of studies and research settings.

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Influence of pharmacists expertise on physicians prescription decisions

Cited by 5 publications

References 43 publications

Physicians’ Understanding and Practices of Pharmacovigilance: Qualitative Experience from a Lower Middle-Income Country

Physicians’ Understanding and Practices of Pharmacovigilance: Qualitative Experience from a Lower Middle-Income Country

Influence of the expertise, collaborative efforts and trustworthiness of pharmacists on the prescribing decisions of physicians

Development and validation of an instrument designed to measure factors influencing physician prescribing decisions

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