Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Jamshed, Shazia Qasim; Hassali, Mohamed Azmi; Ibrahim, Mohamed Izham Mohamed; Shafie, Asrul Akmal; Babar, Zaheer Ud Din

doi:10.4314/tjpr.v9i4.58943

Cited by 72 publications

(152 citation statements)

References 10 publications

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“…This result is not consistent with the survey amongst General practitioners of Malaysia and Australia which indicated a high generic prescribing rate, but consistent with the similar study in Pakistan, Nigeria and Saudi Arabia. 18,[21][22][23][24][25][26] This may be probably due to the geographical differences in the attitude of RMPs. However, it did not even comply with the study conducted in Tamilnadu.…”

Section: Discussionmentioning

confidence: 99%

To study doctor’s beliefs, barriers, awareness, and actual practices regarding use of generic medicines

Khadke

Khanda

2017

Int J Basic Clin Pharmacol

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Background: Government of India is trying to popularize generic medicines, still most Registered Medical Practitioners (RMPs) doubt its quality and efficacy. We conducted a cross sectional survey to study the barriers that hinders the practice of writing generic prescriptions. The aim was to study doctor’s knowledge, beliefs and actual practices regarding generic medicines. This study is a KAP survey model (Knowledge, attitude, practices) to study beliefs, barriers, awareness and actual practices regarding use of generic medicines amongst private practioners and RMPs of tertiary care Government hospital in Nanded city.Methods: A cross sectional survey was conducted on a sample of 300 randomly selected RMPs practicing in Nanded, Maharashtra. A 26-item questionnaire was designed, validated, and data collected through personal visits. Fisher’s exact test was applied to see associations between variables using Graphpad Prism 7.Results: 234 RMPs responded to the questionnaire i.e. a response rate of 78% was achieved. 107 (45.7%) participants claimed to be actively prescribing generic medicines. 122 (52.1%) of the participants were unaware of any generic medical shop in their locality. 83 (35.5%) participants believed generics to be duplicate/ substandard. However, 16 (19.3%) of them still prescribed generics. One-third of them actually preferred its use for family.Conclusions: RMPs do not accept the use of generic medicines for concerns about its quality and efficacy. Also, there was unawareness regarding availability of generic medicines in the locality. RMPs need to be educated about manufacture, sale and quality aspects of generic medicines in India.

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Section: Discussionmentioning

confidence: 99%

To study doctor’s beliefs, barriers, awareness, and actual practices regarding use of generic medicines

Khadke

Khanda

2017

Int J Basic Clin Pharmacol

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“…Similar studies were done on pharmacists and doctors which showed similar results as in our study. [3,7,8] The results of this study showed that most of the students were aware that generic medicines are substitute of innovator medicines. However, very few know that it can be prescribed after expiry of patent of innovator medicine till it is protected by patent law and doctor can only prescribe innovator medicine.…”

Section: Discussionmentioning

confidence: 82%

“…[3,7,8] Such study was not done on MBBS students who will be future doctors. Hence, we planned this study with the aim of assessing knowledge, attitude, and practice of medical students toward generic medicines.…”

Section: Introductionmentioning

confidence: 99%

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Study of medical student's perspectives about prescribing generic medicine at tertiary care teaching hospital

Chavda¹,

Patel²,

Tandel³

et al. 2017

Natl J Physiol Pharm Pharmacol

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Background: Health-care expenses are booming nowadays. India is one of the biggest generic medicine manufacturers in all over the world still generic medicines are less prescribed in India. In the USA, 86% prescriptions contain generic medicines which saved 1.5 trillion dollars of USA consumers in the past decade. Less knowledge of generic medicine is correlated to less prescribing. Previously, studies were carried out on pharmacist and general practitioner to assess knowledge, attitude, and practice of generic medicine among them. Such study was not done on MBBS students who will be future doctors. Aims and Objectives: This study was planned with the aim of assessing knowledge, attitude, and practice of medical students toward generic medicines. Materials and Methods:This was a questioner-based cross-sectional survey kind of study. This preformed and pre-evaluated questioner was given to third semester of second year MBBS students. Questioner contains 10 items for knowledge, 10 items for attitude, and 2 items for practice. These are multiple choice kind of questions. Data were analyzed by MS Excel. Results: In this study, 110 students participated. Only 14.55% of students said that generic drugs only be marketed after expiry of patent of innovator drug. Only 27.27% of students said that generic drug manufacturer need not to repeat the preclinical studies and clinical trials as required by innovator medicines. Most of the students (65.45%) know that innovator drugs are more costly than their generic substitute. Only 23.64% of students were aware about the Government of India scheme called Jan Aushadhi whose sole purpose to set up generic drug stores in the country. Just 30.91% of participants know that patients or pharmacists are not legally empowered to sell or purchase generic medicines over innovator medicine. There were a good number of participants (54.55%) not agree with Generic drugs cost less because they are inferior to innovator (patented) drug. About 88.18% of students gave the opinion that there should be a training program to increase the awareness regarding generic drugs among doctors and patients. Nearly 81.82% of students gave the opinion that there should be a generic medicine store at every government hospital. 80% of participants had not read any article regarding the comparison of safety and efficacy of generic versus innovator (patented) drugs. Conclusion: This study showed that medical students having good knowledge, attitude about safety, efficacy, and cost of generic medicines. Students know less about government scheme such as Jan Aushadhi. They also support that patients and pharmacist are legally empowered to sell or purchase generic medicine in place of costly innovator medicines. Students also agree with there should be some change in policy by medical insurance company to improve generic drugs prescribing.

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“…Non-probability sampling technique, i.e., snowball sampling, was adopted. Snowball sampling is the best way to identify respondents with certain attributes or characteristics and is influential in difficult to reach populations [10][11]. In snowball sampling, the researcher identifies the first respondent, and then the respondent is asked to suggest more research participants.…”

Section: Sample Size and Sampling Techniquementioning

confidence: 99%

Why Don’t Medical Practitioners Treat Malaria Rationally? A Qualitative Study from Pakistan

Malik¹,

Hassali²,

Shafie³

2012

Trop. J. Pharm Res

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Knowledge, Perception and Attitude of Community Pharmacists towards Generic Medicines in Karachi, Pakistan: A Qualitative Insight

Cited by 72 publications

References 10 publications

To study doctor’s beliefs, barriers, awareness, and actual practices regarding use of generic medicines

To study doctor’s beliefs, barriers, awareness, and actual practices regarding use of generic medicines

Study of medical student's perspectives about prescribing generic medicine at tertiary care teaching hospital

Why Don’t Medical Practitioners Treat Malaria Rationally? A Qualitative Study from Pakistan

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