Patients’ intention to consume prescribed and non-prescribed medicines: A study based on the theory of planned behaviour in selected European countries

Kamekis, Apostolos; Bertsias, Antonios; Moschandreas, Joanna; Petelos, Elena; Papadakaki, Maria; Tsiantou, V.; Saridaki, Aristoula; Symvoulakis, Emmanouil K.; Souliotis, Kyriakos; Papadakis, Nikos; Faresjö, Tomas; Faresjö, Åshild Olsen; Martínez, L.; Agius, Dominic; Uncu, Yeşim; Şengezer, Tijen; Samoutis, George; Vlček, Jiřı́; Abasaeed, Abobakr; Merkouris, Bodossakis; Lionis, Christos

doi:10.1111/jcpt.12601

Cited by 12 publications

(16 citation statements)

References 29 publications

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“…However, a significant body of literature has shown a related social connection to antibiotic use: namely, that cultural values affect patient demands for prescription antibiotics. This connection has been studied in Australia (104,105), England (106), France and Germany (107), Europe in general (99,100,108,109), Egypt (110), and Tanzania (111). In all of these cases, ideas about the physician's role in the physician-patient relationship, the need for antibiotics, the efficacy of antibiotics, and the dangers of antibiotics affected patient demand for prescription antibiotics.…”

Section: Norm Effects On Antibiotic Use and Prescriptionmentioning

confidence: 99%

Economic and Behavioral Influencers of Vaccination and Antimicrobial Use

Wagner

Prentice

Saad-Roy

et al. 2020

Front. Public Health

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Despite vast improvements in global vaccination coverage during the last decade, there is a growing trend in vaccine hesitancy and/or refusal globally. This has implications for the acceptance and coverage of a potential vaccine against COVID-19. In the United States, the number of children exempt from vaccination for “philosophical belief-based” non-medical reasons increased in 12 of the 18 states that allowed this policy from 2009 to 2017 (1). Meanwhile, the overuse and misuse of antibiotics, especially in young children, have led to increasing rates of drug resistance that threaten our ability to treat infectious diseases. Vaccine hesitancy and antibiotic overuse exist side-by-side in the same population of young children, and it is unclear why one modality (antibiotics) is universally seen as safe and effective, while the other (vaccines) is seen as potentially hazardous by some. In this review, we consider the drivers shaping the use of vaccines and antibiotics in the context of three factors: individual incentives, risk perceptions, and social norms and group dynamics. We illustrate how these factors contribute to the societal and individual costs of vaccine underuse and antimicrobial overuse. Ultimately, we seek to understand these factors that are at the nexus of infectious disease epidemiology and social science to inform policy-making.

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Section: Norm Effects On Antibiotic Use and Prescriptionmentioning

confidence: 99%

Economic and Behavioral Influencers of Vaccination and Antimicrobial Use

Wagner

Prentice

Saad-Roy

et al. 2020

Front. Public Health

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“… 2 The consumption of medicines can be influenced by many factors, such as self-motivation, beliefs, and attitudes. 3 , 4 During the past few decades, medication supply status has also changed from prescription-only to over-the-counter (OTC) medicine consumption as well. 5.…”

Section: Introductionmentioning

confidence: 99%

“…Even if there are benefits of OTC medicine usage, such as the expansion in patient autonomy to select therapy and the cost reduction for national health systems, 9 , 13 self-medication should be undertaken with special caution 9 , 14 because OTC medicine usage involves a number of risks, such as improper self-diagnosis, inappropriate dosage, repeated attitude due to prolonged use, adverse drug reactions, and drug interactions. 3 , 15. , 16.…”

Section: Introductionmentioning

confidence: 99%

“… 9 Studies have shown that self-medication rates are high in Eastern and Southern Europe and relatively low in Northern and Western Europe. 3. , 4.…”

Section: Introductionmentioning

confidence: 99%

“…, 6 , 7 , 19 This could be influenced by a set of contextual determinants related to primary care services provision and regulations on cost containment aiming to control funds allocated to health, in particular during austerity conditions as in the case of Greece. 3 …”

Section: Introductionmentioning

confidence: 99%

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Over-the-counter medicines, economic conditions, and citizens most in need in Greece: Is it a challenge for primary care research?

Kamekis

Symvoulakis

Papadakis

et al. 2020

Currents in Pharmacy Teaching and Learning

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Introduction Recent austerity experiences in Greece suggest a plausible link between extensive use of over-the-counter (OTC) medicines and socio-economic peculiarities of life. Commentary During the economic crisis in Greece, accessibility to healthcare services has been impacted, particularly for people with low income. However, this fact has not been systematically analyzed in conjunction with an observed increase in use of OTC medicines. Gaining a better understanding of the reasons leading to self-care may help to answer additional questions. Further research is needed to assess the gap between self-care and medically assisted care/treatment by designing pilot monitoring actions and focusing on behaviours related to OTC medicine use. Primary care can offer more collaboration between primary care physicians, community pharmacists, patients, and their families. Implications It is crucial to create a multimodal research plan to gain a better understanding of motivational reasons that eventually lead to increasing use of OTC medicines. Efforts should be made to develop data collection techniques that will elicit information from various social groups that focus on changeable behaviours and perceived needs in relation to medicine consumption.

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