Pharmacists' Decision Making in the Selection of Generic Pharmaceuticals

Segal, Richard; Wantz, David L.; Brusadin, Rinaldo A.

doi:10.3109/j058v04n01_05

Cited by 5 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This finding is consistent with a previous study conducted by Segal, Wantz and Brusadin (1989) which found that 35% of the pharmacists surveyed used product bonus as a measure to stock the appropriate brands of generic pharmaceuticals for maximising their pharmacy profits. Almost one third of the pre-registrants agreed that drug advertisements would be likely to influence their future dispensing habits.…”

Section: Survey Question/statement Sa (N) (%) Ag (N) (%) N (N) (%) Dssupporting

confidence: 94%

Knowledge and perceptions of recent pharmacy graduates about generic medicines

Kong¹,

Stewart²

2007

Pharmacy Educ.

View full text Add to dashboard Cite

The ever-rising price of prescription medicines is a phenomenon that affects nearly every developed country across the globe. An effective strategy to contain escalating costs is by using cheaper generic medicines. Within this context, most policy makers are encouraging healthcare professionals to prescribe or substitute generic medicines whenever possible. Whichever policy-generic prescribing or generic substitution-is adopted, the main challenge is how to maintain the confidence of patients and carers in using generics. This is where the role of the pharmacist becomes vital. The availability of different brands of the same drug at the same strength and in the same dosage form poses a special challenge to healthcare professionals, making these issues very relevant to pharmacists in all practice settings. To date in Australia and elsewhere, no studies have been conducted to assess the knowledge and perceptions of recent pharmacy graduates with regard to generic medicines and generic substitution. Therefore, a national web-based survey was undertaken to evaluate pharmacy pre-registrants' perceptions and knowledge of generic medicines. More than 80% of study participants thought that generic medicines are inferior, less effective and produce more side effects compared to brand name medicines. These findings highlight that pharmacy pre-registrants need a better understanding of the principles and concepts of bioavailability and bioequivalence if they are to contribute appropriately to generic medicine use.

show abstract

Section: Survey Question/statement Sa (N) (%) Ag (N) (%) N (N) (%) Dssupporting

confidence: 94%

Knowledge and perceptions of recent pharmacy graduates about generic medicines

Kong¹,

Stewart²

2007

Pharmacy Educ.

View full text Add to dashboard Cite

show abstract

“…Keeping generic drugs in stock in addition to brand name drugs would increase the stock burden for a small pharmacy. Generic medicine stocks in pharmacies may be limited to generic drugs whose turnover rates of originator drugs were high, as shown in a previous study reported where the therapeutic class of the brand name drugs and the turnover rate was reported to influence pharmacists' decisions to stock generic pharmaceuticals (Segal et al 1989). Especially in the current transition period where generic dispensing is not common, some kind of measure to minimize the burden of keeping stock in a pharmacy should be implemented, taking into consideration the experiences of stock issues in other countries.…”

Section: Discussionmentioning

confidence: 87%

Community pharmacists’ perspectives on generic substitution in Japan

2011

View full text Add to dashboard Cite

Aim The aim of this study was to evaluate Japanese community pharmacists' attitudes toward and their recommendation of generic substitution, and to identify the barriers towards performing generic substitution. Subject and methods A questionnaire survey was conducted from June 2007 to December 2008. A total of 1,590 community pharmacists working for 449 community pharmacies whose owners agreed to participate in the study were involved in the study. Results A total of 1,253 community pharmacists responded to the survey (response rate: 78.8%). The majority of respondents (72.1%) were in favor of dispensing generic medicine, but they agreed that they would carefully decide if it is appropriate. In spite of these favorable attitudes, more than half of the respondents (55.6%) seldom or never recommend generic substitution to patients. Respondents indicated four barriers preventing them from performing generic substitution: (1) the generic drug is not in stock or no generic drug equivalent is available yet in the market, (2) only a very small cost savings resulting in patients' objections, (3) physicians' objections and (4) presence of skepticism in the quality of generic medicines and inadequate drug information from generic manufacturers Conclusion It is not common for Japanese community pharmacists to recommend generic substitution to patients in spite of their positive attitudes towards generic substitution. Prospective policies on generic substitution are needed to overcome the barriers identified in this study, preventing community pharmacists from performing generic substitutions.

show abstract

“…13 In the same year, but in a different state (Ohio, US), Segal et al investigated the criteria that infl uence pharmacists ' decisions to stock generic pharmaceuticals in pharmacies and criteria that infl uence pharmacists ' decisions to recommend generic pharmaceuticals to patients. 15 Data were collected using a mail questionnaire to a random sample of independent community pharmacies; the researchers were able to collect 298 responses, giving a 59 per cent response rate. The results indicate that four of the fi ve dimensions studied affected independent community pharmacists ' decisions to stock generic products in pharmacies.…”

Section: The 1980smentioning

confidence: 99%

“…Two methods are mentioned in the literature: one looks at the offi cial documents of the drug regulation authority in the country (The Orange book in the case of the FDA); the other is to know the company manufacturing and distributing the generic product (reputation of the manufacturer and / or distributor). 15 It is agreed between pharmacists that generic drugs should be bioequivalent to their branded counterparts. The fear of using drugs that are not bioequivalent is the most infl uential risk that pharmacists reported to perceive in more than one study.…”

Section: -Issues Related To Generic Drugs ' Quality and Bioequivalencymentioning

confidence: 99%

“…These patient-oriented factors were found to affect the decision of substitution positively. 15 Patient-reduced cognitive abilities make it more diffi cult to perform GS, because of the fear of having the patient confused about his drugs, especially in elderly and polypharmacy patients. 27 On the other hand, having the script written generically by the prescriber and having good communication with the prescriber were found to encourage pharmacists to perform GS.…”

Section: -Issues Related To Generic Drugs ' Quality and Bioequivalencymentioning

confidence: 99%

See 1 more Smart Citation

Pharmacists' Views on Generic Medicines: A Review of the Literature

Al-Gedadi¹,

Hassali

2008

Journal of Generic Medicines

View full text Add to dashboard Cite

The aims of this paper were to identify and review the literature on pharmacists' views and practices on the use of generic medicines. Using appropriate keywords pertaining to the subject matter, an extensive literature search was undertaken using indexing services available in the authors' institution library. These electronic databases were searched for full-text papers written in the English language during the period from 1980 until September 2007. Based on this search, 13 studies were identified. The majority of studies are from the United States, with few from Europe and Asia. All retrieved studies, except one, used quantitative methodology. Most of the studies showed that pharmacists' views and behaviours towards generic medicine utilisation were affected by economic considerations, quality and bioequivalency of generic medications, drug therapeutic class, and other actors (the physicians, the patients, and public health officials). This review suggests that although in general pharmacists were positively inclined towards generic medication use, they have some considerations that determine to what extent they will support generic medicine use. These are economic, scientific, and policy-related considerations that are likely to remain matters for discussion in the future among pharmacists and their professional organisations.

show abstract

Pharmacists' Decision Making in the Selection of Generic Pharmaceuticals

Cited by 5 publications

References 0 publications

Knowledge and perceptions of recent pharmacy graduates about generic medicines

Knowledge and perceptions of recent pharmacy graduates about generic medicines

Community pharmacists’ perspectives on generic substitution in Japan

Pharmacists' Views on Generic Medicines: A Review of the Literature

Contact Info

Product

Resources

About