Factors influencing prescribing A constellation of various factors and their interaction influenced rheumatologists’ prescribing decisions, including the individual rheumatologist’s experiences and perceptions of the evidence, the structure of the department including responsibility for costs, peer pressure, political and administrative The present study highlights the attitudes and the factors influencing physician behaviour in the two countries and may be used for developing policies to improve their choices and hence to increase clinical and economic effectiveness and efficiency. Patient related factors Some of the included studies mentioned that the practitioner’s perception of patients influences the antibiotic prescribing practise of physicians [ 6 , 31 , 36 – 38 , 43 , 58 were: (1) factors influencing prescribing decision should be the main objective, (2) studies should be original articles, (3) the full text should be available and provide enough information, (4 Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. (See accompanying article on pharmacoeconomics. SSRI: selective serotonin re-uptake inhibitor Aim: To identify some of the factors influencing effective independent nurse prescribing within a surgical high-dependency unit. A number of factors can influence Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing decision. . While numerous factors may impact prescribing patterns, toxicity profile and production time appear to heavily influence this decision. Thus, it can be useful to analyze the specific local patterns, as they affect the quality of With pharmacist prescribing becoming more widely embedded across sectors in the UK, The Pharmaceutical Journal’s new collection of prescribing resources has been developed to support pharmacists as they develop the knowledge and skills required to safely, confidently and independently prescribe medicines. Nevertheless, a study carried out in the German part of Switzerland that aimed to evaluate the factors influencing pharmacists when prescribing medications showed a lack of familiarity with the medications included in the service, pharmacists’ reluctancy to take on the responsibility of prescribing them, and an increased workload when Key factors influencing the prescribing of statins: a qualitative stud Go to citation Crossref Google Scholar. Physician are not aware of the policy design and Research is needed to understand what facilitates prescribing among waivered physicians and how to increase the willingness and capacity to prescribe. 45%) and the availability of generics (95% vs. The questionnaire was constructed on 63 questions in which 9 questions This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Background: Chronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and information about health These categories of professionals might have different views on factors influencing the prescribing of antibiotics than the factors included in the study. The influence of specific factors may differ The study aimed to use the TDF to identify the factors that influence independent prescribing behaviour, and to map these findings to the COM‐B system to elucidate the relevant intervention This thematic analysis determined three major themes: non-medical prescribers, human factors, and organisational themes. Results: The main factors influencing effective independent Perhaps the most obvious example of cost-effective prescribing is selecting a generic rather than a branded drug from the same class. 1108/IJPHM-06-2016-0031 Corpus ID: 168844776; Factors influencing prescribing decisions among physicians: an empirical study on generic drugs @article{Sanyal2017FactorsIP, title={Factors influencing prescribing decisions among physicians: an empirical study on generic drugs}, author={Shamindra Nath Sanyal and Saroj Kumar Datta and Asok Kumar Banerjee}, Given that prescribing may be influenced by both clinical and nonclinical factors, including additional therapeutic alternatives and health technologies, factors influencing potentially inappropriate prescribing are expected to change over time (Eisenberg 1979; McKinlay, Potter, and Feldman 1996; Hajjaj et al. Clinical Research Center Findings, Ministry of Health Malaysia, 2012; pp 1–2. Factors increasing and decreasing antidepressant prescribing for depression treatment. Setting This study was conducted from January to August 2020, in Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. You’ll enjoy the following great benefits: Insight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of antibiotics. Overall, just under two thirds (64% 518) of the sample reported feeling Very (46% 373) or Extremely (18% 145) competent in The factors influencing General Practitioners' (GPs) prescribing behavior are diverse in terms of health care policies and regulations, GPs' education and experience, demographic trends and disease profiles. 28 billion in 2012, at a time when GMS coverage rates Footnote 2 increased from 35 % of the population in 1998 to over 40 % in 2012. Such factors for instance include, the age and sex of the physician or the patient, the socio-economic characteristics of METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing China has very high rates of antibiotic resistance and a health care system that provides strong incentives for over-prescribing. , a high-risk or vulnerable patient history Objectives To examine the self-reported influences on intern prescribing practice. Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. 15 Since the review of 2009, the introduction of prescribing tools identify the factors influencing the prescribing decision of the physician from 2017 to 2022. However, systematically collected knowledge on factors influencing the Objectives: To examine the self-reported influences on intern prescribing practice. 2016 Dec;33(6):572-579. 27. However, strong opiate Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial J Health Serv Res Policy . While there is a limited evidence base on NMPs' prescribing decision-making, it appears that this is complex with NMPs influenced by many and often opposing factors. Contextually sensitive elements were revealed by comparing the factors between settings. The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. Modig, S. 54. Background Chronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. Physicians’ personal and profes-sional characteristics, pharmaceutical marketing strategies (direct- to- physician or direct- to- consumer marketing), drug information sources, drug characteristics, drug price and patients’ Patient expectation for antibiotics is the dominant modifiable factor influencing GP antibiotic prescribing behaviours. 2–4 These events are associated with pressure on healthcare services and significant healthcare costs. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. Physicians’ decision to prescribe statins was influenced by factors operating at the microlevel and macrolevel which mapped well on the framework developed by Scoggins et al (2006) in a study on the factors influencing GPs prescribing of statins in primary care in England. Antidepressant prescribing continues to increase, with 5-16% of adults receiving antidepressants annually. Key challenges to prudent antibiotic prescribing can be overcome through upskilling GPs to manage patient expectations efficaciously, and through two new emphases for public health campaigns—consumers have the power to reduce the use of Factors Influencing Prescribing Practices of Medical Practitioners in Public and Private Health Facilities in Dar es Salaam, Tanzania Appolinary AR Kamuhabwa1* and Sunday Kisoma2 1Unit of Pharmacology and Therapeutics, School of Pharmacy, Muhimbili University of Health and Allied Sciences, 2Tanzania Food and Drugs Authority, Dar es Salaam, Tanzania *For Antibiotic resistance is an urgent, accelerating global health threat due to inadequate infection prevention and control practices, and sub-optimal prescribing of antibiotics. The aim of this review was to identify the factors affecting prescribing decision of physicians. 99, IFI = 0. , Soetersb R. An in-depth understanding of the prescribing process in the more specialized secondary care is not only important for secondary care itself, but because it also Factors influencing prescribing decision: A total of 33 factors were identified. Quality improvement strategies that address these factors are likely to support best practice pharmacologic management of RA and may be potentially applicable to Thank you for visiting Journal of Prescribing Practice and reading some of our peer-reviewed resources for prescribing professionals. Results: The main factors influencing effective independent trative, and indirect factors play in influencing prescribing. Each theme was categorised into subthemes which were interdependent on each other and can positively or negatively influence implementation of NMP Factors influencing the ability of pharmacist prescribers to practice were Although prescribers from a range of professional backgrounds identify evidence-based guidelines, provided by NICE, local commissioning organisations, and royal colleges and amplified via electronic prompts received at the point of prescribing, as primary influences on their decisions, there are other factors in the mix, and the problems caused by large variations in Background Heart failure (HF) guideline-led prescribing improves patient outcomes; however, little is known about the factors influencing guideline-led prescribing in critical care settings. Setting This study was conducted from January to August 2020, in factors which influence prescribing decision of tremendous worth. , accessible national living guidelines including lay summaries and treatment algorithms for improving rheumatologists’ knowledge about evidence-based management of To boost evidence-based prescribing, pharmacists require an understanding of the factors that influence prescribing decisions in general practice. , fear of failure, diagnostic uncertainty, or inadequate training), the patient (e. If a prescriber lacks familiarity with medicines, it increases the chance of adverse outcomes; continuing professional development is required. The key microlevel factor was a set of patient’s characteristics Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Participants and setting: Ten interns practising in two urban teaching hospitals in New South Wales, Australia. protective factors, which is characteristic of a Safety-I approach. It is vital that nurse independent prescribers are adequately supported. The questionnaire was constructed on 63 questions in which 9 questions Objectives This qualitative study aimed to explore the factors influencing the prescription patterns of essential medicines (EMs) from the perspectives of general practitioners (GPs) and patients in Beijing, China. , 2021). Therefore, more research on development of shared decision-making is called for. “That’s probably the most useful thing to find out: what it is they’re looking for. Antimicrobial resistance (AMR) is a critical global health issue with potentially far-reaching impacts on the health of humans and animals []. , personal experience), attitudes (e. This study describes prescribing patterns in a sample of buprenorphine-waivered physicians in New York (NY) in 2016 and examines factors influencing prescribing capacity among waivered providers. The significance of these factors is an important consideration to public health advocates and This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Paediatricians perceived that poor knowledge of the population associated with easy access to Results A range of factors across 12 domains of the TDF were found to influence prescriber behaviour, and 40 BCTs were identified as supporting appropriate prescribing. Physicians rated the availability of drug samples and personal Better understanding of the factors that motivate physician prescribing can bring about more efficient use of health care resources through the improved dissemination of information and more informed decision making. The structural equation model formed better reflected the main influencing factors of physician prescribing essential medicine. ,The study was carried out across six Over the past few decades, drug and overall healthcare expenditure have risen rapidly in most countries. Results The interns identified a number of factors that improve their confidence and perceived competence and Investigation of factors influencing inpatient antibiotic prescribing decisions in the Veterans’ Health Administration - Volume 2 Issue 1 Our investigation of decisional factors revealed that providers consider >30 factors when making antibiotic prescribing decisions in acute-care settings. The key microlevel factor was a set of patient’s characteristics The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. This study aimed to Investigation of factors influencing inpatient antibiotic prescribing decisions in the Veterans’ Health Administration - Volume 2 Issue 1 Skip to main content Accessibility help We use cookies to distinguish you from other users Synthesising the available qualitative evidence about factors influencing clinician prescribing of DMARDs can inform the tailoring of quality improvement strategies to identified factors (e. Inconsistent advice and misunderstanding of roles and responsibilities pertaining to antibiotic decisions were additional barriers to successful collaboration. ADM: antidepressant. Social and Behavioral Theories and Physician’s Prescription Behavior. However, strong opiate pre- A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing veterinarians' decisions. In the last step, an analytic text was produced based on each theme and subtheme. Res Soc Adm Pharm. Our searches retrieved a total of 2,848 abstracts, with 97 included in full-text review and 28 meeting full inclusion criteria. Bair (a3) (a4) Some national research has been done on factors influencing prescribing behaviour, such as for cattle practitioners in Ireland (Gibbons and others 2013) and in Italy (Busani and others 2004). Matthias (a3) (a4) , Eli N. 5 Over the years, several strategies have been implemented to reduce Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. This review confirmed that interns’ prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the intern completing the The aim of this review was to identify the factors affecting the prescribing decision of physicians. Livorsi D, Comer AR, Matthias MS, Perencevich EN, Bair MJ. Cost (81% vs. In the UK most antidepressants are prescribed by GPs, and previous research has demonstrated considerable variation in prescribing levels between individual general practices; as an example, a 25-fold variation was found between the highest and lowest prescribing practices in one area of the UK. ) Patient factors influencing drug selection In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. The identified In fact, drug prescribing by doctors is a complex phenomenon influenced by various factors. Clinical guidelines, previous patient experience, physician experience, colleagues' prescribing practice, pharmaceutical pressure, time pressure, and financial considerations were Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. 2015;36:1065–72. Background: Chronic pain occurs in 45%-85% of older people, but Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. SSRI: selective serotonin re-uptake inhibitor. Hence, only one study has specifically reviewed aspects of theory-based published studies Background In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. Objective: To compare primary care physicians who, over time, reduced their antibiotic prescribing for respiratory tract infections with those who remained either high or low prescribers regarding Perhaps the most obvious example of cost-effective prescribing is selecting a generic rather than a branded drug from the same class. Scopus and Google Scholar electronic databases were searched from 2011 to 2021 using free-text words and medical subject headings relevant to the topic. There was no The related literature suggests several factors that may have a role in influencing the prescribing behaviour of physicians [6–9]. Such factors for instance include, the age and sex of the physician or the patient, the socio-economic characteristics of Although numerous qualitative studies have explored factors influencing prescribing behaviour of physicians, there is little information on the perceptions of primary care paediatricians on the inappropriate use of antibiotics in early infancy. Evidence does not support routine use of higher SSRI doses for depression treatment, and Aim: To identify some of the factors influencing effective independent nurse prescribing within a surgical high-dependency unit. This will help to improve practice and service provision Previous research focusing on the prescribing decisions of doctors has found a wide range of influencing factors, including regulatory factors ' notes was found to be a barrier to community nurse prescribing. METHODS Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-man-agement medication for older people. Authors Shera Chaterji 1 , Lay Geok Lian 2 , Ting Yee Lee 2 , Liwei Chua 2 , Sabrina . doi: 10. DISCUSSION This was a review on the factors influencing prescribing decisions of physicians. Design The qualitative study was conducted using individual in-depth interviews. Physicians, for example, rated personal experi-ence as highly influential, while neither of the other groups. Paediatricians perceived that poor knowledge of the population associated with easy access to Factors influencing physicians’ prescribing behaviour, regardless of the medication being prescribed, have been investigated since 1950s. Addressing these factors may help reduce diagnostic uncertainty and Request PDF | Factors influencing prescribing decisions among physicians: an empirical study on generic drugs | Purpose The purpose of this paper is to examine the physicians’ attitude toward 1 1 Antibiotic prescribing in primary healthcare: Dominant factors and trade-offs 2 in decision-making 3 4 Abstract 5 Objectives: This study aims to establish dominant factors influencing general practitioner (GP) 6 decision-making on antibiotic prescribing in the Australian primary healthcare sector. 2020 Apr;25(2):94-103. 27 Insufficient information about the patient is a risk factor for prescribing errors and therefore must be addressed. The Background: There has been a notable decrease in antibiotic prescribing in the last thirty years in Sweden. , 2021, Servia-Dopazo et al. Patient related factors Some of the included studies mentioned that the practitioner’s perception of patients influences the antibiotic prescribing practise of physicians [ 6 , 31 , 36 – 38 , 43 , 58 A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. Physicians rated the availability Objective: To understand the professional and psychosocial factors that influence physician antibiotic prescribing habits in the inpatient setting. The survey indicates which information sources and factors practitioners value the most when deciding on which antibiotic to prescribe. Interviews were audio recorded, transcribed, de A qualitative approach using one-to-one semi-structured interviews was undertaken in order to allow participants to gain in-depth insight into factors influencing prescribing behaviour. Participants and setting Ten interns practising in two urban teaching hospitals in New South Wales, Australia. Design: A qualitative study with 13 GPs who participated in two semi-structured focus groups in Central Norway. 10, 11 One study reported that medication reviews by community pharmacists significantly reduced the risk of emergency department visits A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. The current study introduced some significant elements into the modified technology acceptance model (TAM) with title the extended tam for product usage (TETPU) to analyze the prescribing factors that influence physicians in five common yet serious medical ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. The global need to reduce antimicrobial use and thereby reduce selective pressures on microbes, is driving research on factors influencing the antimicrobial prescribing behaviours of health professionals [2,3]. Women’s socio-economic status (poverty and wealth) and their level of health literacy can affect oncologists’ prescribing practices. 20%), were found to be key factors that significantly influenced prescribing in Singapore compared to Australia with one clinician stating “If they are poorer, I am more likely to use a cheaper generic”. PST: Prescribing Support Teams. This review confirmed that interns' prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the The final structural equation model reflected influencing factors affecting physicians’ prescribing behavior (χ2/df = 1. Some clinicians in Singapore went further to state that a Introduction. Of respondents, the single strongest reason influencing tx decisions was drug toxicity profile (32%). 1177/1355819619896588. 20 Subsequently, an Ishikawa (Fishbone) diagram was created to visualize the factors identified as influencing the Factors influencing primary care physicians’ prescribing behavior of anticoagulant therapy for atrial fibrillation. Factors influencing prescribers' decisions are the most important input to develop practice guidelines, healthcare policy and to devise a regulation for the pharmaceutical market. Go to citation Crossref Google Scholar. Challenging decisions of senior colleagues was The involvement of patients was mentioned as an important factor. g. The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. Factors influencing prescribing behaviour of physicians in Greece and Cyprus: results from a questionnaire based Objectives To examine the self-reported influences on intern prescribing practice. The magnitude of the influence exerted by these factors varied with time. By understanding these factors, appropriate continuing professional development can be put in place. However, systematically collected knowledge on factors influencing the effective implementation of SP is scarce. Participants were encouraged to share overall thoughts on the use Antibiotic resistance is an urgent global health threat that is accelerating due to inadequate infection prevention and control practices, and sub-optimal prescribing of antibiotics (National Institute for Health and Care Excellence (NICE), 2015; World Health Organization (WHO), 2020). Results Remarkably, scholars are less interested in publishing reviews that apply models and theories to explain the factors influencing prescribing behaviour. ) Patient factors influencing drug selection Originality/value Although several marketing scholars discuss the factors influencing prescribing behavior, a few studies have shown the role of brand attributes and drug promotion and their Growing evidence shows veterinarians are influenced by non-clinical factors when prescribing antibiotics. Twenty-six rheumatologists were interviewed. 15 To understand the complexity of daily in-hospital prescribing with the aim of reducing in-hospital PEs, factors that protect against in-hospital PEs should also be included, adopting a Safety-II perspective. Design: Qualitative interviews with a cross-sectional cohort. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and Factors strongly influencing antidepressant prescribing bold and moderately influential factors in italics and underlined. The study was carried out across six major cities in eastern India with 301 physicians. The results from this study indicate that GPs need to be reminded that there is a connection between FRID use and falls among The total cost of GMS prescriptions decreased in 2010 and 2011, due to government cut backs and the introduction in cost containment measures, before increasing again to €1. Overall, in comparison to male, female oncologists reported more awareness of patients’ needs, more Physicians’ decision to prescribe statins was influenced by factors operating at the microlevel and macrolevel which mapped well on the framework developed by Scoggins et al (2006) in a study on the factors influencing GPs prescribing of statins in primary care in England. However, lack of experience should not impede the introduction of new, more rational prescribing practices when they become available. A structured questionnaire adapted from modeling based on the researched theoretical references was made to collect data. Legend: Factors which influence anticoagulant therapy use by primary care physicians in atrial fibrillation presented according to the Generalist Wheel theoretical framework. However, cost may be outweighed by other factors, notably significant differences in efficacy or safety. ABSTRACT BACKGROUND: The pharmaceutical bill is increasing at an alarming rate. 2021 May 25;22(1):101. Semi-structured qualitative interviews were conducted with physicians (n = 13) These factors are not limited to nurse prescribers, with evidence suggesting GPs also experience similar issues. Results The interns identified a number of factors that improve their confidence and perceived competence and This review aims to explore the factors influencing the prescribing behavior of medicines by physicians from the developed and developing world. Studies included were cross-sectional studies, longitudinal studies, and Most antibiotics are prescribed in general practice, but little is known about factors influencing general practitioners’ (GPs) decision-making when prescribing antibiotics. Barriers to guideline-concordant antibiotic use among Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Scopus (2) Google Scholar. 2021; 18:3438-3443. 2010). To read more, please register today. During the whole process, the authors went back to the transcripts to ensure that the analysis was based on them. Two research 7 questions were posed: What influences antibiotic Factors influencing medicines access service provision Prescribing competence. ∙ Bondesson, Å. DNA: do not attend. Most of the existing studies in the area of drug prescription explain the process of decision-making by physicians via the exploratory Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. Although prescribers from a range of professional backgrounds identify evidence-based guidelines, provided by NICE, local commissioning organisations, and royal colleges and amplified via electronic prompts received Factors influencing prescribing of FRIDs to the elderly 109 theme. Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. This study used a cross-sectional survey to assess the factors that influence physicians when prescribing to heart failure patients in a critical care setting in Egypt. 1017/ice. We developed a conceptual model that integrates the identified categories of influencing factor Originality/value Although several marketing scholars discuss the factors influencing prescribing behavior, a few studies have shown the role of brand attributes and drug promotion and their Although numerous qualitative studies have explored factors influencing prescribing behaviour of physicians, there is little information on the perceptions of primary care paediatricians on the inappropriate use of antibiotics in early infancy. 16 studies met the inclusion criteria from 82 search results. Aim To 1) assess the importance of factors that influence decisions by GPs to prescribe antibiotics for acute respiratory tract infections (RTIs) and 2) identify segments of GPs influenced differently when According to the respondents, factors influencing prescribing practices of hormonal therapy are varied. Rudasingwaa M. Design: We conducted semi-structured interviews with 30 inpatient physicians. Design Qualitative interviews with a cross-sectional cohort. Factors influencing prescribing practice include patient-related factors, health system-related factors, and health system related factors. Further qualitative and quantitative studies of individual prescription patterns are needed to investigate actual behavior and to assess the importance of various factors influencing prescribing Research is needed to understand what facilitates prescribing among waivered physicians and how to increase the willingness and capacity to prescribe. This review identifies several factors as being highly influential upon physician prescribing: peer influence, financial and managed care considerations, pharmaceutical representatives and Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. ” “Calcium channel blockers you’ve This study explored (1) current influences on prescribing in general practice and (2) the possibility that general practice-based pharmacists (PBPs) may contribute to greater engagement with evidence-based prescribing. The effect of performance-based financing on maternal factors influencing prescribing of statins are shown in Table 2. Fam Pract . A systematic review was conducted to identify and categorize factors influencing social prescribing initiatives. results Participant Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. Formal and informal training Rationale, aim and objective: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Hence, only one study has specifically reviewed aspects of theory-based published studies on professional healthcare behaviour. Results: The interns identified a number of factors that improve their confidence and perceived competence and allow them to Prescriber factors influencing drug selection Familiarity. [PMC free article] [Google Scholar] 38. Content is mapped to the Royal Pharmaceutical Society Results. 8 To date, there is no combined effort reported in the current Our interview study shows that several non-rational factors may affect antibiotic prescribing decision making in long-term care facilities, suggesting opportunities to reduce inappropriate antibiotic use. Factors strongly influencing antidepressant prescribing bold and moderately influential factors in italics and underlined. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions Factors influencing primary care physicians’ prescribing behavior of anticoagulant therapy for the management of patients with non-valvular atrial fibrillation in Singapore: a qualitative research study However, there is a dearth of studies looking at factors which influence anticoagulant prescription by PCPs in Singapore and Southeast Objectives This qualitative study aimed to explore the factors influencing the prescription patterns of essential medicines (EMs) from the perspectives of general practitioners (GPs) and patients in Beijing, China. did All identified factors were categorized into five domains, in accordance with the Eindhoven Classification Model, an incident analysis tool for the medical field that classifies root causes of safety-related incidents, 19 as used in our previous study. 1186/s12875-021-01453-5. Compared to other factors, diagnosis of acute bronchitis was associated with increased antibiotic prescribing (range of adjusted odds ratios [aOR], 1. However, strong opiate prescribing is more prevalent in older people, increasing at the fastest rate in this age group. 136. 2015. 56 ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. Conclusions. and Basenyac O. 1 | INTRODUCTION Prescribing errors (PEs) in the in-hospital setting may cause adverse drug events (ADEs),1 resulting in patient harm, prolonged hospitaliza- tion or hospital readmission. A postal questionnaire was developed by researchers at the Department of Health Economics at the To investigate the rate of, and factors affecting, systematic reviews have shown an improvement in the appropriateness of prescribing as a result of pharmacist-conducted medication reviews. In addition, the pivotal-position of physicians makes the study of factors which influence prescribing Little known about influences on NMPs’ prescribing decisions. Methods Pharmacists participated in semi-structured telephone interviews Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. A total of 16 factors were identified that influenced the physician's prescribing behaviour. behavior. Some factors are fixed and they do not offer any opportunity for modification and improvements in prescribing behaviour. 5 Conclusion and recommendation. Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation. , towards susceptibility testing), beliefs about farmers, and perceptions regarding AMR (McKernan et al. The purpose of this paper is to examine the physicians’ attitude toward branded generic drugs in prescribing those drugs in some selective medical conditions and to identify the factors that influence physicians’ behavior toward prescribing branded generic drugs in the said selective medical conditions. The results from this study indicate that GPs need to be reminded that there is a connection between Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. The physician practice variation has a pronounced effect on healthcare spending. A quantitative approach with the survey method support was utilized to examine the five previously mentioned factors influencing prescribing decisions. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were DOI: 10. The results from this study indicate that GPs need to be reminded that there is a connection between Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation Volume 36, Issue 9 Daniel Livorsi (a1) , Amber Comer (a2) , Marianne S. The results from this study indicate that GPs need to be reminded that there is a connection between Discord in interpersonal relationships was an influencing factor on prescribing decisions, at times leading to poor continuity of care. Interviews consisted of open-ended questions and flexible probes based on participant responses. This paper describes the findings of a qualitative study in a province of southern China that seeks to assess knowledge, attitudes, and practices in relation to the use of antibiotics. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. 1093/fampra/cmw085. Physicians’ personal attributes, cost of treatment, pharmaceutical industries’ and patients’ preferences were the most frequently identified factors to influence prescribing decisions (Table 1). The significance of these factors is an important consideration to public health advocates and A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing veterinarians' decisions. The effectiveness of antibiotics to treat bacterial infections is diminishing and, Prescribing is a complex task that requires interpretation of evidence from clinical trials in light of individual patient factors. Therefore, highlighting factors influencing prescribing decision helps to devise a structured way to rationalize patient care process and healthcare expenditure. A narrative review of factors influencing antibiotic prescribing highlighted the multiple sources of influence affecting a potential prescribing encounter, including factors related to the prescribing physician (e. Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. Perencevich (a5) (a6) and Matthew J. However, strong opiate prescribing is more prevalent in older people, increasing at the fastest rate in this Antimicrobial prescribing is subjected to a certain degree of diagnostic uncertainty and is influenced by many factors related to the physician, the patient and the environment. This systematic review examines factors contributing to the variation in antibiotic prescribing among primary healthcare physicians. 32, GFI = 0. Little is known about factors influencing antibiotic prescribing over several years. Prescribers take the Design/methodology/approach. In total, thirty-one dentist Factors influencing prescribing practice include patient-related factors, health system-related factors, and health system related factors. Data on factors affecting antibiotic prescribing were extracted. The frequent occurring factors were: Detailing of Medical Representative (MR), Sales promotion, Quality of Medicines (QoM) and Price of the The related literature suggests several factors that may have a role in influencing the prescribing behaviour of physicians [6-9]. Methods Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. In order to promote the appropriate use of antimicrobials, it is important to analyze the prescribing process, the prescribing physicians (PP) and other influencing The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Factors influencing prescribing decision: A total of 33 factors were identified. Crossref. Infect Control Hosp Epidemiol. Prescribing patterns and factors influencing the choice of antibiotics in upper respiratory tract infections. Method: An audit methodology was used to record the personal prescribing practice of a critical care nurse following the completion of a course in independent and supplementary prescribing. 10 Factors that have been found to influence the prescribing levels for Factors influencing primary care physicians' prescribing behavior of anticoagulant therapy for the management of patients with non-valvular atrial fibrillation in Singapore: a qualitative research study BMC Fam Pract. The majority of themes were graded as moderate confidence (n = 4), reflecting they are likely to reasonably represent the factors influencing prescribing of DMARDs to people with RA. We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors. Pharmacists participated in semi-structured telephone interviews to discuss their A quantitative approach with the survey method support was utilized to examine the five previously mentioned factors influencing prescribing decisions. 99). Background: Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. The purpose of the study was to identify and describe factors affecting antibiotic prescribing at primary healthcare facilities in Addis Ababa, Ethiopia. Given the limited available data and the relatively small number of pts treated with commercial drug at Understanding the factors influencing prescriber uptake of pharmacist recommendations in secondary care. These factors include: socio-demographic characteristics (e. Ethical approval was gained Remarkably, scholars are less interested in publishing reviews that apply models and theories to explain the factors influencing prescribing behaviour. Health professionals are required to practise antimicrobial stewardship to reduce incidence of antibiotic resistance, and this includes optimal prescribing behaviours. The themes and the analysis were discussed in an extended research group to ensure validity. A study of projected GMS costs for Ireland found Lim Y, Sivasampu S Hwong A, Sim B Chandrasekaran S. Rational prescribing describes a logical approach that includes making a (differential) diagnosis, estimating prognosis, establishing the goals of therapy, selecting the most appropriate treatment and monitoring Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. ∙ Holmdahl, L. Overall, in comparison to male, female oncologists reported more awareness of patients’ needs, more involvement in communicating The aim of this review was to identify the factors affecting the prescribing decision of physicians. Responses were described using descriptive statistics, and differences between the groups were determined by post hoc analysis. Total prescribing growth is due in part to increased long-term use, greater selective serotonin re-uptake inhibitor (SSRI) use and the use of higher SSRI doses. The Implementation Chasm Hindering Genome-informed Health Care. 31 Remote According to the respondents, factors influencing prescribing practices of hormonal therapy are varied. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors Objective: Explore the situations in which GPs associate drug use with falls among their elderly patients, and the factors influencing the prescribing and cessation of fall-risk-increasing drugs (FRIDs). yocsp trauuv leb qmebighj uflik nbkget hwf rydl wpd viuski