Cross verification of prescribing trends through loop evaluation of physicians, patients and medical store personnel

Syed Zia Husnain, Nadeem Irfan Bukhari, Khalid Hussain, Zaheer-Ud-Din Babar, Furqan Khurshid Hashmi, Zikria Saleem, Muhammad Salman, Louise Curley

Research output: Contribution to journalArticle

Abstract

Background
Prescription connects physician, patient and community pharmacy personnel who can help in understanding prescribing pattern. The present study was aimed to get an insight of viewpoints of all members involved in progression of events from prescription to drug purchase, i.e., physician, patient and medical-store personals regarding the prescription pattern in Pakistan.

Methods
Therefore, a cross-sectional study was conducted in four provinces and capital territory (Islamabad) of Pakistan to evaluate the perception of physicians, patients and medical stores/pharmacy personnel of the prescribing trends in Pakistan.

Results
Response rate was higher from Punjab and lower in Sindh. Responses of 981 walk-in patients with 393 physicians and 618 medical stores/pharmacies were received and statistically evaluated. The majority of physicians, patients and pharmacists/medical store personnel considered the medicines of multinational manufacturers as more effective. Physicians considered their prescribing cost-effective. However, majority of patients as well as pharmacists/medical store personnel strongly disagreed or disagreed with this notion that physicians prescribe cheap medicines. Furthermore, physicians and patients reported that medicines of local companies were not as effective as the medicines of multinational manufacturers, which were contrary to what pharmacists thought. Majority of physicians disagreed that their prescribing was under the influence of medical stores in their vicinity. The response of most of the patients (40.5%) was in line with that of physicians whereas 32% pharmacist/medical store personnel agreed. Nearly half of the physicians strongly agreed or agreed that patients demand medicines of multinational companies. Contrarily, a majority of patients and medical store personnel denied that patients demand for the medicines of multinational manufacturers.

Conclusion
The study highlighted that there was a need to develop policy guidelines at the level of Federal Government and Drug Regulatory Authority of Pakistan in connection with prescribing practices to reduce the variation in perception of key stakholders involved in drug use process.
LanguageEnglish
Article number328
Pages1-10
Number of pages10
JournalBMC Health Services Research
Volume19
Issue number1
DOIs
Publication statusPublished - 22 May 2019

Fingerprint

Physicians
Pakistan
Pharmacists
Pharmacies
Federal Government
Prescription Drugs
Pharmaceutical Preparations
Prescriptions
Cross-Sectional Studies
Economics
Guidelines
Costs and Cost Analysis

Cite this

Husnain, Syed Zia ; Bukhari, Nadeem Irfan ; Hussain, Khalid ; Babar, Zaheer-Ud-Din ; Hashmi, Furqan Khurshid ; Saleem, Zikria ; Salman, Muhammad ; Curley, Louise. / Cross verification of prescribing trends through loop evaluation of physicians, patients and medical store personnel. In: BMC Health Services Research. 2019 ; Vol. 19, No. 1. pp. 1-10.
@article{bb2f072dd7df4e0cada539439f524805,
title = "Cross verification of prescribing trends through loop evaluation of physicians, patients and medical store personnel",
abstract = "BackgroundPrescription connects physician, patient and community pharmacy personnel who can help in understanding prescribing pattern. The present study was aimed to get an insight of viewpoints of all members involved in progression of events from prescription to drug purchase, i.e., physician, patient and medical-store personals regarding the prescription pattern in Pakistan.MethodsTherefore, a cross-sectional study was conducted in four provinces and capital territory (Islamabad) of Pakistan to evaluate the perception of physicians, patients and medical stores/pharmacy personnel of the prescribing trends in Pakistan.ResultsResponse rate was higher from Punjab and lower in Sindh. Responses of 981 walk-in patients with 393 physicians and 618 medical stores/pharmacies were received and statistically evaluated. The majority of physicians, patients and pharmacists/medical store personnel considered the medicines of multinational manufacturers as more effective. Physicians considered their prescribing cost-effective. However, majority of patients as well as pharmacists/medical store personnel strongly disagreed or disagreed with this notion that physicians prescribe cheap medicines. Furthermore, physicians and patients reported that medicines of local companies were not as effective as the medicines of multinational manufacturers, which were contrary to what pharmacists thought. Majority of physicians disagreed that their prescribing was under the influence of medical stores in their vicinity. The response of most of the patients (40.5{\%}) was in line with that of physicians whereas 32{\%} pharmacist/medical store personnel agreed. Nearly half of the physicians strongly agreed or agreed that patients demand medicines of multinational companies. Contrarily, a majority of patients and medical store personnel denied that patients demand for the medicines of multinational manufacturers.ConclusionThe study highlighted that there was a need to develop policy guidelines at the level of Federal Government and Drug Regulatory Authority of Pakistan in connection with prescribing practices to reduce the variation in perception of key stakholders involved in drug use process.",
keywords = "Prescribing trends, Prescribing guidelines, Generic prescribing, Rational prescribing practices, Multinational branded medicines",
author = "Husnain, {Syed Zia} and Bukhari, {Nadeem Irfan} and Khalid Hussain and Zaheer-Ud-Din Babar and Hashmi, {Furqan Khurshid} and Zikria Saleem and Muhammad Salman and Louise Curley",
year = "2019",
month = "5",
day = "22",
doi = "10.1186/s12913-019-4145-7",
language = "English",
volume = "19",
pages = "1--10",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",

}

Cross verification of prescribing trends through loop evaluation of physicians, patients and medical store personnel. / Husnain, Syed Zia; Bukhari, Nadeem Irfan; Hussain, Khalid; Babar, Zaheer-Ud-Din; Hashmi, Furqan Khurshid; Saleem, Zikria; Salman, Muhammad; Curley, Louise.

In: BMC Health Services Research, Vol. 19, No. 1, 328, 22.05.2019, p. 1-10.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cross verification of prescribing trends through loop evaluation of physicians, patients and medical store personnel

AU - Husnain, Syed Zia

AU - Bukhari, Nadeem Irfan

AU - Hussain, Khalid

AU - Babar, Zaheer-Ud-Din

AU - Hashmi, Furqan Khurshid

AU - Saleem, Zikria

AU - Salman, Muhammad

AU - Curley, Louise

PY - 2019/5/22

Y1 - 2019/5/22

N2 - BackgroundPrescription connects physician, patient and community pharmacy personnel who can help in understanding prescribing pattern. The present study was aimed to get an insight of viewpoints of all members involved in progression of events from prescription to drug purchase, i.e., physician, patient and medical-store personals regarding the prescription pattern in Pakistan.MethodsTherefore, a cross-sectional study was conducted in four provinces and capital territory (Islamabad) of Pakistan to evaluate the perception of physicians, patients and medical stores/pharmacy personnel of the prescribing trends in Pakistan.ResultsResponse rate was higher from Punjab and lower in Sindh. Responses of 981 walk-in patients with 393 physicians and 618 medical stores/pharmacies were received and statistically evaluated. The majority of physicians, patients and pharmacists/medical store personnel considered the medicines of multinational manufacturers as more effective. Physicians considered their prescribing cost-effective. However, majority of patients as well as pharmacists/medical store personnel strongly disagreed or disagreed with this notion that physicians prescribe cheap medicines. Furthermore, physicians and patients reported that medicines of local companies were not as effective as the medicines of multinational manufacturers, which were contrary to what pharmacists thought. Majority of physicians disagreed that their prescribing was under the influence of medical stores in their vicinity. The response of most of the patients (40.5%) was in line with that of physicians whereas 32% pharmacist/medical store personnel agreed. Nearly half of the physicians strongly agreed or agreed that patients demand medicines of multinational companies. Contrarily, a majority of patients and medical store personnel denied that patients demand for the medicines of multinational manufacturers.ConclusionThe study highlighted that there was a need to develop policy guidelines at the level of Federal Government and Drug Regulatory Authority of Pakistan in connection with prescribing practices to reduce the variation in perception of key stakholders involved in drug use process.

AB - BackgroundPrescription connects physician, patient and community pharmacy personnel who can help in understanding prescribing pattern. The present study was aimed to get an insight of viewpoints of all members involved in progression of events from prescription to drug purchase, i.e., physician, patient and medical-store personals regarding the prescription pattern in Pakistan.MethodsTherefore, a cross-sectional study was conducted in four provinces and capital territory (Islamabad) of Pakistan to evaluate the perception of physicians, patients and medical stores/pharmacy personnel of the prescribing trends in Pakistan.ResultsResponse rate was higher from Punjab and lower in Sindh. Responses of 981 walk-in patients with 393 physicians and 618 medical stores/pharmacies were received and statistically evaluated. The majority of physicians, patients and pharmacists/medical store personnel considered the medicines of multinational manufacturers as more effective. Physicians considered their prescribing cost-effective. However, majority of patients as well as pharmacists/medical store personnel strongly disagreed or disagreed with this notion that physicians prescribe cheap medicines. Furthermore, physicians and patients reported that medicines of local companies were not as effective as the medicines of multinational manufacturers, which were contrary to what pharmacists thought. Majority of physicians disagreed that their prescribing was under the influence of medical stores in their vicinity. The response of most of the patients (40.5%) was in line with that of physicians whereas 32% pharmacist/medical store personnel agreed. Nearly half of the physicians strongly agreed or agreed that patients demand medicines of multinational companies. Contrarily, a majority of patients and medical store personnel denied that patients demand for the medicines of multinational manufacturers.ConclusionThe study highlighted that there was a need to develop policy guidelines at the level of Federal Government and Drug Regulatory Authority of Pakistan in connection with prescribing practices to reduce the variation in perception of key stakholders involved in drug use process.

KW - Prescribing trends

KW - Prescribing guidelines

KW - Generic prescribing

KW - Rational prescribing practices

KW - Multinational branded medicines

UR - http://www.scopus.com/inward/record.url?scp=85066484161&partnerID=8YFLogxK

U2 - 10.1186/s12913-019-4145-7

DO - 10.1186/s12913-019-4145-7

M3 - Article

VL - 19

SP - 1

EP - 10

JO - BMC Health Services Research

T2 - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 328

ER -