Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan

A questionnaire based study

Shazia Qasim Jamshed, Mohamed Izham Mohamed Ibrahim, Mohamed Azmi Ahmad Hassali, Imran Masood, Bee Yean Low, Asrul Akmal Shafie, Zaheer ud din Babar

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objectives: In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. Methods: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan. The questionnaires were distributed and collected by hand. Data was entered to SPSS version 17. Fischer's exact test was applied to see the association between variables. Results: A total of 206 questionnaires were included in the study. A response rate of 71.3% was achieved. Out of 206 respondents, 139 (67.5%) were male while 67 (32.5%) respondents were female. Close to three quaters of the respondents (n= 148; 71.8%) showed correct knowledge about generic medicines being a 'copy of the brand name medicines' and 'interchangeable with brand name medicines' (n= 148; 71.8%). In terms of safety, the majority of respondents (n=85; 41.26%) incorrectly understood that the generic medicines are less safe than brand name medicines. The total percentage of correct responses was seen in 53% of the respondents. More than half of the respondents agreed that locally manufactured medicines are of the same effectiveness as brand name medicines (n=114; 55.4%). Male practitioners with practice experience of 11-15 years showed positive perception towards the quality of multinational products. The Majority of respondents believed that their prescribing decision is influenced by medical representatives (n=117; 56.8%). More than three-quarters of the respondents expressed their wish to prescribe low cost medicines in their practice (n=157; 76.2%). More than one third of the respondents expressed their uneasiness to prescribe products from all local manufacturers (n=72; 35%). Conclusion: There were gaps identified in the knowledge of respondents. Although good perception and attitude were noted among the respondents, dissemination of information regarding generic medicines may perhaps strengthen generic prescribing. There is a need to introduce 'Quality by Design' concept in local manufacturing units. This, in turn, can inculcate confidence in prescribers towards locally manufactured generic medicines.

Original languageEnglish
Pages (from-to)22-30
Number of pages9
JournalSouthern Med Review
Volume5
Issue number1
Early online date23 Jul 2012
Publication statusPublished - 1 Aug 2012
Externally publishedYes

Fingerprint

Pakistan
General Practitioners
Names
Health Expenditures
Surveys and Questionnaires
Medicine
Information Dissemination
Developing Countries
Hand

Cite this

Jamshed, S. Q., Ibrahim, M. I. M., Hassali, M. A. A., Masood, I., Low, B. Y., Shafie, A. A., & Babar, Z. U. D. (2012). Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan: A questionnaire based study. Southern Med Review, 5(1), 22-30.
Jamshed, Shazia Qasim ; Ibrahim, Mohamed Izham Mohamed ; Hassali, Mohamed Azmi Ahmad ; Masood, Imran ; Low, Bee Yean ; Shafie, Asrul Akmal ; Babar, Zaheer ud din. / Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan : A questionnaire based study. In: Southern Med Review. 2012 ; Vol. 5, No. 1. pp. 22-30.
@article{d533f48cd83d4b408dc1e1a39752ae25,
title = "Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan: A questionnaire based study",
abstract = "Objectives: In developing countries out-of-pocket payments (OOP) are as high as 80{\%} of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. Methods: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan. The questionnaires were distributed and collected by hand. Data was entered to SPSS version 17. Fischer's exact test was applied to see the association between variables. Results: A total of 206 questionnaires were included in the study. A response rate of 71.3{\%} was achieved. Out of 206 respondents, 139 (67.5{\%}) were male while 67 (32.5{\%}) respondents were female. Close to three quaters of the respondents (n= 148; 71.8{\%}) showed correct knowledge about generic medicines being a 'copy of the brand name medicines' and 'interchangeable with brand name medicines' (n= 148; 71.8{\%}). In terms of safety, the majority of respondents (n=85; 41.26{\%}) incorrectly understood that the generic medicines are less safe than brand name medicines. The total percentage of correct responses was seen in 53{\%} of the respondents. More than half of the respondents agreed that locally manufactured medicines are of the same effectiveness as brand name medicines (n=114; 55.4{\%}). Male practitioners with practice experience of 11-15 years showed positive perception towards the quality of multinational products. The Majority of respondents believed that their prescribing decision is influenced by medical representatives (n=117; 56.8{\%}). More than three-quarters of the respondents expressed their wish to prescribe low cost medicines in their practice (n=157; 76.2{\%}). More than one third of the respondents expressed their uneasiness to prescribe products from all local manufacturers (n=72; 35{\%}). Conclusion: There were gaps identified in the knowledge of respondents. Although good perception and attitude were noted among the respondents, dissemination of information regarding generic medicines may perhaps strengthen generic prescribing. There is a need to introduce 'Quality by Design' concept in local manufacturing units. This, in turn, can inculcate confidence in prescribers towards locally manufactured generic medicines.",
keywords = "Attitude, Dispensing doctor, General practitioner, Generic medicines, Karachi, Pakistan, Perception",
author = "Jamshed, {Shazia Qasim} and Ibrahim, {Mohamed Izham Mohamed} and Hassali, {Mohamed Azmi Ahmad} and Imran Masood and Low, {Bee Yean} and Shafie, {Asrul Akmal} and Babar, {Zaheer ud din}",
year = "2012",
month = "8",
day = "1",
language = "English",
volume = "5",
pages = "22--30",
journal = "Journal of Pharmaceutical Policy and Practice",
issn = "2052-3211",
publisher = "BioMed Central",
number = "1",

}

Jamshed, SQ, Ibrahim, MIM, Hassali, MAA, Masood, I, Low, BY, Shafie, AA & Babar, ZUD 2012, 'Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan: A questionnaire based study', Southern Med Review, vol. 5, no. 1, pp. 22-30.

Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan : A questionnaire based study. / Jamshed, Shazia Qasim; Ibrahim, Mohamed Izham Mohamed; Hassali, Mohamed Azmi Ahmad; Masood, Imran; Low, Bee Yean; Shafie, Asrul Akmal; Babar, Zaheer ud din.

In: Southern Med Review, Vol. 5, No. 1, 01.08.2012, p. 22-30.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan

T2 - A questionnaire based study

AU - Jamshed, Shazia Qasim

AU - Ibrahim, Mohamed Izham Mohamed

AU - Hassali, Mohamed Azmi Ahmad

AU - Masood, Imran

AU - Low, Bee Yean

AU - Shafie, Asrul Akmal

AU - Babar, Zaheer ud din

PY - 2012/8/1

Y1 - 2012/8/1

N2 - Objectives: In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. Methods: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan. The questionnaires were distributed and collected by hand. Data was entered to SPSS version 17. Fischer's exact test was applied to see the association between variables. Results: A total of 206 questionnaires were included in the study. A response rate of 71.3% was achieved. Out of 206 respondents, 139 (67.5%) were male while 67 (32.5%) respondents were female. Close to three quaters of the respondents (n= 148; 71.8%) showed correct knowledge about generic medicines being a 'copy of the brand name medicines' and 'interchangeable with brand name medicines' (n= 148; 71.8%). In terms of safety, the majority of respondents (n=85; 41.26%) incorrectly understood that the generic medicines are less safe than brand name medicines. The total percentage of correct responses was seen in 53% of the respondents. More than half of the respondents agreed that locally manufactured medicines are of the same effectiveness as brand name medicines (n=114; 55.4%). Male practitioners with practice experience of 11-15 years showed positive perception towards the quality of multinational products. The Majority of respondents believed that their prescribing decision is influenced by medical representatives (n=117; 56.8%). More than three-quarters of the respondents expressed their wish to prescribe low cost medicines in their practice (n=157; 76.2%). More than one third of the respondents expressed their uneasiness to prescribe products from all local manufacturers (n=72; 35%). Conclusion: There were gaps identified in the knowledge of respondents. Although good perception and attitude were noted among the respondents, dissemination of information regarding generic medicines may perhaps strengthen generic prescribing. There is a need to introduce 'Quality by Design' concept in local manufacturing units. This, in turn, can inculcate confidence in prescribers towards locally manufactured generic medicines.

AB - Objectives: In developing countries out-of-pocket payments (OOP) are as high as 80% of healthcare spending. Generic medicines can be instrumental in reducing this expenditure. The current study is aimed to explore the knowledge, perception, and attitude of general practitioners towards generic medicines in Karachi, Pakistan. Methods: This exploratory, descriptive study was conducted on a sample of 289 randomly selected general practitioners who were dispensing at their private clinics in Karachi, Pakistan. The questionnaires were distributed and collected by hand. Data was entered to SPSS version 17. Fischer's exact test was applied to see the association between variables. Results: A total of 206 questionnaires were included in the study. A response rate of 71.3% was achieved. Out of 206 respondents, 139 (67.5%) were male while 67 (32.5%) respondents were female. Close to three quaters of the respondents (n= 148; 71.8%) showed correct knowledge about generic medicines being a 'copy of the brand name medicines' and 'interchangeable with brand name medicines' (n= 148; 71.8%). In terms of safety, the majority of respondents (n=85; 41.26%) incorrectly understood that the generic medicines are less safe than brand name medicines. The total percentage of correct responses was seen in 53% of the respondents. More than half of the respondents agreed that locally manufactured medicines are of the same effectiveness as brand name medicines (n=114; 55.4%). Male practitioners with practice experience of 11-15 years showed positive perception towards the quality of multinational products. The Majority of respondents believed that their prescribing decision is influenced by medical representatives (n=117; 56.8%). More than three-quarters of the respondents expressed their wish to prescribe low cost medicines in their practice (n=157; 76.2%). More than one third of the respondents expressed their uneasiness to prescribe products from all local manufacturers (n=72; 35%). Conclusion: There were gaps identified in the knowledge of respondents. Although good perception and attitude were noted among the respondents, dissemination of information regarding generic medicines may perhaps strengthen generic prescribing. There is a need to introduce 'Quality by Design' concept in local manufacturing units. This, in turn, can inculcate confidence in prescribers towards locally manufactured generic medicines.

KW - Attitude

KW - Dispensing doctor

KW - General practitioner

KW - Generic medicines

KW - Karachi

KW - Pakistan

KW - Perception

UR - http://www.scopus.com/inward/record.url?scp=84864370569&partnerID=8YFLogxK

UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3471188/

M3 - Article

VL - 5

SP - 22

EP - 30

JO - Journal of Pharmaceutical Policy and Practice

JF - Journal of Pharmaceutical Policy and Practice

SN - 2052-3211

IS - 1

ER -

Jamshed SQ, Ibrahim MIM, Hassali MAA, Masood I, Low BY, Shafie AA et al. Perception and attitude of general practitioners regarding generic medicines in Karachi, Pakistan: A questionnaire based study. Southern Med Review. 2012 Aug 1;5(1):22-30.