Rodríguez-Calvillo, Javier A., Lana, Alberto, Cueto, Antonio, Markham, Wolfgang A. and López, M. L. (Maria Luisa). (2011) Psychosocial factors associated with the prescription of generic drugs. Health Policy, Vol.101 (No.2). pp. 178-184. ISSN 0168-8510

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Abstract

Objective: To evaluate factors associated with "Generic drug prescription" (GDP) behaviour in Spain using the ASE (Attitude, Social Influence, Self-Efficacy) Model. Methods: General Practitioners were sent a validated and anonymous questionnaire measuring the ASE and Motivation variables for GDP and their generic drug prescription percentage. Most (n = 486: 61.98%) responded to this cross-sectional survey. The mean scores and the 95% confidence intervals (95% Cl) were calculated. A binary logistic regression was used to identify the variables that best predict GDP behaviour. Results: The main advantages and motivations for GDP were "saving money" and "protecting professional ethics". The greatest social influences were "doctors personal preferences" and "authorities' pressure". GDP accounted for a scarce 15% of the total prescription. ASE and Motivation items were the best predictors: they explain 25% of being a 'high prescriber'. The highest prescribers were paediatricians (OR = 5.07), workers in rural settings (OR = 3.68) and professionals with high Motivation (OR = 1.17) and Attitude (OR = 1.11) scores. Conclusions: GDP percentage is very low compared with other countries. Interventions to modify the Attitudes of Primary Care doctors towards generic drugs should be implemented. Better informed patients, longer doctor appointment times and more varied dosage forms of generic drugs would also facilitate improvements in GDP

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Item Type:	Journal Article
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HM Sociology R Medicine > RM Therapeutics. Pharmacology
Divisions:	Faculty of Social Sciences > School of Health and Social Studies
Library of Congress Subject Headings (LCSH):	Drugs -- Prescribing -- Psychological aspects, Drugs -- Prescribing -- Social aspects, Physicians (General practice) -- Attitudes, Generic drugs
Journal or Publication Title:	Health Policy
Publisher:	Elsevier Ireland Ltd.
ISSN:	0168-8510
Date:	July 2011
Volume:	Vol.101
Number:	No.2
Page Range:	pp. 178-184
Identification Number:	10.1016/j.healthpol.2010.10.015
Status:	Peer Reviewed
Publication Status:	Published
Funder:	Asturias (Spain)
Grant number:	CN-04-269C (Asturias)
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URI:	http://wrap.warwick.ac.uk/id/eprint/38802

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