Background Many people in the United Kingdom are turning to the internet to obtain prescription-only medicines (POMs). This introduces substantial concerns for patient safety, particularly owing to the risk of buying fake medicines. To help reduce the risks to patient safety, it is important to understand why people buy POMs on the web in the first place. Objective This study aimed to identify why people in the United Kingdom purchase medicines, specifically POMs, from the internet, and their perceptions of risks posed by the availability of fake medicines on the web. Methods Semistructured interviews were conducted with adults from the United Kingdom who had previously purchased medicines on the web. Purposive sampling was adopted using various methods to achieve diversity in participants’ experiences and demographics. The recruitment was continued until data saturation was reached. Thematic analysis was employed, with the theory of planned behavior acting as a framework to develop the coding of themes. Results A total of 20 participants were interviewed. Participants had bought various types of POMs or medicines with the potential to be misused or that required a higher level of medical oversight (eg, antibiotics and controlled medicines). Participants demonstrated awareness of the presence and the risks of fake medicines available on the internet. The factors that influence participants’ decision to buy medicines on the web were grouped into themes, including the advantages (avoiding long waiting times, bypassing gatekeepers, availability of medicines, lower costs, convenient process, and privacy), disadvantages (medicine safety concerns, medicine quality concerns, higher costs, web-based payment risks, lack of accountability, and engaging in an illegal behavior) of purchasing medicines on the web, social influencing factors (interactions with health care providers, other consumers’ reviews and experiences, word of mouth by friends, and influencers’ endorsement), barriers (general barriers and website-specific barriers) and facilitators (facilitators offered by the illegal sellers of medicines, facilitators offered by internet platforms, COVID-19 outbreak as a facilitating condition, and participants’ personality) of the purchase, and factors that lead people to trust the web-based sellers of medicines (website features, product appearance, and past experience). Conclusions In-depth insights into what drives people in the United Kingdom to buy medicines on the web could enable the development of effective and evidence-based public awareness campaigns that warn consumers about the risks of buying fake medicines from the internet. The findings enable researchers to design interventions to minimize the purchasing of POMs on the web. A limitation of this study is that although the interviews were in-depth and data saturation was reached, the findings may not be generalizable, as this was a qualitative study. However, the theory of planned behavior, which informed the analysis, has well-established guidelines for developing a questionnaire for a future quantitative study.

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Background More people are turning to internet pharmacies to purchase their prescription medicines. This kind of purchase is associated with serious risks, including the risk of buying fake medicines, which are widely available on the internet. This underresearched issue has been highlighted by many newspaper articles in the past few years. Newspapers can play an important role in shaping public perceptions of the risks associated with purchasing prescription medicines on the internet. Thus, it is important to understand how the news media present this issue. Objective This study aimed to explore newspaper coverage of the problem of purchasing fake prescription medicines on the internet. Methods Newspaper articles were retrieved from the ProQuest electronic database using search terms related to the topic of buying fake prescription medicines on the internet. The search was limited to articles published between April 2019 and March 2022 to retrieve relevant articles in this fast-developing field. Articles were included if they were published in English and focused on prescription medicines. Thematic analysis was employed to analyze the articles, and the Theory of Planned Behavior framework was used as a conceptual lens to develop the coding of themes. Results A total of 106 articles were included and analyzed using thematic analysis. We identified 4 superordinate themes that represent newspaper coverage of the topic of buying prescription medicines on the internet. These themes are (1) the risks of purchasing medicines on the internet (eg, health risks and product quality concerns, financial risks, lack of accountability, risk of purchasing stolen medicines), (2) benefits that entice consumers to make the purchase (eg, convenience and quick purchase, lower cost, privacy of the purchase), (3) social influencing factors of the purchase (influencers, health care providers), and (4) facilitators of the purchase (eg, medicines shortages, pandemic disease such as COVID-19, social media, search engines, accessibility, low risk perception). Conclusions This theory-based study explored the news media coverage of the problem of fake prescription medicines being purchased on the internet by highlighting the complexity of personal beliefs and the range of external circumstances that could influence people to make these purchases. Further research is needed in this area to identify the factors that lead people to buy prescription medicines on the internet. Identifying these factors could enable the development of interventions to dissuade people from purchasing medicines from unsafe sources on the internet, thus protecting consumers from unsafe or illegal medicines.

This study aims to investigate the antecedents and consequences of relationship quality in the Jordanian pharmaceutical industry. A convenience sampling technique was used to select a representative sample of physicians working in the public healthcare sector in Jordan. Particularly, 500 questionnaires were distributed and 374 questionnaires were used in the analyses. Structural Equation Modeling was used to test the research hypotheses. Results revealed that the relationship quality was affected positively by the following antecedent variables (relational selling behavior, expertise, and ethical Relationship) while similarities had no significant effect on the relationship quality. The findings also revealed that the anticipation of future interaction between the physicians and medical representatives was affected positively by relationship quality. This study is the first that adequately examined the relationship quality and the anticipation of future interaction in the Jordanian pharmaceutical sector.

BACKGROUND Many people in the UK are turning to the internet to obtain their medicines. This introduces a significant public health risk and patient safety concerns as the Internet is a potential source of fake medicines. OBJECTIVE This qualitative study aimed to identify the reasons why people in the UK purchase medicines from the internet, which in turn could lead them to buy fake medicines inadvertently. The focus was on prescription only medicines (POMs) and those medicines that have the potential to be misused or that require a higher level of medical oversight during the purchase. This study also explored UK consumers’ perception of the risks posed by fake medicines available online. METHODS Semi-structured interviews were conducted with adults based in the UK who had previously purchased medicines online. The recruitment was continued until no new themes were identified (data saturation was reached). The Theory of Planned Behaviour (TPB) was employed to interpret their views, and interview transcripts analysed using thematic analysis. The University’s research ethics committee approval was obtained. RESULTS Twenty interviews were conducted. Participants had bought various types of POMs or medicines with potential to be misused or that required a higher level of medical oversight (e.g., HRT, antibiotics, and high-risk controlled medicines). Participants demonstrated awareness of the presence of fake medicines on the internet, and they understood risks associated with them. The factors that influence consumers decision to buy medicines online were identified and grouped into themes including advantages and disadvantages of purchasing medicines in this way, the social influencing factors, the barriers and facilitators of the purchase as well as factors that lead consumers to trust the online sellers of medicines. CONCLUSIONS This study provides deep insight into the breadth of reasons that drive consumers to buy medicines online. Identifying these reasons could enable the development of effective public awareness campaigns that warn consumers about the risks of buying fake medicines from online source. The findings could also help researchers to design interventions to prevent people from buying POMs online in general, thus preventing the purchasing of fake medicines.