A survey on the factors influencing the pattern of medicine′s use: Concerns on irrational use of drugs

Soleymani, Fatemeh; Ahmadizar, Fariba; Meysamie, Alipasha; Abdollahi, Mohammad

doi:10.4103/2279-042x.117385

Cited by 13 publications

(11 citation statements)

References 18 publications

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“…A total of 7 studies investigated effective factors on irrational prescription of medicine (27,30,(35)(36)(37)(38)41). Akkerman et al in a study, assessed determining factors of over-prescribing of antibiotics using the Dutch national guidelines as a benchmark.…”

Section: Resultsmentioning

confidence: 99%

“…Soleymani et al in a cross-sectional study, used a pre-designed questionnaire in a convenient sampling of pharmacists to analyze the pharmacists' viewpoints about the main factors of rational use of medicine and reported that the most important determinant was the lack of public knowledge and awareness about the appropriate use of medicines (38).…”

Section: Resultsmentioning

confidence: 99%

“…medical awareness of patients (35,41), improve pharmaceutical knowledge (38), and change the patient's attitude based on an understanding of his beliefs (17). Ahmed, in 2009, suggested that there is a need to health education interventions to reduce the knowledge gap between the doctors and patient, and empower the patients to make choices and decisions about their treatment (16).…”

Section: Discussionmentioning

confidence: 99%

“…Thus, we recommend to consider multi-faceted strategies to change payment system from fee-for-service method to capitation (15,25), prescribe base on clinical guidelines (29,32,35,36,42), develop a policy to establish a certain number of patient visits per week (31), control and establish stricter rules, regulations and policies for prescription (16,35,36,38,41), evaluate the legitimacy of a follow-up visit (32), remove perverse economics incentives (17,36), improve surveillance (17,38), prescribe based on essential drug lists (35,36), and finance medicine policies (38).…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Mohamadloo

Ramezankhani

Zarein-Dolab

et al. 2017

Iran J Psychiatry Behav Sci

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Context: One of the serious global problems is the irrational prescribing of medicines that can be regarded as harmful or wasteful. Inappropriate use and overuse of medicines, waste resources and therefore lead to health and economic consequences in patients. The goal of this systematic review was to identify factors associated with irrational prescriptions of medicine.Evidence Acquisition: We searched the Cochrane database of systematic reviews (via Cochrane library), PubMed, Medline, Scopus, Science Direct, BMC, Scholar Google, and SID from 1980 up to October of 2016. Results:Of the 594 papers, 26 papers were finally included. The combined results of the 26 papers indicated 24 factors for unnecessary prescriptions of medicine. Factors related to the patient were expectations, demand to prescribe, and poor medical knowledge. Factors related to the physician were inaccurate diagnosis, inadequate awareness and knowledge, low experience, information asymmetry, poor medical education, and the physician's attitude. Factors related to the institutional and political issues were fee-for-service, out-of-pocket payment, financial incentives, insurance reimbursements, insurance coverage, medicine subside, medicine advertisement, ineffective monitoring programs, regulation on prescription, prescription supervision, clinical guidance, and medicines near-expiry dates or expired. Conclusions:It can be concluded that the irrational/unnecessary prescription of medicine was influenced by many different factors, such as patient, physician, and institution. Thus to prevent irrational/unnecessary prescription, one needs to consider all the involved factors.Keywords: Drug Prescriptions, Prescriptions, Physician-Patient Relations ContextDifferent forms of irrational prescription include misuse, abuse, overuse, and polypharmacy. One of the serious global problems is irrational prescribing of medicines that can be considered as harmful and/or wasteful (1). While patients have the choice to select their doctors, doctors have the choice to decide on the kind of diagnosis and the quantity of health services patients consume. In other words, the doctor is the first gate to medicine use (2, 3). However, because of the patient's inadequate information about medicine, the physician has the possibility to influence both the kind of diagnosis and the number of health services provided, as well as possibly the number of visits (4-8). Physician-induced demand clearly implies an effort to persuade patients to overuse services (4, 9-12). According to WHO reports, more than 50% of all medicines are inappropriately prescribed or sold, and nearly half of the patients do not take them appropriately (13). The report shows that patients are treated better in public sectors than private ones based on standard clinical guidelines (1). Ramezankhani et al. in a study on assessing the medicine prescriptions of health care centers, found out that prescription of medicine in the private sector was more than that of the public sector due to better monit...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of Main Factors leading to Irrational Prescription of Medicine

Mohamadloo

Ramezankhani

Zarein-Dolab

et al. 2017

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

show abstract

“…In our previous qualitative study, the strategies for the prevention of induced demand for medicine prescription were classified into two categories of health educational programs and stewardship in the healthcare system [9]. Several studies have also confirmed that increased levels of information in patients [12,[14][15][16][17], informing patients and their families on disease diagnosis and treatment [10], prioritization of health educational programs regarding the irrational use of medicines [18], and policymaking and setting regulations for the prevention of SID in healthcare providers are essential to the control of induced demand for medicine prescription [10,19]. In the aforementioned studies, no data have been proposed regarding the rate of the consequences of this issue its causes.…”

Section: Introductionmentioning

confidence: 99%