Development and validation of an instrument designed to measure factors influencing physician prescribing decisions

Murshid, Mohsen Ali; Mohaidin, Zurina; Zayed, Mohammad

doi:10.18549/pharmpract.2019.4.1616

Cited by 13 publications

(15 citation statements)

References 59 publications

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“…Furthermore, DTCPA has an increasing influence on physician-patient relationships and PHP. PHP has been influenced by medico marketing and other variables such as pair influence, pharmacy factor, and patient demand as it has evolved by physicians over many years of experience (Murshid et al, 2019).Consequently, the study has concluded that:…”

Section: Discussionmentioning

confidence: 99%

“…The current study's research design was based on Creswell (2014) mixed method of sequential explanatory approach. The study's first phase was quantitative with primary data collected through a questionnaire adapted from Murray et al (2004), Murshid, Mohaidin and Zayed (2019). The instrument underwent some contextual changes and a thorough validation process was carried out using psychometric statistics, such as reliability and validity on a pilot data set.…”

Section: Methodsmentioning

confidence: 99%

“…Prescription items can only be sold through physician prescriptions (Siddiqi & Shah, 2017). Therefore, Physician Habit of Persistence (PHP) is at the forefront of all conventional pharmaceutical marketing strategies (Murshid, Mohaidin, & Zayed, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Doctors’ Attitude Toward Patient Demand and Direct-To-Consumer Pharmaceutical Advertisements in Pakistan

Shahzad

Abbas

Parvaiz

et al. 2022

IJMRES

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Since the COVID-19 phenomenon has emerged, e-patient attitudes have created a new normal for abnormal situations. This study sees how the patient demands will affect physician persistence habits from the perspective of physician-patient relationship, which is reinforced by increased digital health advertisements such as direct to consumer pharmaceutical advertisements. In this respect, primary data was collected from 300 doctors of Peshawar, using cluster random sampling through an adapted questionnaire and applied Creswell (2014) mixed method. SPSS-AMOs was utilized to evaluate the data from the first phase. In the second phase, Atlas.ti was applied to validate the first phase results. Patient demands backed by direct to consumer advertisements are more likely to be considered by physicians. Escalated physician patient relationship can also serve as a partial mediator between patient demand and physician persistence habits. Moreover, DTCPA has a direct effect on physician persistence habits and moderates the mediation of physician-patient relationship between patient demand and physician persistence habits. Consequently, majority of physicians advocate the use of DTCPA to raise patient awareness and allow them to express unspoken concerns to physicians. However, self-medication and unnecessary patient interventions may increase healthcare risks. The study contributes to the substantial body of knowledge about DTCPA's impact on Pakistani physicians and physician–patient relationship by modifying the behavioral theories.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Doctors’ Attitude Toward Patient Demand and Direct-To-Consumer Pharmaceutical Advertisements in Pakistan

Shahzad

Abbas

Parvaiz

et al. 2022

IJMRES

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“…Regarding the marketing efforts of pharmaceutical companies, most of the physicians emphasize availability of information about a drug, followed by the brand of the drug and effectiveness of the medical promotion officers of pharmaceutical companies. [28] In prescribing medications, the physicians also take into consideration factors such as patients' requests and expectations. Meanwhile, pharmacist-related factors, such as the relationship with pharmacists and their trustworthiness, also play an influential role in physicians' prescription of medications.…”

Section: Discussionmentioning

confidence: 99%

“…But prescribing behavior is not merely associated with the clinical condition; rather it is a complex process involving several factors that influence prescribing decisions. [26,27] For example, Murshid et al [28] identified 13 factors that influence physicians' prescribing behavior. They divided the factors into four categories: marketing efforts (information on a drug, brand of a drug, sales promotion, the effectiveness of medical representatives); patient characteristics (patients' request, patients' expectation); pharmacist-related factors (pharmacistphysician collaboration, pharmacists exerting power, trustworthiness); and contextual factors (drug characteristics, cost-benefit of drug, physician habit persistence).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Physicians' Clinical Decision-making at Upazila Health Complexes in Bangladesh

Islam

Awal

2020

Global Journal on Quality and Safety in Healthcare

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Introduction Selecting the most appropriate treatment for each patient is the key activity in patient-physician encounters and providing healthcare services. Achieving desirable clinical goals mostly depends on making the right decision at the right time in any healthcare setting. But little is known about physicians' clinical decision-making in the primary care setting in Bangladesh. Therefore, this study explored the factors that influence decisions about prescribing medications, ordering pathologic tests, counseling patients, average length of patient visits in a consultation session, and referral of patients to other physicians or hospitals by physicians at Upazila Health Complexes (UHCs) in the country. It also explored the structure of physicians' social networks and their association with the decision-making process. Methods This was a cross-sectional descriptive study that used primary data collected from 85 physicians. The respondents, who work at UHCs in the Rajshahi Division, were selected purposively. The collected data were analyzed with descriptive statistics including frequency, percentage, one-way analysis of variance, and linear regression to understand relationships among the variables. Results The results of the study reveal that multiple factors influence physicians' decisions about prescribing medications, ordering pathologic tests, length of visits, counseling patients, and referring patients to other physicians or hospitals at the UHCs. Most physicians prescribe drugs to their patients, keeping in mind their purchasing capacity. Risk of violence by patients' relatives and better management are the two key factors that influence physicians' referral decisions. The physicians' professional and personal social networks also play an influential role in the decision-making process. It was found that physicians dedicate on average 16.17 minutes to a patient in a consultation session. The length of visits is influenced by various factors including the distance between the physicians' residence and their workplace, their level of education, and the number of colleagues with whom they have regular contact and from whom they can seek help. Conclusion The results of the study have yielded some novel insights about the complexity of physicians' everyday tasks at the UHCs in Bangladesh. The results would be of interest to public health researchers and policy makers.

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Medical staff perspective on factors influencing their prescribing decisions: a cross-sectional study in Mekong Delta, Vietnam

Tran

Cao

et al. 2021

Journal of Pharmaceutical Health Services Research

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Objectives Understanding medical staff’s prescription behaviors helps improve the quality of prescriptions and the rationality of medication use. Although factors affecting the prescribing decisions were discussed in various studies worldwide, limited knowledge of these issues has been reported in Vietnam. This paper aims to examine factors that influence prescribing behavior concerning medical staff’s demographics and characteristic differences. Methods Quantitative descriptive cross-sectional study, using adapted questionnaire consisting of 27 factors divided into 9 factor categories, was conducted with medical staff in Mekong Delta during June–July, 2019. Rasch analysis was performed to assess the questionnaire psychometric properties. Descriptive analysis, parametric tests and non-parametric tests were utilized to address the study objectives. Key findings A total of 201 participants completed the questionnaire. A majority of participants (>90%) agreed that their own decision to prescribe a drug was influenced by several factors such as drug safety and efficacy (92.5%), patient history (92.0%), patient income (92.0%) and patient disease status (91.0%). There were significant age differences in influences on prescribing decision. Medical staff aged under 30 appreciated the role of pharmacists higher than whose aged 31–40 (P-value = 0.010) and over 40 (P-value = 0.013). Additionally, they were more concerned with ‘patient characteristics’ including patient request, expectations, and disease status when making prescribing decisions compared with whose aged over 40 (P-value = 0.005). Conclusions The study revealed various factors influencing medical staff prescription decision-making processes. These findings could be useful for pharmaceutical companies in Vietnam in developing marketing strategies, and for policy-makers in timely improvement of prescription quality.

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Development and validation of an instrument designed to measure factors influencing physician prescribing decisions

Cited by 13 publications

References 59 publications

Doctors’ Attitude Toward Patient Demand and Direct-To-Consumer Pharmaceutical Advertisements in Pakistan

Doctors’ Attitude Toward Patient Demand and Direct-To-Consumer Pharmaceutical Advertisements in Pakistan

Factors Influencing Physicians' Clinical Decision-making at Upazila Health Complexes in Bangladesh

Medical staff perspective on factors influencing their prescribing decisions: a cross-sectional study in Mekong Delta, Vietnam

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