Eliciting general practitioners' salient beliefs towards prescribing: A qualitative study based on the Theory of Planned Behaviour in Greece

Tsiantou, V.; Shea, Sue; Martínez, L.; Agius, Dominic; Başak, Okay; Faresjö, Tomas; Moschandreas, Joanna; Samoutis, George; Symvoulakis, Emmanouil K.; Lionis, Christos

doi:10.1111/jcpt.12037

Cited by 24 publications

(31 citation statements)

References 20 publications

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“…This study reports findings from OTC‐SOCIOMED, a European project funded by the European Commission through the Seventh Framework Programme (FP7), and focusing on “Assessing The Over‐The‐Counter Medications In Primary Care And Translating The Theory Of Planned Behaviour Into Interventions (OTC‐SOCIOMED)” (EU FP7 n°223654‐06/05/08).” The primary objective of OTC‐SOCIOMED was to assess the extent of irrational prescribing and inappropriate consumption of OTC medicines in selected European countries, and to identify factors that influence the intention of GPs, pharmacists and patients in primary care settings towards the consumption/dispensing of OTC medicines. Previously reported results from this project indicate that patients who approve of prescribing can affect a GP's attitude towards prescribing and that irrational prescribing exists in all countries to a differing extent . The present study reports on the primary care patients’ behaviour towards consumption of prescribed and non‐prescribed medicines.…”

Section: What Is Known and Objectivementioning

confidence: 81%

Patients’ intention to consume prescribed and non-prescribed medicines: A study based on the theory of planned behaviour in selected European countries

et al. 2017

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SummaryWhat is known and objective: Polypharmacy has a significant impact on patients' health with overall expenditure on over-the-counter (OTC) medicines representing a substantial burden in terms of cost of treatment. The aim of this study, which was conducted within the framework of a European Project funded by the European Union under the Seventh Framework Programme and was entitled OTC-SOCIOMED, was to report on possible determinants of patient behaviour regarding the consumption of medicines, and particularly OTCs, in the context of primary care.Methods: A multicentre, cross-sectional study was designed and implemented in welldefined primary healthcare settings in Cyprus, the Czech Republic, France, Greece, Malta and Turkey. Patients completed a questionnaire constructed on the basis of the theory of planned behaviour (TPB), which was administered via face-to-face interviews.

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Section: What Is Known and Objectivementioning

confidence: 81%

Patients’ intention to consume prescribed and non-prescribed medicines: A study based on the theory of planned behaviour in selected European countries

et al. 2017

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“…The questionnaire was distributed to all participating GPs in both intervention and control groups [48]. It was initially developed and tested in the Greek language and was then translated into six European languages [16]. All the questionnaires utilised in this pilot study have been culturally tested prior to their implementation in the participating settings.…”

Section: Methodsmentioning

confidence: 99%

“…The more the person believes that people with whom he or she is motivated to comply think that he or she should perform the behaviour, the more likely it is that the person will feel social pressure to perform this behaviour [15]. The TPB has been known to be a useful method to identify factors relevant to prescribing patterns of GPs within this same European research project [16]. …”

Section: Introductionmentioning

confidence: 99%

Irrational prescribing of over-the-counter (OTC) medicines in general practice: testing the feasibility of an educational intervention among physicians in five European countries

et al. 2014

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BackgroundIrrational prescribing of over-the-counter (OTC) medicines in general practice is common in Southern Europe. Recent findings from a research project funded by the European Commission (FP7), the “OTC SOCIOMED”, conducted in seven European countries, indicate that physicians in countries in the Mediterranean Europe region prescribe medicines to a higher degree in comparison to physicians in other participating European countries. In light of these findings, a feasibility study has been designed to explore the acceptance of a pilot educational intervention targeting physicians in general practice in various settings in the Mediterranean Europe region.MethodsThis feasibility study utilized an educational intervention was designed using the Theory of Planned Behaviour (TPB). It took place in geographically-defined primary care areas in Cyprus, France, Greece, Malta, and Turkey. General Practitioners (GPs) were recruited in each country and randomly assigned into two study groups in each of the participating countries. The intervention included a one-day intensive training programme, a poster presentation, and regular visits of trained professionals to the workplaces of participants. Reminder messages and email messages were, also, sent to participants over a 4-week period. A pre- and post-test evaluation study design with quantitative and qualitative data was employed. The primary outcome of this feasibility pilot intervention was to reduce GPs’ intention to provide medicines following the educational intervention, and its secondary outcomes included a reduction of prescribed medicines following the intervention, as well as an assessment of its practicality and acceptance by the participating GPs.ResultsMedian intention scores in the intervention groups were reduced, following the educational intervention, in comparison to the control group. Descriptive analysis of related questions indicated a high overall acceptance and perceived practicality of the intervention programme by GPs, with median scores above 5 on a 7-point Likert scale.ConclusionsEvidence from this intervention will estimate the parameters required to design a larger study aimed at assessing the effectiveness of such educational interventions. In addition, it could also help inform health policy makers and decision makers regarding the management of behavioural changes in the prescribing patterns of physicians in Mediterranean Europe, particularly in Southern European countries.

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“…However, currently, in Greece doctors have not been provided with incentives for prescribing generics (Lambrelli & O'Donnell, 2011), which are priced at 40% of the originator prior to losing patent protection. At the same time, incidents, such as prescribing without a definite diagnosis or doing so inappropriately, still occur (Tsiantou et al, 2013). In Greece, outpatient services are provided by public or private practitioners.…”

Section: Introductionmentioning

confidence: 99%

Greek National E-Prescribing System: Preliminary Results of a Tool for Rationalizing Pharmaceutical Use and Cost

Polyzos¹,

Kastanioti²,

Zilidis³

et al. 2016

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Background: In Greece, due to the ongoing economic crisis a number of measures aiming at rationalising expenditure implemented. A new e-prescribing system, under a unified healthcare fund was the main pillar of these reforms focus on monitoring and auditing prescribing patterns.Objective: Main objective of this study was to document the Greek experience with the new national e-prescribing system. Methods:We analyse the dispensed prescriptions over the period 2013-2014, stratified into four levels: therapeutic subgroup, patent status, physician's specialty and geographical region.Results: Data analysis offered a comprehensive insight into pharmaceutical expenditure over the timeframe and revealed discrepancies regarding composition of spending, brand-generic substitution within certain therapeutic subgroups, physicians' prescribing behaviour based on medical specialty, therapeutic subgroup as well as regional per capita measures.Conclusions: E-prescribing system is a valuable tool providing sound information to health policymakers in order to monitor and rationalize pharmaceutical expenditure, in value and volume terms.

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Eliciting general practitioners' salient beliefs towards prescribing: A qualitative study based on the Theory of Planned Behaviour in Greece

Cited by 24 publications

References 20 publications

Patients’ intention to consume prescribed and non-prescribed medicines: A study based on the theory of planned behaviour in selected European countries

Patients’ intention to consume prescribed and non-prescribed medicines: A study based on the theory of planned behaviour in selected European countries

Irrational prescribing of over-the-counter (OTC) medicines in general practice: testing the feasibility of an educational intervention among physicians in five European countries

Greek National E-Prescribing System: Preliminary Results of a Tool for Rationalizing Pharmaceutical Use and Cost

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