Generic medicines: Greek physicians’ perceptions and prescribing practices

Tsiantou, V.; Zavras, Dimitris; Kousoulakou, H.; Geitona, Mary; Kyriopoulos, John

doi:10.1111/j.1365-2710.2009.01037.x

Cited by 63 publications

(88 citation statements)

References 20 publications

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“…Similarly, in studies conducted in Australia [23] and New Zealand [28], physicians expressed their dissatisfaction with the rights given to community pharmacists to substitute prescribed medicines with generic ones. Other studies pointed out that physicians opposed generic substitution because of their concern about pharmacists' ability to substitute safe and therapeutically equivalent interchangeable medicines, and some other studies highlighted physicians' concerns about them losing control over the treatment process and the reduction in patient adherence [29][30][31][32][33]. This negative perception may have been intensified by non-adequate consultation by pharmacists [34][35][36].…”

Section: Discussionmentioning

confidence: 97%

Physicians’ perceptions of generic medicine in Iran

Yousefi

Mehralian

Peiravian

et al. 2015

Drugs Ther Perspect

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Objective The aim of this cross-sectional descriptive study was to evaluate Iranian physicians' perception of generic medicines and evaluate its relationship with their demographic characteristics, as well as some other underlying factors. Methods A self-administered questionnaire was used to evaluate the perceptions of physicians in Iran with regard to generic medicines. The questionnaire included three general questions covering physicians' beliefs and attitudes toward generic substitution, and 18 questions relating to physicians' perceptions about generic medicines with regard to their efficacy, safety, cost containment, patient acceptance, marketing, and the role of government. Respondents' demographic characteristics and other background data were also collected. Results The analysis of 410 completed questionnaires indicated that [70 % of Iranian physicians prefer to prescribe generic medicines if they are assured that the generic products are equivalent to the brand name drugs. However, they do not believe that the safety and efficacy of generic and brand medicines are equivalent, especially when the medicine is produced domestically. Moreover, physicians mostly disagreed with the right of pharmacists to substitute generic medicines. According to the six dimensions of the administered questionnaire, the most important factor affecting the prescribing of generics is the government's efforts in sharing evidence and training the public, followed by cost containment size, beliefs in the efficacy and safety of generic medicines, patient acceptance and marketing activities. Conclusion In Iran, physicians, the main decision makers regarding drug selection, do not have positive perceptions relating to the efficacy and safety of generic medicines, especially with regard to domestically produced generics. Therefore, the government appears to have a very critical role in informing the public and health professionals on the safety and efficacy of generic medicines.

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Section: Discussionmentioning

confidence: 97%

Physicians’ perceptions of generic medicine in Iran

Yousefi

Mehralian

Peiravian

et al. 2015

Drugs Ther Perspect

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“…The majority of specialists were positive about generics substitution but cynical about their quality in terms of effi cacy and safety for some drug categories [23,24]. Few of the physicians acknowledged that all available products on the market are approved and registered with NPCB.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of physicians from private medical centers in Malaysia about generic medicine usage: a qualitative study

Kumar¹,

Kaur²,

Kader³

2014

GaBI J

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“…3 The process of adoption of generic drugs into medical practice is multifaceted; pivotal role played by the practitioners. Although there is increasing local and international encouragement for practitioners to prescribe generic products, some practitioners are not in favour of prescribing generic drugs.…”

Section: Introductionmentioning

confidence: 99%

Awareness about generic drug prescription amongst practitioners: a knowledge attitude practice survey at rural set up

Patil

Jaykare

Motghare

et al. 2016

Int J Basic Clin Pharmacol

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Background: to evaluate the knowledge, attitude and practices regarding generic drugs prescription and the factors influencing it amongst practitioners at a rural set up. Methods: All the practitioners in the town, at both government and private settings were interviewed individually and the data was collected with the help of a self-administered, pre-validated and semi-structured questionnaire. Data were analysed to describe all variables and test any significant difference between the practitioners at government and private set-up. Results: The study included 97 practitioners from different affiliations with a response rate of 87.63%. Our survey showed that most of the practitioners (74.36%) were in favour of generic drugs substitution owing to their knowledge about generics. Majority of the practitioners (69.10%) were aware that both the brand and generic drugs are bioequivalent and that there exits significant price difference between them, yet, concerns regarding the manufacturing standards of the latter, prevented them from practicing generic substitution. Practitioners did not report a significant pressure from patients to prescribe either brand or generic drugs. Most practitioners (76.92%) had a positive attitude towards the government"s role in assuring the quality of generic drugs by improving manufacturing standards of these drugs. Conclusions: Although the practitioners were strongly in favour of generic substitution, concern regarding their quality standards is discouraging them from doing the same. The government can play a major role by improving the standard operating procedures for manufacturing the generic drugs thereby assuring the practitioners about their quality.

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Generic medicines: Greek physicians’ perceptions and prescribing practices

Cited by 63 publications

References 20 publications

Physicians’ perceptions of generic medicine in Iran

Physicians’ perceptions of generic medicine in Iran

Perceptions of physicians from private medical centers in Malaysia about generic medicine usage: a qualitative study

Awareness about generic drug prescription amongst practitioners: a knowledge attitude practice survey at rural set up

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