2003
DOI: 10.1093/fampra/20.1.61
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Influences on GPs' decision to prescribe new drugs--the importance of who says what

Abstract: Prescribing of new drugs is not simply related to biomedical evaluation and critical appraisal but, more importantly, to the mode of exposure to pharmacological information and social influences on decision making. Viewed within this broad context, prescribing variation becomes more understandable. Findings have implications for the implementation of evidence-based medicine, which requires a multifaceted approach.

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Cited by 272 publications
(280 citation statements)
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“…Some GPs do not prescribe new drugs until esteemed specialists use them [16]. In contrast to the huge impact of the drug industry's promotion, GPs often deny that this affects their prescribing [18,19] and feel they can distinguish between reliable and misleading information from the pharmaceutical companies [19]. Hence, efforts should be concentrated on informing the GPs of how the pharmaceutical industry may influence their prescribing.…”
Section: Discussionmentioning
confidence: 99%
“…Some GPs do not prescribe new drugs until esteemed specialists use them [16]. In contrast to the huge impact of the drug industry's promotion, GPs often deny that this affects their prescribing [18,19] and feel they can distinguish between reliable and misleading information from the pharmaceutical companies [19]. Hence, efforts should be concentrated on informing the GPs of how the pharmaceutical industry may influence their prescribing.…”
Section: Discussionmentioning
confidence: 99%
“…It is also likely that the setting in which physicians work as well as inspiration from colleagues influence the GP's decision to prescribe a new drug [10,11,17,27]. In addition, specialists' prescribing patterns are likely to influence GPs' adoption of new drugs [22,24,28]. Finally, threats of formal complaints by patients or their relatives may also influence the outcome of which drug to prescribe [29][30][31].…”
Section: Discussionmentioning
confidence: 99%
“…Using deductive content analysis a more detailed study was then carried out on the findings from five representative reports of physicians' information behaviour (Green and Ruff, 2005;Hughes et al, 2010;Lacey Bryant, 2004;Prosser et al, 2003;Reddy and Jansen, 2008). These reports were selected because: a) all involved direct interviews with or observation of physicians b) each report is detailed and includes quotations from the physicians or vignettes describing activities observed during the study c) together they cover both primary and secondary care physicians (general practitioners and hospital doctors) d) together they cover a number of different aspects of information behaviour:…”
Section: Data Collection and Analysismentioning
confidence: 99%