Initiatives to increase the prescribing of low cost generics; the case of Scotland in the international context

Godman, Brian; Kurdi, Amanj; Leporowski, Axel; Morton, Alec; Baumgärtel, Christoph; Bochenek, Tomasz; Fadare, Joseph; Finlayson, Alexander; Hussein, Shazhad; Khan, Babar; Kalaba, Marija; Kibuule, Dan; Kwon, Hye-Jin; Melien, Øyvind; Nascimento, Renata Crm; Salem, Ahmed M.; Schiffers, Krijn; Truter, Ilse; Vončina, Luka; Hassali, Azmi

doi:10.18103/mra.v5i3.1071

Cited by 14 publications

(25 citation statements)

References 19 publications

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“…Possible explanations for high INN prescribing in this study could be a result of frequent in‐service training workshops for health workers in Botswana sponsored by the government, benchmarking with colleagues in the region, the establishment of a medical school whose trainees are exposed to patient care early in their training where prescribing is typically INN, and easy access to digital information. This mirrors successful campaigns in other countries such as the UK with its high rate of INN prescribing . In order to attain WHO recommendation, we believe INN prescribing training should be intensified through regular training of in‐service practitioners.…”

Section: Discussionmentioning

confidence: 55%

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

et al. 2017

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While most indications for antibiotic prescriptions were based on signs and symptoms according to ICD, antibiotic prescribing rates were high with some conditions not requiring antibiotics because they are viral infections. There is a need to further improve prescribing practices through induction and training of in-service prescribers. An effective management tool for monitoring antibiotic prescribing practices at Primary Health Care facilities should be designed and implemented, including developing robust quality indicators.

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Section: Discussionmentioning

confidence: 55%

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

et al. 2017

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“…Suggested strategies will subsequently be proposed based on successful approaches in other countries. These include measures to improve the quality of generics in Pakistan, ensuring a regular supply chain given concerns with counterfeits, as well as education among all key stakeholder groups (9,98,109,110). The provision of mental health services in Pakistan will also be explored in more detail following critical guidance from the WHO and others, as well as concerns that female patients in particular may be missing out (9).…”

Section: Discussionmentioning

confidence: 99%

Trends in the prescribing of antipsychotic medicines in Pakistan: implications for the future

Mahmood

Hussain

Rehman

et al. 2018

Current Medical Research and Opinion

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There has been an appreciable increase in antipsychotic utilization in recent years in Pakistan, especially atypical antipsychotics, with little polypharmacy. Ongoing utilization of typical antipsychotics may be due to comorbidities such as diabetes and cardiovascular disease. Issues of international non-proprietary name prescribing need investigating along with the high number of medicines per encounter and gender inequality.

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“…Initiatives to enhance appropriate medicine use include education among patients and physicians regarding generics, leading for instance to high acceptance of international non‐proprietary name (INN) prescribing in the UK, instigating formularies and treatment guidelines using robust methodologies leading to high acceptance and use of a limited number of medicines without compromising care, as seen with the ‘Wise List’ in Stockholm, Sweden, quality indicators coupled with financial incentives to appreciably enhance the prescribing of generics in a class to save considerable resources without compromising care, as well as instigating prescribing restrictions for physicians to limit the use of medicines where there are concerns with either their costs or patient safety . However, policies and initiatives should be organized judiciously, by benchmarking and conducting surveillance, to assess their influence and plan additional interventions if needed .…”

Section: Introductionmentioning

confidence: 99%

Prescribing patterns of physicians working in both the direct and indirect treatment sectors in Iran; findings and implications

Soleymani

Godman

Yarimanesh

et al. 2019

J Pharm Health Serv Res

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Objective There can be different incentives in the private versus public healthcare systems across countries influencing the delivery of health care. The implementation of regulations along with financial incentives and quality targets are key initiatives to improve rational prescribing. However, there are concerns in Iran that the different incentives in the Direct versus Indirect sectors can influence the delivery of care even among the same physicians. Consequently, the objective of this study was to evaluate the effect of Social Security Organization (SSO) rules and regulations on the prescribing patterns of physicians working simultaneously in both sectors of the SSO in Iran. Subsequently use the findings to suggest initiatives to improve future prescribing if needed.Methods Retrospective cross-sectional study on claims data. All prescriptions written by general practitioners, internists, gynaecologists and paediatricians that had at least 100 claims and working in both sectors were collected. Non-parametric tests were undertaken to compare prescribing patterns. Key findings 455 549 prescriptions were analysed. The average number of medicine items per prescription was 4 in the direct treatment setting versus 2 in the indirect treatment setting, while the proportion of prescriptions including at least one antibiotic, injectable, corticosteroid and injectable corticosteroid, were 31.5, 16.1, 8.7 and 3% respectively in the indirect treatment setting versus 28.7,13.7, 7.7 and 3.2% in the direct treatment setting. Except for antibiotic prescribing, all other differences were significant. Conclusions There are a number of areas of potential concern with physician prescribing in this study. These include the high use of antibiotics in both sectors, potentially inappropriate polypharmacy in the Direct sector, as well as possibly the overuse of injections especially in the Indirect sector, increasing costs and potentially patient harm. These will be the subject of future research projects.

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Initiatives to increase the prescribing of low cost generics; the case of Scotland in the international context

Cited by 14 publications

References 19 publications

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

Assessment of prescribing practices at the primary healthcare facilities in Botswana with an emphasis on antibiotics: Findings and implications

Trends in the prescribing of antipsychotic medicines in Pakistan: implications for the future

Prescribing patterns of physicians working in both the direct and indirect treatment sectors in Iran; findings and implications

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