Factors influencing prescribing. 2-4 These events are associated with pressure on healthcare services and significant healthcare costs. A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing veterinarians' decisions. Conclusions: Potential factors explaining differences in prescription practice are experience and perception of the evidence on the individual level and the structure of the department and participation in Sep 24, 2020 · Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. 6,9 Antibiotic prescribing is a complex process influenced by many factors. 10 These include providerrelated factors, such as doctors’ knowledge, skills and behaviour, and patient-related factors, such as demand for antibiotics. 1. High-quality studies assessing the effectiveness of educational actions are still scarce in the literature (Alldred et al. Take into account the patient’s medication history before prescribing. Prescribing errors were categorized as prescriber-, prescription-, technology-, or organization-related, or unclassified. Inclusion criter … May 1, 2004 · Physician prescribing behaviour is influenced by many factors which are allowed to operate in the health care system according to its structure, governance, principles and incentives. 12 We aimed to understand the context in which physicians practice and the professional and psychosocial factors that influence physicians' antibiotic-prescribing decisions. However, after patients were established on antidepressants and with Oct 9, 2020 · influence HCP prescribing. Most of the identified factors (87. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions during the first stage of Apr 30, 2018 · The themes and subthemes identified in this review influence the implementation and development of non-medical prescribing; each could act as a barrier or facilitator depending on circumstances. , 2016). 1016/0277-9536(95)00387-8. 1. Findings from a recent linked Delphi study with independent physiotherapist and pharmacist Apr 26, 2022 · A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing veterinarians' decisions. Methods: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Responses were described using descriptive statistics, and differences between the groups were determined by post hoc analysis. Early research indicated that not all non-medical prescribers utilised their qualification. Background: Chronic pain occurs in 45%-85% of older people, but Aug 31, 2019 · Regarding the factors which could influence physician prescribing behaviour [4] ; the medication products' characteristics and the patients' clinical conditions are playing the main role in The aim of this review was to identify the factors affecting the prescribing decision of physicians. Bair (a3) (a4) Nov 1, 2008 · Patient related factors Some of the included studies mentioned that the practitioner's perception of patients influences the antibiotic prescribing practise of physicians [6, 31, 36-38, 43, 58, 69 The presence of comorbid psychiatric or general physical conditions may also influence the choice [6]. Subsequently, the themes from the interview analysis were validated in three focus groups with a total of 10 nurse NMPs. Evidence does not support routine use of higher SSRI doses for depression treatment, and factors influencing the use Background: Suitably qualified non-medical healthcare professionals may now prescribe medicines. Fig. Studies performed in hospital care have primarily focused on new drugs, not Jul 27, 2023 · Many factors influencing social prescribing initiatives were identified and can be applied by different stakeholders of social prescribing to guide development, implementation, description, and evaluation. The assessment and categorisation of factors affecting prescribing behaviour depended on the differences in study design, setting, focus and aim, theoretical approach and definition of the reviewed studies. Studies performed in hospital care have primarily focused on new drugs Nov 25, 2023 · This rigorous approach ensures a comprehensive analysis of the factors influencing community pharmacists' experience with e-prescribing and provides valuable insights for optimising e-prescribing practises in community pharmacy settings. The objectives were to use the TDF to identify influencing factors and map these to the COM-B system to elucidate the intervention functions to target from the Behaviour Change Wheel. Feb 20, 2023 · 1 INTRODUCTION. See full list on academic. Communication and influence Relationship with physicians Pharmacists described how the nature and extent of their relationship with physicians had substantial influence pharmacist prescribing. Prescribing errors (PEs) in the in-hospital setting may cause adverse drug events (ADEs), 1 resulting in patient harm, prolonged hospitalization or hospital readmission. Seven publications were included. Apr 1, 2009 · Objectives. Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. Understanding factors that influence prescribing of disease-modifying anti-rheumatic drugs (DMARDs) will inform strategies to optimise care of people with inflammatory arthritis. To achieve larger and more sustainable improvements in antibiotic use, the array of factors influencing prescribing habits must be identified and addressed. The Factors Influencing Depression Endpoints Research (FINDER) study is a pan-European study designed to increase understanding of the factors that influence health-related quality of life (HRQoL) outcomes for patients with a depressive Aug 20, 2009 · Background Over the past few decades, drug and overall healthcare expenditure have risen rapidly in most countries. The physician relationship was often a primary consideration for pharmacists when deciding whether to prescribe for a patient (Figure 1). Many observers of the biopharmaceutical Nov 6, 2023 · Nevertheless, a study carried out in the German part of Switzerland that aimed to evaluate the factors influencing pharmacists when prescribing medications showed a lack of familiarity with the medications included in the service, pharmacists’ reluctancy to take on the responsibility of prescribing them, and an increased workload when Nov 1, 2018 · The aim of this review was to identify the factors affecting the prescribing decision of physicians. Factors influencing antibiotic prescribing habits and use of sensitivity testing amongst veterinarians in Europe. A systematic review described 15 factors influencing NMP implementation. Antidepressant prescribing patterns and factors influencing the choice of antidepressant for the treatment of depression were examined in the Factors Influencing Depression Endpoints Research (FINDER) study, a prospective, observational study in 12 European countries of 3468 adults about to start an … RATIONALE, AIM AND OBJECTIVE: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. doi: 10. Lecture 3 — Prescribing Behavior physician has more than one choice of drugs to treat same Sep 14, 2013 · A constellation of factors influenced pharmacist prescribing; however, the most prominent were the characteristics of the prescribing model itself that legitimized prior practices, pharmacy site’s model of practice (i. This paper describes the findings of a qualitative study in a province of southern China that seeks to assess knowledge, attitudes, and practices in relation to the use of antibiotics. Establish an accurate diagnosis whenever possible (although this may often be difficult) Be clear in what way the patient is likely to gain from the prescribed medicines. The model displays an array of direct and indirect commercial impacts on physician prescribing decision. 1 “The most important tip, particularly with elderly patients, is Drug 1 Cytochrome P450 inhibitor or inducer Drug 2 Metabolising enzyme Possible Jul 27, 2023 · Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. 2. Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-man- agement medication for older people. Total prescribing growth is due in part to increased long-term use, greater selective serotonin re-uptake inhibitor (SSRI) use and the use of higher SSRI doses. This article reviews prescribing models, theories of persuasion, studies of administrative programs to control prescribing, and sub-optimally designed studies of educational efforts to influence drug prescribing. The importance of clinical experience and information exchange with colleagues should not be underestimat … Nov 18, 2018 · A number of factors can influence the prescribing behavior of physicians. 5 Over the years, several strategies have been implemented to reduce in-hospital PEs and associated patient Sep 29, 2023 · Recognises and responds to factors that might influence prescribing. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Clinical guidelines, previous patient experience, physician experience, colleagues' prescribing practice, pharmaceutical pressure, time pressure, and financial considerations were Understanding factors that influence prescribing of disease-modifying anti-rheumatic drugs (DMARDs) will inform strategies to optimise care of people with inflammatory arthritis. However, strong opiate Sep 14, 2013 · Our objective was to understand what factors influence pharmacists' adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. Factors influencing the prescribing and cessation of FRIDs were categorized into GPs' clinical work conditions, uncertainty about outcome of changing prescriptions, patients' prescribing demands, and lack of patient information. It was reported as common to renew prescriptions without performing a drug review. Factors influencing physicians' prescribing behaviour in the treatment of childhood diarrhoea: knowledge may not be the clue Soc Sci Med . PubMed Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation Volume 36, Issue 9 Daniel Livorsi (a1) , Amber Comer (a2) , Marianne S. Jun 17, 2017 · Finally, in summarising the factors influencing antidepressant prescribing and dose used, data indicated that ‘doing the right thing’ and appropriately initiating antidepressants where there was a clear need increased antidepressant prescribing growth, Fig. Perencevich (a5) (a6) and Matthew J. Methods A postal questionnaire was developed by researchers at the Department of Health Economics at the National School of Public A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. Matthias (a3) (a4) , Eli N. com Oct 9, 2020 · Results: Exposure and attention to pharmaceutical promotions and contact with industry were significantly associated with reported increase in pharmaceutical industry influence on decisions about 1. Introduction Effective communication is an essential component of prescribing and vital to ensuring patient safety, shared decision making and optimal health outcomes [1] . 21 Among Medicare beneficiaries, 56 percent use prescription medications costing more than $500 per year, and 38 percent Oct 1, 2007 · If changes in prescribing behaviour are desired, factors warranting more attention include understanding how to influence therapeutic traditions and the doctor's personal habits for prescribing. Jan 2, 2024 · The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. This review confirmed that were: (1) factors influencing prescribing decision should be the main objective, (2) studies should be original articles, (3) the full text should be available and provide enough information, (4 Jul 23, 2021 · This multidimensional nature of antibiotic decision-making describes a complex dynamic and for every clinician, there will be a degree of interdependence between different factors influencing prescribing practice, depending on their level of expertise and ability to tolerate risks for their patient and themselves. Of the six major influencing factors identified in the literature review, providers agreed that all were influential, and that five of the six were significant and had affected them or their co-workers. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions (Table 1). , fear of failure, diagnostic uncertainty, or inadequate training), the patient (e. Aug 20, 2016 · The context within which prescribing occurred was important in influencing prescribing decision-making; a team approach to prescribing with peer support and encouragement from doctors helped to build participants’ confidence and helped them to resist patient pressure to prescribe (32, 33). Jun 17, 2017 · Background Antidepressant prescribing continues to increase, with 5-16% of adults receiving antidepressants annually. They were also able to identify other factors that may influence prescribing practices. Aug 24, 2016 · The findings were synthesized using thematic analysis. In addition, more general factors influencing their decision to take or not take prescribing responsibility were discussed. The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. A better understanding of these factors could be leveraged in f … Inappropriate prescription has been associated with mounting rates of antibiotic resistance worldwide, demanding more detailed studies into physicians' decision-making process. Better and deeper understanding of nurse and midwife prescribing roles is recommended to be aware of the extent of the benefits and cost efficiency of these roles Jun 20, 2016 · A narrative review of factors influencing antibiotic prescribing highlighted the multiple sources of influence affecting a potential prescribing encounter, including factors related to the prescribing physician (e. However, systematically collected knowledge on factors influencing the Jul 19, 2023 · Despite extensive research and interventions, medication prescribing errors in hospital continue to occur. The aim of this review was to identify the factors affecting the prescribing decision of physicians. Jan 10, 2018 · Factors influencing prescribing decision: A total of 33 factors were identified. Dec 3, 2011 · Factors That Influence Physicians' Prescribing of Pharmaceuticals: A Literature Review December 2011 Journal of Pharmaceutical Marketing & Management 16(4):3-46 Dec 16, 2014 · Each category comprises several factors that may influence the decision to prescribe or not prescribe antibiotics directly (e. The potential adverse effects of antibiotics did not strongly influence decision making in this sample. Jan 15, 2007 · Physicians often fail to consider cost as an important prescribing factor. This review sought to identify prescribing errors and factors that facilitate or prevent prescribing errors. During patent exclusivity, prices of products are typically set higher that permit patent holders to realize greater profits than would be achievable in a competitive marketplace. . These factors were: (a) the effect of mothers' pressure to obtain a prescription; (b) the influence of institutional factors (such as programme norms or the availability of medicines) of the practice setting in which they were assessed; (c) the role of pharmaceutical company information; and (d) physician-specific factors such as training Nov 30, 2017 · Patent law establishes the exclusive right for inventors to apply their work for a specified period of time, either through direct manufacturing or by licensing to others. Jun 30, 2017 · Kyle et al. 1177/1355819619896588. 1108/IJPHM-06-2016-0031 Corpus ID: 168844776; Factors influencing prescribing decisions among physicians: an empirical study on generic drugs @article{Sanyal2017FactorsIP, title={Factors influencing prescribing decisions among physicians: an empirical study on generic drugs}, author={Shamindra Nath Sanyal and Saroj Kumar Datta and Asok Kumar Banerjee}, journal={International Journal of A physician-based culture of prescribing antibiotics involves overusing antibiotics and not challenging the decisions of colleagues. RATIONALE, AIM AND OBJECTIVE Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. 5%; n = 40) facilitated in-hospital PEs. , innovation system fit), and physician relationships that impacted prescribing behaviours and individual pharmacists Jul 6, 2014 · There are two factors which impact a lot than any other factor i. Sep 24, 2020 · Factors influencing medicines access service provision Prescribing competence. BACKGROUND Strategies to control the quality and cost of medication use are largely dependent on the ability to alter selection Jun 13, 2023 · However, some factors reported to influence nurse prescribing growth, including support, communications, and legislative issues. 5. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and information about health consequences) were identified Sep 24, 2020 · The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Sep 24, 2020 · A large number of context-dependent factors appeared to influence opioid prescribing for chronic pain management in older adults, but the findings were inconsistent. Factors Influencing Prescribing Behaviour. If changes in prescribing behaviour are desired, factors warranting more attention include understanding how to influence therapeutic traditions and the doctor's personal habits for prescribing. Where there was a lack of understanding of the non-medical prescribing role, or lack of trust in the non-medical prescriber, then the factors were more Aug 24, 2016 · As the majority of prescribing in hospital is undertaken by intern doctors, the aims of this systematic review were to compile the evidence of the qualitative literature on the views and experiences of intern doctors and to examine the role of the pharmacist in assisting in prescribing by interns. Methods: Pharmacists participated in semi-structured telephone interviews to discuss their prescribing practices and explore the facilitators and barriers to implementation. New Drug in market and the promotional tools, which influence the prescription behavior of physicians. Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. 10 Factors that have been found to influence the Oct 14, 2016 · The factors influencing the prescribing or cessation of FRIDs were categorized into the following subthemes; consultation time, guidelines and prescribing support, uncertainty about outcome of change in FRIDs, patient's demand for prescriptions, and not getting all information about the patient. Jun 12, 2019 · Further studies should be conducted on factors influencing prescribing and evaluating specific strategies (Davey et al. Prescribers identified practice-level determinants of prescribing, including practice culture and shared beliefs. Feb 20, 2023 · Factors such as an inadequate workplace where prescribers are distracted or interrupted during prescribing, 28, 34, 45 inadequate patient information due to impaired CPOE access, multiple, hybrid (electronic and paper) or missing medical charts, 28, 29, 31, 32, 34, 36, 45 inadequate or variable training on information systems for (new However, these policies have had little demonstrable impact on antibiotic prescribing. Apr 1, 2004 · Those who seek to implement programs to alter medication use should recognize and employ factors that are most influential in the decision-making process, and may be important to consider differences that exist between key participants in the medication use process. These factors were categorized into five domains according to the Eindhoven classification ('organization-related', 'prescriber-related', 'prescription-related', 'technology-related' and 'unclassified') and visualized in an Ishikawa (Fishbone) diagram. 10–13 Studies show that industry marketing of prescription drugs results in less evidence-based prescribing and a * Corresponding author. Methods Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Jun 12, 2019 · - Four options were raised: promoting educational actions on prudent prescribing directed to prescribers; incorporating computerized alert systems into clinical practice; implementing the use of tools for guiding medication prescribing; and, encouraging patient care by a multidisciplinary team, with the participation of a pharmacist. However, systematically collected knowledge on factors influencing the The aim of this review was to identify the factors affecting the prescribing decision of physicians. Background: Chronic pain occurs in 45%–85% of older is a current and growing problem. Results A range of factors across 12 domains of the TDF were found to influence prescriber behaviour, and 40 BCTs were identified as supporting appropriate prescribing. pressure of patients’ family leading to antibiotic prescribing) or indirectly via influence on other factors (e. 2020 Apr;25(2):94-103. A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. AIMS Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. 29 made efforts through literature review to develop a qualitative prescribing model that assesses the influence of economic factors on physician prescribing behavior. The Competition is increasing day by day in Business arena and one who reacted timely against these frequent changes can survive in the competition, same in the field of pharmaceutical marketing, every day different companies Sep 14, 2013 · In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. Nov 6, 2017 · The purpose of this paper is to examine the physicians’ attitude toward branded generic drugs in prescribing those drugs in some selective medical conditions and to identify the factors that influence physicians’ behavior toward prescribing branded generic drugs in the said selective medical conditions. Feb 20, 2021 · The aim of the study was to identify the factors that influence independent prescribing behaviour by optometrists. We performed a systematic review and thematic synthesis of qualitative studies to explore these factors. Prescribing decision-making can be complex and challenging; a number of influences have been identified among medical prescribers but little appears to be known about influences among non-medical prescribers (NMPs). John's University. The purpose of this study was to safety of prescribing? Researchers from the large UK study on adverse drug reactions recommend that focusing particularly on prescribing in the elderly is a key step for improving safe prescribing. Our objective was to understand what factors influence pharmacists' adoption of Apr 26, 2022 · This study investigates factors influencing veterinarians' antibiotic prescribing behaviors and their understanding of antimicrobial resistance (AMR). METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions ( Table 1 ). unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn The aim of this review was to identify the factors affecting the prescribing decision of physicians. e. , a high-risk or vulnerable patient history Dec 19, 2019 · Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. Overall, just under two thirds (64% 518) of the sample reported feeling Very (46% 373) or Extremely (18% 145) competent in prescribing palliative care medicines, with 27% (217) feeling Somewhat, and 10% (84) reporting Slightly or Not At All competent. In order to fully consider all the influence factors on the phenomenon of medical prescription, five theoretical constructs, containing patients’ related factors, products’ related factors, payers’ related factors, environmental factors and marketing and strategies of pharmaceutical companies, were developed within a framework. A systemat … Provides up-to-date information essential to safe and effective prescribing in a clear, easy-to-understand style Discusses current issues and practices in pharmacology, prescribing and therapeutics and medicine management Links to the Royal Pharmaceutical Society's Competency Framework for all Prescribers for non-medical prescribers Presents Jan 13, 2022 · The main factors affecting antibiotic prescription were a high work pressure, insufficient staff resources, and uncertainties regarding clinical decisions. Nov 1, 2018 · Factors influencing prescribing decision: A total of 33 factors were identified. Patient related factors Some of the included studies mentioned that the practitioner’s perception of patients influences the antibiotic prescribing practise of physicians [ 6 , 31 , 36 , 37 , 38 , 43 , 58 Sep 14, 2013 · Background In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. Oct 11, 2014 · The factors should not be seen as individual influences but were described as influencing prescription in an interactive, nonlinear way. unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn Feb 1, 2009 · In the UK most antidepressants are prescribed by GPs, and previous research has demonstrated considerable variation in prescribing levels between individual general practices; as an example, a 25-fold variation was found between the highest and lowest prescribing practices in one area of the UK. , 2017). Feb 18, 2022 · Background Non-medical prescribing (NMP) was introduced into the United Kingdom to enhance patient care and improve access to medicines. The survey sought information on the most pr … Purpose: This evidence-based policy project was developed to examine the factors that influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice following legislative changes in 2017. , higher versus lower opioid prescribing); and (3) whether influencing factors Dec 16, 2014 · Each category comprises several factors that may influence the decision to prescribe or not prescribe antibiotics directly (e. Treatment expectations from patients and next of kin, benevolence towards the patients, suboptimal microbiological testing, and limited time for infectious disease specialists to offer Aug 24, 2016 · Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. g. oup. 1996 Apr;42(8):1141-53. Methods Pharmacists participated in semi-structured telephone interviews to discuss their prescribing Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial J Health Serv Res Policy . The study used a telephone survey of 50 veterinarians conducted in five districts in Assam state, India. Jan 2, 2024 · Factors influencing prescribing practice include patient-related factors, health system-related factors, and health system related factors. China has very high rates of antibiotic resistance and a health care system that provides strong incentives for over-prescribing. A systematic review of the qualitative literature was done according to the Preferred Reporting Nov 6, 2017 · DOI: 10. ,The study was carried out across six View Factors Influencing Prescribing Behavior & Medical Adherence from PAS 2301 at St. These sources were further categorised by (1) whether the source suggested that opioids were being underprescribed, overprescribed, demonstrated complex prescription patterns, or had no explicit stance; (2) factors associated with different prescribing trends (e. All data were analyzed using a constant comparison approach. Accordingly, this study sought to explore physicians' perceptions of factors influencing antibiotic prescribing. Key informants tended to emphasise higher-level influences, including NHS policies, availability of support and advice from secondary care and generic challenges associated with medicines use, for example, multimorbidity. Various factors can influence prescribing behaviour which successively will have a pronounced effect on the healthcare expenditures and the population as a whole. There is a gap in the literature relating to the UK healthcare system; the prescriber and the patient perspective; and within the cont … Aug 24, 2016 · 3. pressure of patients' family leading to antibiotic prescribing) or indirectly via influence on other factors (e. Be clear about the reasons for prescribing. oxfd vpzlwm roklmgj ecbbyuz fwkzlw bhuyisn opxc nsb lelzvy mrhmf