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首页> 外文期刊>Journal of Young Pharmacists >Medicine Prescribing Preference and Patient Adherence: Perspectives of Indian Medical Practitioners
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Medicine Prescribing Preference and Patient Adherence: Perspectives of Indian Medical Practitioners

机译:药物处方偏好和患者依从性:印度医生的观点

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Background: Indian Pharmaceutical market is well known for generic medicines and the government also promotes them due to their affordability. These medicines are manufactured by big, medium and small size companies and their quality are generally checked by analytical methods though real evaluation of medicines can only be ensure by medical practitioners (MP) who prescribe them which is based on therapeutic responses and adverse effects they notice. Perspectives of MP about prescribed medicines, price, therapeutic responses, adverse effects and their awareness about different interactions are valuable and may initiate for better treatment and healthcare system. Method: A survey of 111 MP was conducted on one to one basis in a form of questionnaire. Frequency, percentage, Chi square and Friedman test were applied to check the association and rank between different attributes. Results: Branded generic is preferred over innovator branded generic and generic by 63.1% of MP because 64.9% believe it has good therapeutic response and 68% experienced it has mild adverse effects while only 0.9% assumed it has high adverse effect. Only generic considered as highly affordable but it is prescribed moderately or less preferably. Self study is the main source of medicine information for MP but all of them do not have excellent or good drug-drug and drug-food interactions knowledge. Patients only adhere to their 70-90%, 40-60% and 10-30% instructions according to 33.3%, 45.9% and 16.2% MP respectively. Conclusion: There is excessive demand of high quality generic products for better safety of patients irrespective of its affordability. Efficient training programs are required for some MP to improve average interactions knowledge. Patient non-adherence needs prior attention by implementing patient involvement in treatment decision and educating them.
机译:背景:印度制药市场以仿制药闻名,由于其价格可承受,政府也对其进行了推广。这些药物由大,中,小型公司生产,并且通常通过分析方法检查其质量,尽管只能由医生(MP)根据处方药的治疗反应和不良反应开出处方,以确保对药物的真实评价。 MP关于处方药,价格,治疗反应,不良反应及其对不同相互作用的认识的观点是有价值的,并且可能会引发更好的治疗和医疗体系。方法:以问卷形式一对一地调查了111 MP。频率,百分比,卡方检验和弗里德曼检验用于检查不同属性之间的关联和等级。结果:MP的创新者比MP的创新者更受欢迎,占MP的63.1%,因为64.9%的人认为它具有良好的治疗反应,68%的人有轻微的不良反应,而只有0.9%的人认为它具有高的不良反应。只有通用的被认为是负担得起的,但开度适中或不太优选。自我学习是MP的医学信息的主要来源,但是他们都不具备出色或良好的药物-药物-药物相互作用知识。患者仅分别按照33.3%,45.9%和16.2%的MP遵守其70-90%,40-60%和10-30%的指导。结论:不论其价格如何,都存在对优质通用产品的过度需求,以提高患者的安全性。一些国会议员需要有效的培训计划,以提高平均互动知识。病人的不依从需要事先注意,方法是让病人参与治疗决策并对其进行教育。

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