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Patients Opinion on the use of Generics and Factors Associated with it: A Cross-Sectional Study

机译:患者对泛型及其相关因素的使用的观点:跨部门研究

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Background: Generic drugs (Generics) are low cost, equal efficacy alternatives to the branded drugs. Generics are medicines on which patents have expired. They are sold either as branded products or as unbranded products under generic names. These generic names are internationally agreed short names called International Non-Proprietary Names. Due to its low cost, it reduces the overall expenditure for patient care. Government of India (GOI) has been pushing to increase the prescription practice of doctors for generics and acceptability of generic in the community. Present study assesses the current opinion of patients about the generics and documents factors affecting the knowledge, perception and opinion about the generics. Objectives: Present study was designed to investigate about the opinion of patients about the generics and to document different factors associated with their perceptions. Materials and Methods: A pre-validated pre-tested questionnaire was used to collect the data from patients attending various outpatients in a Tertiary Care hospital in Jodhpur. Trained Research Associate visited various Out Patient Department (OPD) of different specialties for two consecutive days to seek consent and collected data from the patients visiting the OPD and consented to participate. Patient’s knowledge, prior experience of use and general opinion about the generics was gathered. Descriptive statistics was used in the form of frequency and percentages. Results: Out of the 643 patients, 147 (22.9%) had heard about the generics. Out of the different sociodemographic predictors, age with a class intervals 45 years-55 years (OR – 2.52), 55 years -65 years (OR – 3.26) and 65 years (OR –3.09) and educational qualifications namely higher secondary (OR – 3.07) and graduation (OR – 5.98) were found to be the statistically significant predictors for the opinion on generics; however, gender, marital status, family income and occupation were not significant statistically. Out of the 147 patients who had heard about the generics only 38% had used them in last six months, 65.8% agreed that generics are safe and 36.7% opined that generics are as effective as branded drugs. Around 44% of the patients disagreed that generics have more side effects. On inquiring about the most common reason for no usage of the generic drug, distrust on the efficacy was found to be the most common one. Conclusion: Majority of patients had never heard about the generic drugs. Age and Education were the positive predictors for better awareness about the generic drugs. Patients perception for generics can be changed with better advocacy as well as informed prescription by the treating physicians.
机译:背景:仿制药(Generics)是低成本,等效功效的品牌药物替代品。仿制药是专利已过期的药物。它们以品牌名称或非品牌产品的通用名称出售。这些通用名称是国际公认的简称,称为“国际非专有名称”。由于其成本低廉,因此减少了患者护理的总支出。印度政府(GOI)一直在努力提高医生对仿制药的处方实践,并提高仿制药在社区中的接受度。本研究评估了患者对仿制药的当前看法,并记录了影响仿制药知识,认知和观点的因素。目的:本研究旨在调查患者对仿制药的看法,并记录与他们的看法有关的不同因素。资料和方法:使用预先验证的预先测试的调查表收集来自焦特布尔一家三级医院的门诊病人的数据。训练有素的研究助理连续两天访问了不同专业的各个门诊部(OPD)以征求同意,并从访问OPD并同意参加的患者那里收集了数据。收集了患者的知识,使用前的经验以及对仿制药的一般看法。描述性统计以频率和百分比的形式使用。结果:在643位患者中,有147位(22.9%)听说过该仿制药。在不同的社会人口统计学预测因素中,年龄间隔为45岁至55岁(OR – 2.52),55岁-65岁(OR – 3.26)和> 65岁(OR –3.09),并且具有较高的学历(高中(OR) – 3.07)和毕业(OR – 5.98)被发现是对非专利意见的统计学上显着的预测因子;然而,性别,婚姻状况,家庭收入和职业在统计学上并不显着。在147个听说过仿制药的患者中,只有38%在最近六个月内使用过仿制药,其中65.8%的人认为仿制药是安全的,而36.7%的人认为仿制药与品牌药物一样有效。大约44%的患者不同意仿制药具有更多的副作用。在询问不使用该仿制药的最常见原因时,发现对功效的不信任是最常见的原因。结论:大多数患者从未听说过仿制药。年龄和教育程度是提高对仿制药认识的积极预测。通过更好的倡导以及治疗医师的知情处方,可以改变患者对仿制药的看法。

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