Primary Care Unit, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
BMC Health Serv Res. 2011 Aug 25;11:204. doi: 10.1186/1472-6963-11-204.
General Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs' opinions on public- and industry-provided drug information are presented in this article.
A cross-sectional study using a questionnaire was answered by 368 GPs at 97 primary-health care centres {PHCC}. The centres were invited to participate by eight out of 29 drug and therapeutic committees {DTCs}. A multilevel model was used to analyse associations between opinions of GPs regarding drug information and whether the GPs worked in public sector or in a private enterprise, their age, sex, and work experience. PHCC and geographical area were included as random effects.
About 85% of the GPs perceived they received too much information from the industry, that the quality of public information was high and useful, and that the main task of public authorities was to increase the GPs' knowledge of drugs. Female GPs valued information from public authorities to a much greater extent than male GPs. Out of the GPs, 93% considered the main task of the industry was to promote sales. Differences between the GPs' opinions between PHCCs were generally more visible than differences between areas.
Some kind of incentives could be considered for PHCCs that actively reduce drug promotion from the industry. That female GPs valued information from public authorities to a much greater extent than male GPs should be taken into consideration when designing evidence-based drug information from public authorities to make implementation easier.
瑞典的全科医生{GP}开出了超过 50%的处方。关于全科医生对药物信息的意见的科学知识一直很少。当设计针对全科医生的基于证据的药物信息时,这种知识可能很有价值。本文介绍了全科医生对公共和行业提供的药物信息的看法。
一项横断面研究使用问卷,由 97 个初级保健中心{PHCC}的 368 名全科医生回答。通过 29 个药物和治疗委员会{DTC}中的 8 个邀请中心参加。使用多水平模型分析全科医生对药物信息的意见与他们在公共部门还是私营企业工作、年龄、性别和工作经验之间的关联。PHCC 和地理位置被包括为随机效应。
约 85%的全科医生认为他们从行业收到的信息过多,公共信息的质量很高且有用,公共当局的主要任务是增加全科医生对药物的了解。女全科医生比男全科医生更重视公共当局提供的信息。在全科医生中,93%的人认为行业的主要任务是促进销售。PHCC 之间的全科医生意见差异通常比地区之间的差异更明显。
对于积极减少行业对药物促销的 PHCC,可以考虑一些激励措施。当设计来自公共当局的基于证据的药物信息时,应考虑到女全科医生比男全科医生更重视公共当局提供的信息,以便更容易实施。