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低收入女性对仿制药折扣计划的看法:一项定性研究。

Perceptions of generic drug discount programs among low-income women: a qualitative study.

机构信息

Park DuValle Community Health Center, Louisville, Kentucky 40211, USA.

出版信息

Womens Health Issues. 2013 Jan;23(1):e55-60. doi: 10.1016/j.whi.2012.10.002. Epub 2012 Dec 5.

DOI:10.1016/j.whi.2012.10.002
PMID:23218868
Abstract

PURPOSE

Increasing the awareness and use of generic drug discount programs (GDDP) may improve access to essential prescription drugs. However, little is known about public perceptions of GDDPs. The purpose of this study is to understand the perceptions and utilization patterns of low-income women regarding GDDP.

METHODS

Using a purposive sampling strategy, we conducted seven focus groups with a total of 50 participants using a semistructured guide to assess awareness and utilization of GDDP. Transcripts of the focus groups were systematically analyzed across groups with a general inductive approach for qualitative data analysis.

RESULTS

Five major categorical themes emerged from the focus group content analysis: 1) Perceived differences between generic and brand-name prescription drugs, 2) barriers to utilizing GDDP, 3) lack of adequate communication between pharmacy, physician and patient about GDDP, 4) perceived health impact of utilizing GDDPs, and 5) perceived health care savings. Most participants indicated that they perceive no difference between generic and brand-name prescription drugs. Lack of awareness was indicated as a barrier to utilization. There was general agreement among participants that GDDP can help to maintain health while saving money.

CONCLUSION

Study participants demonstrated generally favorable perceptions regarding GDDPs. Our findings underscore the need for policies that encourage expansion of the GDDP formulary and increasing awareness and utilization of GDDP.

摘要

目的

提高对通用药品折扣计划(GDDP)的认识和使用可能会改善获得基本处方药的机会。然而,人们对 GDDP 的认知知之甚少。本研究旨在了解低收入妇女对 GDDP 的认知和使用模式。

方法

我们采用目的抽样策略,使用半结构化指南对 50 名参与者进行了 7 次焦点小组讨论,以评估他们对 GDDP 的认识和使用情况。通过一般归纳方法对焦点小组的转录本进行系统的跨组分析,进行定性数据分析。

结果

从焦点小组的内容分析中出现了五个主要的类别主题:1)对通用和品牌名处方药的认知差异,2)利用 GDDP 的障碍,3)药房、医生和患者之间缺乏关于 GDDP 的充分沟通,4)对利用 GDDP 的健康影响的认知,以及 5)对节省医疗保健费用的认知。大多数参与者表示,他们认为通用名和品牌名处方药之间没有区别。缺乏意识被认为是利用的障碍。参与者普遍认为,GDDP 可以在省钱的同时有助于保持健康。

结论

研究参与者对 GDDP 普遍持有利的看法。我们的研究结果强调了需要制定政策,鼓励扩大 GDDP 处方集,并提高对 GDDP 的认识和利用。

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