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处方决策的模型与理论:综述及新模型建议

Models and theories of prescribing decisions: A review and suggested a new model.

作者信息

Murshid Mohsen Ali, Mohaidin Zurina

机构信息

Graduate School of Business, Universiti Sains Malaysia. Penang, (Malaysia).

PhD. Graduate School of Business, Universiti Sains Malaysia. Penang, (Malaysia).

出版信息

Pharm Pract (Granada). 2017 Apr-Jun;15(2):990. doi: 10.18549/PharmPract.2017.02.990. Epub 2017 Jun 30.

Abstract

To date, research on the prescribing decisions of physician lacks sound theoretical foundations. In fact, drug prescribing by doctors is a complex phenomenon influenced by various factors. Most of the existing studies in the area of drug prescription explain the process of decision-making by physicians via the exploratory approach rather than theoretical. Therefore, this review is an attempt to suggest a value conceptual model that explains the theoretical linkages existing between marketing efforts, patient and pharmacist and physician decision to prescribe the drugs. The paper follows an inclusive review approach and applies the previous theoretical models of prescribing behaviour to identify the relational factors. More specifically, the report identifies and uses several valuable perspectives such as the 'persuasion theory - elaboration likelihood model', the stimuli-response marketing model', the 'agency theory', the theory of planned behaviour,' and 'social power theory,' in developing an innovative conceptual paradigm. Based on the combination of existing methods and previous models, this paper suggests a new conceptual model of the physician decision-making process. This unique model has the potential for use in further research.

摘要

迄今为止,关于医生处方决策的研究缺乏坚实的理论基础。事实上,医生开处方是一个受多种因素影响的复杂现象。该领域现有的大多数研究通过探索性方法而非理论来解释医生的决策过程。因此,本综述试图提出一个价值概念模型,以解释营销努力、患者、药剂师与医生开药决策之间存在的理论联系。本文采用全面的综述方法,并应用先前的处方行为理论模型来确定相关因素。更具体地说,该报告在开发创新概念范式时,识别并运用了几个有价值的观点,如“说服理论——精细加工可能性模型”“刺激-反应营销模型”“代理理论”“计划行为理论”和“社会权力理论”。基于现有方法和先前模型的结合,本文提出了一个医生决策过程的新概念模型。这个独特的模型具有用于进一步研究的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a6c/5499356/8c04b96b1647/pharmpract-15-990-g001.jpg

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