Davari Majid, Khorasani Elahe, Tigabu Bereket Molla
Department of Pharmacoeconomics and Pharmaceutical Administration, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
Pharmaceutical Research Center, Tehran University of Medical Sciences.
Ethiop J Health Sci. 2018 Nov;28(6):795-804. doi: 10.4314/ejhs.v28i6.15.
The pharmaceutical bill is increasing at an alarming rate. The physician practice variation has a pronounced effect on healthcare spending. A number of factors can influence the prescribing behavior of physicians. The aim of this review was to identify the factors affecting the prescribing decision of physicians.
Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. There was no restriction on the study designs.
Thirty-three studies met the inclusion criteria from 1122 search results. A total of 33 factors were identified. The most frequent factors were patients' clinical condition, pharmaceutical industries, physician attributes, patient preference and cost of medicine.
Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing decision. The identified factors showed that prescribing is not only geared for patient benefit, but also towards personal interest. The use of valid and reliable practice guidelines could reduce the negative impact of wide ranges of factors and promote the rational prescribing effectively.
药品费用正以惊人的速度增长。医生的医疗行为差异对医疗保健支出有显著影响。许多因素会影响医生的处方行为。本综述的目的是确定影响医生处方决策的因素。
系统检索包括Scopus、PubMed/MEDLINE CENTRAL、Cochrane图书馆和谷歌学术在内的电子数据库，以查找2000年至2016年期间有关影响医生处方决策因素的文献。对研究设计没有限制。
从1122条检索结果中，有33项研究符合纳入标准。共确定了33个因素。最常见的因素是患者的临床状况、制药行业、医生属性、患者偏好和药品成本。
医生的个人属性、药品成本以及制药行业的营销和推广策略大多被提及会影响处方决策。所确定的因素表明，处方不仅是为了患者的利益，也关乎个人利益。使用有效且可靠的实践指南可以减少各种因素的负面影响，并有效促进合理用药。
