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寻求初级保健的患者对通用药物处方的看法:一项横断面研究。

Opinion of patients seeking primary care regarding prescription of generic drugs: A cross-sectional study.

作者信息

Charan Jaykaran, Saxena Deepak, Chaudhari Mayur, Dutta Siddhartha, Kaur Rimple Jeet, Bhardwaj Pankaj

机构信息

Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Department of Epidemiology, Indian Institute of Public Health, Gandhinagar, Gujarat, India.

出版信息

J Family Med Prim Care. 2020 Nov 30;9(11):5725-5730. doi: 10.4103/jfmpc.jfmpc_1694_20. eCollection 2020 Nov.

Abstract

BACKGROUND

Generic drugs are low-cost alternatives to branded drugs. The government of India is encouraging physicians to prescribe the generics to decrease out-of-pocket expenditure of health care. Looking at India's low-prescription on generic drugs, it is crucial to analyze the factors responsible for it. A patient's unawareness may be an important factor; hence, it should be evaluated systematically.

OBJECTIVES

This study was designed with the aim of assessing knowledge and perception of generics among patients visiting the outpatient department of primary care physicians at the Patan city of Gujarat.

MATERIAL AND METHODS

A trained research associate visited the OPDs of various general practitioners to collect the data. A prevalidated questionnaire was administered to these patients. The data was analyzed with the help of statistical software. Descriptive statistics were used to analyze the data.

RESULTS

Among 345 patients, only 33.6% reportedly heard about generics. Of these only a few patients (<13%) had used the generic drugs in past. The majority (>60%) believed that generics are safe. Those who were not willing to take generics reported efficacy as the major concern. Out of various factors that may affect knowledge of generic drugs, young age (OR = 5.3) and education (Primary (OR = 8.01), Secondary (OR = 6.19), and Higher secondary (OR = 3.07) were statistically significant.

CONCLUSION

Awareness about the generic drugs was low among the patients visiting the primary care physician. The young age and primary and secondary education levels were significantly associated with the awareness regarding generics.

摘要

背景

仿制药是品牌药的低成本替代品。印度政府鼓励医生开仿制药,以减少医疗保健的自付费用。鉴于印度仿制药的低处方率,分析其背后的因素至关重要。患者的认知不足可能是一个重要因素,因此应进行系统评估。

目的

本研究旨在评估古吉拉特邦帕坦市基层医疗医生门诊患者对仿制药的认知和看法。

材料与方法

一名经过培训的研究助理走访了各个全科医生的门诊,收集数据。向这些患者发放了一份预先验证的问卷。借助统计软件对数据进行分析。使用描述性统计分析数据。

结果

在345名患者中,据报道只有33.6%听说过仿制药。其中,过去使用过仿制药的患者很少(<13%)。大多数患者(>60%)认为仿制药是安全的。那些不愿意服用仿制药的患者表示主要担心疗效。在可能影响仿制药知识的各种因素中,年轻(OR = 5.3)以及教育程度(小学(OR = 8.01)、中学(OR = 6.19)和高中(OR = 3.07))具有统计学意义。

结论

在基层医疗医生门诊的患者中,对仿制药的认知度较低。年轻以及小学和中学教育水平与对仿制药的认知显著相关。

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