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多专科医院医生对仿制药的认知、态度和实践:一项观察性研究。

Knowledge, attitude, and practice of generic medicines among physicians at multispecialty hospital: An observational study.

作者信息

Hadia Rajesh B, Joshi Dhaval B, Gohel Kushal H, Khambhati Nikhil

机构信息

Department of Pharmacy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.

Department of Pharmacy Practice, SJM College of Pharmacy, Rajiv Gandhi University of Health Sciences, Chitradurga, Karnataka, India.

出版信息

Perspect Clin Res. 2022 Jul-Sep;13(3):155-160. doi: 10.4103/picr.PICR_281_20. Epub 2021 May 15.

Abstract

BACKGROUND

Nowadays, brand-name drugs are becoming an out-of-pocket expense which comprises 80% of total health-care expenditures. However, generic drugs are less expensive than brand-name drugs with the same therapeutic effect, but many doctors hold negative views of generics and resist prescribing. This study was designed to assess the knowledge, attitude, and practice of doctors toward generic medicines.

METHODS

This was a questionnaire-based cross-sectional study conducted in a multispecialty private hospital. The study participants were doctors who were practising in a hospital during the study period (January 2017 to July 2017). The questionnaire comprises 35 questions related to demographics, knowledge, attitude, and practice evaluation of generic medicines. Descriptive statistics was applied to represent participant characteristics and response rates.

RESULTS

A total of 86 questionnaires were distributed to the doctors and the response rate was 37%. The majority of doctors who participated in this survey perceived that generic medicine is effective, safe, and has same active component, dose, and bioequivalent as the brand medicines. Majority of the doctors (72%) believe that generic drugs were manufactured by poor techniques. However, more than three-quarter of doctors (78%) routinely prescribed generic drugs.

CONCLUSION

Most of the doctors had an honest angle about the efficacy and safety of generic medicine. However, a high proportion of physicians believe that the generic drugs are of poorer quality. To have a better understanding of the generic drug, the doctor must be well informed about the generics products during their academic career that will significantly impact health-care budgets.

摘要

背景

如今,品牌药正成为一种自付费用,占医疗总支出的80%。然而,仿制药在具有相同治疗效果的情况下比品牌药便宜,但许多医生对仿制药持负面看法并拒绝开此类药。本研究旨在评估医生对仿制药的知识、态度和行为。

方法

这是一项在一家多专科私立医院进行的基于问卷的横断面研究。研究参与者为在研究期间(2017年1月至2017年7月)在该医院执业的医生。问卷包括35个与人口统计学、仿制药知识、态度和行为评价相关的问题。应用描述性统计来呈现参与者特征和回复率。

结果

共向医生发放了86份问卷,回复率为37%。参与此次调查的大多数医生认为仿制药有效、安全,并且与品牌药具有相同的活性成分、剂量和生物等效性。大多数医生(72%)认为仿制药是由较差的技术生产的。然而,超过四分之三的医生(78%)常规开具仿制药。

结论

大多数医生对仿制药的疗效和安全性有正确的认识。然而,很大比例的医生认为仿制药质量较差。为了更好地了解仿制药,医生在其学术生涯中必须充分了解仿制药产品,这将对医疗保健预算产生重大影响。

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