Impact of pharmaceutical promotion on prescribing decisions of general practitioners in Eastern Turkey.
Impact of pharmaceutical promotion on prescribing decisions of general practitioners in Eastern Turkey.
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DOI：
10.1186/1471-2458-7-122
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发表时间：
2007-06-25
影响因子：
4.5
通讯作者：
Calikoglu O
中科院分区：
文献类型：
--
作者：
Vancelik S;Beyhun NE;Acemoglu H;Calikoglu O
众所周知，在欠发达和发展中国家，商业信息来源比科学来源对全科医生(GP)处方行为的影响更大。这项研究旨在确定土耳其东部药品促销对全科医生处方决策过程的自我报告影响。2006年，对在土耳其东部埃尔祖鲁姆省初级卫生中心和医院工作的152名全科医生进行了横断面探索性调查。采用自填式结构式问卷。问卷内容包括社会人口学、每日病人数目、每名病人的时间、销售代表到全科医生就诊的次数、全科医生参加处方培训课程(在职培训、药厂)、影响处方决定的因素、有关处方和自我报告的参考来源，以及销售代表活动对全科医生处方决定的自我评估效果。152名受试者中，53.3%为男性，65.8%在初级卫生保健中心工作。平均每天就诊人数为58.3±28.8人。对于大多数全科医生(73.7%)，在处方过程中出现问题时，最常使用的资源是制药公司的药品指南。根据全科医生的自我报告，他们的处方决定受到以下因素的影响：参加任何制药公司的培训活动、销售代表的频繁访问、患者每天检查的次数多以及执业年限低(P<；0.05)。研究结果显示，对于大多数全科医生来说，有关处方的主要参考来源是制药公司销售代表提供的商业信息，据报道，这些信息对他们的全科医生处方决策过程有很大影响。由于这项研究是基于自我报告，全科医生报告的影响可能被低估了。
Commercial sources of information are known to have greater influence than scientific sources on general practitioners' (GPs) prescribing behavior in under developed and developing countries. The study aimed to determine the self-reported impact of pharmaceutical promotion on the decision-making process of prescription of GPs in Eastern Turkey. A cross-sectional, exploratory survey was performed among 152 GPs working in the primary health centers and hospitals in Erzurum province of Eastern Turkey in 2006. A self-administered structured questionnaire was used. The questionnaire included questions regarding sociodemographics, number of patients per day, time per patient, frequency of sales representative visits to GPs, participation of GPs in training courses on prescribing (in-service training, drug companies), factors affecting prescribing decision, reference sources concerning prescribing and self-reported and self-rated effect of the activities of sales representatives on GPs prescribing decisions. Of 152 subjects, 53.3% were male and 65.8% were working at primary health care centers, respectively. Mean patient per day was 58.3 ± 28.8 patients per GP. For majority of the GPs (73.7%), the most frequent resource used in case of any problems in prescribing process was drug guides of pharmaceutical companies. According to self-report of the GPs, their prescribing decisions were affected by participation in any training activity of drug companies, frequent visits by sales representatives, high number of patient examinations per day and low year of practice (p < 0.05 for all). The results of this study suggest that for the majority of the GPs, primary reference sources concerning prescribing was commercial information provided by sales representatives of pharmaceutical companies, which were reported to be highly influential on their decision-making process of prescribing by GPs. Since this study was based on self-report, the influence reported by the GPs may have been underestimated.
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影响因子：
--
作者：
Bloor, K;Freemantle, N
通讯作者：
Freemantle, N
影响因子：
3
作者：
Madridejos-Mora, R;Amado-Guirado, E;Pérez-Rodríguez, MT
通讯作者：
Pérez-Rodríguez, MT
影响因子：
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作者：
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通讯作者：
King, M
影响因子：
2.2
作者：
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通讯作者：
Watkins, C
影响因子：
2.2
作者：
HULL, FM;MARSHALL, T
通讯作者：
MARSHALL, T