Perceptions of the influence of prescription medicine samples on prescribing by family physicians
Perceptions of the influence of prescription medicine samples on prescribing by family physicians
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DOI：
10.1097/01.mlr.0000204017.71426.53
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发表时间：
2006-04-01
期刊：
影响因子：
3
通讯作者：
Nissen, LM
中科院分区：
文献类型：
--
作者：
Hall, KB;Tett, SE;Nissen, LM
背景：提供免费处方药物样品是制药公司常用的传统营销策略，但人们对其对医生处方行为和患者安全的影响提出了担忧。目的：我们试图调查澳大利亚家庭医生关于使用样本处方药的知识、态度和行为。方法：采用定性与定量相结合的方法，包括：(1)家庭医生邮寄问卷调查；(2)家庭医生半结构化访谈；(3)橱柜抽样调查。结果：通过问卷调查（208份）和访谈（17名医生），发现样本存在标签标注不充分、记录保存不良、库存挪用（医生自用）等问题。他们的家属、执业人员和医药代表)，以及过期库存的浪费。处方药样本也会影响处方行为。与此前在美国进行的一项针对住院医生的研究相比，澳大利亚医生出于经济原因向患者提供样本的可能性较小。对六个样品橱柜进行了盘点。样品橱柜的批发价值中位数为4959澳元（范围为2395美元至8709美元），其中6%的库存过期。样品柜中几乎没有仿制药。结论：需要更好的方法来满足立法要求，并确保处方药样品的使用质量（和最佳公共卫生）。医生和执业人员需要接受适当处理和储存处方药的培训。需要研究分发样品药物的其他方法。
Background: The provision of free prescription medicine samples is a common and traditional marketing strategy used by pharmaceutical companies, but concerns have been raised about their influence on physician prescribing behavior and patient safety.Objective: We sought to investigate the knowledge, attitudes, and behaviors of Australian family physicians regarding the use of sample prescription medications.Methods: Qualitative and quantitative techniques were used, including (1) mailed questionnaires to family physicians, (2) semistructured interviews with family physicians, and (3) sample cupboard inventories.Results: A number of issues about samples were identified by the questionnaires (208) and interviews (17 doctors), including insufficient labeling, poor record keeping, diversion of stock (personal use by doctors.. their families, practice staff and pharmaceutical representatives), and wasting of expired stock. Prescription medicine samples also influenced prescribing behavior. Australian doctors were less likely to provide samples to patients on financial grounds compared with a previous study in the United States on medical residents. Six sample cupboards were inventoried. Median wholesale value of sample cupboards was AUD $4959 (range $2395-$8709), with 6% of stock expired. Very little generic medicine was included in the sample cupboards.Conclusions: Better methods are needed to meet legislative requirements and to ensure quality use of medicines (and optimal public health) with respect to prescription medicine samples. Doctors and practice staff require training on the appropriate handling and storage of prescription medications. Alternative ways for distribution of sample medications need to be investigated.