SOURCES OF INFORMATION ABOUT NEW DRUGS AND ATTITUDES TOWARDS DRUG PRESCRIBING - AN INTERNATIONAL STUDY OF DIFFERENCES BETWEEN PRIMARY CARE PHYSICIANS

SOURCES OF INFORMATION ABOUT NEW DRUGS AND ATTITUDES TOWARDS DRUG PRESCRIBING - AN INTERNATIONAL STUDY OF DIFFERENCES BETWEEN PRIMARY CARE PHYSICIANS
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DOI:
10.1093/fampra/4.2.123
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发表时间:
1987-06-01
期刊:
影响因子:
2.2
通讯作者:
MARSHALL, T
MARSHALL, T
中科院分区:
医学4区
文献类型:
--
作者:
HULL, FM;MARSHALL, T

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不同国家的医生完成了一份调查问卷,内容涉及他们认为关于一种新药的八种可能的信息来源的重要性、他们对患者在特定情况下开处方的医生的期望的估计以及他们对常见临床一般实践情况的治疗反应。不同国家的医生对这八种药物信息来源的重视程度不同,他们所陈述的行为之间存在重大差异。虽然医生们一致认为书籍和期刊很重要,而病人、护士和其他辅助医务人员不重要,但对于制药公司代表的重要性却存在重大分歧:在瑞典和南斯拉夫,这种关于新药的信息来源的评价很高,而在英国和比利时则很低。医生对病人对他们如何开药的期望的估计也不同,他们对临床问题的反应也不同。这些差异很重要,因为所有国家的药费都很高,这可能是由于治疗方面的教育差异或各国之间的文化差异造成的。
Doctors in different countries completed a questionnaire relating to the importance they attributed to eight possible sources of information about a new drug, their estimation of patients' expectations of the doctor prescribing drugs under specific circumstances and their therapeutic response to common clinical general practice situations. There were major differences between the stated behaviour of doctors in different countries with regard to the importance they attached to the eight sources of information on drugs. While doctors agreed on the importance of books and journals and on the unimportance of patients, nurses and other paramedicals, there was a major disagreement about the importance of drug company representatives: this source of information about new drugs was rated high in Sweden and Yugoslavia and low in Britain and Belgium. Doctors also differed in their estimation of patients' expectations of how they would prescribe and how they responded to the clinical problems. The differences, which might be due to differences in education about therapeutics or to cultural differences between countries, are important because of the high cost of drugs bills in all countries.