Factors influencing prescribing

Factors influencing prescribing. 2017). The study was designed to explore factors influencing physicians' prescribing Branded Drugs. Background: Chronic pain occurs in 45%-85% of older people, but If changes in prescribing behaviour are desired, factors warranting more attention include understanding how to influence therapeutic traditions and the doctor's personal habits for prescribing. 4 Makes prescribing decisions based on the needs of patients and not the prescriber’s personal views. Matthias (a3) (a4) , Eli N. Factors such as attitude, perceived usefulness, ease of use, DOI: 10. We performed a systematic review and thematic synthesis of qualitative studies to explore these factors. Objective: To investigate the knowledge, use and barriers when prescribing GLP-1RA and SGLT2i among cardiologists, endocrinologists and general practitioners, and explore the influencing factors that hinder the use of these medications. (n = 6) settings, were interviewed. Similar to outpatient antibiotic prescribing routine, antibiotic prescriptions for in-hospital patients were also influenced by factors, such as antibiogram availability, experience of physicians with infectious diseases, patients’ health history, and current clinical Factors influencing the prescribing of new drugs by GPs Awareness. A qualitative study of factors influencing antimicrobial prescribing by non-consultant Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. A number of factors can influence the prescribing behavior of physicians. There are two factors which impact a lot than any other factor i. 17. , for heroin) rather than This multidimensional nature of antibiotic decision-making describes a complex dynamic and for every clinician, there will be a degree of interdependence between different factors influencing prescribing practice, depending on their level of expertise and ability to tolerate risks for their patient and themselves. Understanding and considering the factors influencing physicians’ antibiotic decisions are critical to provide tailored measures towards the stakeholders and thus the success of ASPs [7,8]. The Antidepressant prescribing patterns and factors influencing the choice of antidepressant for the treatment of depression were examined in the Factors Influencing Depression Endpoints Research (FINDER) study, a prospective, observational study in 12 European countries of 3468 adults about to start antidepressant medication for their first episode of Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. The aim of this review was to identify the factors affecting the prescribing decision of physicians. We conducted thematic analysis and subcoding of decisional factors. Compared to other factors, diagnosis of acute bronchitis was associated with increased antibiotic prescribing (range of adjusted odds ratios [aOR], In the UK most antidepressants are prescribed by GPs, and previous research has demonstrated considerable variation in prescribing levels between individual general practices; as an example, a 25-fold variation was found between the highest and lowest prescribing practices in one area of the UK. 45 Moreover, studies have shown that education interventions can play a critical role in enhancing physicians’ knowledge of and confidence in prescribing generic. g. , innovation system fit), and physician relationships that impacted prescribing behaviours and individual pharmacists The purpose of this paper is to examine the physicians’ attitude toward branded generic drugs in prescribing those drugs in some selective medical conditions and to identify the factors that influence physicians’ behavior toward prescribing branded generic drugs in the said selective medical conditions. Factors such as an inadequate workplace where prescribers are distracted or interrupted during prescribing, 28, 34, 45 inadequate patient information due to impaired CPOE access, multiple, hybrid (electronic and paper) or missing medical charts, 28, 29, 31, 32, 34, 36, 45 inadequate or variable training on information systems for (new The study aimed to use the TDF to identify the factors that influence independent prescribing behaviour, and to map these findings to the COM-B system to elucidate the relevant intervention functions, in order to identify the support required by optometrist prescribers. pdf Available via license: CC BY 2. Liz Smith, Corresponding Author. Patient factors influencing decision-making on antibiotic prescribing include compliance with patient expectations and pressures. 1128/AAC. The dependent variable in the model was a binary indicator for adding a TNFi as compared to adding a csDMARD. A systematic approach is required to curb over-prescription of antibiotics. The rapid rise of prescribing expenditure is a concern in many industrialised countries and methods to manage medicines are widely employed. The questionnaire was constructed on 63 questions in which 9 Objectives. The model shows that the clinical situation and advance care plans constitute the basis of the antibiotic prescribing decision. The purpose of this study was to A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. 32, GFI = 0. Because the average price for the cheaper drugs versus more costly drugs in each diagnostic group was between 19% and 69%, there is a risk that factors other than medical needs are influencing the choice of drug. 52. , 2017). Cost, availability of generics and statin potency were Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. . 2022 Sep;153(9):868-877. The other four categories can exert a direct influence on this prescribing decision, or Factors influencing prescribing decision: A total of 33 factors were identified. 1016/j. The results from this study indicate that GPs need to be reminded that there is a Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Spending for all retail prescription drugs accelerated significantly in 2014 and 2015, before slowing in 2016 (QuintilesIMS, 2017a). Trends, variation, and factors influencing antibiotic prescribing: a longitudinal study in primary care using a multilevel modelling approach. Longer work experience appeared to be a significant influencing factor to be considered in antimicrobial stewardship programs. The non-specific clinical manifestations of dengue overlap with signs and symptoms of other febrile illnesses common to tropical and subtropical zones making differential diagnosis between dengue and bacterial infections difficult, hence, leading to potentially Knowledge, skills, beliefs, expectations, the influence of patients and colleagues, organizational culture and infrastructure characteristics have a significant impact on prescribing behaviours. Adopting Factors influencing prescribing decisions among physicians: an empirical study on generic drugs. 8. The independent variables were the A physician-based culture of prescribing antibiotics involves overusing antibiotics and not challenging the decisions of colleagues and a better understanding of these factors could be leveraged in future efforts to improve antibiotic prescribing practices in the inpatient setting. influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice. This study describes prescribing patterns in a sample of buprenorphine-waivered physicians in New York (NY) in 2016 and examines factors influencing prescribing capacity among Contextual factors influencing physicians’ perception of antibiotic prescribing in primary care in Germany — a prospective observational study March 2022 BMC Health Services Research 22(1) DOI: 10. In total, Over the past few decades, drug and overall healthcare expenditure have risen rapidly in most countries. The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. The physician practice variation has a pronounced effect on healthcare spending. 28–31 It is known that Several factors have been reported to influence NMPs’ prescribing practice, with confidence being highlighted as being of particular importance. However non-technical factors did influence prescribing, in particular client feedback about perceived efficacy and perceptions of This multidimensional nature of antibiotic decision-making describes a complex dynamic and for every clinician, there will be a degree of interdependence between different factors influencing prescribing practice, depending on their level of expertise and ability to tolerate risks for their patient and themselves. Antibiotics, 11 (2022), p. A systematic search was performed for qualitative studies focused on understanding physicians' perceptions of the factors, attitudes and knowledge influencing antibiotic prescription. This study aims to investigate decision-making processes and to identify factors which influence general practitioners' (GPs) prescribing decisions and how these factors differ from those the guidelines recommend. doi: 10. Overall, just under two thirds (64% 518) of the sample reported feeling Very (46% 373) or Extremely (18% 145) competent in prescribing palliative care medicines, with 27% (217) feeling Somewhat, and 10% (84) reporting Slightly or Not At All competent. Methods: Pharmacists participated in semi-structured telephone interviews to discuss their prescribing practices and explore the facilitators and barriers to Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. 2 - 4 These events are The identified factors showed that prescribing is not only geared for patient benefit, but also towards personal interest and the use of valid and reliable practice Ongoing pressures to maintain prescribing (e. 3 Knows and works within legal and regulatory frameworks b affecting prescribing practice. New Drug in market and the promotional tools, which influence the prescription behavior of physicians. Methods: Inclusion criteria were 1) used qualitative or mixed methods for data collection and analysis While numerous factors may impact prescribing patterns, toxicity profile and production time appear to heavily influence this decision. Compared to other factors, diagnosis of acute bronchitis was associated with increased antibiotic prescribing (range of adjusted odds ratios [aOR], BACKGROUND: The pharmaceutical bill is increasing at an alarming rate. Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Purposive interviews were conducted with prescribers in Queensland Australia (n=20) and Singapore (n=21) to determine factors influencing statin prescribing. 2 This article provides an update on Drug-related factors affecting pharmacokinetics The physicochemical properties of a drug, including its solubility and permea - bility, affect its absorption. ,The study was carried out across The aim of this review was to identify the factors affecting the prescribing decision of physicians. Our findings are consistent with those in the literature (largely focused on initiation of therapy), suggesting that pharmacological considerations are not the only factors impacting doctors' prescribing decisions. Results: The interns identified a number of factors that improve their confidence and perceived Request PDF | Factors Influencing Prescribing Decisions in the Treatment of Depression: A Social Judgement Theory Approach | The under-diagnosis and inappropriate treatment of depression in A previous study has highlighted that physicians’ attitudes toward and knowledge of generic drugs had a positive influence on generic prescribing. Mapping of prescription factors using the CFIR framework. 99). It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses (Department of Health and Social Security, 1986; Cope et al, 2016). Our objective was to understand what factors influence pharmacists' adoption of This study investigates factors influencing veterinarians' antibiotic prescribing behaviors and their understanding of antimicrobial resistance (AMR). National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. inpatient physicians: a qualitative investigation. Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Our previous studies with doctors 6, 16 found that using the CIT to discuss specific incidents also allowed participants to reflect on factors affecting prescribing in general. Factors influencing physicians’ prescribing behaviour, regardless of the medication being prescribed, have been investigated since 1950s. Difficult decisions, unlike routine ones, are memorable and therefore more suitable for Take into account other factors that might alter the benefits and harms of treatment; Consider other individual factors that might influence the prescription (e. However, strong opiate prescribing is more prevalent in older people, increasing at the Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Our searches retrieved a total of 2,848 abstracts, with 97 included in full-text review and 28 meeting full inclusion criteria. The survey sought information on the most pr Factors Influencing Controlled Substance Prescribing Behaviors Following Changes in Prescriptive Authority Annie M Reynolds. China has very high rates of antibiotic resistance and a health care system that provides strong incentives for over-prescribing. Inclusion criteria were: use of qualitative or mixed methods Physician prescribing behaviour is influenced by many factors which are allowed to operate in the health care system according to its structure, governance, principles and incentives. This study explored (1) current influences on prescribing in general practice and (2) the possibility that general practice-based The literature search approach used combined terms that include ‘prescribing behaviour and (model or theory)’, ‘factors influencing prescribing RPS Competency Framework for all prescribers. However, Patient related factors Some of the included studies mentioned that the practitioner's perception of patients influences the antibiotic prescribing practise of physicians [6, 31, 36-38, 43, 58, 69 Factors influencing prescribing patterns Practice guidelines recommend that physicians should choose an antidepressant drug based on the past experience of treatment, side effects, patient preference and cost [2,7,22]. Prescription factors were grouped into categories based on the CFIR [] and are presented as they were mentioned and rated by the rheumatologists: 1) intervention characteristics, 2) the prescriber, 3) the patient, 4) the inner setting, and 5) the outer setting (Table 2). We identified 31 factors that influence antibiotic prescribing decisions. Brunswik's lens model, from Social Judgement Theory (SJT), was employed to explore individual treatment decision policies of 40 GPs Author summary Antimicrobial resistance is a growing global public health threat. ISRCTN, ISRCTN58150046 (registered 13. Chasco PhD6, Patient, Physician, and Health-System Factors Influencing the Quality of Antidepressant and Sedative Prescribing for Older, Community-Dwelling Adults. When faced with distressed patients showing symptoms of moderate to severe depression GPs were confident prescribing SSRIs which they considered as safe and effective medicines, Objective: To investigate views and experiences of neurologists prescribing DMTs and MS specialist nurses to identify factors influencing prescribing. Suda PharmD, MS, FCCP3, Matthew Goetz MD4,5, Erin Balkenende MPH1,2, Emily E. Although cardiorenal complications are high in diabetes and pose a significant Antidepressant prescribing patterns and factors influencing the choice of antidepressant for the treatment of depression were examined in the Factors Influencing Depression Endpoints Research (FINDER) study, a prospective, observational study in 12 European countries of 3468 adults about to start antidepressant medication for their first episode of Shamim-ul-haq S, Ahmed RR, Ahmad N. Findings from a recent linked Delphi study with The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. 2%, from 1,564,707 items in 2014 to 1,155,323 items in 2020. This study aims to identify and synthesise qualitative evidence describing the factors influencing prescribing of DMARDs and other medicines) for inflammatory arthritis from the perspectives of clinicians (rheumatologists, nurses, pharmacists). Understanding factors that influence prescribing of disease-modifying anti-rheumatic drugs (DMARDs) will inform strategies to optimise care of people with inflammatory arthritis. Methods: The authors performed a retrospective review of patients Although factors affecting the prescribing decisions were discussed in various studies worldwide, limited knowledge of these issues has been reported in Vietnam. Factors influencing opioid prescribing after tooth extraction J Am Dent Assoc. Synthesising the available qualitative evidence about factors influencing clinician prescribing of DMARDs can inform the tailoring of quality improvement strategies to identified factors (e. , accessible national living guidelines including lay summaries and treatment algorithms for improving rheumatologists’ knowledge about evidence-based Future research about factors influencing prescription decisions could also consider complementary approaches, such as hypothetical patient cases or registry studies. including e-prescribing. Of the total of 35 papers selected for review The aim of this review was to identify the factors affecting the prescribing decision of physicians. Shamindra Nath Sanyal, Saroj Kumar Datta, Asok Kumar These sources were further categorised by (1) whether the source suggested that opioids were being underprescribed, overprescribed, demonstrated complex prescription patterns, or had no explicit stance; Aim: In-hospital prescribing errors (PEs) may result in patient harm, prolonged hospitalization and hospital (re)admission. Subsequently, the themes from the interview analysis were validated in three focus groups with a total of 10 nurse NMPs. Methods Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to The main factors affecting antibiotic prescription were a high work pressure, insufficient staff resources, and uncertainties regarding clinical decisions. A goal for this project was to assist in Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation Volume 36, Issue 9 Daniel Livorsi (a1) , Amber Comer (a2) , Marianne S. Papers specifically assessing methodological instruments or approaches (e. Background: Chronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. 69 Despite the available literature on opinions and predictions of the physician's Conclusions: Certain individual and provider factors appear to influence the prescribing of drugs of different price levels. Prescribing errors were categorized as prescriber-, prescription-, technology-, or organization-related, or unclassified. Early research indicated that not all non-medical prescribers utilised their qualification. We Factors influencing the prescribing and cessation of FRIDs were categorized into GPs’ clinical work conditions, uncertainty about outcome of changing prescriptions, patients’ prescribing demands, and lack of patient information. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions (Table 1). A structured questionnaire adapted from modeling based on the researched theoretical references was made to collect data. Structural equation model analysis showed that attitude, other influencers and institutional environment, and PBC significantly affected behavioral intention. We found that previous antidepressant use was consistently and most strongly associated with the selection of the In 2001, persons in the United States younger than 65 purchased a mean of 10. The organizational factors can be suspected to We designed a qualitative exploratory study to provide more detailed data on the factors affecting prescribing decisions. adaj. To develop targeted interventions to prevent or reduce in-hospital PEs, identification and understanding of facilitating and Conceptual model of factors that influence antibiotic prescribing in nursing homes and residential care homes in the Netherlands. Most Influencing prescribing in English primary care: the views of primary care organisations. RATIONALE, AIM AND OBJECTIVE: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. 10 Factors that have been found to Factors influencing prescribing decisions in the treatment of depression: a social judgement theory approach. DISCUSSION This was a review on the factors influencing Further studies should be conducted on factors influencing prescribing and evaluating specific strategies (Davey et al. BACKGROUND Strategies to control the quality and cost of However, some factors reported to influence nurse prescribing growth, including support, communications, and legislative issues. 8 prescription drugs and those 65 or older purchased a mean of 26. The various factors that were identified act, and have their influence, at either an organizational or an individual level. Interviews consisted of open-ended questions and flexible probes based on participant responses. ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. 56–58 A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. 09. A postal questionnaire was developed by researchers at the Department of Health Objective Exploration of the factors that influence hospital doctors’ antibiotic prescribing decisions when treating children with respiratory symptoms in UK emergency departments. genetic factors, physiological changes with age and pregnancy, or impaired kidney, liver, or heart function) Take into account the patient’s ideas, concerns, and expectations The results of laboratory testing are crucial basis for clinicians to prescribe antimicrobial. e. Improving understanding can facilitate development of tailored interventions to reduce unnecessary opioid prescribing. (2015) Prevalence, nature, severity and risk Factors for prescribing errors in hospital inpatients: Prospective study in 20 UK hospitals. This article aims to support Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing Key factors influencing the prescribing of statins: a qualitative stud Go to citation Crossref Google Scholar Social and Behavioral Theories and Physician’s Prescription Such additional factors can influence efficacy or adverse outcomes, potentially reducing the former and enhancing the latter, thus limiting the external validity of RCTs. RATIONALE, AIM AND OBJECTIVE Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. We compare groups of GPs using rank orders, relative importance scores, and the probabilities of prescribing in Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation - Volume 36 Issue 9. Klimanov and Frolk ina (2015) Conclusions: Certain individual and provider factors appear to influence the prescribing of drugs of different price levels. METHODS This paper presents the results of exploratory research carried out in a peri-urban area of Lima, Peru, between April and October 1991. 9% of children with ARI 8. The significant first stage in the decision-making process is awareness of a new drug. Bair (a3) (a4) To investigate factors that influence antibiotic prescribing decisions, we interviewed 49 antibiotic stewardship champions and stakeholders across 15 hospitals. Papers on opioids as substitution (e. This study could not conclusively establish relationships between Attitudes about prescribing and AMR varied with years of practice, gender and employment status. However, systematically collected knowledge on factors influencing the Various factors can influence prescribing behaviour which successively will have a pronounced effect on the healthcare expenditures and the population as a whole. Many factors influencing social prescribing initiatives were identified and can be applied by different stakeholders of social prescribing to guide development, implementation, description, and evaluation. Clinician and patient factors influencing treatment decisions: ethnographic study of antibiotic prescribing and The final structural equation model reflected influencing factors affecting physicians' prescribing behavior (χ 2 /df = 1. 31. To bridge the gap between effectiveness and successful implementation, understanding of the individual and contextual factors affecting antibiotic prescribing and uptake of AMS activities in primary care is primordial and listed as a key priority in AMS research . The impact of nonmedical prescribing has been reported on by NMPs, other healthcare professionals and patients alike; generally overall to have a positive impact. 16 22–24 Reducing AB prescribing in primary care is therefore highly dependent on successful management of patient expectations 25–27 and on shared decision-making. We investigated how these factors influence GP prescription behaviour at the aggregate level and for subgroups of GPs based on both observable characteristics and unobservable characteristics, using a latent class approach. Rian Marie A cross-sectional study measuring associations between various patient and physician factors and prescribing of PI antidepressants, and PI sedatives among Theories Relevant to Factors Influencing the Prescribing Decision. Factors influencing pharmacists’ adoption of prescribing: qualitative application of the and relationships with physicians were prominent influences on pharmacists’ prescribing behaviours. Background Guidelines indicate eligibility for lipid lowering drugs, but it is not known to what extent GPs' follow guidelines in routine clinical practice or whether additional clinical factors systematically influence their prescribing decisions. Mikhael EM, Alhilali D. If no factors had a relationship with prescribing or administration, then heterogeneity between care homes was quantified by calculating I 2 (I 2 > 75% is considerable heterogeneity) physicians, discerning the factors that influence prescribing . Eleven of the TDF domains The factors influencing General Practitioners' (GPs) prescribing behavior are diverse in terms of health care policies and regulations, GPs' education and experience, demographic trends and disease profiles. 10 Factors that have been found to The factors should not be seen as individual influences but were described as influencing prescription in an interactive, nonlinear way. Design: We conducted semi-structured interviews with 30 inpatient physicians. Methods: A questionnaire was conducted among physicians in the above departments in Peking Data on factors affecting antibiotic prescribing were extracted. A postal questionnaire was developed by researchers This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Physicians rated the Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. However, limited evidence is available on the factors influencing the selection by physicians (diabetes specialists and Research is needed to understand what facilitates prescribing among waivered physicians and how to increase the willingness and capacity to prescribe. Investigation of factors influencing inpatient antibiotic prescribing decisions in the Veterans’ Health Administration Evan T. Better and deeper understanding of nurse and midwife prescribing roles is recommended to be aware of the extent of the benefits and cost efficiency of these roles Factors influencing the ability of Data on factors affecting antibiotic prescribing were extracted. New approaches are required to ensure that formal training and hospital guidelines on antimicrobial prescribing are more influential in shaping antimicrobial prescribing practice. However, PP was an easily neglected link in hospital infection Request PDF | Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial | Objectives We conducted Background: Tooth extractions account for most opioid prescriptions from dentists, but specific characteristics that influence likelihood are less established. Design: A qualitative study with 13 GPs who participated in two semi-structured focus groups in Central Norway. 21 Among Medicare beneficiaries, 56 percent use prescription medications costing more than $500 per year, and 38 percent In the UK most antidepressants are prescribed by GPs, and previous research has demonstrated considerable variation in prescribing levels between individual general practices; as an example, a 25-fold variation was found between the highest and lowest prescribing practices in one area of the UK. Gift acceptance and its effect on prescribing behavior among Iraqi specialist physicians. Establish an accurate diagnosis whenever possible (although this may often be difficult) Be clear in what way the patient is likely to Non-medical prescribing (NMP) in the UK: nurses, pharmacists, physiotherapists, podiatrists, diagnostic and therapeutic radiographers, optometrists and Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. This review sought to identify prescribing errors and factors that facilitate or prevent prescribing errors. Studies performed in hospital care have primarily This review identifies several factors as being highly influential upon physician prescribing: peer influence, financial and managed care considerations, pharmaceutical representatives and drug 1. AIMS Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. This paper aims to examine factors Prescribing of antimicrobials by veterinarians was predominantly based on diagnosis, response to previous therapy, and duration above the minimum inhibitory concentration, while non-clinical factors such as withholding period and farmers’ preferences also influenced prescribing. Studies Despite extensive research and interventions, medication prescribing errors in hospital continue to occur. Abstract AIMS: To determine the factors Factors influencing prescription and administration of analgesic medication: A longitudinal study of people with dementia living in care homes. Pharmacol Pharm 2014; 5: 705–715. The decision to prescribe an opioid appears to be associated with habits and factors perceived to modulate postoperative pain, which may serve as targets for opioid reduction strategies. Lower levels of antibiotic prescribing were associated with urban practices (p < 0. The study was designed to explore factors influencing physicians' Objectives: To examine the self-reported influences on intern prescribing practice. 04), and the higher the rank (close to 1) of the CCG (e. This paper describes the findings of a qualitative study in a province of southern China that seeks to assess knowledge, attitudes, and practices in relation to the use of antibiotics. The A study to identify the factors determining prescribing practices for diarrhoea treatment was carried out in a peri-urban part of Lima, Peru in 1991. To understand the factors influencing parental attitudes towards antibiotic prescribing, a systematic review of primary research published between 2006-2016 found parents wanted reassurance and advice regarding children's illnesses, had poor antibiotic knowledge and were influenced by personal past experiences. Conclusions. 56 Interacting clinical, social and cultural factors relating to both the patient and prescriber influence prescribing decisions. 5 prescription drugs. A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing The themes and subthemes identified in this review influence the implementation and development of non-medical prescribing; each could act as a barrier or facilitator depending on circumstances. 05. These events are associated with pressure on healthcare services and significant healthcare costs. Due to recent technical disruption affecting our publishing operation, we are experiencing some delays to publication. Thus, it can be useful to analyze the specific local patterns, as they affect the quality of To determine the proportion of children receiving antibiotics for common illnesses and to understand the antibiotic prescription ptern and factors influencing it, a cross sectional study was done among the private practitioners in Chennai, India 403 prescriptions by 40 physicians from selected health facilities were analyzed 79. The results from this study indicate that GPs need to be reminded that there is a connection between Factors influencing antidepressant prescribing and doses varied over time from first presentation, to antidepressant initiation and longer-term treatment. 47 Therefore, Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. High-quality studies assessing the effectiveness of educational actions are still scarce in the literature (Alldred et al. be success in this indus try. Perencevich (a5) (a6) and Matthew J. Contextually sensitive elements were revealed by comparing the factors between settings. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and reference lists of We used the IMD score to rank 118 CCGs to look at the influence of socioeconomic factors on antidepressant prescribing. Methods A retrospective cohort analysis was undertaken using electronic primary care records from Request PDF | Factors influencing antimicrobial prescribing by veterinarians and usage by dairy farmers in New Zealand | AIMS: To determine the factors associated with the selection of The aim of this review was to identify the factors affecting the prescribing decision of physicians. METHODS: Electronic This rigorous approach ensures a comprehensive analysis of the factors influencing community pharmacists' experience with e-prescribing and provides valuable insights for optimising e-prescribing practises in community pharmacy settings. Rationale, aim and objective: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Overall, the number of antibacterial prescriptions decreased by 26. lack of safety concerns) and lack Results: Exposure and attention to pharmaceutical promotions and contact with industry were significantly associated with reported increase in pharmaceutical Renal function was the clinical factor that most frequently influenced the prescribing of loop diuretics or renin–angiotensin–aldosterone system inhibitors. Although branded medications make up approximately 10 percent of all prescriptions in the United States, they account for nearly three-quarters of prescription drug spending (). , efficacy of risk minimisation tools in opioid prescribing) 4. Systematic reviews on antibiotic prescribing behavior have identified some common barriers to rational prescription, Diffusion of Innovations theory was helpful in understanding the multifaceted nature of pharmacists’ adoption of prescribing, with pharmacists who were in practice settings that were patient focused more likely to adopt advanced prescribing practices, over those in product-focused settings. Inclusion criteria were: use of qualitative or mixed methods Factors influencing prescribing decision: A total of 33 factors were identified. 2022. As a fundamental component in the Chinese health system reform, NEMP was implemented In addition, more general factors influencing their decision to take or not take prescribing responsibility were discussed. Methods: Semi-structured qualitative interviews were conducted with physicians (n = 13) and nursing staff (n = 13) in five nursing homes and two residential care homes in the central-west Nevertheless, a study carried out in the German part of Switzerland that aimed to evaluate the factors influencing pharmacists when prescribing medications showed a lack of familiarity with the medications included in the service, pharmacists’ reluctancy to take on the responsibility of prescribing them, and an increased workload Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. 14 It is also Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. , 2016). Respondents were asked to score the importance given (scale 0–4) to 17 listed factors which could influence prescribing behaviour, including considering the risk of development of antimicrobial resistance (AMR), ease of administration, legal restrictions, practice policies (Table 4). Blackpool CCG IMD score = 45. A comprehensive inventory of factors related to antibiotic prescribing has been compiled. This review confirmed that were: (1) factors influencing prescribing decision should be the main objective, (2) studies should be original articles, (3) the full text should be available and provide enough information, (4 The Textbook of Non-Medical Prescribing is an authoritative and accessible overview of the vital skills, contemporary issues and essential knowledge relevant to both students and healthcare practitioners. 1 With that level of Factors influencing medicines access service provision Prescribing competence. Where there was a lack of understanding of the non-medical prescribing role, or lack of trust in the non-medical prescriber, then the Those who seek to implement programs to alter medication use should recognize and employ factors that are most influential in the decision-making process, and may be important to consider differences that exist between key participants in the medication use process. fear of depression recurrence), few perceived continuation problems (e. 6,9 Antibiotic prescribing is a complex process influenced by many factors. Participants were encouraged to share least one prescription likely to cause adverse drug effects in the previous year. The Factors Affecting the Prescription of Antibiotics in Inpatient Care . Non-medical prescribing (NMP) was introduced into the United Kingdom to enhance patient care and improve access to medicines. The Competition is increasing day by day in Business arena and one who reacted timely against these frequent changes can survive in the competition, same in the field of The aim of this review was to identify the factors affecting the prescribing decision of physicians. Brunswik's lens model, from Social Judgement Theory (SJT), was employed to explore individual It is shown that several non-rational factors may affect antibiotic prescribing decision making in long-term care facilities, suggesting opportunities to reduce inappropriate antibiotic use. In total, The most frequently identified facilitating factor (39. This paper presents the results of a qualitative study of factors that influence prescribing behaviour of farm animal veterinarians. Background: Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. The significance of these factors is an important consideration to public health advocates and Physicians often fail to consider cost as an important prescribing factor. Pharma Innov 2014; 3: 30–35. However, strong opiate prescribing is more prevalent in older people, increasing at the A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing Our objective was to understand what factors influence pharmacists' adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. Be clear about the reasons for prescribing. BackgroundInsight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of Introduction: The Japanese guidelines for type 2 diabetes mellitus (T2DM) emphasize individualization of treatment based on patient need and encourage physicians to select an appropriate oral antidiabetes drug (OAD). The key microlevel factor was a set of patient’s characteristics This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Interviews were audio Accordingly, this study sought to explore physicians' perceptions of factors influencing antibiotic prescribing. OBJECTIVE To understand the professional and The incidents could relate to a new prescription or a repeat prescription. Physicians were interviewed, and then their practice was assessed by visits of confederates with healthy children described as ill, by interviews with mothers of sick children leaving the clinic A constellation of factors influenced pharmacist prescribing; however, the most prominent were the characteristics of the prescribing model itself that legitimized prior practices, pharmacy site’s model of practice (i. Clinical guidelines, previous patient experience, physician experience, colleagues' prescribing practice, pharmaceutical pressure, time pressure, and financial Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. These factors may help stewardship However, these policies have had little demonstrable impact on antibiotic prescribing. BackgroundIn 2007, Alberta became the first Factors influencing antidepressant prescribing and doses varied over time from first presentation, to antidepressant initiation and longer-term treatment. 9% of children with ARI The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. Design: Qualitative interviews with a cross-sectional cohort. Objective: Explore the situations in which GPs associate drug use with falls among their elderly patients, and the factors influencing the prescribing and cessation of fall-risk-increasing drugs (FRIDs). 1108/IJPHM-06-2016-0031 Corpus ID: 168844776; Factors influencing prescribing decisions among physicians: an empirical study on generic drugs @article{Sanyal2017FactorsIP, title={Factors influencing prescribing decisions among physicians: an empirical study on generic drugs}, author={Shamindra Nath Sanyal and Objective: To understand the professional and psychosocial factors that influence physician antibiotic prescribing habits in the inpatient setting. The Implementation Chasm Hindering Genome-informed Health Care. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. 10 These include providerrelated factors, such as doctors’ knowledge, skills and behaviour, and patient-related factors, such as demand for antibiotics. Understanding such factors is critical to designing implementation processes A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. D Livorsi 1, AR Comer 2, MS Matthias 3,4, EN Perencevich 5,6, and MJ Bair 3,4. Pharmacists' adoption of prescribing was dependent on the innovation itself, adopter, system readiness, and communication and influence. Drug Saf 39: 833–843. Conclusions: Veterinarians primarily considered technical reasons when prescribing antimicrobials. The study used a telephone survey of 50 veterinarians conducted in five districts in Assam state, India. Apart from educating prescribers, it is equally important, i Factors influencing prescribing behaviour of physicians in Greece and Cyprus: Results from a questionnaire based survey. The higher the IMD score, the more deprived the area is (e. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and reference lists of retrieved studies. 5 Recognises and responds to factors c To determine the proportion of children receiving antibiotics for common illnesses and to understand the antibiotic prescription ptern and factors influencing it, a cross sectional study was done among the private practitioners in Chennai, India 403 prescriptions by 40 physicians from selected health facilities were analyzed 79. Conceptual model of factors that influence antibiotic prescribing in nursing homes and residential care homes in the Netherlands. 00209-16 Corpus ID: 21287052; Systematic Review of Factors Associated with Antibiotic Prescribing for Respiratory Tract Infections @article{McKay2016SystematicRO, title={Systematic Review of Factors Associated with Antibiotic Prescribing for Respiratory Tract Infections}, author={Rachel McKay and The key influences on antimicrobial prescribing by NCHDs are informal. View in Scopus Google Scholar. Laboratory testing is a highly complex process, and increasing evidence suggests that errors and obstacles in the pre-analytical process (PP) will affect reasonable antimicrobial use. Mason, Anne; Drummond, Michael; Towse, Adrian; Cooke, Jonathan. They were also able to identify other factors that may influence prescribing practices. Of the six major influencing factors identified in the literature review, providers agreed that all were influential, and that five of the six were significant and had affected them or their co-workers. Physicians rated the availability of drug A number of factors can influence the prescribing behavior of physicians. This review confirmed that interns’ prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. [PMC free article] [Google Scholar]. (GPs) prescribing decisions and how these factors differ from those the guidelines recommend. 99, IFI = 0. 19th August 2024: digital purchasing is currently unavailable on Cambridge Core. Papers on palliative or end-of-life care 5. Participants and setting: Ten interns practising in two urban teaching hospitals in New South Wales, Australia. , Wass V. loyalty by physicians is important for the c ompany i n order to . A systematic review described 15 factors influencing NMP implementation. 001) and practices in less A thorough understanding of veterinarians&#39; current prescribing practices and their reasons to prescribe antimicrobials might offer leads for interventions to reduce antimicrobial use in farm animals. Lipid-soluble We designed a qualitative exploratory study to provide more detailed data on the factors affecting prescribing decisions. Besides the marketing and medical tools, previous literature also studied the link of these factors with different theories and models to influence the physician’s prescription behavior towards medicines, thus the literature has provided the theoretical and Key factors influencing the prescribing of statins: a qualitative stud Go to citation Crossref Google Scholar. Studies performed in hospital care have primarily focused on new drugs is a current and growing problem. Nurse prescribing has become well established in the UK. 69 Despite the available literature on opinions and predictions of the physician's This study explored the factors influencing PCPs’ decision-making in anticoagulant initiation and anticoagulant switch for patients with non-valvular AF. The most important sources (Table 2) were the pharmaceutical industry, in particular the company representative, non-peer-reviewed literature, the mass media (largely the reporting of A linear mixed-effects model was used to identify factors influencing antibiotic prescribing rates. Nurse prescribing is now an integral part of This study indicates that contextual factors at individual, practice, and system level influence physicians’ perceptions of antibiotic prescribing. Conclusions: Potential factors explaining differences in prescription practice are experience and perception of the evidence on the individual level and the structure of the department and participation in factors which influence the prescribing of statins by interviewing doctors from Queensland, Australia and Singapore. Epub 2022 Jun 9. , et al. 2004-07-01. All data were analyzed using a constant comparison approach. Conclusion The findings of this review could be used to identify points of engagement for future intervention studies and help hospitals determine how to optimize prescribing. The aim of this review was to identify the factors affecting the prescribing decision of Prescribing errors (PEs) in the in-hospital setting may cause adverse drug events (ADEs), 1 resulting in patient harm, prolonged hospitalization or hospital readmission. A multivariable logistic regression analysis was performed to examine the factors influencing the prescription of a DMARD add-on prescription, adjusting for baseline covariates. The model shows that the clinical situation and advance care plans Prescribing decisions of physicians is a complex process that is influenced by multiple interacting factors. PubMed. 001. Factors influencing prescription behavior of physicians. 6%; n = 19) was ‘insufficient (drug) knowledge, prescribing skills and/or experience of prescribers’. Go to citation Crossref Google Scholar. Prescribing factors. Clinician training and Background Sodium-glucose co-transporter 2 inhibitors (SGLT2 I) has cardiorenal protective properties and are recommended for patients with diabetes and established atherosclerotic cardiovascular disease (ASCVD) and/or chronic kidney disease (CKD). This review confirmed that interns’ prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. When faced with distressed patients showing symptoms of moderate to severe depression GPs were confident prescribing SSRIs which they considered as safe and effective medicines, Antibiotic prescribing practices are complex process and associated with both intrinsic (prescriber) and external (patients and institutional environment) factors. Physicians’ personal and profes-sional characteristics, pharmaceutical marketing strategies (direct- to- physician or direct- to- consumer marketing), Other factors influencing the practical element of prescribing include time since qualifying Taylor D. Methods: Pharmacists participated in semi-structured telephone interviews to discuss their prescribing practices and explore the facilitators and barriers to implementation We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors. Methods: Semi-structured interviews with 18 consultant neurologists and 16 specialist nurses from diverse settings across the four UK nations. This study has highlighted the complex interrelated factors which influence the PCPs’ prescribing behavior of anticoagulants in patients with AF. 0 Content may be subject to copyright. Social and Behavioral Theories and Physician’s Prescription Behavior. Methods A qualitative study using semistructured interviews based on a critical incident technique with 21 physicians of different grades and specialties that treat Factors influencing antibiotic-prescribing decisions among . Treatment expectations from patients and next of kin, benevolence towards the patients, suboptimal microbiological testing, and limited time for infectious disease specialists to The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. Physicians’ decision to prescribe statins was influenced by factors operating at the microlevel and macrolevel which mapped well on the framework developed by Scoggins et al (2006) in a study on the factors influencing GPs prescribing of statins in primary care in England. Responses were described using descriptive statistics, and differences between the groups were determined by post hoc analysis. Blackpool is ranked 2). Physicians’ personal attributes, cost of treatment, pharmaceutical industries’ and patients’ preferences were the most frequently identified factors to influence prescribing decisions (Table 1). 15 To understand the complexity of daily in-hospital prescribing with the aim of reducing in-hospital PEs, factors that protect against in-hospital PEs should also be included, adopting a Safety-II perspective. Written as a response to the growing emphasis placed on prescribing in the modern health service, this text provides up-to-date information on the scope for this review, which concerned factors influencing prescribing of opioids) 3. Economos BS 1, Cassie Cunningham Goedken MPH 2, Stacey Hockett Sherlock MAA,, Katie J. 15 Since the review of 2009, the introduction of prescribing tools However, these patterns related to specialties should be considered in light of various factors affecting antibiotic prescription rates, which include practice volume and other physician factors such as age, gender, and time since graduation from medical school (8, 23). Prescribing decisions of physicians is a complex process that is influenced by multiple interacting factors. Given the limited available data and the relatively small number of pts treated with commercial drug at each site, open discussions about institutional experiences will be important in understanding the pros protective factors, which is characteristic of a Safety-I approach. Google Scholar. This review confirmed that interns' prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that A quantitative approach with the survey method support was utilized to examine the five previously mentioned factors influencing prescribing decisions. txgctlz iecrle xaqvv nyecw eeekgm wgzqmdr cqbtitzdz cedkljbk pkz zaqszz  »