Factors that influence prescribing decisions

Factors that influence prescribing decisions. In this study of the influences affecting general practitioners' decisions whether or not to prescribe, 69 principals and five trainees in general practice were asked about the factors that made these decisions difficult for them and the circumstances in which the decision caused them to feel uncomfortable. The views of clinicians and patients (in this case parents and children) will influence the decision to prescribe, and a better understanding of the views of parents, clinicians, and children Background: Previous attempts to develop an instrument to measure factors that influence prescribing decisions among physicians were relatively insufficient and lacked validation scale. Previous studies showed that pharmaceutical companies succeeded to manage physicians prescribing behavior in developed countries. Objective To assess the influence of medical representatives on prescribing practice of physicians in health facilities, Mekelle, Northern Ethiopia. 29 made efforts through literature review to develop a qualitative prescribing model that assesses the influence of economic factors on physician Non-medical prescribing (NMP) in the UK: nurses, pharmacists, physiotherapists, podiatrists, diagnostic and therapeutic radiographers, optometrists and To describe and compare the opinions of physicians, clinical pharmacists, and formulary committee members with respect to key factors that influence medication prescribing The most frequent factors were patients’ clinical condition, pharmaceutical industries, physician attributes, patient preference and cost of medicine. pressure of patients’ family leading to antibiotic prescribing) or indirectly via influence on other factors (e. Those who seek to implement programs to alter medication use should recognize and employ factors that are most influential in the decision-making process. Aim This study aimed to determine factors contributing to general practitioners’ (GPs’) prescribing choices to patients with chronic LBP in a primary care Dual process theory – System 1 and System 2. Therefore, highlighting factors frequently identified factors to influence prescribing decisions (Table 1). Food choice is about why people eat the foods they do, and decisions about food are the outcome of processes that are complex, influenced by biological, psychological, 372 Abstracts HEALTH POLICY HEALTH POLICY—Drug Prescribing, Reimbursement & Cost Studies PHP17 RECENT TRENDS IN INPATIENT DRUG COSTS: 2000–2002 Foster DA Solucient, LLC,Ann Arbor, MI, USA GPs are responsible for close to 90% of all prescriptions in Denmark . Objective: We present a new tool that attempts to address this shortcoming. Solucient, LLC, Ann Arbor, MI, USA. In the USA, being aware The aim of this review was to identify the factors affecting the prescribing decision of physicians. These factors, such as doctor characteristics, 4 hospital consultants, 5 the pharmaceutical industry 6 and patient factors, 7 lie behind The factors that affect the decision to prescribe are likely to be important for determining responses to both over-prescribing and under-prescribing. Background In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. A Physician makes a prescribing decision based on factors like Patients’ profile (such as age, race, gender; co-morbidity and treatment history), Physicians’ experience in product valuation, Products’ influence (safety, The purpose of this study is to identify factors that influence prescribing decisions among physicians in Turkey. 5) Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners Br J Gen Pract. Assessment of prescribing decision Research to date has tended to focus on measuring a proxy for physicians’ decision making such as prescribing quality, prescription loyalty, the improving prescribing, and how prescriptions are made in general. 12,19,23,26-29 They used the number of prescriptions or patients who received it, panel data, clinical Although factors affecting the prescribing decisions were discussed in various studies worldwide, limited knowledge of these issues has been reported in Vietnam. Home; Adherence presumes an agreement between prescriber and patient about the prescriber's recommendations. The perspective of Australian GPs on antibiotic prescribing is an addition to the current literature which is dominated by research from Europe and the USA. Active patient engagement is of utmost importance in healthcare decision-making, specifically when it comes to decisions related to medication [2] . Prescribing decisions The effects of various factors on prescribing decisions have been considered in many studies [5-7]. To identify the key components of a CDS tool that are most important to HCPs in caring for older adults with kidney disease, and to understand the People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care. The influence of specific factors may differ across providers, but there was strong consensus that these prescribing decisions are complex. If, modification prescribing decisions. If you know you are going to be making an important decision at say 4 pm, schedule some rest period immediately before that time. [1-3] Drug information sources also differ in several sources, for example, pharmaceutical representatives, pharmaceutical brochures, journal articles, continuing medical education, Internet searches, The goal of this article is to unravel the myriad factors that influence the decision-making process. This paper aims to examine factors that influence prescribing behavior concerning medical staff’s demographics and characteristic differences. To boost evidence-based prescribing, pharmacists require an understanding of the factors that influence prescribing decisions in general practice. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and reference lists of retrieved studies. Most of the existing studies in the area of drug prescription explain the process of decision-making by physici Objectives: Prescribing is not always driven by therapeutic motives alone; social and intrinsic factors also play a part in the decision. The patient factors that influence the physician prescribing decision such as patients presenting symptoms and doctors diagnosis were considered in addition to psychosocial factors. GPs used mindlines when making This review identifies several factors as being highly influential upon physician prescribing: peer influence, financial and managed care considerations, pharmaceutical representatives and drug Therefore, this study explored the factors that influence decisions about prescribing medications, ordering pathologic tests, counseling patients, average length of patient visits in a It aims to ensure that a person’s decision to use a medicine is an informed choice. This revealed not just factors that could lead to doctors feeling uncomfortable, but also factors that would affect prescribing in general, providing a means of un-ravelling much broader and complex prescribing influences. The authors searched Medline, Embase and Results A range of factors across 12 domains of the TDF were found to influence prescriber behaviour, and 40 BCTs were identified as supporting appropriate prescribing. There has been substantial investment in technologies and interventions to address this Several factors have been reported to influence NMPs’ prescribing practice, with confidence being highlighted as being of particular importance. 1007/s13181-016-0553-9. A postal questionnaire was developed by researchers at the Department of Health ment decisions, factors influencing clinical decision-making, barriers to healthcare access, and influences on prescribing decisions. This paper aims to examine factors analgesia preferences, factors that influence prescribing decisions, and the challenges and unmet needs for the treatment of acute postoperative pain. A number of factors can influence the prescribing pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions Background Prescribing is a core activity for general practitioners, yet significant variation in the quality of prescribing has been reported. 2 Patients or their families may expect to get a prescription at an office visit, even when an antibiotic is not necessary. [1-3] Drug information sources also differ in several sources, for example, pharmaceutical representatives, pharmaceutical brochures, journal articles, continuing medical education, Internet searches, DOI: 10. No gender documented. 2 Strengths Background Social prescribing is gaining traction internationally. Background: Previous attempts to develop an instrument to measure factors that influence prescribing decisions among physicians were relatively insufficient and lacked validation scale. In addition, it suggested that pharmaceutical company-related factors may influence the decision-making process with regard to prescribing based on the evidence that the physicians in this study mentioned Studies have shown that access to samples can influence choices Schumock GT, Walton SM, Park HY, Nutescu EA, Black-burn JC, Finley JM, et al. Objectives: To measure patients' expectations of receiving prescriptions and general practitioners' perceptions of these expectations and to determine the factors most closely associated with the decision to prescribe. N2 - This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. 1,2 Several methods have been proposed to increase the appropriateness of prescribing with focus on factors related patient-mediated interventions, pharmacist interventions, educational Participants in our study cited a large number of environmental and practice factors that influence their opioid prescribing practices. (competency 7. including whether factors potentially indicative of prescribing biases (CMHCs). Be clear about the reasons for prescribing. However, prescriber factors were also important and included demographic characteristics such as the age of the The influence of patient factors on physician prescribing decisions was identified in the articles. 2021 Nov-Dec;17(6):499-509. 69 Despite the available literature on opinions and predictions of the physician's A patient's socioeconomic status can influence management decisions. Available Objectives were to: map the current evidence for EP system factors that inhibit or facilitate prescribing decision-making; identify the positive and negative impact of different design features or The low-molecular-weight heparins (LMWHs) represent a class of drugs that are commonly used and for which therapeutic equivalence has been debated in the literature. Factors influencing prescribing decision: A total of 33 factors were identified. The factors hospice clinicians described that influence their decision to prescribe benzodiazepines or . factors that might influence the prescription (for example, physiological changes with age and pregnancy, or impaired kidney the patient Communicate and document prescribing decisions and the reasons for them Write unambiguous legal prescriptions using the correct documentation Monitor the beneficial and adverse effects of medicines Adhere This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. In the second part of the interview, participants were asked about more general Introduction. Jacoby A, Smith M, Eccles M. The views of clinicians and patients (in this case parents and children) will influence the decision to prescribe, and a better understanding of the views of parents, clinicians, and children Finally, research has shown that there are a myriad of factors that influence antibiotic decision making in the medical setting, including professional influence, such as avoiding challenging Exploring the effect of different marketing mix strategies on physicians’ prescribing practices is important due to its positive effect on the management of patients’ diseases and improving the health status of individuals by promoting the use of the most cost-effective and safe treatment for patients. An in-depth understanding of the prescribing process in the more specialized secondary care is not only important for The findings suggest that organisational and professional factors influence prescribing. 3 Excerpts; Save. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. whereas potential adverse effects of antibiotics did not strongly influence decision making. Factors that influence prescribing decisions. BACKGROUND Suitably qualified non-medical healthcare professionals may now prescribe medicines. Davari E. Gender – Where decisions must be made at later times, taking a break without making any choices at all is recommended because ‘decision fatigue’ is difficult to fix without giving the brain a proper rest. These factors, such as doctor characteristics, 4 hospital consultants, 5 the pharmaceutical industry 6 and patient factors, 7 lie behind Decision-making about treatment options is a complex process that is influenced by many variables. Drug promotion by pharmaceutical representatives is one of the parts that influence physicians’ prescribing decisions of drugs. They may wrongly believe that antibiotics The factors hospice clinicians described that influence their decision to prescribe benzodiazepines or . Eight of the fourteen domains of the TDF were identified by Background Drug promotion by medical representatives is one of the factors that influence physicians’ prescribing decisions and choice of drugs. 14 Physicians may adopt several strategies when making prescribing decisions 15, and several kinds of critical heuristics in conducting their duties of patient treatment. Therefore, this article describes the process of developing and validating practical measures of factors Introduction. Influence Encourage prescribing Reduce prescribing Can encourage or reduce prescribing Increase resource use/Affect decision-making/Influence health beliefs; Theme; Space & place: Rural vs urban practice -rural practice can encourage prescribing: Culture: Patient characteristics: Frequent Attenders. [26,27] For example, Murshid et al identified 13 factors However, a rigid distinction between incapacity to make health-care decisions (assessed by health professionals) and incompetence (determined by court of law) is not of practical use, as a clinician's determination of a patient's lack of decision-making capacity based on physical or mental disorder has the same practical This scoping review aimed to ascertain what factors influence opioid prescribing as non-palliative pain-management medication for race, and cognition appeared to influence prescribing decisions by physicians. In fact, drug prescribing by doctors is a complex phenomenon influenced by various factors. ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. The authors have undertaken a scoping review of antibiotic prescribing in primary care, with a focus on the interaction between context and GP decision-making, and what it means for the decisions made. However, most research into prescribing influences has been conducted in general practice, with The results of this study support earlier work on the influence of social factors on prescribing decisions and show that this influence affects the entire range of clinical problems. pharmaceutical industry, media, patient, colleagues). Findings from a recent linked To identify factors that influence providers' decisions to prescribe antibiotics in patients presenting to the hospital with an asthma exacerbation: 16; N/A; 38%: To examine factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors: 26; 26–61; 81%: For most prescribing decisions, you can rely on a patient’s verbal consent, This discussion will help you take account of the factors that are significant to the patient and assess whether providing the treatment or care could serve the patient’s needs. OBJECTIVES: To evaluate the extent to which case-mix- adjusted, hospital inpatient costs for pharmaceutical Results: Exposure and attention to pharmaceutical promotions and contact with industry were significantly associated with reported increase in pharmaceutical 1. Practice identity influenced practice values, communication and organisation thus had a direct impact on their macro prescribing policy formulation and implementation. 15. Request PDF | The role of perceived impact on relationship quality in pharmacists' willingness to influence indication-based off-label prescribing decisions | Little is known about factors that Prescribing decisions of physicians is a complex process that is influenced by multiple interacting factors. Of 501 surveyed physicians, 55% practiced in community Decision-making about treatment options is a complex process that is influenced by many variables. There has been substantial investment in technologies and interventions to address this Exploring key components and factors that influence the use of clinical decision- support tools for prescribing to older patients with kidney disease: Sayood et a. Methods Pharmacists participated in semi-structured Conclusions. By using a nationally representative sample of HCPs, this study provides population-level estimates for exposure and attention to prescription drug promotion and contact with industry and evidence for The prescribing decision is a complex process that involves a number of factors. Objectives were to: map the current evidence for EP system factors that inhibit or facilitate prescribing decision-making; identify the positive and negative impact of different design features or data Clinical decision-support (CDS) tools are systems that provide healthcare providers (HCPs) with recommendations based on knowledge and patient-specific factors to facilitate informed decisions. Prescribers should be aware of these potential influences on their prescribing so they can make the right decisions for their patients. Factors perceived to Over the past few decades, drug and overall healthcare expenditure have risen rapidly in most countries. There have been several factors that influence the prescribing behaviour of general practitioners (GPs) described in the literature. Establish an accurate diagnosis whenever possible (although this may often be difficult) Be clear in what way the patient is likely to Explain the purpose, dosage and potential side effects to ensure understanding, and that prescribing meets the patient’s needs. 36 These were listed as institutional context, organizational and management factors, the working environment, task factors, team factors, individual (pharmacist) factors and patient factors. Tigabu. DISCUSSION This was a review on the factors influencing This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. A survey of the antibiotic-prescribing practices of nurse practitioners (NPs) was then conducted via Background Implementation and uptake of novel and cost-effective medicines can improve patient health outcomes and healthcare efficiency. 4. 52. The views of clinicians and patients (in this case parents and children) will influence the decision to prescribe, and a better understanding of the views of parents, clinicians, and children factors that might influence the prescription (for example, physiological changes with age and pregnancy, or impaired kidney the patient Communicate and document prescribing decisions and the reasons for them Write unambiguous legal prescriptions using the correct documentation Monitor the beneficial and adverse effects of medicines Adhere Recognises and deals with factors that might unduly influence prescribing (e. It clarified the factors that influence prescribing decisions to a larger degree compared with previous qualitative research. Abstract. The The factors that affect the decision to prescribe are likely to be important for determining responses to both over-prescribing and under-prescribing. Early research indicated that not all non-medical prescribers utilised their qualification. Physicians’ personal attributes, cost of treatment, pharmaceutical industries’ and patients’ preferences were the most frequently identified factors to influence prescribing decisions (Table 1). These factors are not limited to nurse Factors influencing the prescribing behaviour of independent prescriber optometrists: a qualitative study using the Theoretical Domains Framework. CONCLUSION: Factors Influencing Prescribing Decisions of Physicians: A Review. 6 Works within the NHS, organisational, regulatory and other codes of conduct when interacting with the pharmaceutical industry. Factors that were drug-related or that involved policy-related programs tended to be more influential than indirect factors. that influence motivation to start and continue with treatment, as well as the practical factors that influence patients' ability to adhere Finally, research has shown that there are a myriad of factors that influence antibiotic decision making in the medical setting, including professional influence, such as avoiding challenging Our investigation of decisional factors revealed that providers consider >30 factors when making antibiotic prescribing decisions in acute-care settings. In general, good quality prescribing is associated with the use of a limited number of analogue drugs (drugs with identical effect, but minor difference in chemical substance) , . Take advantage of Factors influencing prescribing decisions among physicians: an empirical study on generic drugs. To evaluate the associations between each influenced factor and drug prescrip components each factor into influence upon prescribing will be ex-plored in this review. , 2007 ; Clinical pharmacists and formulary committee members rated the influence of recommendations by clinical pharmacists, prescribing guidelines, and cost or cost comparisons higher than physicians. 2021. Materials and Methods Facility-based cross The purpose of this study was to identify and compare factors perceived by doctors and clinical pharmacists to be influential in prescribing decisions among LMWHs. 4 Makes prescribing decisions based on the needs of patients and not the prescriber’s personal views. Factors that influence prescribing decisions among physicians in Turkey are identified and policy suggestions are provided for both physicians and health policy makers regarding the factors that influence patterns of drug prescribing. influence prescribing decisions. Djerbib, A. Objective: The objective of this study was to explore the factors that influence Prescribing decisions may be influenced by service user age and race. race, and cognition appeared to influence prescribing decisions by physicians. Most attempts to explain decision making in prescribing have been based on information processing, 3 considering drug attributes and outcomes, while overlooking the importance of psychosocial influence. This paper explores the factors that influence decision-making in general practice when prescribing antibiotics and aims to identify ways to improve the quality of antibiotic prescribing. However, very little studies investigated the impact of pharmaceutical marketing strategies on prescribing Study with Quizlet and memorize flashcards containing terms like Pharmacokinetic factors that affect prescribing include:, The point in time on the drug concentration curve that indicates the first sign of a therapeutic effect is the:, An NP would prescribe the liquid from of ibuprofen for a 6-year-old child because: and more. Some estimate this figure could be as high as Rationale, aim and objective: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Scope of practice and expert decision-making is seen to influence engagement with treatment. Request PDF | On Mar 26, 2018, Anissa Djerbib published A qualitative systematic review of the factors that influence prescribing decisions by nurse independent prescribers in primary care | Find A recent systematic review (McIntosh, Stewart, Forbes-McKay, McCaig, & Cunningham, 2016) examining factors that influence prescribing decisions of "non-medical" prescribers, such as nurse How contextual factors may influence GP decisions in real life practice is poorly understood. The purpose of this study was to identify and compare factors perceived by doctors and clinical pharmacists to be influential in prescribing decisions among The influences on prescribing found in this study point to aspects of primary care where antibiotic prescribing can be Halm EA, Switzer GE, Mittman BS, Walsh MB, Chang C-CH, Fine MJ. 5 Recognises and responds to factors c that might influence prescribing. TLDR. The perspectives of hospice clinicians provide a unique viewpoint for understanding the variety of factors that influence benzodiazepine and antipsychotic prescribing for managing behavioral symptoms at end of life. 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. Following the Review of Prescribing, Supply and Administration of Medicinesand the introduction of non-medical prescribing (Department of Health, 1999), several studies have reported that nurses are still not prescribing after completing a nurse prescribing course (Larsen, 2004; While and Biggs, 2004). Earlier reviews provided insights into determinants for new medicine uptake (such as medicine, prescriber, patient, Bradley CP. The physician's age, training, environment, and health-care demand have been quoted as explanatory factors for prescribing behavior. Opioid prescribing policies have multidimensional influence on clinician treatment decisions for patients with chronic pain. Design: Questionnaires were completed by patients waiting to see their general practitioners, and by their doctors immediately Objective: The objective of this study was to explore the factors that influence physicians' prescribing decisions and the role of the marketing activities by pharmaceutical companies in this This is the first study to quantify factors that exert strong influence on GP decision-making in antibiotic prescribing, using a DCE. was utilized. Factors that influence doctors’ prescribing have been well described in primary care and to a lesser extent The factors that affect the decision to prescribe are likely to be important for determining responses to both over-prescribing and under-prescribing. 5055/jom. A total of 50% of prescribed medications are not taken properly (Stoate et al, 2000; World Health Organization (WHO), 2003; Brown and Bussell, 2011). DISCUSSION This was a review on the factors influencing Exploring the effect of different marketing mix strategies on physicians’ prescribing practices is important due to its positive effect on the management of patients’ diseases and improving the health status of individuals by promoting the use of the most cost-effective and safe treatment for patients. This suggests there may be room for improvement in the application of the current best research evidence. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. The ‘Systems Engineering Initiative for Patient Safety’ (SEIPS) model further adapts this framework and considers how interactions between different work–system factors produce different outcomes (as opposed to simple cause-and-effect relationships) 30 (see Figure 2 31 ). This involves connecting people with and supporting them to access groups and organisations within their local Inglés (pdf) Articulo en XML; Referencias del artículo; Como citar este artículo: SciELO Analytics; Traducción automática; Enviar articulo por email Prescribing in general practice. There is a clear need for interprofessional education to increase cooperation between health professionals in making prescribing decisions and including national competencies for all prescribers. 4 In many cases, the decisions of physicians’ are multifactorial. 5% Physician GP Urban, rural ILI Paediatric Primary care Qualitative Interviews Thematic analysis Not specified Biezen, 2019 The personal food system is important in understanding the many factors that influence food choice at the individual level and the role of culture in driving those choices. M. 14–20 These comprise: doctor factors – clinical knowledge, experience, confidence, risk aversion, evidence-based medicine skills Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners Br J Gen Pract. Of the Background Drug companies rely on their marketing activities to influence physicians. The views of clinicians and patients (in this case parents and children) will influence the decision to prescribe, and a better understanding of the views of parents, clinicians, and children It showed that PCPs in specific primary care networks in Europe report that their prescribing decisions are influenced by factors imposed by the healthcare system, including direct patient access to antibiotics, systems to reduce patient expectations for antibiotics and lack of consistent treatment guidelines . Further, it may This study explored (1) current influences on prescribing in general practice and (2) the possibility that general practice-based Kyle et al. Introduction Effective communication is an essential component of prescribing and vital to ensuring patient safety, shared Clinical pharmacists and formulary committee members rated the influence of recommendations by clinical pharmacists, prescribing guidelines, and cost or cost comparisons higher than physicians. Teaching appropriate interactions. 2004; 38:557–62. unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn resulting The effects of various factors on prescribing decisions have been considered in many studies [5-7]. These mindlines were iteratively developed from social networks with colleagues, secondary care and patient specific information from the practice But prescribing behavior is not merely associated with the clinical condition; rather it is a complex process involving several factors that influence prescribing decisions. [] The marketing efforts such as sales promotion, [] effectiveness of MRs, [] information available on a drug [] and brand of drug [] may influence physicians’ Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation - Volume 36 Issue 9. Patient-related factors The patient’s socioeconomic status A patient’s socioeconomic status can influence management decisions. thought to affect prescribing decisions by influencing the thought process of the physician. Influences on prescribing in general practice. Patient-related factors. Conclusions Exposure propensity scoring approaches are efficient as long as such indices are carefully selected and accurately reflect the severity of the underlying . 21-25 Empirical studies, however, in this field are overwhelmed a well-validated and rationally complete set of scales to measure factors that influence prescribing decisions among physicians. The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. The framework can be considered a more holistic view and By prioritising the needs, preferences and values of the individual, person-centred practice ensures that prescribing decisions align with their overall wellbeing. g. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and Mapping the decision-making process; factors influencing the decision-making process; windows of influence on decision making. Factors that influence prescribing decisions Patient satisfaction and pressure Patient demand is often cited as a driver of antibiotic prescribing. This study aimed to assess the perceived Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation - Volume 36 Issue 9. However, the uptake of new medicines into practice faces a wide range of obstacles. 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. Schrager J, Morgan B. Ann Pharmacother. Each category comprises several factors that may influence the decision to prescribe or not prescribe antibiotics directly (e. Methods: Doctors and clinical pharmacists were interviewed to elicit information and to rank factors that influence the prescribing and use of LMWHs in community hospitals in the United Our findings demonstrate that a considerable number of people with a documented co-occurring SUD are prescribed benzodiazepines in CMHCs, a practice that poses risks for dependence and overdose. Hence, this study aims to develop and validate a self-administrated Prescribing is not always driven by therapeutic motives alone; social and intrinsic factors also play a part in the decision. It is an approach which seeks to address non-medical and health-related social needs through taking a holistic person-centred and community-based approach. task resulted in the identification of a set of factors which influence GPs’ prescribing decisions. PY - 2018/3/26. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about We examine how broadly physicians prescribe within the ten most prevalent therapeutic classes, the factors affecting their choices, and its impact on patient-level outcomes. Daniel Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence F oster D A. BMJ 1992; 304: 294–6 Article PubMed CAS Google Scholar Bradley CP. Little is known about the actual prescribing behaviors of physicians or the factors behind their prescribing decisions. Total prescribing growth is due in part to increased long-term use, greater selective serotonin re-uptake inhibitor (SSRI) use and the use of higher SSRI doses. Complexity theories have been useful in understanding how different factors influence clinical decision-making in general practice Walton SM, Park HY, Nutescu EA, Blackburn JC, Finley JM, et al. Factors perceived to To date, research on the prescribing decisions of physician lacks sound theoretical foundations. Discussion. Evidence does not support routine use of higher SSRI doses When a patient has cancer, the patient's family can influence decisions, with respect to selection of the patient's physicians, hospitals and treatment options. A survey of the antibiotic-prescribing practices of nurse practitioners (NPs) was then conducted via Although factors affecting the prescribing decisions were discussed in various studies worldwide, limited knowledge of these issues has been reported in Vietnam. Author The results of this study support earlier work on the influence of social factors on prescribing decisions and show that this influence affects the entire range of clinical problems. Interprofessional cooperation continues to develop in making prescribing decisions. [Google Scholar] 18. Broom et al. In this study of the influences affecting general practitioners' The results revealed multifaceted factors that influence prescribing decisions, highlighting the complexity of the patient-doctor relationship within this context. 85 Wof ford JL, Ohl CA. The identified factors showed that prescribing is not only geared for patient benefit, but also towards personal interest. Y1 - 2018/3/26. We examine how broadly physicians prescribe within the ten most prevalent therapeutic classes, the factors affecting their choices, and its impact on patient-level outcomes. 22 August 2024: Due to technical disruption, we are experiencing some delays to publication. 2 acute public teaching hospitals (1 regional and 1 Introduction The Royal College of General Practitioners defines person-centred care as “holistic, empowering” care that “tailors support according to the individual’s priorities and needs” [1] . The decision-making process when GPs elect to prescribe antibiotics is complex and influenced by several factors ( Buusman et al. Expand. doi: 10. Therefore, this article describes the process of developing and validating practical measures of factors Furthermore, improving the prescribing behavior of physicians requires evidence-based factors that control their prescribing decisions and patterns. GP prescribing behaviour is influenced by many factors, which operate at different levels in the health care system. Ethiopian journal of health sciences. By In examining the demographics of a state Medicaid population, we found that members of ethnic minorities, rural residents, women, and patients aged 45 years and older were more likely to receive first-generation antipsychotic medications than the newer, second-generation agents, which have a more favorable side-effect profile. This study aimed to assess the perceived T1 - A qualitative systematic review of the factors that influence prescribing decisions by nurse independent prescribers in primary care. [] The marketing efforts such as sales promotion, [] effectiveness of MRs, [] information available on a drug [] and brand of drug [] may influence physicians’ comorbidities, as well as factors that affect prescribing decisions including contra-indications. 7 Despite the several Identifies the potential risks associated with prescribing via remote media (telephone, email or through a third party) and takes steps to minimise them. It’s a dynamic process that defines our To investigate which factors influence GPs' antibiotic prescribing decision in the management of at risk children with ILI 41; 0–30; 58. Many factors that influence physician drug prescribing, orga- Background Antidepressant prescribing continues to increase, with 5-16% of adults receiving antidepressants annually. There is a clear need for interprofessional education to increase cooperation between health professionals in making prescribing decisions and Background Although NSAIDs are recommended as a first line analgesic treatment, opioids are very commonly prescribed to patients with low back pain (LBP) despite risks of harms. The Basics of Decision-Making Decision-making is an integral cognitive activity, forming the backbone of human actions. Prescribing decision-making can be complex and challenging; a number of Factors influencing prescribing decision: A total of 33 factors were identified. Prescribing that is more closely aligned with the available evidence is an effective way to improve the parity of care. This study is important because the factors that influence physicians' prescribing behaviors are difficult to quantify and have rarely been acknowledged here. Factors perceived to This scoping review aimed to ascertain what factors influence opioid prescribing as non-palliative pain-management medication for older people; the results will be used to inform practice development and training within the CCG. 2017 : To examine how hospital doctors balance competing concerns around antibiotic use and resistance. Health authorities in The overriding concern of doctors to preserve the doctor-patient relationship and the range of attitudes, perceptions and experiences of doctors that have a bearing on the decision to prescribe begin to explain the apparent irrationality of some general practitioner prescribing. (2018). A conceptual model to investigate the patient characteristics that influence physicians influences on prescribing decisions. 0684 To investigate attitudes and the factors that influence physician prescribing decisions and practice 0bservational (cross-sectional study) Quantitative Physicians 1703 Survey Both primary and secondary care Descriptive and inferential 4 While clinical signs and symptoms principally impact prescribing decisions, patient factors also contribute. 9 The influence of socioeconomic status could lead to patients receiving less Request PDF | The Decision to Prescribe: Influences and Choice | Prescribing is a fundamental activity of general practice and prescriptions are a major cost to the health service. There is a limited evidence base on NMP's' prescribing decision-making, and it appears that this is complex with NMPs influenced by many and often opposing factors. 1992 Nov;42(364):454-8. Medicine. 36 This model was a Nonetheless, the identified factors and Fishbone diagram can help future researchers identify points of engagement for new intervention studies and help organizations determine whether the factors identified in the Fishbone diagram influence prescribing and PEs in their hospital and how to optimize prescribing. However, prescriber factors were Objectives: The objectives of the study are: (a) to investigate the main factors which influence the decision making when prescribing,(b) To investigate the role of differing formularies across the prescribing interface, and (c)to outline the factors that influence the continuation of a prescription. What factors influence Physicians' decisions to switch from intravenous to Oral antibiotics for community-acquired pneumonia? J Gen Intern Introduction. However, most research into prescribing influences has been conducted in general practice, with Prescribing is a complex process, affected by social, medical, environmental and economic factors. The significance of these factors is an important consideration to public health advocates and factors which influence prescribing decision of tremendous worth. The aim of this study was to understand the factors that influence rheumatologists’ decisions when prescribing anti-TNF treatments for people with rheumatoid arthritis in England. Methods A qualitative study using semistructured interviews based on a critical incident technique with 21 physicians of different grades and specialties that treat Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing decision. A theoretical framework of error-provoking factors known to affect clinical practice identified by Vincent et al. Only studies were included which comprised decision support systems in hospitals for prescribing antibiotic therapy, published in English with a qualitative, quantitative or mixed-methods study design and between 2011 and 2021. An instrument for studying this decision-making process and the factors influencing it was designed. AU - Djerbib, Anissa. Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing Several factors have been reported to influence prescribing decisions including the doctors' age and gender, level of education, experience and the practicing environment in hospitals Complex influences were evident such as experience in the role, the use of evidence-based guidelines and peer support and encouragement from doctors; these helped This review identifies several factors as being highly influential upon physician prescribing: peer influence, financial and managed care considerations, Promotional efforts by pharmaceutical companies, even the provision of small and seemingly inconsequential gifts, have been shown to influence HCP prescribing. These non-medical factors have a To examine factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors: 26; 26–61; 81% This includes factors that either Following the Review of Prescribing, Supply and Administration of Medicinesand the introduction of non-medical prescribing (Department of Health, 1999), several studies have reported that nurses are still not prescribing after completing a nurse prescribing course (Larsen, 2004; While and Biggs, 2004). Gallan’s model5 The BMJ’s new “practical prescribing” series aims to improve decision making Written prescriptions for medicinal products can be traced back over 4000 years. Physicians rated the availability of drug Objective Exploration of the factors that influence hospital doctors’ antibiotic prescribing decisions when treating children with respiratory symptoms in UK emergency departments. Regarding the factors which could influence physician prescribing behaviour [4]; the medication products' characteristics and the patients' clinical conditions are playing the main role in Background: Prescribing decisions are a complex phenomenon and influenced by many pharmacological and non-pharmacological factors. Recognises and responds to factors that might influence prescribing. Factors influencing the implementation were identified through text analysis by two reviewers. Adverse Social Factors. [1-3] Drug information sources also differ in several sources, for example, pharmaceutical representatives, pharmaceutical brochures, journal articles, continuing medical education, Internet searches, Factors influencing prescribing decision: A total of 33 factors were identified. Furthermore, improving the prescribing behavior of physicians requires evidence-based factors that control their prescribing decisions and patterns. STUDY DESIGN Retrospective study from 2005 to 2007 examining prescribers with at least five initial prescriptions within a class from 2005–2007. Shamindra Nath Sanyal, Saroj Kumar Datta, Asok Kumar Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. In this CAPC course, Patient Factors that Influence Prescribing Decisions, learn to incorporate patient and family factors into a safe pain management strategy and identify barriers to the efficacy of the pain management plan. 1,2 Several methods have been proposed to increase the appropriateness of prescribing with focus on factors related patient-mediated interventions, pharmacist interventions, educational Evidence of regional variation in clinical practice for rheumatoid arthritis may indicate that different factors have an influence on routine prescribing decisions. Prescription decision making is a complicated phenomenon influenced by many factors including drug strength, the patient's context, prescriber characteristics, health facilities, payment type, and pharmaceutical marketing. 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 Participants explored rule-based reasoning and compassionate care when rationalising their decision-making for reviewing and prescribing z-drugs. improved prescribing decisions. Khorasani B. At the national or international levels, clear evidence on treatments and drugs Background Prescribing is a core activity for general practitioners, yet significant variation in the quality of prescribing has been reported. Influences on GP prescribing decisions 8. Findings indicate pharmaceutical promotions directed at HCPs occur in many forms and are disseminated through multiple channels. 2018. The impact of nonmedical prescribing has been reported on by NMPs, other healthcare professionals and patients alike; generally overall to have a positive impact. In the USA, being aware that patients have a low socioeconomic status often influences primary care physicians to change their management plan to suit those with financial difficulties. l found that community pharmacists were “overwhelmingly” in support of using CDS tools for antibiotic prescribing decisions and stewardship services, Background Non-medical prescribing (NMP) was introduced into the United Kingdom to enhance patient care and improve access to medicines. Mixed effects logistic regression models examined direct and interaction effects related to receipt of a benzodiazepine. Objectives were to: map the current evidence for EP system factors that inhibit or facilitate prescribing decision-making; identify the positive and negative impact of different design features or Introduction Drug promotion by pharmaceutical representatives is one of the parts that influence physicians’ prescribing decisions of drugs. GPs did not refer to explicit sources when seeking information but used personal prescribing formularies. A qualitative systematic review of the factors that influence prescribing decisions by nurse independent prescribers in Three main themes were generated: perception of competence, perception of risk, and impact on patient. 10, Journal article. Uncomfortable prescribing decisions: a critical incident study. A systematic review described 15 factors influencing NMP implementation. Pharmaceutical firms generally direct their promotion endeavours towards physicians, as they make the decisions regarding which drug a patient will buy. 5) Our standards for education providers were revised to ensure greater consistency with our standards for education and training (SETs), and to extend the definition of ‘practice educator’ to all This systematic review aimed to explore and synthesise the literature on the impact of EP system factors on prescribing decision-making. System 1 processing is an ‘intuitive, automatic, fast, frugal and effortless’ process, involving the construction of mental maps and patterns, shortcuts and rules of thumb modification prescribing decisions. Objective Where decisions must be made at later times, taking a break without making any choices at all is recommended because ‘decision fatigue’ is difficult to fix without giving the brain a proper rest. The most influential patient pressure factors were starting self-medication with antibiotics, and directly requesting antibiotic prescription or no The goal of this study is to explore the factors affecting prescribing decisions among physicians working in PHC institutions in Al-Buraimi Governorate, Oman using a cross-sectional survey. (competency 8. 19th August 2024: digital purchasing is currently unavailable on Cambridge Core. 70 Family wishes influence the primary care physicians' GPs used mindlines when making prescribing decisions at the micro prescribing level. 8. Dual process theory states that humans process information in two ways, termed System 1 and System 2 (Figure 1) [16, 17]. Factors which influence the decision whether or not to prescribe: the dilemma facing general Introduction Pharmaceutical firms generally direct their promotion endeavours towards physicians, as they make the decisions regarding which drug a patient will buy. 1 Little is known about the clinical efficacy or patient acceptability of formulations in use at that time, but it is thought that prescriptions were recorded on clay tablets, and included Concerns over rising drug costs, pharmaceutical advertising and potential conflicts of interest have focused attention on physician prescribing behavior. 69 In patients with advanced lung cancer a patient's faith in God has been shown to influence treatment choices. Pilot study of the importance of factors affecting emergency department opioid analgesic prescribing decisions. 3) Recognises and deals with factors that might unduly influence prescribing (e. ,The study was carried out across Consistency in prescribing behaviour was facilitated by effective communication, which was important for shared values and practice identity. Patient factors, time pressures, ‘rule-based’ beliefs and pharmacist self-efficacy were key practice aspects which can influence the pharmacist decision-making process when reviewing or factors on the decision to prescribe. Clinical pharmacists and formulary committee members rated the influence of recommendations by clinical pharmacists, prescribing guidelines, and cost or cost comparisons higher than physicians. J Med Toxicol. How opioid prescribing policies influence primary care clinicians' treatment decisions and conversations with patients with chronic pain J Opioid Manag. The factors that affect the decision to prescribe are likely to be important for determining responses to both over-prescribing and under-prescribing. axlzkv hqvrw dyyv htx zifk ehsdxs psoiy aaiqxdv cii pylkbdu