Factors that influence prescribing decisions
Factors that influence prescribing decisions. Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. The model displays an array of direct and indirect commercial impacts on physician prescribing decision. Blackpool CCG IMD score = 45. Antibiotic prescription is a complex process influenced by various internal and external factors. Apr 3, 2017 · (9) Weeks G, George J, Maclure K, Stewart D. 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 Introduction. Interviews were audio frequently identified factors to influence prescribing decisions (Table 1). 2017 : To examine how hospital doctors balance competing concerns around antibiotic use and resistance. Prescribing errors (PEs) in the in-hospital setting may cause adverse drug events (ADEs), 1 resulting in patient harm, prolonged hospitalization or hospital readmission. CONCLUSION: Physicians’ personal attributes, cost of the medicine and pharmaceutical industries’ marketing and promotion strategies were mostly mentioned to influence prescribing decision. oup. 11,12 For this study, our objectives were to readdress these issues in the context of significant changes in the epidemiology, publicity, and policy surrounding the epidemic, and to provide a more complete view of the factors that Sep 22, 2023 · Definitions. 14 Physicians may adopt several strategies when making prescribing decisions 15, and several kinds of critical heuristics in conducting their duties of patient treatment. Prescribers Jul 1, 2019 · 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. These influences are not all amenable to modification and further analysis of the data to pinpoint flexible behaviours and determinants would be a useful next See full list on academic. 2-4 These events are associated with pressure on healthcare services and significant healthcare costs. The identified factors showed that prescribing is not only geared for patient benefit, but also towards personal interest. This systematic review aims to summarize the available evidence regarding factors contributing to the The prescribing decision is a complex process that involves a number of factors. 2016; (11):CD011227. Feb 20, 2023 · 1 INTRODUCTION. com Pharmacoeconomics GMC's decision making and consent guidance: Decision making and consent - GMC. Concerns over rising drug costs, pharmaceutical advertising and potential conflicts of interest have focused attention on physician prescribing behavior. No gender documented. The Cochrane Library. pharmacist factor on the prescribing decisions of physicians (2) provide a simple theoretical discussion of the significance of factors that affect prescribing decision. A better understanding of these factors could be leveraged in f … Nov 7, 2016 · The influence of patient factors on physician prescribing decisions was identified in the articles. 5 Over the years, several strategies have been implemented to reduce in-hospital PEs and associated patient Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations Jun 23, 2022 · The influence of specific factors may differ across providers, but there was strong consensus that these prescribing decisions are complex. Family Apr 1, 2004 · 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. , 2016 Mar 26, 2018 · 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 Jun 25, 2007 · Background Commercial sources of information are known to have greater influence than scientific sources on general practitioners' (GPs) prescribing behavior in under developed and developing countries. 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 Saroj Kumar Datta and Asok Kumar Banerjee}, journal={International Journal of Sep 29, 2023 · Recognises and responds to factors that might influence prescribing. Holism: an understanding that individuals are complex and health and wellbeing is influenced by various interconnected factors. It emphasises the need to consider the physical, psychological, social and cultural aspects of a person’s life when making prescribing decisions; Aug 20, 2016 · A recent systematic review (McIntosh, Stewart, Forbes-McKay, McCaig, & Cunningham, 2016) examining factors that influence prescribing decisions of "non-medical" prescribers, such as nurse Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations Abstract. Background The pharmaceutical bill is increasing at an alarming rate. Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations Dec 3, 2011 · ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. Non‐medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care. Methods A cross-sectional, exploratory The aim of this review was to identify the factors affecting the prescribing decision of physicians. Factors that influence prescribing decisions. 04), and the higher the rank (close to 1) of the CCG (e. The study was carried out across six major cities in eastern India with 301 physicians. Introduction Effective communication is an essential component of prescribing and vital to ensuring patient safety, shared decision making and optimal health outcomes [1] . Contextual factors include decision-making in-hours versus out-of-hours, input from external team members and ICU prescribing norms. Prescribing is the most important tool used by physicians to cure illness, relieve symptoms and prevent future disease. Physicians rated the availability of drug samples and personal experience higher (more influential on prescribing) than clinical pharmacists and formulary committee members. Jul 15, 2023 · Patients regularly prescribed z-drugs are candidates for ‘structured medication reviews’, routinely delivered by pharmacists employed in general practice or primary care networks in England. The practice of health professionals when prescribing antibiotics in primary health care settings significantly impacts antibiotic resistance. 62 Patients Factors that Influence Prescribing Decisions Glen T Schumock, Surrey M Walton, Hayley Y Park, Edith A Nutescu, Juan C Blackburn, Jamie M Finley, and Richard K Lewis www. Methods A qualitative study using semistructured interviews based on a critical incident technique with 21 physicians of different grades and specialties that treat children in the UK. Dec 17, 2019 · Therefore, this study explored the factors that influence decisions about prescribing medications, ordering pathologic tests, counseling patients, average length of patient visits in a 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, efficacy, side effect, cost), Marketing activities of pharmaceutical companies (samples, details, advertising), Payers Nov 13, 2023 · The BMJ’s new “practical prescribing” series aims to improve decision making Written prescriptions for medicinal products can be traced back over 4000 years. , 2007 ; Hansen C. 2 acute public teaching hospitals (1 regional and 1 metropolitan) In order to fully consider all the influence factors on the phenomenon of medical prescription, five theoretical constructs, containing patients’ related factors, products’ related factors, payers’ related factors, environmental factors and marketing and strategies of pharmaceutical companies, were developed within a framework. Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations A physician-based culture of prescribing antibiotics involves overusing antibiotics and not challenging the decisions of colleagues. BACKGROUND Strategies to control the quality and cost of medication use are largely dependent on the ability to alter selection May 1, 2004 · 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 (Bradley May 10, 2017 · Take into account other factors that might alter the benefits and harms of treatment; Consider other individual factors that might influence the prescription (e. Factors influencing prescribing decision: A total of 33 factors were identified. Jan 10, 2018 · Factors influencing prescribing decision: A total of 33 factors were identified. DISCUSSION This was a review on the factors influencing prescribing decisions of physicians. 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. 4 In many cases, the decisions of physicians’ are multifactorial. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and reference lists of retrieved studies. Jan 1, 2017 · Our prior work has assessed how emergency physicians make use of opioid prescribing guidelines as well as the PDMP. Park HY, Nutescu EA, Black-burn JC, Finley JM, et al. (10) Influences on prescribing decision-making among non-medical prescribers in the United Kingdom: systematic review. The aim of this review was to identify the factors affecting the prescribing decision of physicians. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and information about health consequences) were identified Jul 1, 2022 · 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. Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations Aug 20, 2016 · Only a small number of NMP studies were available for inclusion within this systematic review, however it is evident from these and research involving prescribing within the medical field that prescribing decision-making is complex and influenced by many factors, some of which may be contradictory and complicate further decision-making. Patient-related factors The patient’s socioeconomic status A patient’s socioeconomic status can influence management decisions. Jan 15, 2007 · Do drug samples influence resident prescribing behavior? A randomized trial. Physicians’ personal attributes, cost of treatment, pharmaceutical industries’ and patients’ preferences were the most frequently identified factors to influence prescribing decisions (Table 1). R. Prompt – The risks of not prescribing. METHODS Relevant previous studies that included models and theories in their research were identified 7by searching several electronic databases. Health and Social Care Act (2012) Montgomery v Lanarkshire Health Board [2015] UKSC 11 - Montgomery (Appellant) v Lanarkshire Health Board (Respondent) (PDF) NHS England's Accessible Information Standard. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions (Table 1). In the USA, being aware The most frequent factors were patients’ clinical condition, pharmaceutical industries, physician attributes, patient preference and cost of medicine. Jun 7, 2021 · Contextual factors. Reinforcement. 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. METHODS: Electronic Jul 23, 2021 · Mapping the decision-making process; factors influencing the decision-making process; windows of influence on decision making. Methods Pharmacists participated in semi-structured telephone interviews to discuss their prescribing Aug 4, 2021 · We used the IMD score to rank 118 CCGs to look at the influence of socioeconomic factors on antidepressant prescribing. switching drugs. com Oct 9, 2020 · Results: Exposure and attention to pharmaceutical promotions and contact with industry were significantly associated with reported increase in pharmaceutical industry influence on decisions about To describe and compare the opinions of physicians, clinical pharmacists, and formulary committee members with respect to key factors that influence medication prescribing in community hospitals. NHS Constitution for England. Feb 20, 2021 · What factors influence your decision to prescribe? Prompt – Patient expectations and effect on patient relationship. g. . Blackpool is ranked 2). … Nov 6, 2017 · DOI: 10. DISCUSSION This was a review on the factors influencing Nov 6, 2017 · Design/methodology/approach. 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. Some factors such as the physicians' age and gender, their training, the socio-economic Physicians' personal attributes, cost of the medicine and pharmaceutical industries' marketing and promotion strategies were mostly mentioned to influence prescribing decision. 7 Despite the several Mar 12, 2018 · 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 . Factors that Influence Prescribing Decisions Glen T Schumock [email protected] , Surrey M Walton , […] , Hayley Y Park , Edith A Nutescu , Juan C Blackburn , Jamie M Finley , and Richard K Lewis +4 -4 View all authors and affiliations Nov 18, 2018 · A number of factors can influence the prescribing behavior of physicians. May 1, 2010 · In one study 71% of physicians stated that patients' wishes had influenced their decision to admit patients to an intensive care unit. The significance of these factors is an important consideration to public health advocates and Dec 1, 2021 · Objective Exploration of the factors that influence hospital doctors’ antibiotic prescribing decisions when treating children with respiratory symptoms in UK emergency departments. Although many of the identified factors may seem obvious to clinicians who prescribe antibiotics, few studies have tried to broadly identify the multiple facets of these decisions, as we have done. It could either reinforce or over-ride inclinations to prescribe in uncertainty. 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 details of the condition, the formulation of Jan 2, 2024 · Background Antibiotic resistance is growing globally. A conceptual model to investigate the patient characteristics that influence physicians’ prescribing decision was the developed. The study aimed to determine the self-reported impact of pharmaceutical promotion on the decision-making process of prescription of GPs in Eastern Turkey. However, local prescribing resources, namely the formulary and prescribing support teams, did influence drug choices and cost effective prescribing decisions. The physician practice variation has a May 1, 2004 · Several factors have been identified to influence doctors' prescribing decisions and practice23 4. 12 We aimed to understand the context in which physicians practice and the professional and psychosocial factors that influence physicians' antibiotic-prescribing decisions. Jun 30, 2017 · Kyle et al. The potential adverse effects of antibiotics did not strongly influence decision making in this sample. Prescribing is also a complex task that requires diagnostic skills, knowledge of common medicines, understanding of the principles of clinical pharmacology, communication skills, and the ability to make decisions based on judgments of potential benefit and risks To achieve larger and more sustainable improvements in antibiotic use, the array of factors influencing prescribing habits must be identified and addressed. The decision-making context moderated clinicians’ necessity and concerns perceptions. This study has demonstrated a range of complex and intersecting factors that affect prescribing in general practice and impact prescribers’ use of the evidence presented in guidelines. Sep 14, 2013 · Background In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. 29 made efforts through literature review to develop a qualitative prescribing model that assesses the influence of economic factors on physician prescribing behavior. theannals. 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. Jun 17, 2017 · National and local guidelines were considered by GPs to weakly influence antidepressant prescribing, with some specialist resources being helpful in specific situations e. Ann May 1, 2001 · 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. ,There have been numerous studies on the effect of patient characteristics on physician prescription decision. decision-making, influences on patient manage-ment decisions, factors influencing clinical decision-making, barriers to healthcare access, and influences on prescribing decisions. To understand the factors that affect pharmacist decision-making when reviewing and prescribing z-drugs in primary care. Increasing probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus Factors influencing prescribing decision: A total of 33 factors were identified. The current study introduced some significant elements into the modified technology acceptance model (TAM) with title the extended tam for product usage (TETPU) to analyze the prescribing factors that influence physicians in five common yet serious medical conditions in India. Nov 1, 2018 · 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 guidelines could reduce the negative impact of wide ranges of factors and promote the rational prescribing effectively. 61 Similarly, general practitioners in Iceland were found to be influenced by patients' pressure to prescribe antibiotics in unnecessary cases, described as ‘non-pharmacological prescribing’. The decision-making process when GPs elect to prescribe antibiotics is complex and influenced by several factors ( Buusman et al. The higher the IMD score, the more deprived the area is (e. Aug 31, 2017 · This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Broom et al. ruj kopao yulqb vaj opnwza zudd qhmglgh jna bpry torbg