Τίτλος:
General Practitioners' intention to prescribe and prescribing patterns
in selected European settings: The OTCSOCIOMED project
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
The aim of this paper is to explore general practitioners’ (GPs)
prescribing intentions and patterns across different European regions
using the Theory of Planned Behavior (TPB).
A cross-sectional study was undertaken in selected geographically
defined Primary Health Care areas in Cyprus, Czech Republic (CZ),
France, Greece, Malta, Sweden and Turkey. Face-to-face interviews were
conducted using a TPB-based questionnaire. The number of GP participants
ranged from 39 to 145 per country. Possible associations between TPB
direct measures (attitudes, subjective norms (SN) and perceived
behavioral control (PBC)) and intention to prescribe were assessed by
country.
On average, GPs thought positively of, and claimed to be in control of,
prescribing. Correlations between TPB explanatory measures and
prescribing intention were weak, with TPB direct measures explaining
about 25% of the variance in intention to prescribe in Malta and CZ but
only between 3% and 5% in Greece, Sweden and Turkey. SN appeared
influential in GPs from Malta; attitude and PBC were statistically
significant in GPs from CZ. GPs’ prescribing intentions and patterns
differed across participating countries, indicating that
country-specific interventions are likely to be appropriate. Irrational
prescribing behaviors were more apparent in the countries where an
integrated primary care system has still not been fully developed and
policies promoting the rational use of medicines are lacking.
Demand-side measures aimed at modifying GPs prescribing behavior are
deemed necessary. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
Συγγραφείς:
Tsiantou, Vasiliki
Moschandreas, Joanna
Bertsias, Antonis and
Papadakaki, Maria
Saridaki, Aristoula
Agius, Dominic
Alper,
Zuleyha
Faresjo, Tomas
Klimkova, Martina
Martinez, Luc and
Samoutis, George
Vlcek, Jiri
Lionis, Christos
Περιοδικό:
Health Policy Research Bulletin
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
General practitioner; Primary care; Prescribing; Theory of Planned
Behavior
DOI:
10.1016/j.healthpol.2015.06.006
