Physicians' generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand
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| Format: | Artículo científico |
| Sprache: | en |
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Centro de investigaciones y Publicaciones Farmacéuticas
2010
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| _version_ | 1876444606945558528 |
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| author | Pinyupa PLIANBANGCHANG |
| author_facet | Pinyupa PLIANBANGCHANG |
| contents | Physicians' generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand Pinyupa PLIANBANGCHANG Kanchalee JETIYANON Charawee SUTTALOUNG Lalida KHUMCHUEN Medicina Drugs Generic Thailand Drug Prescriptions Generic prescribing is a sound approach to contain health care costs. However, little is known about physicians' prescribing patterns in the Thai context. Objective: To explore physicians' generic prescription patterns in district hospitals. Methods: Data was collected from three of the eight district hospitals between January and December 2008 (final response rate 37.5%). All participating hospitals were between 30 and 60-bed capacity. The researchers reviewed 10% of total outpatient prescriptions in each hospital. Results: A total of 14,500 prescriptions were evaluated. The majority of patients were under universal health coverage (4,367; 30.1%), followed by senior citizens' health insurance (2,734; 18.9%), and civil servant medical benefit schemes (2,419; 16.7%). Ten thousand six hundred and seventy-one prescriptions (73.6% of total prescriptions) had at least one medication. Among these, each prescription contained 2.85 (SD=1.69) items. The majority of prescriptions (7,886; 73.9%) were prescribed by generic name only. Drugs prescribed by brand names varied in their pharmacological actions. They represented both innovator and branded-generic items. Interestingly, a large number of them were fixed-dose combination drugs. All brand name prescriptions were off patented. In addition, none of the brand-name drugs prescribed were categorized as narrow therapeutic range or any other drug that had been reported to have had problems with generic substitution. Conclusion: The majority of prescriptions in this sample were written by generic names. There is room for improvement in brand name prescribing patterns. 2010 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69014964003 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.8 |
| format | Artículo científico |
| id | redalyc_69014964003 |
| institution | Redalyc |
| language | en |
| publishDate | 2010 |
| publisher | Centro de investigaciones y Publicaciones Farmacéuticas |
| spellingShingle | Physicians' generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand Pinyupa PLIANBANGCHANG Medicina Drugs Generic Thailand Drug Prescriptions Physicians' generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand Pinyupa PLIANBANGCHANG Kanchalee JETIYANON Charawee SUTTALOUNG Lalida KHUMCHUEN Medicina Drugs Generic Thailand Drug Prescriptions Generic prescribing is a sound approach to contain health care costs. However, little is known about physicians' prescribing patterns in the Thai context. Objective: To explore physicians' generic prescription patterns in district hospitals. Methods: Data was collected from three of the eight district hospitals between January and December 2008 (final response rate 37.5%). All participating hospitals were between 30 and 60-bed capacity. The researchers reviewed 10% of total outpatient prescriptions in each hospital. Results: A total of 14,500 prescriptions were evaluated. The majority of patients were under universal health coverage (4,367; 30.1%), followed by senior citizens' health insurance (2,734; 18.9%), and civil servant medical benefit schemes (2,419; 16.7%). Ten thousand six hundred and seventy-one prescriptions (73.6% of total prescriptions) had at least one medication. Among these, each prescription contained 2.85 (SD=1.69) items. The majority of prescriptions (7,886; 73.9%) were prescribed by generic name only. Drugs prescribed by brand names varied in their pharmacological actions. They represented both innovator and branded-generic items. Interestingly, a large number of them were fixed-dose combination drugs. All brand name prescriptions were off patented. In addition, none of the brand-name drugs prescribed were categorized as narrow therapeutic range or any other drug that had been reported to have had problems with generic substitution. Conclusion: The majority of prescriptions in this sample were written by generic names. There is room for improvement in brand name prescribing patterns. 2010 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69014964003 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.3 Vol.8 |
| title | Physicians' generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand |
| topic | Medicina Drugs Generic Thailand Drug Prescriptions |
| url | https://www.redalyc.org/articulo.oa?id=69014964003 |