Advertisement

Physician perception of patients’ requests for medications in Yemen

  • Mohsen Ali MurshidEmail author
  • Zurina Mohaidin
Original Research Article
  • 5 Downloads

Abstract

Objective

To examine the perceptions of physicians toward patients’ requests and expectations.

Methods

Data was collected through questionnaires to assess the perceptions of physicians in Yemen towards patients’ requests and expectations. The study was conducted in private and public hospitals in Sana’a, Yemen in 2017. SPSS was employed to provide a general statistical description of the constructs used in the research.

Results

The analysis of 393 completed questionnaires indicates the majority of the physicians agree that physicians should take into consideration patients’ requests for specific types, specific brands and less expensive drug regardless of the drug's efficacy before prescribing. Most of the respondents also agreed physicians should consider the priority of generic drugs over the brand, general public opinion about the benefit of brand-name drugs, generic drugs suggested by health policymakers and affordability and subsidizing of drugs before prescribing.

Conclusion

The patients’ requests and expectations remain a focal point in prescribing decision, making it a vital part of the decision making regarding the medical prescription. Therefore, for both physicians and policymakers, eliciting, evaluating, and understanding patients’ requests and expectations will be significant to prescribing practice consultations.

Notes

Compliance with ethical standards

Funding

No funding was received.

Conflict of interest

Authors declare that they have no conflict of interest to disclose.

Ethical approval

Approved by the Yemeni Ministry of Public Health and Population (MoPHP), Human Resource department.

Supplementary material

40267_2019_607_MOESM1_ESM.docx (15 kb)
Supplementary file1 (DOCX 14 kb)

References

  1. 1.
    Afi Kayi E, Atinga RA, Ansa GA. Informational sources on pharmaceutical medicines and factors affecting medication prescriptions: perspectives from Ghanaian physicians. J Med Mark. 2015;14(4):176–81.CrossRefGoogle Scholar
  2. 2.
    Mukherjee A, Limbu Y, Wanasika I. A review of research on direct to consumer advertising of prescription drugs. IJPHM. 2013;7(3):226–43.Google Scholar
  3. 3.
    Lee D. Prescription drug request and denial. IJPHM. 2012;6:200–14.Google Scholar
  4. 4.
    Savage SV. Patients, trust, and patient participation: factors influencing whether patients want to be active health care participants. Res Sociol Health Care. 2011;29:149–71.CrossRefGoogle Scholar
  5. 5.
    Stremersch S, Landsman V, Venkataraman S. The relationship between DTCA, drug requests, and prescriptions: uncovering variation in specialty and space. Mark Sci. 2013;32(1):89–110.CrossRefGoogle Scholar
  6. 6.
    Kim WJ, King KW. Product category effects on external search for prescription and nonprescription drugs. J Advert. 2009;38:5–20.CrossRefGoogle Scholar
  7. 7.
    Knight A. Patient-centered prescribing. Aust Prescr. 2013;36(6):199–201.CrossRefGoogle Scholar
  8. 8.
    Pareek B, Liu Q, Ghosh P. Ask your doctor whether this product is right for you: a Bayesian joint model for patient drug requests and physician prescriptions. J R Stat Soc Ser. 2018. Series A, IIM Bangalore research paper no. 526 (Forthcoming).Google Scholar
  9. 9.
    Cole A. GPs feel pressurised to prescribe unnecessary antibiotics, survey finds. BMJ. 2014;349:5238.CrossRefGoogle Scholar
  10. 10.
    Kotwani A, Wattal C, Katewa S, et al. Factors influencing primary care physicians to prescribe antibiotics in Delhi India. Fam Pract. 2010;27(6):684–90.CrossRefGoogle Scholar
  11. 11.
    Hwang MJ, Young HN. Enhancing the educational value of direct-to-consumer advertising of prescription drugs. J Am Pharm Assoc (2003). 2017;57(5):571–8.CrossRefGoogle Scholar
  12. 12.
    Bashrahil K. Indicators of rational drug use and health services in Hadramout Yemen. East Mediterr Health J. 2010;16(2):151–5.CrossRefGoogle Scholar
  13. 13.
    Mustafa M, Wood F, Butler CC, Elwyn G. Managing expectations of antibiotics for upper respiratory tract infections: a qualitative study. Ann Fam Med. 2014;12(1):29–36.CrossRefGoogle Scholar
  14. 14.
    Faizullah M, Rahman N, Umar M, et al. A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah Pakistan. J Appl Pharm Sci. 2017;7(12):38–46.Google Scholar
  15. 15.
    Salmi R, Hassali M, Saleem F, et al. Physicians’ knowledge, perceptions and behaviour towards antibiotic prescribing: a systematic review of the literature. Expert Rev Anti Infect Ther. 2015;13(5):665–80.CrossRefGoogle Scholar
  16. 16.
    Ion Lm. Qualitative study on physicians’ motivations and drug prescribing behaviour. CES working papers. 2013;5(1):29–40.Google Scholar
  17. 17.
    Adorka M, Dikokole M, Mitonga K, et al. Healthcare providers’ attitudes and perceptions in infection diagnosis and antibiotic prescribing in public health institutions in Lesotho: a cross-sectional survey. Afr Health Sci. 2013;13(2):344–50.Google Scholar
  18. 18.
    Tušek-Bunc K, Kersnik J, Petek-Šter M, et al. Explanatory model of prescribing behavior in the prescription of statins in family practice. Wien Klin Wochenschr. 2010;122(Suppl 2):79–84.CrossRefGoogle Scholar
  19. 19.
    Lado E, Vacariza M, Fernández-González C, et al. Influence exerted on drug prescribing by patients’ attitudes and expectations and by doctors' perception of such expectations: a cohort and nested case-control study. J Eval Clin Pract. 2008;14(3):453–9.CrossRefGoogle Scholar
  20. 20.
    McKinlay JB, Trachtenberg F, Marceau L, et al. Effects of patient medication requests on physician prescribing behavior: results of a factorial experiment. Med Care. 2014;52(4):294–9.CrossRefGoogle Scholar
  21. 21.
    Fischer MA, McKinlay JB, Katz JN, et al. Physician assessments of drug-seeking behavior: a mixed methods study. PLoS One. 2017;12(6):e0178690.CrossRefGoogle Scholar
  22. 22.
    Murshid MA, Mohaidin Z, Nee GY. The influence patient’s characteristics “requests and expectations” on physician prescribing behavior: a review. IJPHM. 2016;10(4):390–411.Google Scholar
  23. 23.
    Faber MS, Heckenbach K, Velasco E, et al. Antibiotics for the common cold: expectations of Germany's general population. Euro Surveill. 2010;15(35).Google Scholar
  24. 24.
    Joyce GF, Carrera MP, Goldman DP. Physician prescribing behavior and its impact on patient-level outcomes. Am J Manag Care. 2013;17(12):e462–71.Google Scholar
  25. 25.
    Parker RS, Pettijohn CE. Pharmaceutical drug marketing strategies and tactics: a comparative analysis of attitudes held by pharmaceutical representatives and physicians. Health Mark Q. 2005;22(4):27–43.CrossRefGoogle Scholar
  26. 26.
    Hair JF, Black WC, Babin BJ, et al. Multivariate data analysis. Upper Saddle River: Prentice Hall; 2010.Google Scholar
  27. 27.
    Naik AD, Woofter AL, Skinner JM. Pharmaceutical company influence on non-steroidal anti-inflammatory drug prescribing behaviors. Am J Manag Care. 2009;15(4):e9–15.Google Scholar
  28. 28.
    Venkataraman S, Stremersch S. Erratum the debate on influencing doctors’ decisions: are drug characteristics the missing link? Manag Sci. 2007;54(1):1688–701.CrossRefGoogle Scholar
  29. 29.
    El-Dahiyat F, Kayyali R, Bidgood P. Physicians’ perception of generic and electronic prescribing: a descriptive study from Jordan. J Pharm Policy Pract. 2014;7:7.  https://doi.org/10.1186/2052-3211-7-7.CrossRefGoogle Scholar
  30. 30.
    Campbell EG. Physician acquiescence to patient demands for brand-name drugs: results of a national survey of physicians. JAMA Intern Med. 2013;173(3):237–9.CrossRefGoogle Scholar
  31. 31.
    Thistlethwaite JE, Ajjawi R, Aslani P. The decision to prescribe: influences and choice. InnovAiT. 2010;3(4):237–43.CrossRefGoogle Scholar
  32. 32.
    Carrera M, Goldman D, Joyce G. Heterogeneity in cost-sharing and cost-sensitivity, and the role of the prescribing physician. NBER working paper. 2013; No. 19186.Google Scholar
  33. 33.
    Arney J, Street RL, Naik AD. Factors shaping physicians’ willingness to accommodate medication requests. Eval Health Prof. 2014;37(3):349–65.CrossRefGoogle Scholar
  34. 34.
    Karayanni D. A cluster analysis of physician’s values, prescribing behaviour and attitudes towards firms’ marketing communications. IJCRMM. 2010;1(4):62–79.Google Scholar
  35. 35.
    Sanyal NS, Datta SK, Banerjee K. Factors influencing prescribing decisions among physicians: an empirical study on generic drugs. IJPHM. 2017;11(4):330–60.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Faculty of Administrative Sciences, Thamar University, Dhamar, Yemen and Graduate School of Business (GSB)Universiti Sains Malaysia (USM)PenangMalaysia
  2. 2.Graduate School of Business (GSB)Universiti Sains Malaysia (USM)PenangMalaysia

Personalised recommendations