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General Practitioners' intention to prescribe and prescribing patterns in selected European settings: The OTCSOCIOMED project

V. Tsiantou, J. Moschandreas, A. Bertsias, M. Papadakaki, A. Saridaki, D. Agius, Z. Alper, T. Faresjo, M. Klimkova, L. Martinez, G. Samoutis, J. Vlček, C. Lionis,

. 2015 ; 119 (9) : 1265-74. [pub] 20150704

Jazyk angličtina Země Irsko

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc17014283

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.

Citace poskytuje Crossref.org

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$a Tsiantou, Vasiliki $u Department of Health Economics, National School of Public Health, 196 Alexandras Avenue, 11521 Athens, Greece; Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, 71003, Greece. Electronic address: vtsiantou@esdy.edu.gr.
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$a 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.
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$a Moschandreas, Joanna $u Department of Social Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, Heraklion 71003, Crete, Greece. Electronic address: j.moschandreas@med.uoc.gr.
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$a Bertsias, Antonis $u Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, 71003, Greece. Electronic address: antonisbertsias@yahoo.gr.
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$a Papadakaki, Maria $u Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, 71003, Greece. Electronic address: mpapadakaki@yahoo.gr.
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$a Saridaki, Aristoula $u Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, 71003, Greece. Electronic address: asaridaki@med.uoc.gr.
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$a Agius, Dominic $u Mediterranean Institute of Primary Care, 19, Triqir-Rand, Attard, Malta. Electronic address: domagius@go.net.mt. $7 gn_A_00002181
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$a Alper, Zuleyha $u University of Uludag, Faculty of Medicine Department of Family Practice, Department of Medical Education, Bursa, Turkey; Turkish Association of Family Physicians, (TAHUD), Turkey. Electronic address: zalper@uludag.edu.tr. $7 gn_A_00004760
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$a Faresjo, Tomas $u Department of Medicine and Health/Community Medicine General Practice, Faculty of Health Sciences, Linkoping University, SE-581 83 Linkoping, Sweden. Electronic address: tomas.faresjo@liu.se.
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$a Klimkova, Martina $u Charles University in Prague, Faculty of Pharmacy in Hradec Kralove, Czech Republic. Electronic address: Martina.klimkova@gmail.com.
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$a Martinez, Luc $u Sorbonne Universités, UPMC University Paris 06, INSERM, UMR_S 1136, Institute Pierre Louis of Epidemiologie and Public Health, Team EPAR, F-75013 Paris, France; Société Française de Médecine Générale, 141, avenue de Verdun, 92130 ISSY LES MOULINEAUX, France. Electronic address: luc.martinez@wanadoo.fr.
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$a Samoutis, George $u St George's, University of London medical programmedelivered in Cyprus by the University of Nicosia Medical School, Cyprus. Electronic address: g.samoutis@sgul.ac.uk.
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$a Vlček, Jiří $u Charles University in Prague, Faculty of Pharmacy in Hradec Kralove, Czech Republic. Electronic address: vlcek@faf.cuni.cz.
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$a Lionis, Christos $u Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box 2208, 71003, Greece. Electronic address: lionis@galinos.med.uoc.gr.
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