Literature DB >> 20517678

Explanatory model of prescribing behavior in prescription of statins in family practice.

Ksenija Tusek-Bunc1, Janko Kersnik, Marija Petek-Ster, Davorina Petek, Zalika Klemenc-Ketis.   

Abstract

AIM: To survey attitudes towards prescribing statins in a family practice setting and to develop an explanatory model of determinants for prescribing statins.
METHODS: A random sample of 250 GPs were drawn from a Slovenian Family Medicine Society register and were contacted by anonymous postal questionnaire between June and October 2006.
RESULTS: We found no major differences in decisions among the GPs with regard to their age, sex or time in general practice. We identified six factors that influence statin prescribing behavior in GPs and explain 63.5% of the variation: efficacy and utility explained 14.9% of the variation, personal involvement in drug promotional activities accounted for a further 14.3%, attitudes towards drug marketing 10.3%, patient expectations 9.5%, drug price 8.1% and peer pressure 6.5%.
CONCLUSIONS: The determinants that influence statin prescribing behavior among GPs in our study covered an array of explanatory items consistent with proposals in the literature but factors differ to some extent from proposed theoretical models. The explanatory model explained a high proportion of the variation in deciding on a particular statin. Efficacy and safety remain important factors in selection of an appropriate drug but are far from being the most or only important factors.

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Year:  2010        PMID: 20517678     DOI: 10.1007/s00508-010-1336-y

Source DB:  PubMed          Journal:  Wien Klin Wochenschr        ISSN: 0043-5325            Impact factor:   1.704


  29 in total

Review 1.  Does continuing medical education in general practice make a difference?

Authors:  P Cantillon; R Jones
Journal:  BMJ       Date:  1999-05-08

2.  Physicians' views on joint treatment guidelines for primary and secondary care.

Authors:  W N Kasje; P Denig; P A De Graeff; F M Haaijer-Ruskamp
Journal:  Int J Qual Health Care       Date:  2004-06       Impact factor: 2.038

3.  Change in the established prescribing habits of general practitioners: an analysis of initial prescriptions in general practice.

Authors:  R J Taylor; C M Bond
Journal:  Br J Gen Pract       Date:  1991-06       Impact factor: 5.386

4.  Effect of doctors' ethnicity and country of qualification on prescribing patterns in single handed general practices: linkage of information collected by questionnaire and from routine data.

Authors:  P S Gill; A Dowell; C M Harris
Journal:  BMJ       Date:  1997-12-13

5.  Poles apart? The views of general practitioners and family health services authority advisers on prescribing cost issues.

Authors:  A J Avery; T Heron
Journal:  Br J Gen Pract       Date:  1997-06       Impact factor: 5.386

6.  What constitutes good prescribing?

Authors:  N Barber
Journal:  BMJ       Date:  1995-04-08

7.  Factors associated with antibiotic prescribing in a managed care setting: an exploratory investigation.

Authors:  B L Lambert; J W Salmon; J Stubbings; G Gilomen-Study; R J Valuck; K Kezlarian
Journal:  Soc Sci Med       Date:  1997-12       Impact factor: 4.634

8.  Prescribing behaviour according to Dutch and European guidelines on the management of hypercholesterolaemia (1992-1999).

Authors:  Aukje K Mantel-Teeuwisse; Olaf H Klungel; Albert Hofman; W M Monique Verschuren; Paul H Trienekens; Arijan J Porsius; Bruno H Ch Stricker; Anthonius de Boer
Journal:  Br J Clin Pharmacol       Date:  2006-05       Impact factor: 4.335

9.  Prescribing indicators. Development and validation of guideline-based prescribing indicators as an instrument to measure the variation in the prescribing behaviour of general practitioners.

Authors:  Paul E M Muijrers; Rob Janknegt; Jildou Sijbrandij; Richard P T M Grol; J André Knottnerus
Journal:  Eur J Clin Pharmacol       Date:  2004-10-26       Impact factor: 2.953

10.  How physicians choose drugs.

Authors:  P Denig; F M Haaijer-Ruskamp; D H Zijsling
Journal:  Soc Sci Med       Date:  1988       Impact factor: 4.634

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  1 in total

1.  Development and validation of an instrument designed to measure factors influencing physician prescribing decisions.

Authors:  Mohsen Ali Murshid; Zurina Mohaidin; Mohammad Zayed
Journal:  Pharm Pract (Granada)       Date:  2019-12-14
  1 in total

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