Factors influencing prescribing

Factors influencing prescribing. Jan 13, 2022 · The main factors affecting antibiotic prescription were a high work pressure, insufficient staff resources, and uncertainties regarding clinical decisions. Introduction Effective communication is an essential component of prescribing and vital to ensuring patient safety, shared decision making and optimal health outcomes [1] . Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-man- agement medication for older people. A systemat … Nov 1, 2018 · Factors influencing prescribing decision: A total of 33 factors were identified. Aug 24, 2016 · The findings were synthesized using thematic analysis. g. Results A range of factors across 12 domains of the TDF were found to influence prescriber behaviour, and 40 BCTs were identified as supporting appropriate prescribing. Design A qualitative study using a phenomenological approach within a pragmatism interpretive framework. Sep 24, 2020 · A large number of context-dependent factors appeared to influence opioid prescribing for chronic pain management in older adults, but the findings were inconsistent. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. Nurse prescribing is now an integral part of advanced level practice. pressure of patients’ family leading to antibiotic prescribing) or indirectly via influence on other factors (e. Family Jan 2, 2024 · Factors influencing prescribing practice include patient-related factors, health system-related factors, and health system related factors. 1. 1. Overall, the number of antibacterial prescriptions decreased by 26. 2. Aug 24, 2016 · 3. Accordingly, this study sought to explore physicians' perceptions of factors influencing antibiotic prescribing. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions ( Table 1 ). , higher versus lower opioid prescribing); and (3) whether influencing factors A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions during the first stage of Nov 6, 2017 · DOI: 10. Methods: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Establish an accurate diagnosis whenever possible (although this may often be difficult) Be clear in what way the patient is likely to gain from the prescribed medicines. A better understanding of these factors could be leveraged in f … Apr 1, 2004 · Those who seek to implement programs to alter medication use should recognize and employ factors that are most influential in the decision-making process, and may be important to consider differences that exist between key participants in the medication use process. All data were analyzed using a constant comparison approach. However, after patients were established on antidepressants and with Sep 14, 2013 · Background In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. Fig. unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn Nov 18, 2018 · A number of factors can influence the prescribing behavior of physicians. A combination of purposive and snowball sampling was used to recruit physicians. Methods: Pharmacists participated in semi-structured telephone interviews to discuss their prescribing practices and explore the facilitators and barriers to implementation Jun 20, 2016 · A narrative review of factors influencing antibiotic prescribing highlighted the multiple sources of influence affecting a potential prescribing encounter, including factors related to the prescribing physician (e. If changes in prescribing behaviour are desired, factors warranting more attention include understanding how to influence therapeutic traditions and the doctor's personal habits for prescribing. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. Dec 16, 2014 · Each category comprises several factors that may influence the decision to prescribe or not prescribe antibiotics directly (e. 2%, from 1,564,707 items in 2014 to 1,155,323 items in 2020. Findings from a recent linked Delphi study with independent physiotherapist and pharmacist Sep 14, 2013 · Our objective was to understand what factors influence pharmacists' adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial J Health Serv Res Policy . Seven publications were included. Total prescribing growth is due in part to increased long-term use, greater selective serotonin re-uptake inhibitor (SSRI) use and the use of higher SSRI doses. This review confirmed that Jan 15, 2007 · Physicians often fail to consider cost as an important prescribing factor. Take into account the patient’s medication history before prescribing. We performed a systematic review and thematic synthesis of qualitative studies to explore these factors. , a high-risk or vulnerable patient history Jul 23, 2021 · This multidimensional nature of antibiotic decision-making describes a complex dynamic and for every clinician, there will be a degree of interdependence between different factors influencing prescribing practice, depending on their level of expertise and ability to tolerate risks for their patient and themselves. Methods Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. 5. These sources were further categorised by (1) whether the source suggested that opioids were being underprescribed, overprescribed, demonstrated complex prescription patterns, or had no explicit stance; (2) factors associated with different prescribing trends (e. Factors influencing the prescribing and cessation of FRIDs were categorized into GPs' clinical work conditions, uncertainty about outcome of changing prescriptions, patients' prescribing demands, and lack of patient information. 5%; n = 40) facilitated in-hospital PEs. pressure of patients' family leading to antibiotic prescribing) or indirectly via influence on other factors (e. There is a gap in the literature relating to the UK healthcare system; the prescriber and the patient perspective; and within the cont … Jun 12, 2019 · Further studies should be conducted on factors influencing prescribing and evaluating specific strategies (Davey et al. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing decisions of physicians from 2000 to 2016. 1177/1355819619896588. See full list on academic. Sep 29, 2023 · Recognises and responds to factors that might influence prescribing. Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Most of the identified factors (87. High-quality studies assessing the effectiveness of educational actions are still scarce in the literature (Alldred et al. BACKGROUND Strategies to control the quality and cost of medication use are largely dependent on the ability to alter selection Nov 6, 2023 · Nevertheless, a study carried out in the German part of Switzerland that aimed to evaluate the factors influencing pharmacists when prescribing medications showed a lack of familiarity with the medications included in the service, pharmacists’ reluctancy to take on the responsibility of prescribing them, and an increased workload when The aim of this review was to identify the factors affecting the prescribing decision of physicians. unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn These factors were categorized into five domains according to the Eindhoven classification ('organization-related', 'prescriber-related', 'prescription-related', 'technology-related' and 'unclassified') and visualized in an Ishikawa (Fishbone) diagram. 5 Over the years, several strategies have been implemented to reduce in-hospital PEs and associated patient Apr 30, 2018 · The themes and subthemes identified in this review influence the implementation and development of non-medical prescribing; each could act as a barrier or facilitator depending on circumstances. The model displays an array of direct and indirect commercial impacts on physician prescribing decision. A trained interviewer Apr 3, 2017 · (9) Weeks G, George J, Maclure K, Stewart D. Aug 24, 2016 · Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Apr 1, 2009 · Objectives. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions (Table 1). Background: Chronic pain occurs in 45%–85% of older Aug 24, 2016 · As the majority of prescribing in hospital is undertaken by intern doctors, the aims of this systematic review were to compile the evidence of the qualitative literature on the views and experiences of intern doctors and to examine the role of the pharmacist in assisting in prescribing by interns. Objective: To describe and compare the opinions of physicians, clinical pharmacists, and formulary committee members with respect to key factors that influence medication prescribing in community hospitals. Prescribing errors (PEs) in the in-hospital setting may cause adverse drug events (ADEs), 1 resulting in patient harm, prolonged hospitalization or hospital readmission. Nov 1, 2018 · The aim of this review was to identify the factors affecting the prescribing decision of physicians. Dec 24, 2021 · A linear mixed-effects model was used to identify factors influencing antibiotic prescribing rates. 2020 Apr;25(2):94-103. Antidepressant prescribing patterns and factors influencing the choice of antidepressant for the treatment of depression were examined in the Factors Influencing Depression Endpoints Research (FINDER) study, a prospective, observational study in 12 European countries of 3468 adults about to start an … Objectives To elicit key factors influencing physicians’ decision to prescribe statins. Prescribing decision-making can be complex and challenging; a number of influences have been identified among medical prescribers but little appears to be known about influences among non-medical prescribers (NMPs). In addition, more general factors influencing their decision to take or not take prescribing responsibility were discussed. In order to fully consider all the influence factors on the phenomenon of medical prescription, five theoretical constructs, containing patients’ related factors, products’ related factors, payers’ related factors, environmental factors and marketing and strategies of pharmaceutical companies, were developed within a framework. For example, patient expectations (social influence) was identified as a factor influencing prescribing decisions, and a number of BCTs (problem solving, goal setting and information about health consequences) were identified Jun 13, 2023 · However, some factors reported to influence nurse prescribing growth, including support, communications, and legislative issues. doi: 10. 2016; (11):CD011227. Patient related factors Some of the included studies mentioned that the practitioner’s perception of patients influences the antibiotic prescribing practise of physicians [ 6 , 31 , 36 , 37 , 38 , 43 , 58 The aim of this review was to identify the factors affecting the prescribing decision of physicians. China has very high rates of antibiotic resistance and a health care system that provides strong incentives for over-prescribing. Methods: Physicians, clinical pharmacists, and formulary committee members were solicited to participate. The aim of this review was to identify the factors affecting the prescribing decision of physicians. 2-4 These events are associated with pressure on healthcare services and significant healthcare costs. Evidence does not support routine use of higher SSRI doses for depression treatment, and factors influencing the use Background: Suitably qualified non-medical healthcare professionals may now prescribe medicines. Jun 17, 2017 · Finally, in summarising the factors influencing antidepressant prescribing and dose used, data indicated that ‘doing the right thing’ and appropriately initiating antidepressants where there was a clear need increased antidepressant prescribing growth, Fig. Oct 9, 2020 · Results: Exposure and attention to pharmaceutical promotions and contact with industry were significantly associated with reported increase in pharmaceutical industry influence on decisions about Key informants also recognised the importance of socioeconomic factors in influencing prescribing in an area: Self-care is hugely on the agenda at the moment, encouraging patients to buy things over the counter, rather than getting them prescribed. However, strong opiate Feb 18, 2022 · Background Non-medical prescribing (NMP) was introduced into the United Kingdom to enhance patient care and improve access to medicines. Dec 19, 2019 · Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. Early research indicated that not all non-medical prescribers utilised their qualification. The potential adverse effects of antibiotics did not strongly influence decision making in this sample. 1108/IJPHM-06-2016-0031 Corpus ID: 168844776; Factors influencing prescribing decisions among physicians: an empirical study on generic drugs @article{Sanyal2017FactorsIP, title={Factors influencing prescribing decisions among physicians: an empirical study on generic drugs}, author={Shamindra Nath Sanyal and Saroj Kumar Datta and Asok Kumar Banerjee}, journal={International Journal of were: (1) factors influencing prescribing decision should be the main objective, (2) studies should be original articles, (3) the full text should be available and provide enough information, (4 Purpose: This evidence-based policy project was developed to examine the factors that influence controlled substance prescribing behaviors among Florida’s APRNs and the impact prescribing controlled substances has had on their practice following legislative changes in 2017. The Cochrane Library. This paper describes the findings of a qualitative study in a province of southern China that seeks to assess knowledge, attitudes, and practices in relation to the use of antibiotics. Be clear about the reasons for prescribing. This article will highlight some of the common prescribing errors and will develop a rational approach that includes making a diagnosis, estimating prognosis, establishing the goals of therapy, selecting the most appropriate treatment and monitoring the effects of the treatment. , 2016). Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. The assessment and categorisation of factors affecting prescribing behaviour depended on the differences in study design, setting, focus and aim, theoretical approach and definition of the reviewed studies. The importance of clinical experience and information exchange with colleagues should not be underestimat … To achieve larger and more sustainable improvements in antibiotic use, the array of factors influencing prescribing habits must be identified and addressed. A systematic review of the qualitative literature was done according to the Preferred Reporting Inappropriate prescription has been associated with mounting rates of antibiotic resistance worldwide, demanding more detailed studies into physicians' decision-making process. Sep 23, 2021 · Nurse prescribing has become well established in the UK. It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses (Department of Health and Social Security, 1986; Cope et al, 2016). Better and deeper understanding of nurse and midwife prescribing roles is recommended to be aware of the extent of the benefits and cost efficiency of these roles Sep 24, 2020 · The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. com Jun 30, 2017 · Kyle et al. Through this cross-sectional study, we aim to reach a general overview of the different patterns and influencing factors of opioid prescribing among EM physicians working at the hospitals of the Western Region (WR) in SA. Jan 10, 2018 · Factors influencing prescribing decision: A total of 33 factors were identified. Responses were described using descriptive statistics, and differences between the groups were determined by post hoc analysis. A physician-based culture of prescribing antibiotics involves overusing antibiotics and not challenging the decisions of colleagues. 12 We aimed to understand the context in which physicians practice and the professional and psychosocial factors that influence physicians' antibiotic-prescribing decisions. Treatment expectations from patients and next of kin, benevolence towards the patients, suboptimal microbiological testing, and limited time for infectious disease specialists to offer It was reported as common to renew prescriptions without performing a drug review. Inclusion criter … Apr 26, 2022 · A systematic review for non-clinical factors influencing veterinarians' prescribing behavior of ABX indicated that fear of possible complications or losing customers if ABX were not prescribed (identified in 19 out of 34 studies), self-confidence (19/34), business factors (19/34), and complacency (16/34) are influencing veterinarians' decisions. , 2017). Subsequently, the themes from the interview analysis were validated in three focus groups with a total of 10 nurse NMPs. 21 Among Medicare beneficiaries, 56 percent use prescription medications costing more than $500 per year, and 38 percent Aug 28, 2019 · Provides up-to-date information essential to safe and effective prescribing in a clear, easy-to-understand style Discusses current issues and practices in pharmacology, prescribing and therapeutics and medicine management Links to the Royal Pharmaceutical Society's Competency Framework for all Prescribers for non-medical prescribers Presents A Physician makes a prescribing decision based on factors like Patients’ profile (such as age, race, gender; co-morbidity and treatment history), Physicians’ experience in product valuation, Products’ influence (safety, efficacy, side effect, cost), Marketing activities of pharmaceutical companies (samples, details, advertising), Payers Nov 8, 2023 · To our knowledge, this area of research has not been previously studied among EM physicians in Saudi Arabia. Where there was a lack of understanding of the non-medical prescribing role, or lack of trust in the non-medical prescriber, then the factors were more Jun 17, 2017 · Background Antidepressant prescribing continues to increase, with 5-16% of adults receiving antidepressants annually. Data were collected through face-to-face, semistructured interviews with physicians working in primary healthcare . (10) Influences on prescribing decision-making among non-medical prescribers in the United Kingdom: systematic review. oup. The objectives were to use the TDF to identify influencing factors and map these to the COM-B system to elucidate the intervention functions to target from the Behaviour Change Wheel. Non‐medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care. Feb 20, 2023 · 1 INTRODUCTION. 29 made efforts through literature review to develop a qualitative prescribing model that assesses the influence of economic factors on physician prescribing behavior. May 1, 2004 · Physician prescribing behaviour is influenced by many factors which are allowed to operate in the health care system according to its structure, governance, principles and incentives. Understanding factors that influence prescribing of disease-modifying anti-rheumatic drugs (DMARDs) will inform strategies to optimise care of people with inflammatory arthritis. Factors Influencing Prescribing Behaviour. Methods Pharmacists participated in semi-structured telephone interviews to discuss their prescribing Feb 20, 2021 · The aim of the study was to identify the factors that influence independent prescribing behaviour by optometrists. , fear of failure, diagnostic uncertainty, or inadequate training), the patient (e. A systematic review described 15 factors influencing NMP implementation.