scholarly journals Knowledge and perception about generic drugs in patients coming to OPD of tertiary care centre

Author(s):  
Mehul Y. Choulera ◽  
Dashputra Amruta V. ◽  
Archana S. Borkar ◽  
Amit P. Date

Background: In an era of rapidly rising health care costs generic medicines provide a less expensive alternative to branded medicines. In addition to reducing the overall health care expenditure, it has been shown to improve adherence. Objective was to study knowledge and perception about generic drugs among patients coming to outpatient department of tertiary care centre.Methods: After ethical approval a cross sectional questionnaire based study was conducted. Patients (n=71) were interviewed according to questionnaire in vernacular language by investigator to fill questionnaire.Results: About 28% people think that price of generic drug is less than a branded drug while nearly 61% of people don’t know of it. Only 18.85% participants had taken generic medicine. Trusting efficacy of generic drugs only 30 participants were in favour it. Even they have not seen or heard publicity of generic drugs (61.97%). They (60.56%) opined that generic drugs never prescribe in our country.Conclusions: Limitation in knowledge and perception about generic medicines has been seen among participants.

Author(s):  
Mingyue Zhao ◽  
Lingyi Zhang ◽  
Zhitong Feng ◽  
Yu Fang

The purpose of this study is to investigate physicians’ knowledge, attitudes and practice of generic medicine substitutions in China. We conducted a cross-sectional online questionnaire survey on physicians from secondary or tertiary hospitals in China from 2020 December to 2021 April. Descriptive statistical and ordered logistic regression were used for analysis. A total of 1225 physicians were included in the final analysis, and only 330 (26.94%) of them scored 4 or above in the knowledge part, which means that the physicians have a good knowledge of generic substitutions. Of the total, 586 (47.83%) agreed or strongly agreed that generic drugs could be substituted for originator drugs and 585 (47.75%) always or often prescribed generic medicines. The percentage of physicians with a positive attitude toward or that practice prescribing generic medicine is below 50%, which needs to be improved in China. Physicians’ knowledge, their attitude toward generic substitution, if familiar with the policy of generic substitution, and incentives for prescribing generic medicines are influencing factors for the practice of generic substitution. Our studies show that the practice of generic substitution by physicians could be improved by several measures in China. We suggested that the physicians should be taught more about the bulk-buy policy and the generic-originator equivalence evaluation policy. Moreover, government incentives to promote generic substitution should be established. Our study also suggested that physicians with less working experience and female physicians should learn more about generic substitution.


2021 ◽  
Vol 15 (12) ◽  
pp. 3516-3518
Author(s):  
Nawaf Alotaibi

Background: The utilization of generic drugs in Saudi Arabia is under development. Many studies concerning generic drugs and their utilization by the consumers and promotion by health care professionals have been conducted in Saudi Arabia. Most of these studies revealed general unawareness of generic medicines among the Saudi people. Objective: The objective of this study was to evaluate the general perception regarding the generic medicines and branded medicines among the visitors of the Turaif general hospital. Methods: This cross‑sectional study was carried out from December 29, 2019, to January 23, 2020, at Turaif General Hospital, Turaif, Kingdom of Saudi Arabia using a questionnaire. The questionnaire was shared with the visitors (N = 527) of the hospital after their agreement, and the data were collected. The obtained data were statistically analyzed by Statistical Product and Service Solutions (SPSS) version 16. Results: The results of this study revealed that more than 50% of the participants were unaware about generic medicines and branded medicines; preferred imported generic medicines over local generics; agreed that the imported generic medicines are of high quality, more effective, and expensive as well. However, almost 50% of the participants were not sure about the quality, efficacy, safety, price, and side effects of the branded medicine. Conclusion: It has been concluded that there is a need to provide awareness programs about branded medicine, imported generic medicine, and locally manufactured generic medicines. Keywords: Branded drugs, Generic drugs, Awareness, Turaif, Saudi Arabia.


2020 ◽  
pp. 14-15
Author(s):  
Gunjan Jain ◽  
Jigisha Patadia ◽  
Praful Bambhroliya

The burden of morbidity and mortality from Non-Communicable disease has risen worldwide and is accelerating in low-income and middle-income countries. Lifestyle-associated risk factors among adolescent are rampantly increasing throughout the world. They place a tremendous demand on health care systems and social welfare, cause decreased productivity in the workplace, prolong disability and diminish resources within families. A life course approach to preventive efforts addressing NCDs and their risk factors and behaviors will improve child and adolescent health but also decrease lifetime health care costs. Nevertheless, those risk behaviors are initiated usually in the adolescent’s age groups which are continued to adult. Therefore, this group is important target for primordial prevention. This study is a cross-sectional study which aims to determine the prevalence of risk factors among adolescents attending the tertiary care centre in Surat, district of Gujarat, conducted in March 2019 to June 2019. A total of 498 adolescents were screened using a structured questionnaire. The study documented that improper diet is the major risk factor while habits like smoking and alcohol consumption is fairly uncommon. Study recommends creating awareness among adolescents and promoting healthier lifestyle habits.


2021 ◽  
Vol 8 (8) ◽  
pp. 510-515
Author(s):  
Debadatta Dhar Chanda ◽  
Atanu Chakravarty ◽  
Barnamoy Bhattacharjee

Background- Due to occupational exposure to blood, body fluids and sharps, the health care professionals are at increased risk of contracting the Hepatitis B virus infection than general population. To combat this, all the health care professionals must be immunized with protective level of anti-HBs but anti-HBs titer gradually wanes with passage of time and may be influenced by gender, smoking or chewing tobacco, diabetes mellitus etc. This study was thus carried out to find the percentage of health care professionals with protective titer of anti-HBs and find the association (if any) of low anti-HBs titer and factors like gender, smoking, diabetes mellitus and time elapsed post vaccination. Method- This cross-sectional study has been carried out with proper ethical clearance from May2018- September2019 in Serology section of VRDL under Department of Microbiology in a Medical College of Southern Assam on serum samples collected from 150 health care professionals vaccinated with 3 doses of recombinant HBsAg vaccine atleast 5years back. Anti-HBs IgG concentration was measured by conventional ELISA in multistandard mode. Result- Out of 150 participants,95 were males and 55 were females.27 participants smoked/chewed tobacco,8 had diabetes mellitus. Booster dose was received by 23. Protective level of anti-HBs IgG (>10 IU/ml) was found in 66% (98/150) of HCP only. Low anti-HBs titer has been found to be significantly associated with Diabetes mellitus (p–0.03) and passage of more than 10 years post primary vaccination(p-0.005) but no significant association has been found with gender, smoking and history of blood transfusion. Conclusion- HBsAg vaccine doesn’t impart everlasting protection. So, all HCP, especially those with co-morbidities should get their anti-HBs titer estimated after vaccination to check out for adequate seroconversion and attainment of protective titer. If found inadequate, they should go for repeat vaccination /booster doses. Keywords: Healthcare professionals, Vaccinated, Anti HBs IgG, Assam,


2021 ◽  
pp. 30-32
Author(s):  
Vikesh Gupta ◽  
Sukhjit Singh ◽  
Vineet Kumar ◽  
Pankaj Kanwar

Background: COVID-19 pandemic is a novel viral illness due to which an uncertainty has developed among the general public as well as the health care workers (HCWs) regarding the future of mankind. This has resulted in burnout among the HCWs which has been reported by researchers from different parts of the world. Method: A cross sectional study was done among health care workers (faculty members, residents, nurses and interns) working in different specialties of a tertiary care health centre of Northern India. A self-designed performa containing sociodemographic details along with “Burnout Self-Test” scale was used to obtain the prevalence of burnout among HCWs. Result: Among 192 participants, the signs of burnout were found in 148 participants (77.1%) and most had mild burnout 90 (46.88). Conclusion: Burnout amongst health care workers is high particularly in unmarried and female HCWs.


Author(s):  
Ashutosh Kothari ◽  
K. C. Premarajan ◽  
Sethuramachandran Adinarayanan

Background: On March 2018, the supreme court of India adjudicated passive euthanasia legal which was termed as obsolete by Indian Council of Medical Research. There are varied opinions because of difference in terminologies used in the country. As per the current Indian legislations, the procedure of voluntary euthanasia and assisted dying is illegal. Hence, this study aims in understanding the awareness and perception towards the same.   Methods: A descriptive cross-sectional study was conducted among all the 369 health care professionals employed in the selected departments of a tertiary care institute during the study period. The questionnaire used was content validated and pre-tested before administering it to the participants. It consisted of five domains (in a five-point Likert scale) and were summarized as proportions.Results: Most of the doctors (64%) and nurses (59.3%) said that euthanasia is illegal in India. About one fourth of the responders encountered a situation where the patient asked for assisted dying or voluntary euthanasia. A total of 65.3% of the participants agreed that it is helping the patient to die and not killing them.Conclusions: The study demonstrated that the health care professionals had favourable responses for half of the statements. Re-looking into the verdict by the supreme court of India, standardising the terminologies and advocating for ‘advance medical directive’ would be welcoming steps in deciding the future of assisted dying/voluntary euthanasia in the country.


Author(s):  
Raja Sundaramurthy ◽  
Sasikala Kathiresan ◽  
Sriandaal Venkateshvaran ◽  
Surya Kannan

Background: Stressful puerperal period and its complications can be prevented by adequate care, proper diet and exercises. Though studies have indicated post-natal exercises (PNE) is helpful in reducing the effect of perineal muscle weakness, many women are unaware of its full benefits. This study is planned to know the knowledge, attitude and practice of PNE in post-natal mothers.Methods: Descriptive cross-sectional study was conducted in department of obstetrics and gynecology for 3 months (November 2019 to January 2020). 160 post-natal women were enrolled with convenient sampling. Structured questionnaire was used to collect socio-demographic and obstetric details, source of information, knowledge, attitude and practice of PNE.Results: A total 58.8% of this study participants revealed health care professions were the commonest source of information. More than half of them had adequate knowledge but still many were not aware of full benefits of PNE as only 3-5% aware of other benefits like prevention of urinary incontinence. 98.8% of the women’s felt PNE is essential and 62.5% felt household work hinder them doing. 92.5% said they will emphasize the importance of PNE to others. No significant correlation found between socio-demographic characters and knowledge, attitude and practice of PNE.Conclusions: Though most of the study population had adequate knowledge and positive attitude, household activities were the commonest barrier in doing PNE. Educating and creating awareness among family members is essential to improve the adherence. Continuing influence by health care workers during antenatal and postnatal period will be the key for improving adherence.


Author(s):  
Irene Jose Manjiyil ◽  
Binu Areekal ◽  
Rajany Jose ◽  
Andrews Mekkattukunnel Andrews ◽  
Biju Krishnan Rajagopalawarrier ◽  
...  

Introduction: Coronavirus Disease 2019 (COVID-19) is rapidly spreading in India and all over the world. Being at the frontline in the battle against COVID-19, Health Care Workers (HCWs) are among the greatest groups at risk of COVID-19 infection. Therefore, it is very important to study the risk and sources of infection and clinical outcome of HCWs. Aim: To study the clinico-epidemiological profile and outcome of COVID-19 positive HCWs in Government Medical College Thrissur, Kerala, India. Materials and Methods: This was a hospital based cross-sectional study conducted during the time period from February 2020 to December 2020. A semi-structured telephonic interview schedule and hospital based records were used to collect the demographic, epidemiological and clinical information of 235 COVID-19 positive HCWs. Proportions along with 95% Confidence Interval was used to express the results. Results: Among 235 COVID-19 positive HCWs, 51% were either nurses or auxiliary nursing staff. Non-COVID-19 areas had 31.9% infections, while 17.1% of infections occured in COVID-19 areas. Around 57% acquired infection from health care settings. Common symptoms were fever (67.2%), myalgia (40.4%) and headache (39.6%). Around 21.3% subjects remained asymptomatic. Hand hygiene compliance was 96.6%. Among positive HCWs, 57% used N95 mask, 52.8% used gloves, 49.8% used apron and 48.9% used face shield in the hospital. Only 0.85% required Intensive Care Unit (ICU) admission. No mortality was reported in the present study. Conclusion: There is a considerable risk for COVID-19 infection among HCWs in hospital settings especially from non-COVID-19 areas. Present study findings show the risk of exposure and need of infection control measures even outside the health care settings. Early identification and isolation of cases is very important. This study will be useful for policy makers in planning control strategies and preventing COVID-19 infections among HCWs.


Author(s):  
Prithul Bhattacharjee ◽  
Lakshman Das ◽  
Ranjib Ghosh ◽  
Uttam K. Das ◽  
Maitrayee Chakraborty

Background: The assessment of doctors’ perceptions and understanding about generic medicines may help in recognizing possible barriers to greater generic medicine usage. The primary objective of this study was to explore the knowledge, attitude, and practice (KAP) of doctors toward generic medicines.Methods: A questionnaire based cross-sectional study was carried out in a tertiary-care teaching hospital of Tripura. The questionnaire was designed to assess the KAP about generic medicines. The doctors working in this institute during the study period were included. All data were analysed using statistical software for epidemiology (EPI6). P <0.05 was considered statistically significant.Results: 67.5% doctors agreed to the fact that generic medicines were intended to be interchangeable with a branded drug (p=0.0003). Among the doctors, 95% were aware that generic drug manufacturers need to conduct studies to show bioequivalence between the generic medicine and their branded counterparts (p <0.0001). Majority of the doctors (82.5%) were of the view that generic medicines were as safe as that of branded drugs (p <0.0001). 97.5% of the doctors agreed that importance of generic medicines should be taught in early part of internship. 75% doctors did not think that switching a patient from a brand-name to generic drug may change the outcome of the therapy (p <0.0001). 92.5% doctors said that they prescribe generic medicines (p <0.0001).Conclusion: The study showed that the doctors were well aware of generic medicines and Jan Aushadhi scheme of Govt. of India. It was also observed that efficacy, safety and quality profile of the medicine were the most important factors considered by doctors when they prescribe drugs.


Author(s):  
Nidhi Prasad ◽  
Binay Kumar

Background: This study aimed at assessing prevailing pattern and risk factors of tobacco consumption among health care workers of tertiary care centre, in Faridabad.Methods: A cross-sectional approach was used. A sample of 306 participants included housekeeping and nursing orderly. Participants were interviewed during their lunch time. Semi structured questionnaire was used for data collection.Results: The overall prevalence of tobacco use was found to be 42.8% (n=306), of which (30.7%) prevalence among housekeeping’s compared to nursing orderlies (12.7%). The consumption of smokeless tobacco was higher among housekeeping staff. Khaini (45%) was the main consumption type, followed by hookah (21%) and cigarettes (19.5%) among the current tobacco user (n=133). The consumption of tobacco was found to be associated with gender (male), education, and nature of job (designation) at the hospital setting.Conclusions: Tobacco use is very common in hospital staff in Faridabad as reflected by results of our study. We should build on success encountered in banning smoking in educational institutions and healthcare facilities. This is important for their health and also overall health of patients also as they can influence the behaviour of people that surrounds them.


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