scholarly journals GENERIC DRUG: PRESCRIBER’S PERSPECTIVE

Author(s):  
CHAYNA SARKAR ◽  
JULIE WAHLANG ◽  
BISWADEEP DAS ◽  
BRAHMA D. K. ◽  
JOONMONI LAHON ◽  
...  

Objective: Knowledge of doctors and their understanding of generic drugs could facilitate in recognizing potential barriers to larger generic medicine prescriptions. Hence, the primary objective of this study was focused to explore knowledge, attitude, and practice (KAP) of doctors toward generic medicines. Methods: It is a cross-sectional questionnaire-based study. The study participants are the doctors working in the hospital during the study period (2016–2017). The questionnaire designed for this study comprised of thirty-five questions related to the knowledge, attitude, and practice (KAP) of generic medicine and about demographic details of the participants. Results: A total of 86 questionnaires were distributed among the health care professionals and the response rate is 37%. The majority of doctors who participated in this survey perceived that generic medicine is effective, safe and need to have the same active component, dose and bioequivalent as the brand name medicines. Most of the doctors (72%) were of the view that generic drugs were manufactured in poor quality than branded medicines. More than three-quarters of doctors (78%) prescribed generic drugs. Conclusion: Majority of the participants had an honest angle about the efficaciousness and safety of generic and though they sometimes prescribe generic medicine, however a high range of doctors (72%) were of the opinion that generic was of poorer quality than brand medicine. To have a better understanding of the generic drug, the doctor must be well informed about the generics during their academic career resulting in savings to healthcare budgets.

Author(s):  
Sukhpreet Kaur

Background: India is one of the highest per capita out-of-pocket health expenditures (62%) country and use of generics can save a lot of money which can be used for other health issues. Lack of knowledge about cost effectiveness of generic medicines among the health-care professionals had led to a low rate of generic medicine prescription. The objective of this study was to explore the knowledge, attitude and practice of dental students towards the generic medicines.Methods: A cross-sectional study was carried out using questions from pretested and validated questionnaire which are applicable to Indian scenario. A 22 items questionnaire were distributed to the participants to assess their knowledge, attitude and practice of generic medicine. All the Interns and MDS students were included in this study. The collected data was analyzed using microsoft excel.Results: 63.4% participants agreed generics can be interchanged with a branded drug. 89.74% participants were aware that bioequivalence studies are conducted by generic manufacturers for all the marketed generic medicines. Mostly participants (78.04%) were of opinion that generic medicines do not produce greater side effects than branded drugs. 54.05% participants reported that they were prescribing generic medicines. 52.38% participants were aware that generic medicine contains the same active substances as that innovator and used at same dose to treat same disease.Conclusions: In our study, we found that the prescribers had a considerable knowledge regarding the concept of generic medicines. However, to further increase the rate of generic medicine prescription training programs on generic medicines should be organized.


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.


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.


Author(s):  
Ambika Sharma ◽  
Mali Ram Aswal ◽  
Rahul Gupta

Introduction: Health care professionals are at greater risk of acquiring and subsequently transmitting Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection to their patients, families and colleagues. It is of utmost importance for them to have a knowledge about this Coronavirus Disease (COVID-19) and hence be in a position to practice infection prevention and control. Aim: To assess the Knowledge, Attitude and Practice (KAP) among health care professionals regarding the COVID-19 pandemic. Materials and Methods: This is a descriptive, cross-sectional study and was conducted in the month of April, 2020, among doctors and nurses. Total 164 health care professionals from the medical college hospital were included in the study. A 53-item survey questionnaire was developed to assess KAP among the health care professionals. Data analysis was done by using Epi info 7.2.1.0 version. Chi-square test was used to analyse variables as appropriate. A p-value of <0.05 was taken to be statistically significant. Results: A total of 164 responses were collected and analysed. Doctors comprised 43.9% of the total study subjects while remaining 56.1% were nurses. Male to female ratio of the study subjects was 2:1. Fifty-eight percent informed that they had received training about infection control. In the present study, common source of information about COVID-19 was the internet, social media and television followed by newspaper, government sources and radio. Most of the Health Care Workers (HCWs) were aware of the mode of transmission of infection and common preventive measures. Incubation period was known to 95% of respondents. Only 48.9% of nurses thought that the mild form of disease was most common. Almost all believed that washing hands and wearing mask were important preventive measures. Around 60% of HCWs assumed that they knew the steps for wearing and removing Personal Protective Equipment (PPE), but very few could remember the exact sequence. Most of them felt that the disease was dangerous, however only 31% were scared to do hospital work. Both nurses and doctors practiced high levels of hand hygiene, cough hygiene and wearing face masks at the workplace. Conclusion: This study highlights the level of existing KAP of COVID-19 among health care professionals. There is an urgent need to focus on training for correct use of PPE which can safeguard HCWs from contracting COVID-19.


Author(s):  
Vishakantamurthy D G ◽  
Hemeshamurthy Hemeshamurthy ◽  
Jayashree R

As COVID-19 pandemic has caused unprecedented challenges to health care professionals. Knowledge, attitude, practice of health care workers of India towards the transmission and prevention plays vital role for effective control measures. The study was conducted to assess the knowledge, attitude and practice of the Nursing officers regarding Covid-19 at selected Covid Care Centre Chamarajanagar. In this study, a web-based cross-sectional survey was conducted between August 2020 to September 2020. A 37-item questionnaire was generated, Cronbach’s alpha was used to measure the internal consistency of the questionnaire & randomly distributed among nursing officers the using Google forms through social media networks. The chi-square test or Fischer exact test was used to compare categorical data and multiple linear regression was used to identify factor influencing KAP. Among 50 participants, the overall knowledge, attitude and practice score was 85.5%, 83.66% and 79.8% consecutively. Majority of nursing officers demonstrated preceded good knowledge, positive attitude and good practice regarding COVID-19 pandemic.


Author(s):  
Vanishree M. K. ◽  
Ganesh Shenoy Panchmal ◽  
Umashankar G. K.

Background: The purpose of informed consent is to assure that the patient has a full understanding of proposed treatment and can make a relevant health-care decision based on the information provided by the health-care professional. Many health-care professionals see the process as burdensome and time-consuming. It is also one of the common allegations in many professional liabilities claims against health professionals. Informed consent focuses on patients’ absolute right to understand their status and the practitioner’s proposed treatment plan. Informed consent is the educational process by which the patient is made aware of the dentist’s diagnosis and treatment plan. Studies have shown that 40% of the written consent obtained from the parents was not valid. Making an informed decision is the right of every patient, but it is the responsibility of dentists to ensure patients have the comprehensive information needed to exercise that right.Methods: A cross-sectional study was done to assess the knowledge, attitude and practice of informed consent among 865 dental professionals practicing in Karnataka. The study used the validated structured questionnaire.Results: The results showed 94.8% of the participants agreed that the key step to prevent one’s practice from legal action is valid informed consent.  The mean scores were used for analysis the total knowledge, attitude and practice scores for the participants were 19.01±2.61, 7.07±1.45 and 1.49±0.50 respectively. Only 37.3% of dental professionals took written informed consent and majority i.e., 54.5% took consent only for special cases.Conclusions: Though the dentist believed in taking informed consent. Consent in practice is not taken routinely.  


Author(s):  
PRASAD M ◽  
CHAKRABORTY A ◽  
DEEP N

Objectives: Generic medicines constitute an important aspect of affordable health care. “JAN AUSHADHI” campaign was started by the Government of India in 2008 to support generic prescriptions. Recently, medical council of India had requested all clinicians for generic prescriptions. With this background, this study was undertaken to evaluate the knowledge, attitude, and practice of generic medicines among doctors. Methods: It was a cross-sectional, prospective, questionnaire-based study. After obtaining institute permission, validated questionnaires were distributed to different clinical departments at Vydehi Institute of Medical Sciences and Research Centre, Bengaluru. With gentle reminders in between, filled forms were collected after 7 days. Results: Mean age of the participants was 29.05±17.81 years. Out of 250 questionnaires distributed, 156 were returned back without responding. The response rate was 62.4%. Out of 156, 35 (22.43%) were intern medical officers, 89 (57.05%) were post-graduates, and 32 (20.51%) were faculty members. Regarding knowledge, the mean score was 6.24±0.17. 52 (33.33%) participants had good knowledge, 73 (46.79%) had average knowledge, and 31 (19.87%) had poor knowledge about generic medicines. Generics were prescribed by 90 (57.69%) participants. Most of the clinicians (66.02%) felt that prescribing in generics is not a burden on them provided government ensured the quality control of drugs. 121 (77.56%) stated that the socioeconomic status of the patient is an important factor while prescribing generics. 136 (87.17%) felt that generics bring down the treatment costs. Conclusion: This study shows that participants were well aware about generic drugs. As opined by the clinicians, a national level online reference must be made available.


Author(s):  
Rajaat Vohra ◽  
Anusha Vohra ◽  
Meghna Verma

ABSTRACT Background As the number of drugs available in the market are increasing, there arises a need to detect their adverse drug reactions and report them on time so that further harm can be avoided. The level of underreporting of adverse drug reactions is very high. Therefore, present study aimed to assess the knowledge, attitude and practice (KAP) of pharmacovigilance among the various health care professionals and suggest ways to improve them. Materials and methods A cross-sectional survey was done on 215 health care personnels working in a medical college in Jaipur. They were subjected to KAP questionnaire consisted of knowledge, attitude and practice based questions, designed specifically to assess the awareness about pharmacovigilance. Results and conclusion The mean KAP scores of physicians were found to be 5.75, 4.44 and 1.75 respectively. The KAP score of postgraduate students was 5.5, 4.25 and 1.5 respectively. The KAP score of final year MBBS students was 5, 3.4, and 1.4 respectively, and that of interns was 4, 4.2 and 1.4 respectively. The KAP score of pharmacists was 3.5, 2 and 1 respectively, and that of nurses was 2.75, 2.25 and 0.8 respectively. It was found that mean score of physicians and postgraduate students was higher than interns and final year MBBS and much higher than nurses and pharmacists. Still they all fall under the poor score range to unsatisfactory score range which suggest that there is an urgent need for ongoing educational programs to train health care professionals about pharmacovigilance. How to cite this article Vohra A, Vohra R, Verma M. Poor Knowledge, Attitude and Practices of Pharmacovigilance among Health Care Professionals: A Cross-sectional Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):42-46.


Author(s):  
Husna Fatima ◽  
Ghulam Subhani ◽  
Mohammed Mohsin ◽  
D. Nageswari Devi

Background: Pharmacovigilance (PV) is an important tool in generating adverse drug reaction (ADR) data. However, the practice of PV is still very low among health care professionals due to lack of knowledge and awareness. This study was conducted to assess the level of  knowledge, awareness and practice of PV among health care professionals and to assess subsequent change in these after PV training session.Methods: A cross sectional questionnaire based study was conducted among health care professionals of a tertiary health care and teaching institute. Participants were given a questionnaire. They completed it before and after undergoing training programme in PV. Impact of effectiveness of educational intervention (continuing medical education-CME (pharmacovigilance workshop) was evaluated by paired t-test.Results: Out of 110 participants, 96 participants completely filled the questionnaire before and after the educational intervention (CME). CME on PV was found to increase knowledge and positive attitudes towards various aspects of PV.Conclusions: Training programme on PV will help increase the knowledge as well as awareness about principles and techniques of PV and improve the rate of spontaneous ADR reporting. Organising frequent CME programmes and workshops will increase the credibility of health care in the country. 


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