scholarly journals Social and Behavioral Theories and Physician’s Prescription Behavior

2020 ◽  
Vol 12 (8) ◽  
pp. 3379
Author(s):  
Rizwan Raheem Ahmed ◽  
Dalia Streimikiene ◽  
Josef Abrhám ◽  
Justas Streimikis ◽  
Jolita Vveinhardt

The efficacy, safety, and cost of medication are the major concerns for a patient; thus, this research addresses factors that influence the physician’s prescription behavior. The objective of the undertaken study is the empirical testing of a novel conceptual model that was newly developed by the previous literature, which is based on behavioral and social theories. The considered model explains the association between marketing efforts, pharmacist factors, patient characteristics, and the physician’s decision to prescribe a drug. This unique model also includes the influence of cost and benefit ratio, drug characteristics, physician’s persistence, and trustworthiness as moderating variables. This model is useful for analyzing the prospects of marketing. We have collected 984 physicians’ responses from the urban centers of Pakistan through a structured questionnaire. We have used Structural equation modelling (SEM) based multivariate techniques such as exploratory and confirmatory factor analysis, and conditional process modelling to explore the direct and indirect relationship amongst the exogenous, moderating, and endogenous variables. The findings of the study demonstrated that marketing efforts, patient’s characteristics, and pharmacist factors have a positive and significant influence on the physician’s decision to prescribe medicines. The moderation analysis exhibited the significant effect of drug characteristics, cost–benefit ratio, physician’s persistence, and trustworthiness in a relationship between exogenous and endogenous variables. The results of the undertaken study are helpful for the marketers of the pharmaceutical industry to save wasteful marketing expenditures for the product portfolios, and measured variables may help to make meaningful marketing strategies for the physician’s prescription that provide optimum Returns on Investment (ROI) of their investments.

2020 ◽  
Vol 19 (1) ◽  
pp. 13
Author(s):  
Leury Max Da Silva Chaves ◽  
Gabriel Vinicius Santos ◽  
Cauê La Scala Teixeira ◽  
Marzo Edir Da Silva-Grigoletto

 Bodyweight exercises (also popularly known as calisthenics) is a classic training method and its practice has been widespread since the 19th century, but little evidenced in the scientific literature over the years. This type of training aims to promote multi-system adaptations using body weight as an overload with no or few implements [1–3]. This characteristic makes exercise with body weight easy to apply, in addition to having an excellent cost-benefit ratio when compared to other training possibilities that require machines or materials [4,5].


2018 ◽  
Vol 51 (3) ◽  
pp. 89-99
Author(s):  
P.B. Sandipan ◽  
P.K. Jagtap ◽  
M.C. Patel

Abstract Niger (Guizotia abyssinica Cass.) is an important minor oil seed crop grown in dry areas grown mostly by tribal and interior places as life line of tribal segment. Tribal people mainly use its oil for cooking purpose, above than that there were also other uses. Hence, the niger crop should be protected from the infection. The crop is affected by number of fungal diseases. Therefore, a field experiment was formulated for three years with the four replications at the Niger Research Station (NRS) at Navsari Agricultural University (NAU), Vanarasi, Navsari (Gujarat) on the foliar diseases of GN-1 variety of niger crop. In this experiment, six different fungicides along with one control have been evaluated to control the Alternaria and Cercospora leaf spot diseases, out of which all the fungicidal treatments were significantly superior over the control. Here, foliar spray on the incidence of diseases was compared with the control (without any treatment). All the fungicidal treatments were significantly superior over the control to reduce Alternaria and Cercospora leaf spot diseases of Niger crop. Treatment of Carbendazim + Mancozeb (0.2 %) with two sprays first from the initiation of the disease and second after the interval of 15 days recorded the lowest incidence of Alternaria (14.56) and Cercospora (14.94) leaf spot diseases of niger and recorded the highest seed yield 337 seed yield kg/ha along with the net return with cost benefit ratio graph.


Author(s):  
Surajit Bag

The application of multivariate techniques is mainly to expand the researchers explanatory ability and statistical efficiency. The first generation analytical techniques share a common limitation i.e. each technique can examine only a single relationship at a time. Structural Equation Modeling, an extension of several multivariate techniques is the technique popularly used today can examine a series of dependence relationships simultaneously. The purpose of this study is to provide a short review on Structural Equation Modeling (SEM) being used in social sciences research. A comprehensive literature review of article appearing in top journals is conducted in order to identify how often SEM theory is used. Also the key SEM steps have been provided offering potential researchers with a theoretical supported systematic approach that simplify the multiple options with performing SEM.


Author(s):  
Tom H. Oreel ◽  
Pythia T. Nieuwkerk ◽  
Iris D. Hartog ◽  
Justine E. Netjes ◽  
Alexander B. A. Vonk ◽  
...  

Abstract Purpose The aims of this study were to investigate (1) the extent to which response shift occurs among patients with coronary artery disease (CAD) after coronary revascularization, (2) whether the assessment of changes in health-related quality of life (HRQoL), controlled for response shift, yield more valid estimates of changes in HRQoL, as indicated by stronger associations with criterion measures of change, than without controlling for response shift, and (3) if occurrences of response shift are related to patient characteristics. Methods Patients with CAD completed the SF-36 and the Seattle Angina Questionnaire (SAQ7) at baseline and 3 months after coronary revascularization. Sociodemographic, clinical and psychosocial variables were measured with the patient version of the New York Heart Association-class, Subjective Significance Questionnaire, Reconstruction of Life Events Questionnaire (RE-LIFE), and HEXACO personality inventory. Oort’s Structural Equation Modeling (SEM) approach was used to investigate response shift. Results 191 patient completed questionnaires at baseline and at 3 months after treatment. The SF-36 showed recalibration and reprioritization response shift and the SAQ7 reconceptualization response shift. Controlling for these response shift effects did not result in more valid estimates of change. One significant association was found between reprioritization response shift and complete integration of having CAD into their life story, as indicated by the RE-LIFE. Conclusion Results indicate response shift in HRQoL following coronary revascularization. While we did not find an impact of response shift on the estimates of change, the SEM approach provides a more comprehensive insight into the different types of change in HRQoL following coronary revascularization.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (1) ◽  
pp. 169-169
Author(s):  
NORMAN J. SISSMAN

To the Editor.— Two recent reviews in Pediatrics1,2 provide much interesting information on the effect of home visits on the health of women and children. However, I was disappointed not to find in either article more than token reference to the cost of the programs reviewed. In this day of increasingly scarce health care resources, we no longer have the luxury of evaluating programs such as these without detailed consideration of their cost-benefit ratio.


Author(s):  
Anna Zatevakhina

In the article, the authors analyzed the literary sources of Russian and foreign authors engaged in research of project management methods in solving problems of ensuring economic security. The aim of the study is to consider the possibility of applying the project approach in managing economic security at the meso-level based on the analysis of scientific publications by Russian and foreign scientists on this topic. Research methods: information search, systematization, logical, system and content analysis. The authors identify 5 approaches to project management while ensuring economic security in modern Russian and foreign scientific research. In conclusion, it is concluded that it is necessary to introduce project risk management at the level of regional administrations with a positive cost-benefit ratio, that is, ensuring an acceptable level of economic security.


2015 ◽  
Vol 48 (5) ◽  
pp. 319-323 ◽  
Author(s):  
André Hadyme Miyague ◽  
Fernando Marum Mauad ◽  
Wellington de Paula Martins ◽  
Augusto César Garcia Benedetti ◽  
Ana Elizabeth Gomes de Melo Tavares Ferreira ◽  
...  

AbstractThe authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.


2017 ◽  
Vol 240 ◽  
pp. R15-R29
Author(s):  
Leon Feinstein ◽  
Haroon Chowdry ◽  
Kirsten Asmussen

In this paper we explain some of the difficulties of providing forecasts of the financial benefits of early intervention programmes, focussing on those delivered during the early childhood period. We highlight the diversity of early intervention, and the complexity and multiplicity of outcomes. We summarise recent work at the Early Intervention Foundation to assess the evidence on the impacts of early intervention, recognising the diversity of approaches to delivery and the importance of innovation and local practice as well as of rigorous approaches to evaluating causal effects. We also describe new ways of assessing accurately the local fiscal costs of late intervention and consider the implications of this for addressing the well-established barriers to investment in prevention. Our analysis brings to the fore gaps in the evidence from which even the most rigorous ‘gold-standard’ research is not immune. These limitations prevent the production of an accurate and realistic cost-benefit ratio or net present value for the majority of programmes as delivered in practice. We suggest some paths towards a firmer foundation of evidence and a better alignment of evidence and policy.


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