Factors influencing prescribing AbstractFairley, D. 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. However, there has not yet been a comprehensive syn- Objective Exploration of the factors that influence hospital doctors’ antibiotic prescribing decisions when treating children with respiratory symptoms in UK emergency departments. It has evolved from an initially small number of community nurses and health visitors, prescribing from a limited formulary, to the current situation where a significant and growing number of nurse independent prescribers (NIPs), pharmacists and an Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. uTCGP. The other four categories can exert a direct influence on this prescribing decision, or Uncovering influential factors in human antibiotic prescribing: a meta-synthesis study informed by the Theoretical Domains Framework M. AimTo identify some of the factors influencing effective independent nurse prescribing within a surgical high-dependency unit. However, systematically collected knowledge on factors influencing the effective implementation of SP is scarce. Matthias (a3) (a4) , Eli N. Physicians’ personal attributes, cost of treatment, pharmaceutical industries’ and patients’ preferences were the most frequently identified factors to influence prescribing decisions (Table 1). Similar to outpatient antibiotic prescribing routine, antibiotic prescriptions for in-hospital patients were also influenced by factors, such as antibiogram availability, experience of physicians with infectious diseases, patients’ health history, and current clinical Factors influencing prescription and administration of analgesic medication: A longitudinal study of people with dementia living in care homes. 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 – 38 , 43 , 58 , 69 , 70 ]. 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}, Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. Design: A qualitative study with 13 GPs who participated in two semi-structured focus groups in Central Norway. 15 To understand the complexity of daily in-hospital prescribing with the aim of reducing in-hospital PEs, factors that protect against in-hospital PEs should also be included, adopting a Safety-II perspective. Initially, this task resulted in the identification of a set of factors which influence GPs’ prescribing decisions. A postal questionnaire was developed by researchers at the Department of Health Economics at the Background: With countries promoting generic drug prescribing, their growth may plateau, warranting further investigation into the factors influencing this trend, including physician and patient perspectives. DISCUSSION This was a review on the factors influencing Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. The model shows that the clinical situation and advance care plans constitute the basis of the antibiotic prescribing decision. To boost evidence-based prescribing, pharmacists require an understanding of the factors that influence prescribing decisions in general practice. Factors influencing prescribing decision: A total of 33 factors were identified. Contextually sensitive elements were revealed by comparing the factors between settings. The results from this study indicate that GPs need to be reminded that there is a connection between 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. Participants were encouraged to share overall thoughts on the use Although factors affecting the prescribing decisions were discussed in various studies worldwide, limited knowledge of these issues has been reported in Vietnam. 7. (2006) Factors influencing effective independent nurse prescribing. Semi-structured qualitative interviews were conducted with physicians (n = 13) Physicians’ decision to prescribe statins was influenced by factors operating at the microlevel and macrolevel which mapped well on the framework developed by Scoggins et al (2006) in a study on the factors influencing GPs prescribing of statins in primary care in England. A number of factors can influence the prescribing behavior of physicians. Physicians rated the availability of drug samples and personal Understanding the factors that impact communication is critical for the delivery of person-centred prescribing. This review confirmed that interns’ prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the This article details some possible factors regarding where innovative prescribing is less commonplace, according to event attendees. Papers on palliative or end-of-life care 5. 2%, from 1,564,707 items in 2014 to 1,155,323 items in 2020. This study could not conclusively establish relationships between antibiotic prescription and Studies carried out in the late 1990s provided evidence that fee-for-service provision, provider bonuses, and medical insurance all encouraged prescription of more items, more expensive medications, and newer antibiotics [5], [14], [15], [16]. Background Chronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. Results The interns identified a number of factors that improve their confidence and perceived competence and The integration of behavioral theories in designing antimicrobial stewardship (AMS) interventions aimed at optimizing the antimicrobial prescription in veterinary practice is highly recommended. All data were analyzed using a constant comparison approach. Pharm World Sci. Here are some useful links and documents: FactorsInfluencingPrescribing Decisions. 2004;26(3 The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. Although prescribers from a range of professional backgrounds identify evidence-based guidelines, provided by NICE, local commissioning organisations, and royal colleges and amplified via electronic 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 Antibiotic resistance is an urgent global health threat that is accelerating due to inadequate infection prevention and control practices, and sub-optimal prescribing of antibiotics (National Institute for Health and Care Excellence (NICE), 2015; World Health Organization (WHO), 2020). The questionnaire was constructed on 63 questions in which 9 questions This article aims to understand the factors that influence nurse independent prescribers’ decisions in primary care in the UK. Subsequently, the themes from the interview analysis were validated in three focus groups with a total of 10 nurse NMPs. Females were prescribed significantly more regular analgesics, but there were no sex differences in PRN administration. An in-depth understanding of the prescribing process in the more specialized secondary care is not only important for secondary care itself, but because it also A constellation of factors influenced pharmacist prescribing; however, the most prominent were the characteristics of the prescribing model itself that legitimized prior practices, pharmacy site’s model of practice (i. 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. Factors influencing prescribing decisions (00:00 / 03:50) LEARNING OBJECTIVES. ) Patient factors influencing drug selection Factors influencing primary care physicians’ prescribing behavior of anticoagulant therapy for the management of patients with non-valvular atrial fibrillation in Singapore: a qualitative research study However, there is a dearth of studies looking at factors which influence anticoagulant prescription by PCPs in Singapore and Southeast The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. 14 Physicians may adopt several strategies when making prescribing decisions 15, and several kinds of critical heuristics in conducting their duties of patient treatment. Responses were described using descriptive statistics, and differences between the groups were determined by post hoc analysis. Our findings are consistent with those in the literature (largely focused on initiation of therapy), suggesting that pharmacological considerations are not the only factors impacting doctors' prescribing decisions. , for heroin) rather than Aim: In-hospital prescribing errors (PEs) may result in patient harm, prolonged hospitalization and hospital (re)admission. ,The study was carried out across six major cities in eastern India As we add to this collection throughout 2024, we aim to provide a comprehensive overview of the consultation and prescribing process, helping learners to understand the core prescribing principles and models, while developing advanced clinical reasoning and communication skills. The purpose of the study was to identify and describe factors affecting antibiotic prescribing at primary healthcare facilities in Addis Ababa, Ethiopia. Background: Chronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. Methods: Semi-structured qualitative interviews were conducted with physicians (n = 13) and nursing staff (n = 13) in five nursing homes and two residential care homes in the central-west region In the UK most antidepressants are prescribed by GPs, and previous research has demonstrated considerable variation in prescribing levels between individual general practices; as an example, a 25-fold variation was found between the highest and lowest prescribing practices in one area of the UK. This thesis presents the results of an original research programme that set out to investigate the factors influencing the uptake and utilisation of independent non-medical prescribing by pharmacists and physiotherapists, and to determine if these factors affect both pharmacist and physiotherapist prescribers similarly or if there are differences. The prescriber should be able to justify and feel competent in using such medicines, and also inform the patient or the patient’s carer that the prescribed T1 - Factors influencing the prescribing behaviour of independent prescriber optometrists. The use of valid and reliable practice guidelines could reduce the A number of factors can influence the prescribing behavior of physicians. 15 Since the review of 2009, the introduction of prescribing tools Objectives To examine the self-reported influences on intern prescribing practice. This study aimed to Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. 2019 Oct 31;10(4) :10. PST: Prescribing Support Teams. . Interviews consisted of open-ended questions and flexible probes based on participant responses. 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. 3 The aim of this review was to identify the factors affecting the prescribing decision of physicians. 14 It is also important to recognise that some drugs have more accumulated RCT evidence than other similar drugs in the same class and this might also be a relevant factor when prescribing (eg the thiazide A quantitative approach with the survey method support was utilized to examine the five previously mentioned factors influencing prescribing decisions. Acamporaa,b, ifiable determinants affecting antibiotic prescribing within spe-cific healthcare settings or focusing on specific prescribers [13e17]. Aims: Social prescribing is a growing health policy agenda to improve the quality and effectiveness of health systems. Pharmacists participated in semi-structured telephone interviews to discuss their The aim of the study was to identify the factors that influence independent prescribing behaviour by optometrists. Furthermore, improving the prescribing behavior of physicians requires evidence-based factors that control their prescribing decisions and patterns. This paper aims to examine factors that influence prescribing behavior concerning medical staff’s demographics and characteristic differences. 1 1 Antibiotic prescribing in primary healthcare: Dominant factors and trade-offs 2 in decision-making 3 4 Abstract 5 Objectives: This study aims to establish dominant factors influencing general practitioner (GP) 6 decision-making on antibiotic prescribing in the Australian primary healthcare sector. Objective: Explore the situations in which GPs associate drug use with falls among their elderly patients, and the factors influencing the prescribing and cessation of fall-risk-increasing drugs (FRIDs). Design: We conducted semi-structured interviews with 30 inpatient physicians. influence HCP prescribing. The present study investigates the attitudes and the factors which influence physician prescribing decisions and practice in Greece and Cyprus. Objective: To critically appraise, synthesize and present evidence on the influences on prescribing decision-making among supplementary and independent NMPs in the UK. 1. However, cost may be outweighed by other factors, notably significant differences in efficacy or safety. DOI: 10. Further factors affecting doctors to prescribe a particular drug are “opinion leaders” and medical specialists’ behaviors in medical networks. 7 Despite the several opinions on physicians’ decision-making in AB - Rationale, aim and objective: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. AU - Factors influencing the prescribing of medications by old age psychiatrists for behavioural and psychological symptoms of dementia: a qualitative study This appeared to be due to the sheer number of factors influencing a psychiatrist's decision to prescribe and the consequent choice of medication. (See accompanying article on pharmacoeconomics. Request PDF | Factors influencing prescribing decisions among physicians: an empirical study on generic drugs | Purpose The purpose of this paper is to examine the physicians’ attitude toward Research is needed to understand what facilitates prescribing among waivered physicians and how to increase the willingness and capacity to prescribe. Pharmacists have been able to prescribe since 2006 and compared to doctors, are newcomers to prescribing and have not prescribed under the traditional paternalistic models of healthcare; therefore pharmacists’ prescribing decisions may be Recognises and deals with factors that might unduly influence prescribing (e. Papers on opioids as substitution (e. Methods A qualitative study using semistructured interviews based on a critical incident technique with 21 physicians of different grades and specialties that treat children in least one prescription likely to cause adverse drug effects in the previous year. A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. These categories of professionals might have different views on factors influencing the prescribing of antibiotics than the factors included in the study. (2018). Conclusions. However, strong opiate ABSTRACT The prescribing of pharmaceuticals by health care providers is influenced by many factors. Setting This study was conducted from January to August 2020, in In 2007, Alberta became the first Canadian jurisdiction to grant pharmacists a wide range of prescribing privileges. Perencevich (a5) (a6) and Matthew J. The aim of this review was to identify the factors affecting the prescribing decision of physicians. Factors influencing prescribing decision: A total of 33 factors were identified. 4 In many cases, the decisions of physicians’ are multifactorial. , innovation system fit), and physician relationships that impacted prescribing behaviours and individual pharmacists decisions to apply for Prescribing accounts for 11% of the total NHS budget. We conducted thematic analysis and subcoding of decisional factors. However, systematically collected knowledge on factors influencing the Objectives: To examine the self-reported influences on intern prescribing practice. AU - Chater, Angel. The Competition is increasing day by day in Business arena and one who reacted timely against these frequent changes can survive in the competition, same in the field of pharmaceutical A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. 16 studies met the inclusion criteria from 82 search results. Additional strategies may be needed to maximize the switch to generic drugs while ensuring healthcare system sustainability, focusing on factors beyond mere low cost. , fear of failure, diagnostic uncertainty, or inadequate training), the patient (e. METHODS: Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing Factors Affecting the Prescription of Antibiotics in Inpatient Care . Design Qualitative interviews with a cross-sectional cohort. There is great variability in the prescribing physician's (PP) training, motivation, workload and setting, including accessibility to infectious diseases consultants and/or diagnostic techniques, and therefore there is a high risk of inappropriate prescription. Factors influencing prescribing practice include patient-related factors, health system-related factors, and health system related factors. , a high-risk or vulnerable patient history), and the environment (e. Papers specifically assessing methodological instruments or approaches (e. T2 - a qualitative study using the Theoretical Domains Framework. 2 This article provides an update on Drug-related factors affecting pharmacokinetics The physicochemical properties of a drug, including its solubility and permea - bility, affect its absorption. from publication: Factors Influencing Prescribing Decisions of Physicians: A Review | ABSTRACT BACKGROUND: The Previous research focusing on the prescribing decisions of doctors has found a wide range of influencing factors, including regulatory factors (for example, guidelines, formularies, health care managers and organizations), cost, patient factors, colleagues, professional and personal experience, others' prescribing behavior and prescribing culture, research findings, Attitudes about prescribing and AMR varied with years of practice, gender and employment status. Conclusions Veterinarians primarily considered technical reasons when prescribing antimicrobials. Impact of non-medical prescribing Research mainly among nurse and pharmacist prescribers: •views of NMPs on education, training and practice(3,4) • views of patients and Prescribers identified practice-level determinants of prescribing, including practice culture and shared beliefs. Methods Electronic databases including Scopus, PubMed/MEDLINE CENTRAL, Cochrane Libraries and Google scholar were searched systematically for literatures on factors influencing prescribing A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. This review confirmed that interns' prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the Prescribing factors. the scope for this review, which concerned factors influencing prescribing of opioids) 3. Clinical guidelines, previous patient experience, physician experience, colleagues’ prescribing practice, pharmaceutical pressure, time pressure, and financial considerations were found to be Factors influencing prescribing decision: A total of 33 factors were identified. We identified 31 factors that influence antibiotic prescribing decisions. In addition, more general factors influencing their decision to take or not take prescribing responsibility were discussed. The final task (Task 5) involved synthesizing and analyzing the findings from the interviews, focus groups and workshops, and also the wider literature. Bair (a3) (a4) The purpose of this paper is to examine the physicians’ attitude toward branded generic drugs in prescribing those drugs in some selective medical conditions and to identify the factors that influence physicians’ behavior toward prescribing branded generic drugs in the said selective medical conditions. Health professionals are required to practise antimicrobial stewardship to reduce incidence of antibiotic resistance, and this includes optimal prescribing behaviours. Factors Influencing Prescribing Perceived Utility of Drugs: Experiences from Iraqi Kurdistan Innov Pharm. This article explores how to identify these factors and develop an optimised communication strategy for each patient. Resources. 10 Factors that have been found to influence the prescribing levels for Teixeira Rodrigues et al. Respondents were asked to score the importance given (scale 0–4) to 17 listed factors which could influence prescribing behaviour, including considering the risk of development of antimicrobial resistance (AMR), ease of administration, legal restrictions, practice policies (Table 4). Abstract. Because the average price for the cheaper drugs versus more costly drugs in each diagnostic group was between 19% and 69%, there is a risk that factors other than medical needs are influencing the choice of drug. Take into account other factors that might alter the benefits and harms of treatment; Consider other individual factors that might influence the prescription (e. In total, thirty-one dentist The prescribing decision is a complex process that involves a number of factors. Download Table | Factors influencing prescribing decision of physicians. DISCUSSION This was a review on the factors influencing Physicians’ decision to prescribe statins was influenced by factors operating at the microlevel and macrolevel which mapped well on the framework developed by Scoggins et al (2006) in a study on the factors influencing GPs prescribing of statins in primary care in England. A systematic review was conducted to identify and categorize factors influencing social prescribing initiatives. Results: The interns identified a number of factors that improve their confidence and perceived competence and allow them to Regarding the factors which could influence physician prescribing behaviour [4] ; the medication products' characteristics and the patients' clinical conditions are playing the main role in Factors influencing prescribing decision: A total of 33 factors were identified. Results: The main factors influencing effective independent identify the factors influencing the prescribing decision of the physician from 2017 to 2022. Background: Chronic pain occurs in 45%-85% of older people, but Table 3 describes resident factors associated with the prescription and administration of analgesics. 1,2 Several methods have been proposed to increase the appropriateness of prescribing with focus on factors related patient-mediated interventions, pharmacist interventions, educational outreach visits, and feedback. AU - Spillane, Daniel. PREV NEXT SUBMIT FINISH. 10–13 Studies show that industry marketing of prescription drugs results in less evidence-based prescribing and a * Corresponding author. 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. Nursing Times; 102: 31, 34-37. Factors influencing PRN medication use in nursing homes. DNA: do not attend. A qualitative systematic review of the factors that influence prescribing decisions by nurse independent prescribers in primary care. Lower levels Prescribing decisions of physicians is a complex process that is influenced by multiple interacting factors. The qualitative data analysis resulted in five themes relating to factors influencing prescribing: 1) Determining eligibility for DMTs; 2) Prescribing readiness and cautiousness; 3) Making the prescribing decision; ð Supporting patients DMT choices; and Influence of DMT prescribing peers. The effectiveness of antibiotics to treat bacterial infections is diminishing and, Factors that influence doctors’ prescribing have been well described in primary care and to a lesser extent in secondary care. 4 Makes prescribing decisions based on the needs of patients and not the prescriber’s personal views. The author undertook a search of all relevant electronic databases and resources, as well as pertinent journals and Prescribing medicines outside the recommendations of their marketing authorisation alters (and probably increases) the prescriber’s professional responsibility and potential liability. Participants and setting Ten interns practising in two urban teaching hospitals in New South Wales, Australia. Addressing this issue requires a comprehensive understanding of the modifiable determinants that influence healthcare professionals' prescribing decisions. Chronic pain occurs in 45%–85% of older people, but appears to be under-recognised and under-treated. AU - Whitaker, Angela. New Drug in market and the promotional tools, which influence the prescription behavior of physicians. , regulation of Antibiotic resistance is an urgent, accelerating global health threat due to inadequate infection prevention and control practices, and sub-optimal prescribing of antibiotics. replay. There are, of course, a wide range of influencing factors which might contribute to a clinician’s likelihood of prescribing new or innovative medicines, and therefore affect clinical decision making. 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. These events are associated with pressure on healthcare services and significant healthcare costs. 3 Knows and works within legal and regulatory frameworks b affecting prescribing practice. , efficacy of risk minimisation tools in opioid prescribing) 4. play. MethodAn audit methodology was used to record the personal prescribing practice of a critical care nurse A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. 8. Clinical guidelines, previous patient experience, physician experience, colleagues' prescribing practice, pharmaceutical pressure, time pressure, and financial considerations were found to be Conceptual model of factors that influence antibiotic prescribing in nursing homes and residential care homes in the Netherlands. The authors searched Medline, Embase and Cinahl databases for 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 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. Participants and setting: Ten interns practising in two urban teaching hospitals in New South Wales, Australia. AU - Courtenay, Molly. This review confirmed that interns’ prescribing behaviour is influenced by multiple factors, and further highlighted the need for an educational intervention that supports the Over the past few decades, drug and overall healthcare expenditure have risen rapidly in most countries. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. Prescribing is influenced by numerous factors such as new drugs Objective: To understand the professional and psychosocial factors that influence physician antibiotic prescribing habits in the inpatient setting. BACKGROUND Strategies to control the quality and cost of medication use are largely The aim of the study was to identify the factors that influence independent prescribing behaviour by optometrists. (n = 6) settings, were interviewed. Factors such as an inadequate workplace where prescribers are distracted or interrupted during prescribing, 28, 34, 45 inadequate patient information due to impaired CPOE access, multiple, hybrid (electronic and paper) or missing medical charts, 28, 29, 31, 32, 34, 36, 45 inadequate or variable training on information systems for (new) prescribers, 36, 39, 45 and Objectives This qualitative study aimed to explore the factors influencing the prescription patterns of essential medicines (EMs) from the perspectives of general practitioners (GPs) and patients in Beijing, China. efficiency of prescribing at the GP and PCT levels (Task 4). AU - Family, Hannah E. Many antibiotic prescribing errors occur around the selection and duration of treatment. Aim The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. 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 How contextual factors may influence GP decisions in real life practice is poorly understood. Mapping of prescription factors using the CFIR framework. 24926 . However non-technical factors did influence prescribing, in particular client feedback about perceived efficacy and perceptions of cost/benefit. The key microlevel factor was a set of patient’s characteristics, especially the high level of TC. The significance of these factors is an important consideration to public health advocates and Djerbib, A. Methods: The The identified factors showed that prescribing is not only geared for patient benefit, but also towards personal interest. Two research 7 questions were posed: What influences antibiotic 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. Various factors can influence prescribing behaviour which successively will have a pronounced effect on the healthcare expenditures and the population as a whole. However, after patients were established on antidepressants and with increasing treatment duration, there The prescribing decision is a complex process that involves a number of factors. SUBMIT ALL. Factors influencing effective communication when prescribing Perhaps the most obvious example of cost-effective prescribing is selecting a generic rather than a branded drug from the same class. in a systematic review about the physician’s opinions on influencing factors for antibiotic prescribing, found out that physician’s attitudes, patients’ expectations, demand for previous clinical Conclusions: Certain individual and provider factors appear to influence the prescribing of drugs of different price levels. However, these patterns related to specialties should be considered in light of various factors affecting antibiotic prescription rates, which include practice volume and other physician factors such as age, gender, and time since graduation from medical school (8, 23). Lipid-soluble In addition, more general factors influencing their decision to take or not take prescribing responsibility were discussed. This paper presents findings from research on factors influencing oncologists’ prescribing hormonal Aim: To identify some of the factors influencing effective independent nurse prescribing within a surgical high-dependency unit. Design: Qualitative interviews with a cross-sectional cohort. 5 Recognises and responds to factors c that might influence prescribing. A total of 16 factors were identified that influenced the physician's prescribing behaviour. 14 Physicians may adopt several strategies when making prescribing decisions15, and several A number of factors can influence the prescribing behavior of physicians. We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors. If no factors had a relationship with prescribing or administration, then heterogeneity between care homes was quantified by calculating I 2 (I 2 > 75% is considerable heterogeneity) and forest Dentist factors were based on a published list of factors influencing antibiotic prescribing for adults with acute conditions across primary health care and presented within the Capability-Opportunity-Motivation-Behaviour model. volume. The result was that per capita consumption of medicines increased almost fourfold between 1979 and 1992 [8]. genetic factors, physiological changes with age and pregnancy, or impaired kidney, liver, or heart function) Take into account the patient’s ideas, concerns, and expectations Results Factors that influence long-term opioid prescribing for cancer-related pain clustered under three key domains (patient-related, provider-related and practice-related factors) each with several themes. 20,21 In addition, free drug samples given to physicians with varied levels of experience have been However, some factors reported to influence nurse prescribing growth, including support, communications, and legislative issues. 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 Factors influencing the ability of pharmacist A linear mixed-effects model was used to identify factors influencing antibiotic prescribing rates. SSRI: selective serotonin re-uptake inhibitor. pharmaceutical industry, media, patient, colleagues). 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 dispensing such medications. Interviews were audio recorded, transcribed, de Factors strongly influencing antidepressant prescribing bold and moderately influential factors in italics and underlined. 5) Our standards for education providers were revised to ensure greater consistency with our standards for education and training (SETs), and to extend the definition of ‘practice educator’ to all qualified, experienced and trained Consequently, the comprehension of the factors influencing antibiotic prescribing behaviours has become imperative in the formulation of efficacious strategies aimed at addressing AMR. To develop targeted interventions to prevent or reduce in-hospital PEs, identification and understanding of facilitating and protective factors influencing in Such additional factors can influence efficacy or adverse outcomes, potentially reducing the former and enhancing the latter, thus limiting the external validity of RCTs. (competency 8. Method: An audit methodology was used to record the personal prescribing practice of a critical care nurse following the completion of a course in independent and supplementary prescribing. Rationale, aim and objective: Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions A trained interviewer administered a standardized questionnaire designed to elicit opinions of participants regarding the importance of factors thought to influence drug prescribing. A structured questionnaire adapted from modeling based on the researched theoretical references was made to collect data. 5 Conclusion and recommendation. Our objective was to understand what factors influence pharmacists’ adoption of prescribing using a model for the Diffusion of Innovations in healthcare services. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors to influence prescribing decisions ( Table 1 ). Insight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of antibiotics. e. 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. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. Prescription factors were grouped into categories based on the CFIR [] and are presented as they were mentioned and rated by the rheumatologists: 1) There are two factors which impact a lot than any other factor i. 4 In many cases, the decisions of physicians’ are multifactorial. 19 Opinion leaders’ significant role in deciding patterns of prescribing drugs has been reported by various investigators. Overall, the number of antibacterial prescriptions decreased by 26. Start Start. Eleven of the TDF domains were protective factors, which is characteristic of a Safety-I approach. This study describes prescribing patterns in a sample of buprenorphine-waivered physicians in New York (NY) in 2016 and examines factors influencing prescribing capacity among waivered providers. The magnitude of the influence exerted by these factors varied with time. Stokes JA, Purdie DM, Roberts MS. The results from this study indicate that GPs need to be reminded that there is a connection between € ÈýÈԤ ÐásÞÿ÷þÖÿÿ÷y}ü‡:g¤«6Ó2 «ä¢b7« ] ö#;×Q$ ( UYUÊ ù{UË^+§\r®ºÒãÊE³ÁÎ]J¥+ å{ÿÿâ @d Š J H^ %=¤ ¤´ H—¨ 3Ô®ƒn× Ò^Ð )ò‚tyƒshSâ]–CH•›òZÛ ê°°ðDöN÷6ÄUo{÷âµ4J` º¢CZeú:Þ:” ÞíEþØú] ¬ØÌêí ‚úäiI. The frequent occurring factors were: Detailing 8. 56 Interacting clinical, social The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. Domain 1: Patient factors related to provider–patient continuity, patient personality, the patient’s social context and patient characteristics including racial/ethnic The study aimed to use the TDF to identify the factors that influence independent prescribing behaviour, and to map these findings to the COM-B system to elucidate the relevant intervention functions, in order to identify the support required by optometrist prescribers. However, little is known about the factors that influence veterinarians’ antimicrobial behavior for food-producing animals in lower- and middle-income settings like 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 Research is needed to understand what facilitates prescribing among waivered physicians and how to increase the willingness and capacity to prescribe. þç?ƒ V‹ º;«ýÐ ?T(¾xüô§óZvö the cost burden of prescription between £80 million and £117 million annually without certainty whether the benefit of prevented CVD events outweighs the adverse drug reaction. However, strong opiate prescribing is more prevalent in older people, increasing at the fastest rate in this age group. An in-depth understanding of the prescribing process in the more specialized secondary care is not only important for To investigate factors that influence antibiotic prescribing decisions, we interviewed 49 antibiotic stewardship champions and stakeholders across 15 hospitals. 69 Despite the available literature on opinions and predictions of the physician's Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. Multiple Sclerosis and Related Disorders 2019; 27: 378-382. The purpose of this study was to The study's results suggest that perceived drug utility in prescription writing is associated with physicians' perceptions of need achievement and attitudes toward how patients actually use medicines. The authors have undertaken a scoping review of antibiotic prescribing in primary care, with a focus on the interaction between context and GP decision-making, and what it means for the decisions made. Factors influencing multiple sclerosis disease-modifying treatment prescribing decisions in the United Kingdom: A qualitative interview study. Factors Influencing Antibiotic-Prescribing Decisions Among Inpatient Physicians: A Qualitative Investigation Volume 36, Issue 9 Daniel Livorsi (a1) , Amber Comer (a2) , Marianne S. 17 Factors influencing physicians’ prescribing behaviour, regardless of the medication being prescribed, have been investigated since 1950s. 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. ADM: antidepressant. Little is known about what factors influence oncologists’ prescribing practices, especially non-biological factors, although this information may have important implications for understanding inequalities in health care quality and outcomes. g. 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. In the UK, there is an aging population who receive nearly half of all prescriptions, with the increasing age of the population, the prevalence of long-term conditions, cost and complexity of prescribing is likely to rise. These factors may help stewardship programs We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors. Key informants tended to emphasise higher-level influences, including NHS policies, availability of support and Barriers and enablers to minimising PIMs emerged within four analytical themes: problem awareness; inertia secondary to lower perceived value proposition for ceasing versus continuing PIMs; self-efficacy in regard to Safety, effectiveness, formulary status, and restrictions on prescribing were considered highly influential by all participants. However, the main influential factor Aim: The review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people. From its inception in the early 1990s, non-medical prescribing (NMP) has grown and developed at a rapid rate in the UK. Design The qualitative study was conducted using individual in-depth interviews. Physicians' personal attributes, cost of treatment, pharmaceutical industries' and patients' preferences were the most frequently identified factors Factors influencing prescribing behaviour were related to the environment; collaboration in medical teams; hierarchical structures; and patient and individual factors. jum nrzbl fctcvl jufnwnv dhbny hhwih cqnawaex updexh sodno rzcdnsg