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Role of Physician’ Characteristics in Drug Prescription: Evaluation From Drug Database in Improving Prescribing Regulation
Abstract
Introduction: Drugs prescribing is the most important skill for physicians and is strictly regulated by the government. However, factors that contribute to the drug prescribing are not determined yet. The aim of this study is to identify the possible role of physician character in drug prescribing at primary health centers (PHC).
Method: A cross-sectional study was purposely done over fourteen-days at PHCs of Tangerang Districts. All prescriptions (n=2410) registered in the PHC drug-alert system (CIDIA Database) were analyzed descriptively.
Result: From 2410 prescriptions registered in the PHC drug alert system, 15% prescriptions were prescribed by male physicians and 85% by the females. During the study, there were 964 drugs prescribed by 6 male physicians, 161 drugs per physician in average. There were 5584 drugs prescribed by 12 female physicians, 465 drugs per physician on average. Female physicians tended to prescribe 4 or more drugs compared to its male counterpart at 14% (p=0.006). However, there was no significant difference of drug interactions observed in the prescriptions prescribed by male or female physicians (p>0.05).
Discussion: We identified that physician characteristics including gender played a significant role in the drug prescribing process especially the number of drugs prescribed. Therefore, considering gender differences in prescribing drugs may help the PHCs to improve a better management in drug safety and to comply with the government prescribing regulation.
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Yang JH, Liao YF, Lin WB, Wu W. Prescribing errors in electronic prescriptions for outpatients intercepted by pharmacists and the impact of prescribing workload on error rate in a Chinese tertiary-care women and children's hospital. BMC Health Serv Res. 2019 Dec 30;19(1):1013.
O'Mahony D, O'Sullivan D, Byrne S, O'Connor MN, Ryan C, Gallagher P. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
Halli-Tierney AD, Scarbrough C, Carroll D. Polypharmacy: Evaluating Risks and Deprescribing. Am Fam Physician. 2019 Jul 1;100(1):32-38.
Ministry of Health. 2016. Standar Pelayanan Kefarmasian di Apotek. Peraturan Menteri Kesehatan Republik Indonesia Nomor 73 Tahun 2016, 1-29
Tamblyn R, McLeod P, Hanley JA, Girard N, Hurley J. Physician and practice characteristics associated with the early utilization of new prescription drugs. Med Care. 2003 Aug;41(8):895-908.
Sequeira RP, Al Khaja KA, Damanhori AH, Mathur VS. Physician gender and antihypertensive prescription pattern in primary care. J Eval Clin Pract. 2003 Nov;9(4):409-15.
Méndez SJ, Scott A, Zhang Y. Gender differences in physician decisions to adopt new prescription drugs. Soc Sci Med. 2021 May;277:113886. doi: 10.1016/j.socscimed.2021.113886. Epub 2021 Apr 4. PMID: 33882439.
Tuncay B, Pagano S, De Santis M, Cavallo P. Prescribing Behavior of General Practitioners for Generic Drugs. Int J Environ Res Public Health. 2020 Aug 14;17(16):5919.
Duetz MS, Schneeweiss S, Maclure M, Abel T, Glynn RJ, Soumerai SB. Physician gender and changes in drug prescribing after the implementation of reference pricing in British Columbia. Clin Ther. 2003 Jan;25(1):273-84.
Bushardt RL, Massey EB, Simpson TW, Ariail JC, Simpson KN. Polypharmacy: misleading, but manageable. Clin Interv Aging. 2008;3(2):383-9.
Gören Z, J Demirkapu M, Akpinar Acet G, Çali S, Gülçebi Idriz Oğlu M. Potential drug-drug interactions among prescriptionsfor elderly patients in primary health care. Turk J Med Sci. 2017 Feb 27;47(1):47-54.
Weng SS, Chen YH, Lin CC, Keller JJ, Wang IT, Lin HC. Physician characteristics and prescription drug use during pregnancy: a population-based study. Ann Epidemiol. 2013 Feb;23(2):54-9.
DOI: https://doi.org/10.15408/avicenna.v4i1.29878 Abstract - 0 PDF - 0
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