Knowledge, attitude and practice of generic medicines among doctors in a tertiary care teaching hospital of Tripura, India (original) (raw)
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International Journal of Research in Medical Sciences, 2018
Background: The assessment of doctors’ perceptions and understanding about generic medicines may help in recognizing the key areas which may act as hurdle to mass scale use of generics. The primary objective of this study was to explore the knowledge, attitude, and practice (KAP) of doctors toward generic medicines.Methods: A cross-sectional study was carried out using a pretested questionnaire in a tertiary care teaching hospital of Jammu (J and K). The questionnaire was designed to assess the KAP about generic medicines. The doctors working in this institute during the study period were included. Data was compiled and analysed using online website, http://www.graphpad.com. P-values of < 0.05 were considered to indicate statistical significance.Results: A 62.9% doctors agreed to the fact that generic medicines were intended to be interchangeable with a branded drug (p=0.0139). Among the doctors, 77.5% were aware that generic drug manufacturers need to conduct studies to show bio...
SSR Institute of International Journal of Life Sciences, 2024
Background: Drugs available under non-proprietary names are called Generic Medicines. Generic Medicines were introduced in India to make quality medicines available for everyone at affordable costs. The present study was initiated to assess and compare the awareness, attitude, and usage of generic medicines among prescribers and patients. Methods: A cross-sectional study was conducted among prescribers and patients attending a tertiary care teaching hospital in August 2023. Written informed consent was taken from all the participants. Data was collected using hard copies of the prevalidated questionnaire (Cronbach's alpha=0.78), which consisted of 35 questions and was analysed using EPI info version 7.0. Data comparison was done using the Chi-square test, and a p<0.05 was considered statistically significant. Results: There were 78 participants, 39 of whom were physicians, and 39 patients completed the study. There was a statistically significant difference in the awareness among the physicians and the patients for five of the seven questions assessing awareness and eight of the 19 questions assessing the attitude towards generic medicines, the quantity of generic medicine usage, and the preference for changing the prescribed brand-name medicine to generic medicine. Conclusion: The awareness and attitude towards the use of generic medicine are high among physicians, but their usage pattern is comparatively lower than that of patients. This indicates the need to introduce promotional events to boost the trust of the prescribers towards generic medicines usage that may increase his prescribing pattern. There is also a need to raise public awareness and attitude towards generic drugs through educational intervention programs.
International Journal of Basic & Clinical Pharmacology
Background: Government of India is trying to popularize generic medicines, still most Registered Medical Practitioners (RMPs) doubt its quality and efficacy. We conducted a cross sectional survey to study the barriers that hinders the practice of writing generic prescriptions. The aim was to study doctor’s knowledge, beliefs and actual practices regarding generic medicines. This study is a KAP survey model (Knowledge, attitude, practices) to study beliefs, barriers, awareness and actual practices regarding use of generic medicines amongst private practioners and RMPs of tertiary care Government hospital in Nanded city.Methods: A cross sectional survey was conducted on a sample of 300 randomly selected RMPs practicing in Nanded, Maharashtra. A 26-item questionnaire was designed, validated, and data collected through personal visits. Fisher’s exact test was applied to see associations between variables using Graphpad Prism 7.Results: 234 RMPs responded to the questionnaire i.e. a resp...
National Journal of Physiology, Pharmacy and Pharmacology, 2017
Background: Generic prescribing is still a contentious issue among prescribers, and the issues of bioequivalence, quality, and safety remain problem areas. Generic substitution of brand medicines is an accepted practice in many parts of the world, and this is often done for economic reasons. Aims and Objective: The aim and objective of this study was to assess the attitude of clinicians and postgraduate students regarding generic drugs and branded drugs. Materials and Methods: The present study was a questionnaire-based, cross-sectional study conducted among clinicians and postgraduate students at NRIMC and SMC, Vijayawada. Assurance of confidentiality (informed consent) was also taken from the participants. After approval and clearance from the Institutional Ethics Committee, 75 participants were included into the study by the investigator. After explaining about the nature and purpose of the study, the study participants were interviewed using structured questionnaire to assess the awareness about the generic drugs and to determine the attitude and practice toward generic drugs. The appropriate instructions about filling questionnaire were given. Analysis was performed and the data were expressed in n (%). Results: In the present study, 87.7% of the clinicians and postgraduates were aware of generic drugs. Most doctors believed that generics are therapeutically (59.6%) and safety wise (71.9%) equivalent to branded drugs, 89.5% are of the opinion that generics are cheaper than branded ones. Nearly 59.6% of them were aware of Jan Aushadhi pharmacy. Conclusion: A very good percentage of doctors were aware of generic medicines, their attitude toward safety, efficacy, and cost-effectiveness of generic medicines was good and majority of them said that they prescribe generic drugs. However, there was a meaningful proportion who expressed their concern about the quality and efficacy of generic drugs. These beliefs could hinder larger generic drug use and increase health-care expenses of patients with chronic illness. Proper awareness in physicians about the generic prescription practice may improve the patient compliance by reducing the economic burden to the patients.
IP innovative publication pvt ltd, 2019
Introduction: Medicines play an important role in decreasing morbidity and mortality. But due to high cost factor achievement of good healthcare at door step has become impossible. Generic medicines are cost effective without compromising the quality. Aims and Objectives: To evaluate knowledge, attitude, and practice (KAP) of generic medicines among the prescribers in a tertiary care teaching hospital -BRIMS, Bidar. Materials and Methods: This was a cross-sectional, observational, and questionnaire-based study. A 14-item multiple choice questionnaires were distributed to the participants to assess their KAP regarding generic medicine. Results: About 61.22% participants agreed that generic medicines differ from their innovator brand name drug in nature of excipients. 81.63% interns agreed that cost of generic medicines is lesser than the innovator brand name drugs. 81.63% interns agreed there should be a training program to increase the awareness regarding generic medicines among doctors. 31.61% interns stated that generic medicines can be switched over to the brand name drugs and vice versa. About 87.75% interns were ready to encourage patients to use generic medicines. Conclusion: In the present study, we found that interns had good knowledge about generic medicines and Jan Aushadhi Yojana. Educational programmes like training, seminars, Continues Medical Education (CME) can increase the significance of generic medicine prescription.
Indian Journal of Pharmacy Practice
Background:The concept of generic prescription is widely accepted in various parts of the world. Nevertheless, it has failed to gain popularity in India due to factors such as non-availability and distrust on the product quality. However, since 2012, the Government of India, has initiated exclusive generic drug outlets called Jan Aushadhi stores. This study was undertaken to evaluate the experience and attitude of patients who were consuming generic drugs purchased from these stores. Materials and Methods: It was a questionnaire-based cross-sectional study where we have interviewed total 100 patients consuming generic and branded drugs, respectively. The perceived effectiveness, cost of therapy, quality of drugs was asked. Results: In our study 72 % participants heard about generic medicines and 65% knew the difference between generic and branded medicines. 67% agreed that generic medicines are cheaper than branded medicines but only 35% of them preferred to buy generic medicines. Most (64%) of the patients never asked his/her doctor or pharmacist (59%) to prescribe/ distribute generic medicines. Majority of them (61%) believed that generic medicines have lower quality than branded medicines. According to patients, 45% responded that doctors preferred branded medicines over generic medicines. In this hospital, 37% patients were prescribed generic medicines. Most of them (67%) did not become aware of the government rules about prescribing generic medicines. Only 24% responded that government should promote generic medicines. According to 13%of patients suggest that there should be more generic medicine shops present in the hospital. Interestingly, 45% of them suggested that generic medicines should be available in all medicine shops. Conclusion: Our findings suggest that knowledge and attitude about generic medicines among participants were poor. Some of them had wrong information, which is not a good sign for implementation and sustainability of Jan Aushadhi scheme in government hospitals.
International Research Journal of Pharmacy, 2020
Health care expenses are booming now a day. India is one of the biggest generic medicine manufacturers all over the world. Less knowledge of generic medicine correlates to less prescribing and dispensing of generic medicine. As a pharmacist play an important role in providing a safe and effective medicine to the patient, so they required great knowledge and attitude towards generic medicine. The main objective is to assess the Knowledge, Attitude, and Practice (KAP) of generic medicine among pharmacists in Tertiary Care Hospital, Nashik. This is an observational, cross-sectional, KAP questionnaire-based study carried among 130 pharmacy professionals. The collected data were analysed using descriptive statistics. More than half of the total number of participants (n = 130) had answered general knowledge questions about generic medicines correctly. Attitude study among pharmacy professionals showed that most of them had great knowledge about safety, efficacy but they were neutral attitudes viz and they didn't have perfect idea and were not sure about the manufacturing standards of generic medicines. Most of the pharmacists dispense an innovator drug over generic medicine available (53.84%). The maximum number of pharmacists had never read articles that compared the safety and efficacy of generic versus innovator medicines (61.53%). Our study shows that pharmacists had good knowledge and a positive attitude towards generic medicine but the practice was comparatively poor.
Journal of pharmaceutical and biological sciences, 2023
Background: According to a WHO report, approximately 55 million people in India are still living in poverty as a result of household out-of-pocket expenses for health care, particularly medications. Thus, it is imperative to keep healthcare costs as low as possible without limiting access to high-quality care. Increasing the use of generic medications can raise affordability of healthcare without sacrificing the standard of care. Doctors' prescriptions play an extremely significant role. In order to identify potential obstacles to the use of generic drugs, it may be helpful to understand the doctor's perspective about generic drugs. Materials and Methods: A cross-sectional study was carried out using a validated questionnaire that included questions to evaluate the participant's knowledge and attitude on generic medicines. Data was collected using google forms and Chi square test was used to list association of knowledge and attitude. Results: It was observed that attitude among interns were extremely significant whereas the knowledge was insignificant. Conclusion: According to the study, knowledge about generic drugs were not significant however they had significant attitude towards it so educating interns and medical students about generic drugs will promote more awareness about prescribing generic medicine. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Asian Journal of Pharmaceutical and Clinical Research, 2021
Objective: The objective of the current study is to evaluate knowledge, attitude, and perception of Indian Population about generic versus Branded Medicines. Methods: It was a cross-sectional prospective web-based questionnaire study. We used an application name Google form and link (https://forms.gle/ RJA6XvPeJy6TXNzN9) was created. Total 537 participants took part in our study. Nineteen questions related to knowledge, attitude, and perception about generic versus branded medicines were asked in the questionnaire. Results: In our study, 78.6% participants had heard about generic medicines. About 66.2% agreed that they understand the difference between both the medicines. About 74.5% knew that there is price difference in both the medicines. According to only 22.1% of our study participants' doctors preferred generic medicines and 37.7% thought that chemists preferred to sell generic medicines than branded ones. About 40.4% knew that generic medicines are promoted by Indian government but surprisingly, 63.3% said that they are unaware of any government rules regarding this. About 44.9% did not know about the type of drugs on their prescription. About 54.8% preferred to buy generic medicines but interesting fact is that 74.3% had not asked their doctors to prescribe generic medicines but 41.7% believed that generic medicines should be promoted. Conclusion: Results of our study revealed that poor knowledge, negative attitude, and false perception regarding generic medicines are the main hindrance of sits acceptance by general population.
Health Policy, 2010
Objectives: The objective of this study was to evaluate the general practitioners' (GPs') knowledge and perceptions towards generic medicines in a northern state of Malaysia. Method: A postal cross-sectional survey involving registered GPs in Penang, Malaysia was undertaken. A 23-item questionnaire was developed, validated and administered on the GPs. Eighty-seven GPs responded to the survey (response rate 26.8%). Results: The majority of the respondents (85.1%) claimed that they actively prescribed generic medicines in their practice. On the other hand, only 4.6% of the respondents correctly identified the Malaysia's National Pharmaceutical Control Bureau's bioequivalence standard for generic products. There were misconceptions among the respondents about the concepts of "bioequivalence", "efficacy", "safety", and "manufacturing standards" of generic medicines. GPs in this survey believed that a standard guideline on brand substitution process, collaboration with pharmacists, patient education and information on safety and efficacy of generic medicines were necessary to ensure quality use of generics. Furthermore, advertisements and product bonuses offered by pharmaceutical companies, patient's socio-economic factors as well as credibility of manufacturers were factors reported to influence their choice of medicine. Conclusion: Although it appeared that GPs have largely accepted the use of generic medicines, they still have concerns regarding the reliability and quality of such products. GPs need to be educated and reassured about generic products approval system in Malaysia concerning bioequivalence, quality, and safety. The current findings have important implications in establishing generic medicines policy in Malaysia.