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The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study

Inappropriate request for health care services which are considered to be unnecessary for the patients has long been addressed by several writers. The hypothesis supplier induced demand refers to the induced demand initiated by the supplier who acts in his own economic self-interest rather than pati...

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Autores principales: Mohamadloo, Azam, Zarein-Dolab, Saeed, Ramezankhani, Ali, Salamzadeh, Jamshid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shaheed Beheshti University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487441/
https://www.ncbi.nlm.nih.gov/pubmed/31089382
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author Mohamadloo, Azam
Zarein-Dolab, Saeed
Ramezankhani, Ali
Salamzadeh, Jamshid
author_facet Mohamadloo, Azam
Zarein-Dolab, Saeed
Ramezankhani, Ali
Salamzadeh, Jamshid
author_sort Mohamadloo, Azam
collection PubMed
description Inappropriate request for health care services which are considered to be unnecessary for the patients has long been addressed by several writers. The hypothesis supplier induced demand refers to the induced demand initiated by the supplier who acts in his own economic self-interest rather than patient best interest. The purpose of the present qualitative study was to explore about induced demand and the relevant motivating factors associated with unnecessary prescriptions of medicine. In-depth interviews were used for data generation with a purposive sample of 20 participants who were selected according to their experience. The interviews were transcribed and analyzed. The key themes were identified, named and coded with a sample of quotation. In general, 24 sub-themes or factors were identified and classified into personal, community and institutional themes. Some important factors are asymmetric information, patient expectation, patient poor health literacy, physician›s inadequate knowledge in medicine, neglecting patient rights, financial incentives, barriers in health insurance companies, reimbursement mechanism, marketing and advertising by pharmaceutical companies, Poor financial condition of pharmacies and social interactions. Our results showed that the induced demand for medicine is multifactorial in a health system. Addressing these factors could lead to decrease unnecessary prescription of medicine by a multi-faceted strategy, including curriculum revision, health promotion, and policy making.
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spelling pubmed-64874412019-05-14 The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study Mohamadloo, Azam Zarein-Dolab, Saeed Ramezankhani, Ali Salamzadeh, Jamshid Iran J Pharm Res Original Article Inappropriate request for health care services which are considered to be unnecessary for the patients has long been addressed by several writers. The hypothesis supplier induced demand refers to the induced demand initiated by the supplier who acts in his own economic self-interest rather than patient best interest. The purpose of the present qualitative study was to explore about induced demand and the relevant motivating factors associated with unnecessary prescriptions of medicine. In-depth interviews were used for data generation with a purposive sample of 20 participants who were selected according to their experience. The interviews were transcribed and analyzed. The key themes were identified, named and coded with a sample of quotation. In general, 24 sub-themes or factors were identified and classified into personal, community and institutional themes. Some important factors are asymmetric information, patient expectation, patient poor health literacy, physician›s inadequate knowledge in medicine, neglecting patient rights, financial incentives, barriers in health insurance companies, reimbursement mechanism, marketing and advertising by pharmaceutical companies, Poor financial condition of pharmacies and social interactions. Our results showed that the induced demand for medicine is multifactorial in a health system. Addressing these factors could lead to decrease unnecessary prescription of medicine by a multi-faceted strategy, including curriculum revision, health promotion, and policy making. Shaheed Beheshti University of Medical Sciences 2019 /pmc/articles/PMC6487441/ /pubmed/31089382 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mohamadloo, Azam
Zarein-Dolab, Saeed
Ramezankhani, Ali
Salamzadeh, Jamshid
The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title_full The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title_fullStr The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title_full_unstemmed The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title_short The Main Factors of Induced Demand for Medicine Prescription: A Qualitative Study
title_sort main factors of induced demand for medicine prescription: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487441/
https://www.ncbi.nlm.nih.gov/pubmed/31089382
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