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Related Experiment Videos

Factors that influence prescribing decisions.

Glen T Schumock1, Surrey M Walton, Hayley Y Park

  • 1Center for Pharmacoeconomic Research, and Department of Pharmacy Practice, University of Illinois at Chicago, Chicago, IL 60612-7230, USA. schumock@uic.edu

The Annals of Pharmacotherapy
|February 18, 2004
PubMed
Summary

Understanding physician and pharmacist prescribing influences is key to controlling medication quality and cost. Key factors like safety, effectiveness, and cost impact decisions differently across healthcare professionals.

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Area of Science:

  • Health Services Research
  • Pharmacoeconomics
  • Clinical Pharmacy Practice

Background:

  • Controlling medication quality and cost hinges on influencing drug selection.
  • Previous models focused on physician prescribing behavior, neglecting other key decision-makers.
  • Hospital drug therapy decisions involve physicians, clinical pharmacists, and formulary committees; their differing perspectives are not well understood.

Purpose of the Study:

  • To compare the opinions of physicians, clinical pharmacists, and formulary committee members.
  • To identify key factors influencing medication prescribing in community hospitals.
  • To understand differences in perceived influence among these professional groups.

Main Methods:

  • A standardized questionnaire was administered by a trained interviewer to physicians, clinical pharmacists, and formulary committee members.

Related Experiment Videos

  • Participant opinions on factors influencing drug prescribing were collected.
  • Descriptive statistics and post hoc analysis were used to compare responses between groups.

    • Main Results:

    • Safety, effectiveness, formulary status, and prescribing restrictions were highly influential for all participants.
    • Physicians prioritized drug samples and personal experience; pharmacists and committee members emphasized pharmacist recommendations, guidelines, and cost.
    • Drug-related and policy-related factors were more influential than indirect factors.

    Conclusions:

    • Strategies to alter medication use should leverage the most influential decision-making factors.
    • Recognizing and addressing the distinct perspectives of physicians, pharmacists, and committee members is crucial for effective interventions.
    • Understanding these differences can improve the prediction of strategy effectiveness in influencing drug use.