当私人全科医生收到药品销售代表的激励优惠时会发生什么? 巴基斯坦的一项定性研究
Muhammad Naveed Noor1, Afifah Rahman-Shepherd2, Sabeen Sharif Khan3
1Assistant Professor, Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
Journal of health services research & policy
|February 1, 2024
概括
巴基斯坦的全科医生对制药激励措施的反应各不相同,有些人接受交易,有些人拒绝交易. 了解这些复杂的相互作用是控制不道德的处方行为的关键.
科学领域:
- 卫生系统研究 卫生系统研究
- 药品营销伦理 药品营销伦理
- 医生行为研究研究 医生行为研究
背景情况:
- 制药公司以利为目的对医生的激励是众所周知的卫生系统挑战.
- 医生处方行为受到经济激励的影响.
研究的目的:
- 为了检查全科医生 (GPs) 对巴基斯坦制药激励优惠的反应.
- 了解GP-制药销售代表互动的复杂性.
主要方法:
- 与现场研究人员一起使用标准化药品销售代表 (SPSR) 方法.
- 与全科医生进行了定性采访,以三角化SPSR数据.
- 观察和分析了267名全科医生对激励优惠的反应.
主要成果:
- 确定了四个GP结果:同意,拒绝,不允许访问,或对激励措施的不确定的反应.
- 拒绝报价的一般医生引用了现有的承诺或对公司不熟悉.
- 拒绝往往涉及要求代表稍后返回的请求.
结论:
- 关于财务利益的GP-制药销售代表互动是复杂的,并没有立即被接受.
- SPSR方法有效地揭示了因激励而导致的实践扭曲.
- 这些发现可以为减轻不道德的医生行为策略提供信息.
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