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Pharmacy Practice (Internet)

On-line version ISSN 1886-3655

Abstract

PLIANBANGCHANG, Pinyupa; JETIYANON, Kanchalee; SUTTALOUNG, Charawee  and  KHUMCHUEN, Lalida. Physicians´ generic drug prescribing behavior in district hospitals: a case of Phitsanulok, Thailand. Pharmacy Practice (Internet) [online]. 2010, vol.8, n.3, pp.167-172. ISSN 1886-3655.

Generic prescribing is a sound approach to contain health care costs. However, little is known about physicians´ prescribing patterns in the Thai context. Objective: To explore physicians´ generic prescription patterns in district hospitals. Methods: Data was collected from three of the eight district hospitals between January and December 2008 (final response rate 37.5%). All participating hospitals were between 30 and 60-bed capacity. The researchers reviewed 10% of total outpatient prescriptions in each hospital. Results: A total of 14,500 prescriptions were evaluated. The majority of patients were under universal health coverage (4,367; 30.1%), followed by senior citizens´ health insurance (2,734; 18.9%), and civil servant medical benefit schemes (2,419; 16.7%). Ten thousand six hundred and seventy-one prescriptions (73.6% of total prescriptions) had at least one medication. Among these, each prescription contained 2.85 (SD=1.69) items. The majority of prescriptions (7,886; 73.9%) were prescribed by generic name only. Drugs prescribed by brand names varied in their pharmacological actions. They represented both innovator and branded-generic items. Interestingly, a large number of them were fixed-dose combination drugs. All brand name prescriptions were off patented. In addition, none of the brand-name drugs prescribed were categorized as narrow therapeutic range or any other drug that had been reported to have had problems with generic substitution. Conclusion: The majority of prescriptions in this sample were written by generic names. There is room for improvement in brand name prescribing patterns.

Keywords : Drugs; Generic; Drug Prescriptions; Thailand.

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