Determinants for the adoption of angiotensin II receptor blockers by general practitioners.
Results of studies conducted 10-20 years ago show the prominence of commercial information sources in the adoption process of new drugs. Over the past decade, there has been a growing emphasis on practicing evidence-based medicine in drug prescribing. This raises the question whether professional in...
| Publicado en: | Social Science & Medicine Vol. 63; no. 11; pp. 2890 - 2899 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Pergamon Press - An Imprint of Elsevier Science
Dec2006
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106280760&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106280760 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02779536 SMD jtl: Social Science & Medicine issn: 02779536 maglogo: N pubinfo: dt: Dec2006 vid: 63 iid: 11 pid: 2410 pub: Pergamon Press - An Imprint of Elsevier Science artinfo: ui: 106280760 106280760 2009379441 10.1016/j.socscimed.2006.07.019 NLM16959390 106280760 ppf: 2890 ppct: 9 formats: tig: atl: Determinants for the adoption of angiotensin II receptor blockers by general practitioners. aug: au: Greving JP Denig P van der Veen WJ Beltman FW Sturkenboom MCJ Haaijer-Ruskamp FM affil: Department of Clinical Pharmacology, University Medical Center Groningen, The Netherlands. sug: subj: Angiotensin II Type I Receptor Blockers Therapeutic Use Diffusion of Innovation Hypertension Drug Therapy Physicians, Family Adult Aged Decision Making, Clinical Drug Utilization Family Practice Female Funding Source Male Middle Age National Health Programs Netherlands Netherlands Prescribing Patterns Retrospective Design Surveys Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Results of studies conducted 10-20 years ago show the prominence of commercial information sources in the adoption process of new drugs. Over the past decade, there has been a growing emphasis on practicing evidence-based medicine in drug prescribing. This raises the question whether professional information sources currently counterbalance the influence of commercial information sources in the adoption process. The aim of this study was to identify determinants influencing the adoption of a new drug class, the angiotensin II receptor blockers (ARBs), by general practitioners (GPs) in The Netherlands. A retrospective study was conducted to assess prevalent ARB prescribing for hypertensive patients using the Integrated Primary Care Information (IPCI) database. We conducted a survey among all GPs who participated in the IPCI project in 2003 to assess their exposure to commercial and professional information sources, perceived benefits and risks of ARBs, perceived influences of the professional network, and general characteristics. Multilevel logistic regression was applied to identify determinants of ARB adoption while adjusting for patient characteristics. Data were obtained from 70 GPs and 9470 treated hypertensive patients. A total of 1093 patients received ARBs (12%). GPs who reported frequent use of commercial information sources were more likely to prescribe ARBs routinely in preference to other antihypertensives, whereas GPs who used a prescribing decision support system and those who were involved in pharmacotherapy education were less likely to prescribe ARBs. Other factors that were associated with higher levels of ARB adoption included a more positive perception of ARBs regarding their effectiveness in lowering blood pressure, and working in single-handed practices or in rural areas. Aside from determinants related to the patient population, adoption of a new drug class among Dutch GPs is still determined more by their reliance on promotional information than by their use of professional information sources. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|