Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework
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Published:2023-07-15
Issue:6
Volume:45
Page:1424-1433
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ISSN:2210-7703
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Container-title:International Journal of Clinical Pharmacy
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language:en
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Short-container-title:Int J Clin Pharm
Author:
Nazar ZachariahORCID,
Al Hail MozaORCID,
Al-Shaibi SamaherORCID,
Hussain Tarteel AliORCID,
Abdelkader Nada NabilORCID,
Pallivalapila AbdulroufORCID,
Thomas BinnyORCID,
Kassem Wessam ElORCID,
Hanssens YolandeORCID,
Mahfouz AhmedORCID,
Ryan CristinORCID,
Stewart DerekORCID
Abstract
Abstract
Background
Well-designed and well-maintained drug formularies serve as a reliable resource to guide prescribing decisions; they are associated with improved medicine safety and increased efficiency, while also serving as a cost-effective tool to help manage and predict medicine expenditure. Multiple studies have investigated the inappropriate prescribing of non-formulary drugs (NFDs) with statistics indicating that up to 70% of NFD usage being inappropriate or not following the ascribed NFD policies.
Aim
To explore physicians’ views and influences on their prescribing of non-formulary drugs.
Method
Data collection and analysis were underpinned using the Theoretical Domains Framework (TDF). Thirteen semi-structured interviews were conducted within Hamad Medical Corporation, the main provider of secondary and tertiary healthcare in Qatar, with physicians who had submitted a NFD request in the preceding 12 months.
Results
Three overarching themes were identified: providing evidence-based care for individual patients; influences of others; and formulary management issues. Subthemes were mapped to specific TDF domains: environmental context and resources; social influences; professional role and identity; beliefs about consequences; goals; intentions.
Conclusion
The behavioral influences identified in this study can be mapped to behavior change strategies facilitating the development of an intervention to promote appropriate prescribing of NFDs with implications for medicine safety and healthcare efficiency.
Funder
Hamad Medical Corporation
Qatar University
Publisher
Springer Science and Business Media LLC
Subject
Pharmacology (medical),Pharmaceutical Science,Pharmacology,Toxicology,Pharmacy
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