PRESCRIBING BEHAVIOR OF PHYSICIANS IN KARACHI, PAKISTAN
Viqas Shafi*
Abstract
Purpose: The purpose of this study was to investigate the attitudes and
the factors which influence physician prescribing decisions and
practice in Karachi, Pakistan. Methods: A questionnaire was
developed specifically for the purpose of the study. This was then
distributed to a sample of 100 physicians in Karachi, Pakistan.
Results: Clinical effectiveness is the most important factor, reaching
81.81%; with regard to the cost of drugs to patients 59.09% of
physicians take it into consideration when prescribing. Medical
textbooks and medical journals are preferred by 72.72% and 50.00% of
doctors respectively, to guide and justify their prescription choices.
Regarding perceptions of new drug effectiveness, only 50.00% of Karachi physicians believe
that they are more effective. Adverse Drug Reactions appear to be a major cause of
prescription choice modification, as more than 77.26% of doctors declare that they change
their prescription patterns in cases of Adverse Drug Reactions. Conclusion: The present
study highlights the attitudes and the factors influencing physician prescribing behavior in
Karachi, Pakistan. These insights will help policy makers in Pakistan & South Asia to
develop measures which could be used to achieve greater clinical effectiveness and economic
efficiency from drug prescribing. These insights will also help marketers in developing better
and effective pharmaceutical marketing strategies
Keywords: prescribing, physician behavior, prescribing pattern, prescribing habits, karachi pakistan, pharma marketing
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