Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework
<div><h2>Background</h2> <p>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 a...
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2023
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| _version_ | 1864513533716201472 |
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| author | Zachariah Nazar (8600154) |
| author2 | Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (5801975) Yolande Hanssens (14151507) Ahmed Mahfouz (737928) Cristin Ryan (5801981) Derek Stewart (117849) |
| author2_role | author author author author author author author author author author author |
| author_facet | Zachariah Nazar (8600154) Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (5801975) Yolande Hanssens (14151507) Ahmed Mahfouz (737928) Cristin Ryan (5801981) Derek Stewart (117849) |
| author_role | author |
| dc.creator.none.fl_str_mv | Zachariah Nazar (8600154) Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (5801975) Yolande Hanssens (14151507) Ahmed Mahfouz (737928) Cristin Ryan (5801981) Derek Stewart (117849) |
| dc.date.none.fl_str_mv | 2023-07-15T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s11096-023-01616-7 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Investigating_physicians_views_on_non-formulary_prescribing_a_qualitative_study_using_the_theoretical_domains_framework/24934956 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Attitude of health personnel Behavior change Clinical pharmacy Drug safety Formulary Inappropriate prescribing Qualitative research Theoretical domains framework |
| dc.title.none.fl_str_mv | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <div><h2>Background</h2> <p>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.</p> <h2>Aim</h2> <p>To explore physicians’ views and influences on their prescribing of non-formulary drugs.</p> <h2>Method</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p> </div><h2>Other Information</h2> <p> Published in: International Journal of Clinical Pharmacy<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11096-023-01616-7" target="_blank">https://dx.doi.org/10.1007/s11096-023-01616-7</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_26c5dea7efddd0025d9058409dafe5c3 |
| identifier_str_mv | 10.1007/s11096-023-01616-7 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24934956 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains frameworkZachariah Nazar (8600154)Moza Al Hail (2511859)Samaher Al-Shaibi (14152206)Tarteel Ali Hussain (11014415)Nada Nabil Abdelkader (9853177)Abdulrouf Pallivalapila (5801972)Binny Thomas (5801969)Wessam El Kassem (5801975)Yolande Hanssens (14151507)Ahmed Mahfouz (737928)Cristin Ryan (5801981)Derek Stewart (117849)Biomedical and clinical sciencesPharmacology and pharmaceutical sciencesAttitude of health personnelBehavior changeClinical pharmacyDrug safetyFormularyInappropriate prescribingQualitative researchTheoretical domains framework<div><h2>Background</h2> <p>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.</p> <h2>Aim</h2> <p>To explore physicians’ views and influences on their prescribing of non-formulary drugs.</p> <h2>Method</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p> </div><h2>Other Information</h2> <p> Published in: International Journal of Clinical Pharmacy<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11096-023-01616-7" target="_blank">https://dx.doi.org/10.1007/s11096-023-01616-7</a></p>2023-07-15T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11096-023-01616-7https://figshare.com/articles/journal_contribution/Investigating_physicians_views_on_non-formulary_prescribing_a_qualitative_study_using_the_theoretical_domains_framework/24934956CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249349562023-07-15T03:00:00Z |
| spellingShingle | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework Zachariah Nazar (8600154) Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Attitude of health personnel Behavior change Clinical pharmacy Drug safety Formulary Inappropriate prescribing Qualitative research Theoretical domains framework |
| status_str | publishedVersion |
| title | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| title_full | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| title_fullStr | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| title_full_unstemmed | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| title_short | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| title_sort | Investigating physicians’ views on non-formulary prescribing: a qualitative study using the theoretical domains framework |
| topic | Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Attitude of health personnel Behavior change Clinical pharmacy Drug safety Formulary Inappropriate prescribing Qualitative research Theoretical domains framework |