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HEKİMLERİN FARMAKOEKONOMİ BİLGİ DÜZEYİNİN REÇETELEME DAVRANIŞINA ETKİ EDEN FAKTÖRLERLE İLİŞKİSİNİN DEĞERLENDİRİLMESİ

Year 2025, Volume: 26 Issue: 1, 1 - 16, 21.01.2025

Tolgay Ercan , Enis Baha Biçer

https://doi.org/10.37880/cumuiibf.1508268

Abstract

İlaç tercihinde esas belirleyici etkenin hekimler olması, hekimlerin ilaç tercihinde reçeteleme davranışlarını belirleyen faktörlerin, hem ilaç firmalarının hem de geri ödeme kurumlarının ilgisini çekmektedir. İlaç firmaları tıbbi tanıtım temsilcilerini kullanarak hekimlerin reçeteleme davranışına etki etmeye çalışırlar. Geri ödeme kurumları ise; hekimlerin reçeteleme davranışlarında kısıtlamalar yaparak maliyetleri düşürmeye çalışmaktadırlar. Bu çalışmanın amacı, ilaçların tercih edilmesinde esas belirleyici olan ve ilacın reçete edilmesinde tek başına sorumlu olan hekimlerin reçeteleme davranışına etki eden faktörlerin neler olduğunun ayrıntılı tespitinin yapılarak; reçeteleme davranışını etkileyen faktörlerin farmakoekonomi bilgi düzeylerine ilişkin olarak değerlendirilmesi yapılmıştır. Araştırmada 609 hekim ve diş hekimine 5’li likert ölçek değerlendirmesi ile anket uygulanmıştır. Verilerin analizi ölçek ifadelerin güvenilirliklerini test etmek için ilk olarak iç tutarlılığı denetlenmiş sonrasında ölçeklerin boyutlarını değerlendirmek amacı ile AFA yapılmıştır. Bu faktörler arasında ilaç tercihihine yönelik olarak ilaç etkinliği, hekim bilgi ve maliyet alt boyutları incelenmiştir. Hekimlerin satış temsilcisi ile ilgili olarak sosyal iletişim, güven, etik davranış, benzerlik gibi alt boyutlar incelenmiştir. Hekimlerin reçeteleme firma tercihine yönelik olarak yönetimsel etkinlik ve güvenirlik alt boyutları değerlendirilmiş, hekimlerin farmakoekonomi bilgi düzeyleri ile ilgili olarak farmakoekonomi farkındalık, farmakoekonomi bilgi, farmakoekonomi önem ve farmakoekonomi değerlendirme alt boyutları analiz edilmiştir. Araştırmada hekimlerin farmakoekonominin önemi, maliyet, ilacın etkinliği, firma tercihi ve tıbbi satış temsilcisine yönelik algılarının yüksek olduğu ifade edilebilir.

Keywords

Sağlık Ekonomisi Hekim reçeteleme davranışı Sağlık Kurumları Yönetimi Farmakoekonomi

Ethical Statement

Sivas Cumhuriyet Üniversitesi Bilimsel Araştırma ve Yayın Etiği Sosyal ve Beşeri Bilimler Kuruluna 01.07.2022 tarih ve 2022-07-10 no etik başvurusu yapılmış, incelenmiş ve 13 nolu karar ile ve 04.08.2022 tarihinde etik olarak uygunluğuna karar verilmiştir.

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EVALUATION OF THE RELATIONSHIP BETWEEN PHYSICIANS' PHARMACOECONOMICS KNOWLEDGE LEVEL AND THE FACTORS AFFECTING THEIR PRESCRIBING BEHAVIOR

Year 2025, Volume: 26 Issue: 1, 1 - 16, 21.01.2025

Tolgay Ercan , Enis Baha Biçer

https://doi.org/10.37880/cumuiibf.1508268

Abstract

Since physicians are the main determining factor in drug preference, the factors that determine physicians' prescribing behavior in drug preference attract the attention of both pharmaceutical companies and reimbursement institutions. Pharmaceutical companies try to influence physicians' prescribing behavior by using medical promotion representatives. Reimbursement institutions are trying to reduce costs by restricting physicians' prescribing behavior. The aim of this study is to determine in detail the factors that affect the prescribing behavior of physicians, who are the main determinants in the choice of drugs and who are solely responsible for prescribing the drug; Factors affecting prescribing behavior were evaluated in relation to pharmacoeconomics knowledge levels. In the research, a survey was applied to 609 physicians and dentists with a 5-point Likert scale evaluation. In order to test the reliability of the scale expressions, the internal consistency of the data was first checked, and then EFA was performed to evaluate the dimensions of the scales. Among these factors, drug effectiveness, physician knowledge and cost sub-dimensions were examined for drug preference. Regarding physicians' sales representatives, sub-dimensions such as social communication, trust, ethical behavior and similarity were examined. Managerial efficiency and reliability sub-dimensions were evaluated for physicians' prescribing company preference, and the sub-dimensions of pharmacoeconomics awareness, pharmacoeconomics knowledge, pharmacoeconomics importance and pharmacoeconomics evaluation were analyzed regarding physicians' pharmacoeconomics knowledge levels. It can be stated in the research that physicians' perceptions of the importance of pharmacoeconomics, cost, effectiveness of the drug, company preference and medical sales representatives are high.

Keywords

Health Economics Pharmacoeconomics Physician prescribing behavior Health Institutions Management

References

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  • Al-Omar Hussain Abdulrahman (2020). Cost-conscious medications-prescribing behavior among physicians working in Saudi Arabia. Arch. Pharm. Pract, 1, 143.
  • Alowi May and Kani Yusuf (2019). Promotion of prescription drugs and its impact on physician’s choice behavior. Journal of Pharmaceutical Care and Health Systems, 6, 1-7.
  • Alsultan Mohammed S. (2011). The role of pharmacoeconomics in formulary decision making in different hospitals in Riyadh, Saudi Arabia. Saudi Pharmaceutical Journal, 19(1), 51-56.
  • Alt Rainer and Thomas Puschmann (2005). Developing customer process orientation: the case of Pharma Corp. Business Process Management Journal, 11(4), 297-315.
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  • Dhanawade S., S. Pawar, and A. Ghewari (2009). Effective promtional tools for pharmaceutical products in the perception of physicians: an analysis. Ethos, 2(1), 46-56.
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  • Eldrwish May Alowi, Aigbogun Osaro, Kani Yusuf and Sambasivan Muralli (2022). Attitude towards pharmaceutical promotional tools and its influence on physicians’ prescribing behaviour in Sudan. International Journal of Pharmaceutical and Healthcare Marketing, (ahead-of-print),469-489.
  • Etikan Ilker, Sulaiman Abubakar Musa and Rukayya Sunusi Alkassim (2016). “Comparison of Convenience Sampling and Purposive Sampling”. American Journal of Theoretical and Applied Statistics, 5(1), 1-4.
  • Fickweiler Freek, Ward Fickweiler and Ewout Urbach (2017). Interactions between physicians and the pharmaceutical industry generally and sales representatives specifically and their association with physicians’ attitudes and prescribing habits: a systematic review. BMJ, 7(9), 1-12.
  • Folland Sherman, Goodman Allen C. and Stano Miron (2016). The economics of health and health care: Pearson new international edition. Routledge. 7th Edition.
  • Gallan Andrew (2004). Factors that influence physicians' prescribing of pharmaceuticals: a literature review. Journal of Pharmaceutical Marketing & Management, 16(4), 3-46.
  • Goold Susan Dorr, Tımothy Hofer, Marc Zımmerman, Rodney A. Hayward (1994). Measuring physician attitudes toward cost, uncertainty, malpractice, and utilization review. Journal of General Internal Medicine, 9, 544-549.
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There are 85 citations in total.

Details

Primary Language Turkish
Subjects Policy and Administration (Other)
Journal Section Makaleler
Authors

Tolgay Ercan 0000-0002-6893-4358

Enis Baha Biçer 0000-0002-1624-4988

Early Pub Date January 19, 2025
Publication Date January 21, 2025
Submission Date July 1, 2024
Acceptance Date November 2, 2024
Published in Issue Year 2025Volume: 26 Issue: 1

Cite

APA Ercan, T., & Biçer, E. B. (2025). HEKİMLERİN FARMAKOEKONOMİ BİLGİ DÜZEYİNİN REÇETELEME DAVRANIŞINA ETKİ EDEN FAKTÖRLERLE İLİŞKİSİNİN DEĞERLENDİRİLMESİ. Cumhuriyet Üniversitesi İktisadi Ve İdari Bilimler Dergisi, 26(1), 1-16. https://doi.org/10.37880/cumuiibf.1508268
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