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Journal of Pharmacology and Toxicology

Year: 2006 | Volume: 1 | Issue: 1 | Page No.: 33-39
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Authors

A. Majid Cheraghali

Fatemah Solemani

Yasna Behmanesh

Fatemeh Habibipour

Asqar Ismaeilzadeh

Shokoufeh Nikfar

Weria Rahimi

Keywords

Overuse of injections is a common characteristic of health system in many developing countries. The high frequency of injections could not be justified according to appropriate use of this dosage from of medicines. However, it seems that in different cultures of developing countries different factors involve in this malpractice. It is clear that attitude of both prescribers and patients significantly influence prescription of injectable medicines. In this study 30 general practitioners working in different public health centers randomly selected and their attitude toward injections was evaluated using a questionnaire. Physicians were categorized in low and high prescription rate groups. Doctors prescribing injections higher than 30% allocated in high rate prescribing. A questionnaire contains questions about reasons for prescribing injections has been developed and used for interview of physicians. Eighty one percent of high rate prescribers and 54% of low rate prescribers believe patient`s demand is the major factor on driving them toward prescription of injections. Equal percent of high and low rate prescribers prescribe injections to respond to patient`s request for faster treatment. Both groups believe that the lower quality and efficacy of oral dosage forms compared to injections is a driving force for prescribing injections. Only 19% of the high rate prescribers declared financial incentives as an important factor for prescribing injections. In contrary to low rate prescribers, 19% of high rate prescriber think improper university training is a factor on prescribing injections. Results of this study show that prescribers` attitude toward injections clearly differ. Therefore before implementing any interventions to improve injections use, attitude of prescribers should be investigated. Although prescribers indicated educating patients and training prescribers influences rational use of injections, both groups suggested some managerial interventions as useful tools for overcoming the problem.
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