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AuthorNazar, Zachariah
AuthorAl Hail, Moza
AuthorAl-Shaibi, Samaher
AuthorHussain, Tarteel Ali
AuthorAbdelkader, Nada Nabil
AuthorPallivalapila, Abdulrouf
AuthorThomas, Binny
AuthorKassem, Wessam El
AuthorHanssens, Yolande
AuthorMahfouz, Ahmed
AuthorRyan, Cristin
AuthorStewart, Derek
Available date2023-10-24T08:17:14Z
Publication Date2023
Publication NameInternational Journal of Clinical Pharmacy
ResourceScopus
ISSN22107703
URIhttp://dx.doi.org/10.1007/s11096-023-01616-7
URIhttp://hdl.handle.net/10576/48816
AbstractBackground: 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.
Languageen
PublisherSpringer Science and Business Media Deutschland GmbH
SubjectAttitude of health personnel
Behavior change
Clinical pharmacy
Drug safety
Formulary
Inappropriate prescribing
Qualitative research
Theoretical domains framework
TitleInvestigating physicians' views on non-formulary prescribing: a qualitative study using the theoretical domains framework
TypeArticle
dc.accessType Abstract Only


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