Document Detail


Evaluating community pharmacists' perceptions of future generic substitution policy implementation: a national survey from Malaysia.
MedLine Citation:
PMID:  19762106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study aims to provide baseline data to support the implementation of generic substitution policy in Malaysia by evaluating the community pharmacists' perceptions and opinions on generic substitution and current substitution practices. METHODS: A cross-sectional descriptive study involving the entire population of Malaysian community pharmacies (n=1419) was undertaken using a self-completed anonymous mail questionnaire. RESULTS: A total of 219 responses were received for a response rate of 15.4%. Majority of the respondents (93.6%) agreed that pharmacists should have generic substitution rights. Almost all pharmacists (96.8%) viewed Poison Class C (pharmacist only medicine) as most suitable class of controlled medicines for substitution. About half (51.6%) of the pharmacists preferred a policy which allowed substitution on any prescription. The pharmacists prefer to consult the physician when substituting narrow therapeutic index medicines (88.1%) and prescription only medicines (51.3%). Less than 25.0% of the pharmacists routinely keep the medication records and follow-up the patients who received substitution. Monitoring the efficacy (79.2%) and patient's satisfaction with the generic medicines (74.9%) were the main reasons for following-up the patient if substitution occurs. CONCLUSIONS: Malaysian community pharmacists are generally in favour of generic substitution policy implementation.
Authors:
Chee Ping Chong; Mohamed Azmi Hassali; Mohd Baidi Bahari; Asrul Akmal Shafie
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Publication Detail:
Type:  Journal Article     Date:  2009-09-16
Journal Detail:
Title:  Health policy (Amsterdam, Netherlands)     Volume:  94     ISSN:  1872-6054     ISO Abbreviation:  Health Policy     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-07     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409431     Medline TA:  Health Policy     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  68-75     Citation Subset:  H    
Affiliation:
Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Penang, Malaysia. jjueping@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aftercare
Attitude of Health Personnel*
Chi-Square Distribution
Communication
Community Pharmacy Services / organization & administration*
Cross-Sectional Studies
Documentation
Drug Monitoring
Drug Prescriptions
Drug and Narcotic Control / organization & administration
Drugs, Generic / economics,  therapeutic use*
Female
Forecasting
Health Policy / trends*
Humans
Interprofessional Relations
Malaysia
Male
Patient Satisfaction
Pharmacists / organization & administration,  psychology*
Professional Autonomy
Professional Role
Questionnaires
Therapeutic Equivalency
Chemical
Reg. No./Substance:
0/Drugs, Generic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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