FAKTOR PENDORONG PERESEPAN RACIKAN UNTUK PASIEN ANAK RAWAT JALAN
Background: Drug dosage forms suitable for pediatric usually are not available in health cares. Physicians usually prescribe extemporaneous compounding dosage forms to solve the problems. Although the compounding has some benefits, risks may arise when using the medicines. Evaluation of factors cont...
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Main Authors: | , |
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Format: | Theses and Dissertations NonPeerReviewed |
Published: |
[Yogyakarta] : Universitas Gadjah Mada
2013
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Subjects: | |
Online Access: | https://repository.ugm.ac.id/120316/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=60338 |
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Institution: | Universitas Gadjah Mada |
Summary: | Background: Drug dosage forms suitable for pediatric usually are not available in
health cares. Physicians usually prescribe extemporaneous compounding dosage
forms to solve the problems. Although the compounding has some benefits, risks
may arise when using the medicines. Evaluation of factors contributed to prescribe
the compounding was needed in order to improve the use of medicines for children.
Objectives: The study was to identify factors influencing physicians� decision to
prescribe extemporaneous compounding using Theory of Planned Behavior (TPB).
Method: The study was conducted in three phases. The first phase was using
interview method to elicit participants� belief about compounding and the reasons of
prescribing compounding. The second phase was questionnaire development and
evaluation based on the TPB model. The third phase was survey using the TPB
questionnaire to predict dominant factor influencing physicians� decision to prescribe
compounding. Participants of 249 physicians from Yogyakarta completed the
questionnaire. The data were analyzed with multiple linear regressions. Â
Results:Â The elicitation study showed that factors influencing compounding
prescribing could be categorized to therapy-related factors, healthcare system factors,
patient factors and past experiences. A number of opinions about compounding
prescription involved effectiveness, legality, drug interactions and dosage regimen.
Problems related to compounding preparation in pharmacies were conformity
between prescription and the resulting product, hygiene, compounding guideline, as
well as competency of compounding technicians. In general, the questionnaire to
measure factors that influence physicians� decision to prescribe compounding
medicine for pediatric patients based on TPB model was valid. Attitude had the
strongest impact on intentions based on their beliefs toward the benefits of the
compounding. The past experiences added to the model increased effect on the
intention.
Conclusion: The current study provides information about the process underlying
the decision to prescribe compounding for pediatric outpatients. The use of TPB
model provided a clear picture that attitude was the dominant factor influencing
compounding prescription. The addition of the experience factor was very important
in studying the prescribing intention. |
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