Evidence map›Paper›PMID 18041657›Full record

ArticleScandinavian journal of primary health care2007

Factors influencing GPs' choice between drugs in a therapeutic drug group. A qualitative study.

Allan Buusman, Morten Andersen, Camilla Merrild, Beth Elverdam

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 43 citations in OpenAlex.

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  10. Understanding drug preferences, different perspectives.British journal of clinical pharmacology · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Allan BuusmanResearch Unit for General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark. abuusman@health.sdu.dk
Morten Andersen
Camilla Merrild
Beth Elverdam
University of Southern Denmark · DKAarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore how GPs choose between drugs in a therapeutic drug group.

designA qualitative study based on semi-structured ethnographic interviews. SETTING AND SUBJECTS: General practitioners from the counties of both Funen and West Zealand in Denmark. A total of 15 general practitioners (GPs) were selected with reference to variation in organizational structure, age, and gender.

main outcome measuresGPs' description of drug choice in relation to specific patient encounters involving a prescription.

resultsAll informants appeared to consider drug price important as it was a recurring theme during all interviews. External factors outside the GP's control such as governmental regulation on prescribing and the pharmaceutical industry influenced most GPs. Internal factors related to the actual consultation included characteristics of the GP and the patient, drug characteristics, and repeat prescriptions. These factors interact in a non-linear and unpredictable way similar to complex adaptive systems.

conclusionGPs balance both internal and external factors when choosing between analogues. Drug choice is a regulated process in the realm of complex prescribing behaviour with drug costs as a major factor.

Indexed as

Choice BehaviorDrug PrescriptionsPractice Patterns, Physicians'Decision MakingDenmarkDrug CostsFamily PracticeFemaleHumansMalePhysicians, FamilySurveys and Questionnaires

Identifiers

PMID18041657
PMCPMC3379761
OpenAlexW1983848083

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.