ArticleBMJ open2020
Chinese physicians' attitudes toward eco-directed sustainable prescribing from the perspective of ecopharmacovigilance: a cross-sectional study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Advancing sustainable medication use in healthcare: a Delphi study on (de)prescribing interventions.BMJ open · 2026Article
- Chinese pharmacy students' knowledge, attitudes and practice about environmental risks of pharmaceuticals and their source control from the perspective of One Health.Frontiers in public health · 2026Article
- Towards greener prescribing? Swedish general practitioners' support for policies to reduce pharmaceutical pollution.British journal of clinical pharmacology · 2025Article
- Towards greener prescribing? Swedish general practitioners' support for policies to reduce pharmaceutical pollution.British journal of clinical pharmacology · 2025Article
- Call to action: Pharmaceutical residues in the environment: threats to ecosystems and human health.Drug safety · 2025Article
- Article
- Environmental sustainability, an essential outcome for implementation scientists to improve health.Frontiers in health services · 2025Article
- Future Healthcare Workers and Ecopharmacovigilance: Where Do We Stand?Pharmacy (Basel, Switzerland) · 2024Article
- Article
- An Analysis of Antinuclear Thought in William Golding's Literary Works from the Perspective of Ecoenvironmental Psychology: Taking "Lord of the Flies" as an Example.Journal of environmental and public health · 2022Review
- Environmental pollution with psychiatric drugs.World journal of psychiatry · 2021Review
- Impact of the COVID-19 pandemic on household disinfectant consumption behaviors and related environmental concerns: A questionnaire-based survey in China.Journal of environmental chemical engineering · 2021Article
- Environmental knowledge, behaviors, and attitudes regarding caffeine consumption among Chinese university students from the perspective of ecopharmacovigilance.Environmental science and pollution research international · 2021Article
- Patient-Planetary Health Co-benefit Prescribing: Emerging Considerations for Health Policy and Health Professional Practice.Frontiers in public health · 2021Article
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Authors and funding
3 authors.
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Abstract
introductionEco-directed sustainable prescribing (EDSP) is an effective upstream way to reduce the environmental footprints of active pharmaceutical ingredients (APIs), a kind of emerging contaminants, from the patients' excretion. EDSP is one of the key steps in the programme of ecopharmacovigilance (EPV), a drug administration route on API pollution.
objectiveTo assess the attitudes of physicians prescribing medicines regarding EDSP from the perspective of EPV.
designA cross-sectional study conducted from March 2019 to June 2019.
setting5 government general hospitals in Hubei province, China.
participants405 physicians were randomly selected and 262 valid questionnaires were obtained. OUTCOME MEASURES: A self-developed questionnaire, which inquired about the participant characteristics, perceptions and attitudes toward API pollution, EPV and EDSP from an EPV perspective, was emailed to collect data from physicians.
resultsMost physicians agreed the existence of APIs in environment, worried about the potential environmental and ecological risks of API residues, supported the effectiveness and necessity of EDSP under an EPV perspective in decreasing environmental exposure of excreted APIs, and showed their willingness to participate in the EDSP practices. Nevertheless, no respondent identified the environmental impacts as the aspects regarding medicines affecting his(her) prescription decision, none was satisfied with knowledge on EDSP and showed confidence toward EDSP. The most important barrier to the effective implementation of EDSP was identified as 'poor awareness of EDSP and EPV'. Most responding physicians (97%) reported that they held the wait-and-see or conservative attitudes towards EDSP practice. The biggest concerns in
conclusionsChinese physicians had positive attitudes towards EDSP from the perspective of EPV. However, their environmental consciousness during prescribing and the related education were insufficient.
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