Evidence map›Paper›PMID 37454024›Full record

ArticleInternational journal of clinical pharmacy2023

Investigating physicians' views on non-formulary prescribing: a qualitative study using the theoretical domains framework.

Zachariah Nazar, Moza Al Hail, Samaher Al-Shaibi, Tarteel Ali Hussain, Nada Nabil Abdelkader, Abdulrouf Pallivalapila, Binny Thomas, Wessam El Kassem, Yolande Hanssens, Ahmed Mahfouz and 2 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of clinical pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 8% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
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

12 authors at 3 institutions in 2 countries.

Zachariah NazarCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar. znazar@qu.edu.qa.ORCID http://orcid.org/0000-0003-4104-4221
Moza Al HailWomen's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-7442-3773
Samaher Al-ShaibiPharmacy department, Mohammed Al-Mana College for Medical Sciences, Dammam, Saudi Arabia.ORCID http://orcid.org/0000-0002-1397-5195
Tarteel Ali HussainHamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0003-1336-6821
Nada Nabil AbdelkaderHamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-4841-4216
Abdulrouf PallivalapilaWomen's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0003-4937-8891
Binny ThomasWomen's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0003-1065-8343
Wessam El KassemWomen's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0003-2145-7555
Yolande HanssensWomen's Wellness and Research Center, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-3859-8648
Ahmed MahfouzHamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-6253-1670
Cristin RyanSchool of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0002-6037-4413
Derek StewartCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.ORCID http://orcid.org/0000-0001-7360-8592
Hamad Medical Corporation · QAQatar University · QATrinity College Dublin · IE

Funding

Hamad Medical Corporation IRGC-06-JI-19-201
6 · The paper itself

Abstract

backgroundWell-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.

aimTo explore physicians' views and influences on their prescribing of non-formulary drugs.

methodData 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.

resultsThree 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.

conclusionThe 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.

Indexed as

Attitude of Health PersonnelPhysiciansCarubicinHumansProfessional RoleQualitative ResearchCarubicinN-formyl-13-dihydrocarminomycinAttitude of health personnelBehavior changeClinical pharmacyDrug safetyFormularyInappropriate prescribingQualitative researchTheoretical domains framework

Identifiers

PMID37454024
PMCPMC10682051
OpenAlexW4384408140

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.