Abstract

BackgroundGeneral Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs' opinions on public- and industry-provided drug information are presented in this article.MethodsA cross-sectional study using a questionnaire was answered by 368 GPs at 97 primary-health care centres {PHCC}. The centres were invited to participate by eight out of 29 drug and therapeutic committees {DTCs}. A multilevel model was used to analyse associations between opinions of GPs regarding drug information and whether the GPs worked in public sector or in a private enterprise, their age, sex, and work experience. PHCC and geographical area were included as random effects.ResultsAbout 85% of the GPs perceived they received too much information from the industry, that the quality of public information was high and useful, and that the main task of public authorities was to increase the GPs' knowledge of drugs. Female GPs valued information from public authorities to a much greater extent than male GPs. Out of the GPs, 93% considered the main task of the industry was to promote sales. Differences between the GPs' opinions between PHCCs were generally more visible than differences between areas.ConclusionsSome kind of incentives could be considered for PHCCs that actively reduce drug promotion from the industry. That female GPs valued information from public authorities to a much greater extent than male GPs should be taken into consideration when designing evidence-based drug information from public authorities to make implementation easier.

Highlights

  • The aim of the present study was to explore GPs’opinions on publicly- and industry-provided drug information. This may contribute to identifying target areas for improving evidence-based drug information to GPs from the DTCs and the pharmaceutical industry. This cross-sectional study was conducted in 2004 using a questionnaire that was answered by 368 GPs at 97 primary-health care centres {PHCC} mainly in the southern part of Sweden, including Stockholm

  • There was a mean of 4.8 GPs per PHCC (SD 2.5) with a range of 1-15 GPs

  • We found that the variation in opinions between different PHCCs was larger than between regions connected to different DTCs, or, in other words, we observed a relatively high correlation of GPs opinions within the same PHCC, regardless of where they worked

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Summary

Introduction

General Practitioners {GP} in Sweden prescribe more than 50% of all prescriptions. Scientific knowledge on the opinions of GPs regarding drug information has been sparse. Such knowledge could be valuable when designing evidence-based drug information to GPs. GPs’ opinions on public- and industry-provided drug information are presented in this article. Focus has increased on evidence-based medicine that refers to the conscientious, distinct and sensible use of the most reliable and current knowledge when making decisions affecting individual patients [4,5]. Physicians’ attitudes continue to be positive towards industry-related activities according to an American hospital study [9].

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