原创力文档price, familiarity, and availability determine the choice of drug - a population-based survey five years after generic substitution was introduced in finland价格,熟悉,和可用性确定药物的选择u2014u2014以人群为基础的调查后五年通用替代了芬兰.pdfVIP
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price, familiarity, and availability determine the choice of drug - a population-based survey five years after generic substitution was introduced in finland价格,熟悉,和可用性确定药物的选择u2014u2014以人群为基础的调查后五年通用替代了芬兰
Heikkilä et al. BMC Clinical Pharmacology 2011, 11:20
/1472-6904/11/20
RESEARCH ARTICLE Open Access
Price, familiarity, and availability determine the
choice of drug - a population-based survey five
years after generic substitution was introduced in
Finland
Reeta Heikkilä1*, Pekka Mäntyselkä2,3† and Riitta Ahonen1†
Abstract
Background: Mandatory generic substitution (GS) was introduced in Finland at the beginning of April 2003.
However, individual patients or physicians may forbid the substitution. GS was a significant change for Finnish
medicine users. It was thought it would confuse people when the names, colors, packages, etc., changed. The
purpose of this study was to explore what medicine-related factors influence people’s choice of prescription drugs
five years after generic substitution was introduced in Finland.
Methods: A population survey was carried out during the autumn of 2008. A random sample was drawn from five
mainland counties. A questionnaire was mailed to 3000 people at least 18 years old and living in Finland. The
questionnaire consisted of both structured and open-ended questions. Factors that influenced the subjects’ choice
of medicines were asked with a structured question containing 11 propositions. Descriptive statistical analyses were
performed.
Results: In total, 1844 questionnaires were returned (response rate, 62%). The percentage of female respondents
was 55%. Price, availability, and familiarity were the three most important factors that influenced the choice of
medicines. For the people who had refused GS, the familiarity of the medicine was the most important factor. For
the subjects who had allowed GS and for those who had both refused and allowed GS, price was the most
important factor.
Conclusions: The present study shows that price, familiarity, and availability were impo
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