Persistence In Physician Drug Choice

The utilization of prescription drugs has increased across all age groups in the US, with 50% of Americans taking at least one prescription drug (Rice & Unruh, 2016). This can be attributed to physician-induced demand, substitution of pharmaceuticals for other medical regimens, commercialization of the products, increase in the aging population and drug insurance coverage, and also the increase in chronic conditions. Lathan discusses the startling fact that the rate increase of prescription drugs purchased was considerably higher in contrast to the US population growth - 71% and 9% respectively (Rice & Unruh, 2016, p. 264).

Prescription drug use has increased steadily in the U.S. over the last ten years. Nearly 70 percent of Americans are on at least one prescription drug and more than half of those receive at least two or more prescriptions. The amount of people who took at least one prescription drugs has accelerated 4 percent between the years 1999 and 2008. As there is a steady increase in drug consumption, drug development and regulation process should be taken more

In 2015, the pharmaceutical industry spent over 27 billion dollars on advertising. The two greatest components of this effort were promotional advertising and free medication sampling, which the pharmaceuticals invested 15.5 and 5.7 billion dollars respectively (“Persuading the Prescribers”). Promotional advertising involves direct contact with health professionals, the most common being extravagant lunch conferences held for physicians and their staff. On the other hand, sampling involves distributing free sample of medications to physicians, who then have a choice of providing these samples to patients. As a result of these methods, the industry has seen revenue around $400 billion with 90% of physicians having a relationship with a drug company (Campbell 2007). Moreover, the prices of prescriptions continue to rise; a copay of a generic drug is $11.72, preferred brand drug is $36.37 and a specialty drug is $58.37 (Coleman and Geneson 2014). Although the profits are immense in the numbers demonstrated above, it is no surprise when pharmaceutical drug companies elevate their prices even more. For instance, recently Turing Pharmaceuticals raised the price of their medication Daraprim from $13.50 to $750. Keep in mind, this medication is used for threatening parasitic infections, aids, and cancer with alternative options currently found to be inefficient (Pollack 2015). Another example of this practice involves cycloserine, a drug used to

Shortages of prescription drugs in the United States are a serious threat to our nation’s health and safety. At first blush, this problem appears fairly simple and straight forward to solve. In reality, there is a complex web of causation with a number of root causes contributing to drug shortages. The aim of this paper is to answer the question: How do we mitigate prescription drug shortages? This discussion is written from the standpoint of advising the current presidential administration how to address this crisis. This essay begins with a discussion regarding the background of the issue. Next, the landscape, including stakeholders in this matter is identified. Following, political, social, economic, and practical factors surrounding

Pharmaceutical products do not obey the rule of marginal utility. One gets no additional satisfaction by consuming an additional unit of a drug. The majority of consumers only take prescription drugs whenever they need them and are prescribed by a doctor. This means there is low likelihood of people taking more drugs to satisfy their desire, just like other goods.

We in America tend to take medications for almost any problem we have, from headaches to gastrointestinal pain, to more serious chronic disorders such as depression and attention deficit disorder. While many of the uses of such medications may be necessary and legitimate, many are not, and due to this fact, many people become dependent on medications, mentally, and or physically. This problem is not simply the fault of the individual; in fact, the blame can also be placed upon the medical community, and the pharmaceutical companies who produce the drugs. How often can one turn on the television to see advertisements for Claritin, Aspirin, Pepto-Bismol, or even Zoloft or Ritalin? The pharmaceutical industry is motivated by monetary

1). People have begun to rely on prescription drugs, more today than ever before. This is one of the immediate reasons for the breakdown in the patient-doctor relationship – the evolution and rise in the development of pharmaceuticals and prescription drugs (Changing, pg 3). For instance, the Baby Boomers are recognized nationally for taking the most prescription drugs. According to my mother, patients rely primarily on prescription drugs rather than other forms of treatment because of the fast paced economy and because society as a whole has adopted a “lack of caring” attitude. “As people age, all they want are pills.”-Mother

Many patients are finding it more difficult to afford their prescription medications. Comparing health care expenditures in the United States, prescription drug costs rank third compared to hospital expenses and physician services (Omojasola, Hernandez, Sansgiry, & Jones, 2012, p. 479). The rising cost of prescription drugs is concerning to many patients. “The high out-of-pocket prescription drug cost is associated with medication non-adherence and adverse health outcomes” Omojasola, et al., 2012, p. 480).

The first quarter comparison of 2014 and 2015 suggests the success of Discounted MEDS. The APR rate within 30 days dropped 3.77% from the baseline. The APR percentage within 30 days due to medication non-compliance fell 3.9% to 1.91%, and the medication non-compliance due to affordability APR percentage plunged to 0.96%, which is a 1.94% decrease. Additionally, all rates were CRH’s best in the two studied years.

Pharmaceutical drug dependency is not a new craze sweeping the nation. Although it has progressed, it is something that has been a noticeable issue since the early twentieth century. For starters, there is a pill for everything; pregnancy, being over-weight, pain, sneezing, and much more. When you have a variety like that, it’s hard not to take the easy way out. The latest generations of prescription drugs compensate conditions such as depression, gynecological disorders, hyperactivity, impotence, sleeping problems and more. We are waist deep in a pill culture. According to Tennent, a reason for this up-rise in patients being so eager to take up prescription drugs is that new and more sophisticated drugs have reduced the severity of accompanying side-effects. (Tennent) However, this is a gamble and something one could not be sure of. There are medications prescribed for less

People all over the world, continue to be tendered prescription medication, which in many cases further complicate health issues with its myriad of side effects. In fact, statistics have shown that approximately 100,000 people around the world die as a result of prescription drugs annually (Smith, 2012). On the contrary, according

The rise in costs of prescription medicines affects all sectors of the health care industry, including private insurers, public programs, and patients. Spending on prescription drugs continues to be an important health care concern, particularly in light of rising pharmaceutical costs, the aging population, and increased use of costly specialty drugs. In recent history, increases in prescription drug costs have outpaced other categories of health care spending, rising rapidly throughout the latter half of the 1990s and early 2000s. (Kaiseredu.org, 2012).

In the United States of America, there is prescription drug abuse epidemic that continues to be a growing concern. Prescription drugs cause a large amount of overdoses and result in an abundant amount of deaths each year. A government study conducted shows this epidemic is scarily on the rise, “A recent government study found a 400% increase in prescription drug abuse between 1998 and 2008” (Schreiner 531). The excessive use of prescription drug abuse is leading to nonmedical use of the drugs, and creating addiction. Furthermore society is paying an extreme amount of money in this battle. With this drug abuse on the rise, legislators must create a law preventing doctors and pharmacists from over prescribing prescription medications as well a law to require they both participate in drug monitoring programs to prevent drug abuse. Now is the time that doctors and the pharmaceutical industry must be held accountable for their role in causing one of America’s worst addictions. The over medication of prescription drugs in the United States must be brought to an end by legislators creating laws to stop

ONDCP's read is that "medication habit is a complaint which will be effectively avoided and treated... creating drugs additionally accessible can build it tougher to guard our teams sound and". one in every of the choices that Kerlikowske has showcased is that the medication strategy of Scandinavian nation, that appearance to regulate general successfulness worries with resistance to medication enabling. The predominance rates for hard drug use in Scandinavian nation are scarcely common fraction of these in Kingdom of Spain, the best shopper of the medication (Kens

ISSN: 2277- 7695 TPI 2014; 3(7): 08-12 © 2013 TPI www.thepharmajournal.com Received: 14-08-2014 Accepted: 28-08-2014 Rizwan Raheem Ahmed Professor, Department of Business Administration & Commerce Indus University, Pakistan