Factors influencing general practitioners prescribing habits of single-pill combination antihypertensive drugs: a qualitative study
10.3760/cma.j.cn114798-20241206-00938
- VernacularTitle:全科医师开具单片复方制剂降压药物处方影响因素的质性研究
- Author:
Danxiang CHEN
1
;
Shu XIE
1
;
Li WANG
1
;
Hao ZHANG
1
;
Yanyan ZHANG
1
;
Xueqin LI
1
Author Information
1. 南京医科大学附属淮安第一医院全科医学科，淮安 223300
- Publication Type:Journal Article
- Keywords:
Hypertension;
Hypotension, controlled;
General practitioner;
Prescription, formula;
Single-pill combination
- From:
Chinese Journal of General Practitioners
2025;24(2):150-155
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the factors influencing the prescribing habits of general practitioners (GPs) in relation to single-pill combination (SPC) antihypertensive drugs.Methods:This was a qualitative study. Using the purposive sampling method, 2 general hospitals (designated as HAZ1-2) and 4 community health service centers (designated as HAS1-4) in Huai′an city, Jiangsu province were selected from April to May 2023. In addition, 4 general practitioners (designated as A-D) were selected as interviewees from each general hospital and center. The selected individuals were interviewed using on-site thematic group interviews. The interview mainly included the principles of clinical selection of SPC antihypertensive drugs; the degree of acceptance of SPC antihypertensive drugs by patients after prescription; the evaluation of SPC antihypertensive drugs and the difficulties existing in their clinical use. The data of the interview were analyzed according to the thematic framework.Results:Twenty-four GPs were interviewed. Four themes and 9 sub-themes were extracted regarding factors influencing GP prescribing of SPC antihypertensive drugs. The study showed that: (1) the prescribing of SPC antihypertensive drugs by GPs according to patients′ specific conditions; (2) the prescribing of SPC antihypertensive drugs by GPs was influenced by factors such as price and drug adjustment; (3) the different evaluations of SPC antihypertensive drugs among GPs; (4) GPs in community health service centers faced many difficulties in prescribing SPC antihypertensive drugs (relatively fewer varieties of SPC drugs in the community, lower patient trust in community GPs, and lower standardization of prescribing by community GPs).Conclusion:The factors influencing GPs′ prescribing of SPC antihypertensive drugs mainly include the patients′ specific situation, price, medication adjustment, attitude of GPs, and some clinical practice problems.
