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Master Thesis

Pas de générique docteur !

Abstract : Background: Generic drugs are essential for a balanced health care system’s budget. Their penetration rate is low in the French West Indies. The aim of this work was to study the opposition to generic drugs amongst adult patients from Martinique and Guadeloupe. Method: Cross-sectional survey from a sample of patients withdrawing a doctor’s prescription at one of the 38 pharmacies randomly screened in Guadeloupe and Martinique. The rejection of generic drugs was admitted to be the negative answer to the question: “Usually, are you willing to take generic drugs?”. Other factors were studied: discourses and practices from health care professionals, socio-demographic variables (age, sex, education level and income) and cognitive variables (perceived benefits and risks, social norms, prior experience). Results: Among the 1010 patients initially included, 871 responded to the survey (73.1% were women, median age 53 years): 39.5% stated that they “always” or “often” rejected generic drugs; 9.9% asserted that their GP had a negative opinion on generic drugs and 35% said that he would never prescribe a generic drug; 46.4 % thought that generic drugs are less effective. All other things being equal, the main factors associated to the rejection of generic drugs were: prescription habits of their GP that exclude generic drugs, and a mistrust regarding their efficiency. Conclusion: In this sample, rejection of generic drugs seems to be strongly linked to the discourse and practices of the prescribers. Therefore, doctors are a main target to enhance the intake of generic drugs among patients.
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Master Thesis
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  • HAL Id : dumas-01254066, version 1



Laura Arroyo Olalla, Romain Chovelon, Kate Lewis. Pas de générique docteur ! . Médecine humaine et pathologie. 2015. ⟨dumas-01254066⟩



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