Acceptability and Perceptions of Generic Drugs among Patients, Pharmacists, and Physicians
Krupali Patel
Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India.
Sandul Yasobant
Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India.
Jaykaran Charan
Department of Pharmacology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.
Mayur Chaudhari
Department of Pharmacology, Government Medical College (GMC), Surat, Gujarat, India.
Abhay Gaidhane
Department of Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.
Deepak Saxena *
Department of Epidemiology, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, Gujarat, India. and Adjunct Faculty, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Generic drugs are the painstaking solution to deal with out of pocket expenditure however, the impact has not yet been seen in India. Thus, to understand the facilitators and barriers, this study aimed to gather evidence on the perception of the acceptability of generic drugs among patients, pharmacists, and physicians.
Methods: The key informant interviews (KII) were conducted during 2017-2018 in Gujarat, India. A total of 25 (9 patients, 8 pharmacists, 8 physicians) KIIs were included in the thematic analysis.
Results: Most of the patients knew about cheaper drugs are available in the market, but they perceived that those meant for poor people. Pharmacists talked about the profit from branded drugs are higher than generics. Pharmacist and doctors expressed concern for the efficacy of generic drugs, as it requires more visits to hospitals. Patients usually report more side effects if using generic drugs, apart from that poor packaging and lack of trust on generic also remained an issue in terms of satisfaction. Pharmacist and patients are both expressed their reliance on doctors suggestion and prescription; however, doctors are really not in favour to prescribe generics. The ethical dilemma remained with the pharmacists in not suggesting generics as an alternative to the branded drugs.
Conclusion: The study concludes that cost is the main perception of patients, pharmacists, and physicians, however; the decision power lies with the pharmacist and doctors, which is mainly not in favour to use or promote the generic drugs even if the cost is low because of efficacy and satisfaction issues.
Keywords: Generic, perception, acceptability, patients, pharmacist, physician