Explore of the reasons of irrational prescribing in Iran: A qualitative study
Farideh Moradi,
Arash Ziapour,
Ali Soroush,
Javad Yoosefi Lebni,
Shahriar Mokhtari,
Mohammad Bazyar,
Manal Etemadi,
Fakhreddin Chaboksavar,
Fateme Yazdi,
Hesam Seyedin
Affiliations
Farideh Moradi
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
Arash Ziapour
Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran; Corresponding author.
Ali Soroush
Cardiovascular Research Center, Health Institute, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
Javad Yoosefi Lebni
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
Shahriar Mokhtari
Tabriz University of Medical Sciences, Tabriz, Iran
Mohammad Bazyar
Department of Health Promotion, Ilam University of Medical Sciences, Ilam, Iran
Manal Etemadi
School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Fakhreddin Chaboksavar
Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran
Fateme Yazdi
School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran
Hesam Seyedin
Department of Health Disaster Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran; Corresponding author.
Background: Irrational prescribing is highly prevalent in Iran, and it is under the impact of different factors. Objective: This research aims to recognize the reasons for Irrational prescribing in Iran. Methods: A qualitative approach and a conventional content analysis were employed to perform this research. The research community includes some experts and key specialists in medication prescribing. Semi-structured interviews were used for data collection. The intentional sampling method was applied, and theoretical saturation was reached by conducting 40 interviews with experts. The data analysis process was done following the steps suggested by Graneheim and Lundman. Results: Four main categories and 12 subcategories appeared after analyzing the data. The main categories are organizational and management factors, legal factors, cultural factors, and economic factors. Conclusion: Irrational prescribing can be prevented by reforming the referral system, overseeing pharmacies and physicians, raising public awareness and correcting their misconceptions about the medications, and creating an appropriate mechanism for pricing and selling medicines.
