Presentation (CTI)

OBJECTIVES: The global utilization of generic medications has progressively increased due to financial constraints on pharmaceutical budgets. The insufficient knowledge among healthcare professionals regarding generics results in reservations towards their use, especially regarding their efficacy, which poses a significant obstacle to the wider use of these medications. Evaluating healthcare providers' attitudes and comprehension of generic drugs may identify potential obstacles to increased utilization of these medications. Therefore, we aim to evaluate the knowledge, perceptions, barriers, and enablers related to generic substitution in Pakistan.
METHODS: Semi-structured interviews were conducted with 15 physicians, 15 pharmacists, and 10 nurses from March 2024 to August 2024 at Kulsum International Hospital (KIH), Advance International Hospital (AIH), and Fauji Foundation Hospital (FFH) in the twin cities of Islamabad and Rawalpindi, Pakistan. The audio recordings of the interviews were initially transcribed in Urdu, subsequently translated into English, and thematically analyzed using a phenomenological approach.
RESULTS: The present investigation indicates that generic medications are typically freely available and easily accessible. Generic medications are considered more economical and can enhance rational prescribing practices. However, some respondents raise concerns regarding the efficacy and safety of these drugs. Numerous health care practitioners have highlighted the necessity for clear and standardized rules about generic substitution.
CONCLUSIONS: Substantial gaps were recognized in the understanding and opinions of healthcare providers concerning generic medications, particularly regarding their efficacy and safety. Various training programs should be implemented to enhance knowledge about generic drugs among healthcare professionals and patients.