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Patients' experiences with generic substitution-a Swedish pharmacy survey
Hälsa och Farmaci, Apoteket AB.
Forskning och Utveckling, Apoteket AB.
Hälsa och Farmaci, Apoteket AB.
Linnaeus University, Faculty of Science and Engineering, School of Natural Sciences.
2010 (English)In: Pharmacy World & Science, ISSN 0928-1231, E-ISSN 1573-739X, Vol. 32, no 5, 681- p.Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background and objective Generic substitution for reimbursed drugs was introduced in Sweden 1 of October 2002. Concerns have been expressed that generic substitution may compromise patient safety. This study aimed to evaluate how Swedish drug consumers experience generic substitution, more than 5 year after implementation. 

Design Survey study with an electronic questionnaire, offered to 1551 pharmacy customers/patients presenting with a prescription on one of the 2688 drugs included. The selected drugs constituted 75% of the total volume of dispensed drugs subjected to generic substitution in August 2007.

Setting Fifty-eight Swedish community pharmacies. 

Main outcome measures Positive experiences with generic substitution; problems and their degree of seriousness; and the reported incidence of medication errors. Consumers’ suggestions of improvements to the generic substitution system were also captured.

 Results Of 1551 respondents (602 male, 949 female), 35% (n = 536) reported one or more positive experiences, the most common being the lower drug price. Sixty percent (n= 932) claimed they had not experienced any problems. Forty percent reported at least one problem related to substitution. Seven percent (n=109) reported medication errors attributed to generic substitution. Twenty-two percent (n=342) of the respondents offered suggestions for improvement. The most common suggestions were to revise the criteria for assessing interchangeability between brand-name and generic alternatives and to abolish substitution.

Conclusions A majority of respondents do not experience any problems related to generic substitution. A sizeable minority experience problems, partly resulting in medication errors. Over- and undermedication, lack of compliance, and intake of wrong drug or of both the original and the generic were the problems most often reported. Future system changes should consider the importance of revised criteria for generic and brand name interchangeability.

Place, publisher, year, edition, pages
Springer, 2010. Vol. 32, no 5, 681- p.
Keyword [en]
Community pharmacy, Drug-related problems, Patient behaviour, Pharmaceutical care issues, Prescribing
National Category
Social and Clinical Pharmacy
Research subject
Biomedical Sciences, Pharmacology
Identifiers
URN: urn:nbn:se:lnu:diva-9337DOI: 10.1007/s11096-010-9417-6OAI: oai:DiVA.org:lnu-9337DiVA: diva2:370003
Conference
International workshop on patient safety and pharmacy, 10–11 May 2010, Uppsala, Sweden
Available from: 2010-11-13 Created: 2010-11-13 Last updated: 2014-11-13Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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