Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study

<strong>Background: </strong>Holdingcontinuing medical education programs (CME) is one of the recommended global strategies for attaining rational drug prescribing by physicians. The aim of this study was to assess the barriers and fill the gap between the current situation and the favor...

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Main Authors: Mahmood Keyvanara, Leili Safaeian, Neda Shojaeizadeh, Saeid Karimi
Format: Article
Language:fas
Published: Shiraz University of Medical Sciences 2019-07-01
Series:مجله علوم پزشکی صدرا
Subjects:
Online Access:http://smsj.sums.ac.ir/article_45598_466325b40ea21faee81802e0ed6efe54.pdf
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spelling doaj-918ba63a3ad44e779931d141cfd305992020-11-25T02:25:37ZfasShiraz University of Medical Sciencesمجله علوم پزشکی صدرا2322-43392322-43392019-07-017326127210.30476/smsj.2019.79281.045598Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative StudyMahmood Keyvanara0Leili Safaeian1Neda Shojaeizadeh2Saeid Karimi3Professor, Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Pharmacology and Toxicology, School of Pharmacy and Pharmaceutical Sciences, Research and Development Office, Vice Chancellery for Food and Drug, Isfahan University of Medical Sciences, Isfahan, IranM.Sc., Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Health Services Management, School of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran<strong>Background: </strong>Holdingcontinuing medical education programs (CME) is one of the recommended global strategies for attaining rational drug prescribing by physicians. The aim of this study was to assess the barriers and fill the gap between the current situation and the favorable status of CME by evaluating experts’ viewpoints on the role of these programs in improving the status of drug prescribing. <br /><strong>Methods: </strong>This qualitative study was conducted using a semi-structured interview. Participants included those who were well-informed and experienced in the field of rational use and prescribing drugs. Sampling was done in a targeted way and 16 people were interviewed. The interviews were evaluated after the implementation of the theme analysis method. <br /><strong>Results:</strong> In this study, two major concepts including the needs for CME and barriers to effective CME were presented by the participants. The needs for CME included 4 main themes, and the barriers to effective CME included 6 themes (physical, financial, motivational, supervisional, executive, and policy making barriers) and 12 sub themes. <br /><strong>Conclusion:</strong> Regarding the multiple barriers to achieving the effective CME and improving the rational drug prescribing, and in order to overcome these barriers and achieve a favorable status, a review of the content and quality of CME, outcome-based planning, and continuous quality promotion are required.http://smsj.sums.ac.ir/article_45598_466325b40ea21faee81802e0ed6efe54.pdfinappropriate prescribinginappropriate use of drugsmedical education
collection DOAJ
language fas
format Article
sources DOAJ
author Mahmood Keyvanara
Leili Safaeian
Neda Shojaeizadeh
Saeid Karimi
spellingShingle Mahmood Keyvanara
Leili Safaeian
Neda Shojaeizadeh
Saeid Karimi
Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
مجله علوم پزشکی صدرا
inappropriate prescribing
inappropriate use of drugs
medical education
author_facet Mahmood Keyvanara
Leili Safaeian
Neda Shojaeizadeh
Saeid Karimi
author_sort Mahmood Keyvanara
title Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
title_short Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
title_full Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
title_fullStr Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
title_full_unstemmed Do Continuing Medical Education Programs Improve Drug Prescribing Status in Iran? A Qualitative Study
title_sort do continuing medical education programs improve drug prescribing status in iran? a qualitative study
publisher Shiraz University of Medical Sciences
series مجله علوم پزشکی صدرا
issn 2322-4339
2322-4339
publishDate 2019-07-01
description <strong>Background: </strong>Holdingcontinuing medical education programs (CME) is one of the recommended global strategies for attaining rational drug prescribing by physicians. The aim of this study was to assess the barriers and fill the gap between the current situation and the favorable status of CME by evaluating experts’ viewpoints on the role of these programs in improving the status of drug prescribing. <br /><strong>Methods: </strong>This qualitative study was conducted using a semi-structured interview. Participants included those who were well-informed and experienced in the field of rational use and prescribing drugs. Sampling was done in a targeted way and 16 people were interviewed. The interviews were evaluated after the implementation of the theme analysis method. <br /><strong>Results:</strong> In this study, two major concepts including the needs for CME and barriers to effective CME were presented by the participants. The needs for CME included 4 main themes, and the barriers to effective CME included 6 themes (physical, financial, motivational, supervisional, executive, and policy making barriers) and 12 sub themes. <br /><strong>Conclusion:</strong> Regarding the multiple barriers to achieving the effective CME and improving the rational drug prescribing, and in order to overcome these barriers and achieve a favorable status, a review of the content and quality of CME, outcome-based planning, and continuous quality promotion are required.
topic inappropriate prescribing
inappropriate use of drugs
medical education
url http://smsj.sums.ac.ir/article_45598_466325b40ea21faee81802e0ed6efe54.pdf
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