Relative influence of factors affecting physician prescribing decisions in Nairobi County

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dc.contributor.authorKanda, C. O.
dc.date.accessioned2025-04-22T10:03:59Z
dc.date.available2025-04-22T10:03:59Z
dc.date.issued2024
dc.descriptionFull - text thesis
dc.description.abstractOver the past few decades, the overall healthcare expenditure and particularly towards medication has increased quickly in many countries. The consequence of this is reduced access to treatment especially for non-communicable diseases. To address the rising expenditure on medication, lower priced high quality generic medication have been considered. However, their use remains below expectation with previous literature attributing this to physician prescribing patterns. The current study used empirical methods to determine the comparative effect of these factors on generic prescribing of antihypertensives among physicians practicing in Nairobi County. The study applied the theory of planned behavior. It identified intention as a major factor in prediction of behavior occurring from subjective norms, attitudes, and perceived behavioral control. The correlational study design was applied to measure the relationship between the independent and dependent variables, with nonprobability sampling being used to recruit physicians. The population targeted were all physicians working in Kenya. Primary data was gathered using web-based questionnaires. The data that was collected and analyzed using quantitative methods, descriptive statistics, inferential statistics and SPSS. The factors affecting physician prescribing habits were assessed using spearman ranked correlation and logistic regression analysis. In addition, different percentages for each factor were compared using the Chi square test. The study findings established that physician, product, pharmaceutical, environmental and payer factors positively influenced prescribing behavior. The study also concluded that there was no relationship between patient factors and physician prescribing behavior of anti-hypertensive medication in Nairobi County. The main recommendation was to consider all factors as they affect prescribing behavior of anti-hypertensive drugs. Finally, the study recommended that physician knowledge enhances their experience, therefore hospitals should invest in providing opportunities for empowerment. The study had some limitations in that it was only done in Nairobi County and did not involve other Counties in Kenya. Moreover, only physicians were targeted mainly consultants, medical officers and interns and did not involve other non-physicians that provide clinical care especially in the primary healthcare setting.
dc.identifier.urihttp://hdl.handle.net/11071/15692
dc.language.isoen
dc.publisherStrathmore University
dc.titleRelative influence of factors affecting physician prescribing decisions in Nairobi County
dc.typeThesis
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MBA-HCM Theses and Dissertations (2024)