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Characteristics of individuals who prefer branded innovator over generic medicines: a New Zealand general population survey

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Abstract

Background

Although generic medicines provide a safe and economical treatment for many illnesses, negative attitudes towards generics are common and branded innovator drugs are often preferred to generic drugs.

Objective

The current study examined differences between individuals preferring branded innovator drugs compared with individuals preferring generic drugs or having no preference. We investigated differences in terms of demographics, perceived sensitivity to medicines, symptom burden, and other clinical variables.

Methods

A representative general population sample (n = 1000) was recruited using random digit dialling. In a telephone interview, participants were asked about their preferences for and attitudes toward innovator versus generic drugs, perceived sensitivity to medicines, recent symptoms, and other clinical variables, such as the number of general practitioner (GP) visits, and medicine-related information-seeking behaviour.

Results

Univariate logistic regression analyses showed that individuals preferring branded innovator medicines reported lower levels of education, more negative attitudes toward generic medicines, higher perceived sensitivity to medicines, a greater symptom burden and more frequent GP visits. There were no between-group differences in whether participants were currently prescribed drugs, or in participants’ medicine-related information-seeking behaviour. Entering all variables into a multivariate logistic regression model confirmed the findings of the univariate models, apart from perceived sensitivity of medicine and symptom burden. The multivariate analysis also confirmed non-European NZ ethnicity and having no current medication prescription to be significantly associated with a preference for branded medicines.

Conclusions

Clinicians should be especially aware that the preference for a branded innovator medicine is higher in patients with lower education, higher perceived sensitivity to medicines, higher levels of symptom burden, higher levels of healthcare utilization and not currently taking any prescription medication.

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References

  1. Zarowitz BJ. The generic imperative. Geriatr Nurs. 2008;29:223–6.

    Article  Google Scholar 

  2. Morgan S, Hanley G, McMahon M, et al. Influencing drug prices through formulary-based policies: lessons from New Zealand. Healthc Policy. 2007;3:e121–40.

    PubMed  PubMed Central  Google Scholar 

  3. Colgan S, Faasse K, Martin LR, et al. Perceptions of generic medication in the general population, doctors and pharmacists: a systematic review. BMJ Open. 2015;5:e008915.

    Article  Google Scholar 

  4. Faasse K, Martin LR, Grey A, et al. Impact of brand or generic labeling on medication effectiveness and side effects. Health Psychol. 2016;35:187–90.

    Article  Google Scholar 

  5. Fraeyman J, Peeters L, Van Hal G, et al. Consumer choice between common generic and brand medicines in a country with a small generic market. J Manag Care Spec Pharm. 2015;21:288–96.

    PubMed  Google Scholar 

  6. Mattioli F, Siri G, Castelli F, et al. Approval rating and opinion of outpatients and general practitioners toward generic drugs: a questionnaire-based real-world study. Patient Prefer Adherence. 2017;11:1423–33.

    Article  CAS  Google Scholar 

  7. Skipper N, Vejlin R. Determinants of generic vs. brand drug choice: evidence from population-wide Danish data. Soc Sci Med. 2015;130:204–15.

    Article  Google Scholar 

  8. Figueiras MJ, Cortes MA, Marcelino D, et al. Lay views about medicines: the influence of the illness label for the use of generic versus brand. Psychol Health. 2010;25:1121–8.

    Article  Google Scholar 

  9. Diaz JA, Griffith RA, Ng JJ, et al. Patients’ use of the internet for medical information. J Gen Intern Med. 2002;17:180–5.

    Article  Google Scholar 

  10. Horne R, Faasse K, Cooper V, et al. The perceived sensitivity to medicines (PSM) scale: an evaluation of validity and reliability. Br J Health Psychol. 2013;18:18–30.

    Article  Google Scholar 

  11. Petrie KJ, Faasse K, Crichton F, et al. How common are symptoms? Evidence from a New Zealand national telephone survey. BMJ Open. 2014;4:e005374.

    Article  Google Scholar 

  12. Rief W, Barsky AJ, Glombiewski JA, et al. Assessing general side effects in clinical trials: reference data from the general population. Pharmacoepidemiol Drug Saf. 2011;20:405–15.

    Article  Google Scholar 

  13. Webster RK, Weinman J, Rubin GJ. Medicine-related beliefs predict attribution of symptoms to a sham medicine: a prospective study. Br J Health Psychol. 2018;23:436–54.

    Article  Google Scholar 

  14. Petrie KJ, Moss-Morris R, Grey C, et al. The relationship of negative affect and perceived sensitivity to symptom reporting following vaccination. Br J Health Psychol. 2004;9:101–11.

    Article  Google Scholar 

  15. Svensberg K, Gaffari S, Lupattelli A, et al. What factors affect high perceived sensitivity to medicines (PSM) in Norway? Int J Clin Pharm. 2017;39:209.

    Google Scholar 

  16. Sundell Andersson K, Jönsson AK. Beliefs about medicines are strongly associated with medicine-use patterns among the general population. Int J Clin Pract. 2017;70:277–85.

    Article  Google Scholar 

  17. Heller MK, Chapman SC, Horne R. Beliefs about medication predict the misattribution of a common symptom as a medication side effect: evidence from an analogue online study. J Psychosom Res. 2015;79:519–29.

    Article  Google Scholar 

  18. Chapman SC, Horne R, Chater A, et al. Patients’ perspectives on antiepileptic medication: relationships between beliefs about medicines and adherence among patients with epilepsy in UK primary care. Epilepsy Behav. 2014;31:312–20.

    Article  CAS  Google Scholar 

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Authors

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Correspondence to Maria Kleinstäuber.

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Conflict of interest

Maria Kleinstäuber, Kate MacKrill and Keith J. Petrie declare no conflicts of interest.

Ethics statement

Participants provided verbal informed consent. This research was approved by the University of Auckland Human Participants Ethics Committee (reference number 9294).

Funding

This research was funded by PHARMAC (the New Zealand Government’s Pharmaceutical Management Agency). The sources of funding for this study played no role in the study’s design, conduct or reporting.

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Kleinstäuber, M., MacKrill, K. & Petrie, K.J. Characteristics of individuals who prefer branded innovator over generic medicines: a New Zealand general population survey. Drugs Ther Perspect 34, 478–483 (2018). https://doi.org/10.1007/s40267-018-0541-z

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  • DOI: https://doi.org/10.1007/s40267-018-0541-z

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