American Journal of Public Health Research, 2016, Vol. 4, No. 3, 88-92
Available online at http://pubs.sciepub.com/ajphr/4/3/2
© Science and Education Publishing
DOI:10.12691/ajphr-4-3-2
Pharmaceutical Representatives' Opinion about
Pharmacists' Drug Dispensing Practices in Romania and
Factors that Influence them
Laszlo-Zoltan Sztankovszky, Magdalena Iorga
*
, Vasile Astaratoae
Behavioral Sciences, Department of Preventive Medicine and Interdisciplinarity,
University of Medicine and Pharmacy “Gr.T.Popa” Iasi, Romania
*Corresponding author: magdaiorga@yahoo.com
Abstract The objective of the research is to identify pharmaceutical representatives’ opinions on some practices
of drug dispensing amongst community pharmacists in Romania. Material and methods: 70 pharmaceutical
representatives working with different pharmaceutical companies in Romania answered questions regarding
practices of drug dispensing. Different variables were taken into account: age, gender, type of education, and length
of employment time. Collected data were analyzed with SPSS 17.0. Results: over 70% of the pharmaceutical
representatives consider that pharmacists counsel the patient regarding other drug brand names and take into
consideration patient financial contribution when dispensing a certain drug. Regarding the relationship of the
pharmacist with doctor and rep, 65% of pharmaceutical representatives consider the relationship with the doctor, and
40% the relationship with the rep, important when dispensing a drug. No important differences were identified in
relation to the gender or type of education. Conclusion: the study provides information regarding pharmaceutical
representatives’ opinions on practices of drug dispensing. More than 2/3 of the reps consider that pharmacists are
counseling the patient regarding a drug to a high level.
Keywords: pharmaceutical representative, drug dispensing, pharmacist, practices
Cite This Article: Laszlo-Zoltan Sztankovszky, Magdalena Iorga, and Vasile Astaratoae, “Pharmaceutical
Representatives' Opinion about Pharmacists' Drug Dispensing Practices in Romania and Factors that Influence
them.” American Journal of Public Health Research, vol. 4, no. 3 (2016): 88-92. doi: 10.12691/ajphr-4-3-2.
1. Introduction
One of the most interesting terms used in the last years
is “quality of life” (QoL). This multidisciplinary term is
targeted by a lot research from different fields such as
medicine, sociology, economy, psychology, philosophy or
politics [1,2]. The term’s approaches are so diverse that it
is difficult to identify the exact source of quality of life. If
we take into consideration only the World Health
Organization’s definition we can conclude that our
physical and psychological well-being is determined by all
aspects of our lives, including personality traits, family
context, physical disease, spiritual aspects, economical
status, moral principals etc. The quality of life becomes a
result of all interactions between the spheres of our lives
and it is a question whether those things that are said to
measure the level of QoL are determined by us.
A clear situation is the patient QoL. In order to assure it,
healthcare and health policies must be constructed for the
benefit of the patient alone. But in fact, the patient is only
one of the beneficiaries in this broad process of recovery,
other kinds of beneficiaries also include doctors, pharmacists
and pharmaceutical companies. In the name of patient
help, a lot of other stakeholders are receiving more and
more profits. The tools used by the pharmaceutical
companies focus on patients, doctors and pharmacists.
Studies show that an increased number of visits to doctors
and pharmacists are correlated with an increased rate of
prescribing and dispensing. On the other hand, marketing
campaigns on TV for drugs with no prescription are
creating a demand for this or that drug or pharmaceutical
product, so the patient can go and ask the pharmacist
directly for that brand name. Marketing campaigns are
directed at patients, pharmacists and doctors in order to
increase the demand, especially for newer drugs. The
patient’s motivation is to access a drug associated with his
own perception about the effectiveness of it; pharmacists
want to increase the profits, and doctors’ behaviour is
motivated by the desire to please the patient [3,4,5].
But all stakeholders in fact influence their activities by
reciprocity; studies show that doctors’ behaviour determines
the increase of dispensing drugs or pharmacists’
counseling influences doctors’ prescribing behaviour [6].
Due to marketing campaigns, the patient becomes an
expert and requests a specific drug [7,8,9] so doctors and
pharmacists are ready to satisfy him.
Many studies have proved that prescribing and
dispensing drugs are not entirely objective and national
policies were implemented in many countries in order to
assure proper drug use focusing on patients’ needs and
health [10,11,12] and different tools and practices are used