title: Physician switching after drug request refusal.
abstract: Physician switching is a barometer of the quality of the relationship between a patient and a physician. Understanding the factors associated with physician switching in the context of direct-to-consumer advertising (DTCA) of prescription drugs has been largely unexamined. A total of 818 of 2,988 participants in a national telephone survey (27.4%) who had received DTCA reported asking their physician for a prescription drug, and 196 (24.0%) reported that their physician refused to prescribe the drug. Of those whose physicians refused, 13.9% (n = 27 of 194 with data) switched doctors. We found that individuals with regular medical-seeking behavior, full prescription drug coverage, with certain chronic conditions, and of African American origin were significantly more likely to switch physicians in this context.
authors: Department of Management, Marketing , MIS, Graduate School of Management, Lewis College of Business, Marshall University, Charleston, West Virginia, USA. leed@marshall.edu
authors: Doohee
authors: D
authors: Lee
authors: Charles E
authors: CE
authors: Begley
mesh_terms: D000293:Adolescent; D000328:Adult; D000329:Advertising / Q000706:statistics & numerical data*; D000368:Aged; D004345:Drug Industry / Q000458:organization & administration; D005260:Female; D006304:Health Status; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007356:Insurance, Pharmaceutical Services / Q000706:statistics & numerical data; D008297:Male; D008389:Marketing of Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D010820:Physicians; D055553:Prescription Drugs; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D055553:Prescription Drugs