title: Beliefs, perceptions and behaviours of GPs towards generic medicines.
abstract: BACKGROUND
  To benefit from cost-savings associated with generic medicine use; in June 2013, Ireland introduced generic substitution and reference pricing. The attitudes and behaviours of health care professionals may influence successful implementation of such changes.
  
  
  OBJECTIVE
  To assess perceptions of GPs in Ireland regarding generic medicines in the time leading up to the enactment of the new legislation and for the first time in at least the prior decade.
  
  
  METHODS
  Detailed one-to-one semi-structured interviews performed with a representative cohort of 34 urban- and rural-based GPs in Ireland.
  
  
  RESULTS
  Thirty of the participating 34 GPs prescribed generic medicines actively. Predominantly, participants believed that generics worked as effectively, and were of the same quality, as originator medicines. However, 32 GPs reported receiving patient complaints regarding generics; almost a third reported complaints of increased or altered side effects. Thirty-two GPs stated that they would take a generic medicine, although one in seven would choose the originator if offered a choice. A minority of GPs were of the view that generics are manufactured to a poorer quality than originators and may be a risk to patient safety.
  
  
  CONCLUSIONS
  This study of GPs' attitudes towards generic medicines in Ireland highlights that this key stakeholder group has generally positive attitudes towards both generic medicines and the new legislation. However, variable knowledge about generic medicines and concerns regarding patient experience, clinical effectiveness and manufacturing quality were identified. GPs' opinions could negatively influence patient opinions; enhancing such opinions may prove important in successfully implementing the new legislation.
authors.affiliation: Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland. suzanne.dunne@ul.ie.
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Dunne
authors.affiliation: Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
authors.forename: Bill
authors.initials: B
authors.lastname: Shannon
authors.affiliation: Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
authors.forename: Walter
authors.initials: W
authors.lastname: Cullen
authors.affiliation: Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
authors.forename: Colum P
authors.initials: CP
authors.lastname: Dunne
mesh_terms: D001291:Attitude of Health Personnel; D016568:Drugs, Generic / Q000191:economics / Q000627:therapeutic use; D005260:Female; D058005:General Practitioners / Q000523:psychology; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D036301:Qualitative Research
chemical_list: D016568:Drugs, Generic
keywords: GPs; generic drugs; patient education; perception; professional education; qualitative research.