The effect of knowledge attitude and social marketing mix on physicians’ prescribing behavior of herbal medicines - Payesh (Health Monitor)
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1- Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Department of Statistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract:   (46 Views)
Objentive(s): Physicians are in the frontline of the distribution channel in the pharmaceutical value chain. The prescribing behavior of doctors influences the use of herbal medicines. This study investigated the effect of knowledge, attitude, and social marketing mix on doctors' prescribing behavior of herbal medicines.
Methods: The current cross-sectional study was conducted in 2022 in Ahvaz, Iran. Its statistical population included 878 doctors working in medical centers and public and private offices in Ahvaz, and the data were collected using the census method. Data was collected using a self-designed questionnaire to measure the level of knowledge and attitude of doctors and the role of social marketing mix on doctors' prescribing behavior. Descriptive and analytical statistics, including Pearson's correlation, linear regression, t-test, and one-way analysis of variance were used to analyze the data.
Results: The results showed a significant relationship between all research variables and doctors' prescribing behavior (p= 0.001), where the attitude showed the strongest positive relationship (r= 0.692). Regression analysis showed that the two factors of attitude and knowledge had a positive effect, and promotion strategy has a negative and inverse effect on doctors' prescribing behavior. Also, a significant relationship observed between doctors' prescribing behavior and gender (p= 0.001) and education level (p= 0.004).
Conclusion: Knowledge, attitude, and promotion strategy are predictors of herbal medicine prescribing behavior by physicians.
Full-Text [PDF 1387 kb]   (5 Downloads)    
type of study: Descriptive | Subject: Helath Services Management
Received: 2024/06/4 | Accepted: 2025/05/11 | ePublished ahead of print: 2025/07/13

References
1. Emami A, Shams Ardekani MR, Nekouinaeeni N. Herbal therapy: treatment of diseases by plants. 1st Edition, Arak, Iran: Rah-e-Kamal Publications, 2002 [Persian]
2. Zollman C, Vickers A. ABC of complementary medicine. Users and practitioners of complementary medicine. British Medical Journal 1999; 319:836-8 [DOI:10.1136/bmj.319.7213.836]
3. Sereshti M, Azari P. Prevalence use of herbal drug and attitude of women about use of herbal product among women refer to health care center in shahrekord. Knowledge And Health 2008; 2:20-6 [Persian]
4. Khodaverdizadeh M, Mohammadi S. Comparative advantages and analysis of international market structure of medicinal plants: Case study of anise, badin, fennel and coriander. Journal Of Agricultural Economics Research 2017; 9:153-74 [Persian]
5. Shokrollahi S. The effect of herbal medicine marketing mix and physician's product involvement on its prescription[thesis]. Isfahan: University of Isfahan, 2013 [Persian]
6. Calixto JB. Efficacy, safety, quality control, marketing and regulatory guidelines for herbal medicines (phytotherapeutic agents). Brazilian Journal of Medical and Biological Research 2000; 33:179-89 [DOI:10.1590/S0100-879X2000000200004]
7. Karamipour Esfahani M, Abedi M. Standardization of Medicinal Plants and their Herbal Products and Functional Foods. Innovative Food Technologies 2016; 3:65-76 [Persian]
8. Paryab M, Raeeszadeh M. The study of the Rate and Reasons of Medical Herb Use by the Patients Visiting the Specialized Treatment Centers in Fars Province in 2014. Community Health Journal 2017; 10:62-71 [Persian]
9. Vahidi A, Ghoreishian S, Bashardoost N, Sadeghipanah F, Soltani M. Study of Attitudes and behaviors of People in Yazd city Regarding Herbal Medicine Consumption in Diabetes. Tolooe Behdasht 2014; 12:113-22 [Persian]
10. Imani Nezhad MB, Baniasad R, Nabavi Fard SM. Identifying And Prioritizing The Competitive Requirements Of Production Strategy For Exporting In Herbal Medicine Industry (To Fulfil The Tenth Policy Of Resistance Economy). Basij Strategic Studies 2019; 21:137-68 [Persian]
11. Khan SF, Khan R, Qureshi AW, Zaman S, Khan ZUA, Ullah S. Evaluation of recent trends of prescribing herbal drugs among the prescribers; a pilot study. International Journal of Basic Medical Sciences and Pharmacy 2018; 7:36-8
12. Choudhary N, Sekhon B. An overview of advances in the standardization of herbal drugs. Journal of Pharmaceutical Education and Research 2011; 2:55-70
13. Abdolmaleki H, Mirzazadeh Z, Ghahfarokhi EA. Prioritization of Factors Affecting Consumer Behavior of Sporting Goods Using AHP. Sport Management 2017; 38:471-88 [Persian]
14. Amraei M, Jahanbani Veshareh E, Ahmadi Angali K, Torabipour A. The effect of knowledge, attitude, and social marketing mix on physicians' prescribing behavior of herbal medicines. Payesh 2024; 23:603-613 [Persian] [DOI:10.61186/payesh.23.4.603]
15. Jasemi M, Moradnezhadi H, Salavarz M. Entrepreneurial Strategies of Enhancing Competitive Advantage of Medicinal Herbs in Ilam Province, Iran. International Journal of Agricultural Management and Development 2016; 6:459-66 [Persian]
16. Sherej Sharifi A, Ali Bazaee G, Heydari SA. Classification of the herbal medicine market from the perspective of customer health and appropriate strategies. Journal of Business Administration Researches 2020; 11:81-100 [Persian]
17. Supreme Council of the Cultural Revolution. National Document of Traditional Medicine and Medicine. Tehran: Secretariat of the Supreme Council of the Cultural Revolution, 2013 Available from: https://rc.majlis.ir/fa/law/print_version/858336 [Persian]
18. Mirjalili SA. Efficacy and Safety in Producing and Using Medicinal Plants and Herbal Drugs. Medical History Journal 2021; 12:1-15 [Persian]
19. Mohtashami T, Karbasi A, Mortazavinia ST. Study on factors affecting desire to buy herbal medicines: a case study in Mashhad city. Iranian Journal of Medicinal and Aromatic Plants Research 2022; 37:1011-21 [Persian]
20. Esmaili S, Javanbakht O. A Study of the Preferences of People in Tabriz County on the Consumption of Herbal Medicine. Journal of Economics and Agricultural Development 2014; 28:64-70 [Persian]
21. Poor Aini Z. Identify and evaluate the factors affecting consumer behavior. International Conference on Research in Science and Engineering: Permanent Secretariat of the Conference, 2016 [Persian]
22. Howard JA, Sheth JN. The theory of buyer behavior. Journal of the American Statistical Association 1969; 63:145
23. Soleymani S, Makvandi S. Rate of Herbal Medicines Use during Pregnancy and some related Factors in Women of Ahvaz, Iran: 2017. The Iranian Journal of Obstetrics, Gynecology and Infertility 2018; 21:80-6 [Persian]
24. Kalashami MK, Hassanpour K. Evaluation of Effective Factors on the Consumption of Medicine Plants in Urban Households (Case study: Rasht city). Journal of Agricultural Economics Researches 2022; 14:20-34 [Persian]
25. Alqathama A, Alluhiabi G, Baghdadi H, Aljahani L, Khan O, Jabal S, et al. Herbal medicine from the perspective of type II diabetic patients and physicians: what is the relationship? BMC Complementary Medicine and Therapies 2020; 20:65 [DOI:10.1186/s12906-020-2854-4]
26. Alzahrani MJ, AlSaadi AM, Alyami ATT, Alshahrani ASS, Alshaiban MH, Alwadai RSJ, et al. Knowledge, Attitude, and Perception of Parents in the Najran Region Toward the Use of Herbal Medicine in the Treatment of Asthma in Their Children. Cureus 2023; 15:e51308 [DOI:10.7759/cureus.51308]
27. Wansink B, Kent RJ, Hoch SJ. An anchoring and adjustment model of purchase quantity decisions. Journal of Marketing Research 1998; 35:71-81 [DOI:10.1177/002224379803500108]
28. Mowen JC, Minor M. Consumer Behavior. 4th Edition, New Jersey: Prentice Hall, 1997
29. Lawshe CH. A quantitative approach to content validity. Personnel Psychology 1975; 28:563-75 [DOI:10.1111/j.1744-6570.1975.tb01393.x]
30. Waltz CF BR. Nursing Research: Design, Statistics, and Computer Analysis. 1st Edition, Philadelphia: WB Saunders Company, 1981
31. Vickers KA, Jolly KB, Greenfield SM. Herbal medicine: women's views, knowledge and interaction with doctors: a qualitative study. BMC Complementary and Alternative Medicine 2006; 6:40 [DOI:10.1186/1472-6882-6-40]
32. Minaiyan M, Zolfaghari B, Kamal A. Effect of Hydroalcoholic and Buthanolic Extract of Cucumis sativus Seeds on Blood Glucose Level of Normal and Streptozotocin-Induced Diabetic Rats. Iranian Journal of Basic Medical Sciences 2011; 14:436-42 [Persian]
33. Sanoubar Tahaiee N, Rashidi K, Hazhir MS. Survey of sanandaj medical society member" s attitudes and extent of their knowledge about herbal drugs and their prescription in 2001. Scientific Journal Of Kurdistan University Of Medical Sciences 2006; 11:44-8 [Persian]
34. Bagheri S, Arefi M. Knowledge, Attitude and Performance toward Medicinal Plants in Diabetes Treatment in Zabol. Journal of Zabol Medical School 2019;2:101-9 [Persian]
35. Noorhosseini SA, Fallahi E, Damalas CA, Allahyari MS. Factors affecting the demand for medicinal plants: Implications for rural development in Rasht, Iran. Land Use Policy 2017; 68:316-25 [Persian] [DOI:10.1016/j.landusepol.2017.07.058]
36. Abedini A, Irani HR, Yazdani HR. Exploring the Distribution System of Herbal Medicine from the Perspective of Purchases and Orders Managers in the Pharmacies in Tehran and Qom: A Qualitative Study. Depiction of Health 2019; 10:23-36 [Persian]
37. Shah Akbari H. Determining the factors that affect the pharmacies satisfaction with drug distribute companies[Dissertation]. Tehran: University of Tehran, 2013 [Persian]
38. Kıssal A, Çevik Güner Ü, Batkın Ertürk D. Use of herbal product among pregnant women in Turkey. Complementary Therapies In Medicine 2017; 30:54-60 [DOI:10.1016/j.ctim.2016.11.001]
39. Yan D, Li J, Xiong Y, Zhang C, Luo J, Han Y, et al. Promotion of quality standard of herbal medicine by constituent removing and adding. Scientific Reports 2014; 4:3668 [DOI:10.1038/srep03668]
40. Rashidi S, Farajee H, Jahanbin D, Mirfardi A. Evaluation of Knowledاge, Belief and Operation of Yasouj People Towards Pharmaceutical Plants. Journal of Medicinal Plants 2012; 1:177-84 [Persian]
41. Evans A, Duncan B, McHugh P, Shaw J, Wilson C. Inpatients' use, understanding, and attitudes towards traditional, complementary and alternative therapies at a provincial New Zealand hospital. The New Zealand Medical Journal 2008; 121:21-34
42. Tachjian A, Maria V, Jahangir A. Use of herbal products and potential interactions in patients with cardiovascular diseases. Journal of the American College of Cardiology 2010; 55:515-25 [DOI:10.1016/j.jacc.2009.07.074]
43. Bagheri A, Naghdi Badi H, Movahedian F, Makkizadeh M, Hemati A. Evaluation of using herbal medicine in Isfahan women population. Journal of Medicinal Plants 2005; 3:81-93 [Persian]
44. Heidarifar R, Mehran N, Momenyan S, Koobor M, Haji Aligole A. Study of status of using of drug plants and its related factors in Qom, Iran. Qom University of Medical Sciences Journal 2013; 7:95-100 [Persian]
45. Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Frontiers in Pharmacology 2014; 4:177 [DOI:10.3389/fphar.2013.00177]
46. Sadighi J, Maftoon F, Ziai S. Herbal medicine: Knowledge, attitude and practice in Tehran. Journal of Medicinal Plants 2005; 4:60-7 [Persian]
47. Mahabir D, Gulliford MC. Use of medicinal plants for diabetes in Trinidad and Tobago. Revista Panamericana De Salud Publica = Pan American Journal of Public Health 1997; 1:174-9 [Persian] [DOI:10.1590/S1020-49891997000300002]

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