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Table 3 Physicians’ perceptions and reactions to the PAS and determining factors

From: Between government policy, clinical autonomy, and market demands: a qualitative study of the impact of the Prescribing Analysis System on behavior of physicians in South Korea

Predisposing factors for physician prescribing behavior

Perceptions

Responses

Experience factors

Training received during residency periods

Increased consciousness of their own prescribing behavior

Initially paying attention to the reports, but beginning to ignore them over time

Accumulated knowledge through their clinical practice

Acknowledge the need for appropriate prescription guideline

Following market trends and/or patient demands instead of cooperating fully with the PAS

Environmental factors

Patient demands

Concerned about violation of their professional autonomy and expertise

Play smart by up-coding for losses

Market trends

Dissatisfied with indicators and ranking methods of the PAS

Uses non-reimbursable treatment or gives up requesting claims for treatment provided

Information from seminars or pharmaceutical companies

  

Sociopsychological factors

Distrust of true intentions and purpose of PAS

Dissatisfied with methods of notification

 

Distrust of HIRA

Apprehensive about releasing PAS results to the public