Generic medications for you, but brand-name medications for me

Res Social Adm Pharm. 2012 Nov-Dec;8(6):574-8. doi: 10.1016/j.sapharm.2011.12.004. Epub 2012 Feb 21.

Abstract

Background: Because generic medications are less expensive than brand-name medications, government and private insurers have encouraged and/or mandated the use of generics.

Objective: This study aimed at evaluating perceptions about generic medications among English-speaking women of childbearing age currently enrolled in U.S. TennCare (Medicaid).

Methods: We recruited a convenience sample of patients from the waiting room of a primary care/gynecology health clinic, with 80% recruitment rate among those approached. We orally administered a 25-item questionnaire to gather sociodemographic information and to assess beliefs regarding the efficacy, safety, cost, and preferences for personal use of generic medications.

Results: The average age of the women (n=172) was 28.8 ± 6.4 years, and most were white (82.0%) and currently married (58.1%). Nearly one-fifth (19.2%) had not completed high school. Most women believed that generic medications were less expensive (97.6%) and better value (60.5%) than brand-name medications, but only 45.3% preferred to take generics themselves. About a quarter (23.3%) believed that brand-name medications were more effective than generics, whereas 13.4% believed that generics caused more side effects. Few women reported that their doctor (29.7%) and/or pharmacist (35.5%) had ever talked to them about taking generics.

Conclusion: Awareness of the benefits of generics did not equal preferences for personal use of generics among this sample of women enrolled in U.S. TennCare. Furthermore, women reported that providers-both physicians and pharmacists-infrequently discussed generic substitution with them.

MeSH terms

  • Adult
  • Awareness
  • Chi-Square Distribution
  • Communication
  • Cost Savings
  • Drug Costs
  • Drug Substitution / economics
  • Drug Substitution / psychology*
  • Drugs, Generic / adverse effects
  • Drugs, Generic / economics
  • Drugs, Generic / therapeutic use*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Medicaid
  • Patient Education as Topic
  • Patient Preference
  • Patient Safety
  • Patients / psychology*
  • Primary Health Care
  • Professional-Patient Relations
  • Risk Assessment
  • Surveys and Questionnaires
  • United States
  • Young Adult

Substances

  • Drugs, Generic