{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:30:41Z","timestamp":1754155841932,"version":"3.41.2"},"reference-count":65,"publisher":"Emerald","issue":"4","license":[{"start":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T00:00:00Z","timestamp":1509926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJPHM"],"published-print":{"date-parts":[[2017,11,6]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>This paper aims to contribute to the understanding of what influences consumers\u2019 choice of mandatory prescribed drugs, by looking with more detail to the substitution of branded drugs by generics. Specifically, this research looks at three factors that can influence this decision, namely, participative decision-making, perceived risk and price consciousness, within the recent changes introduced in the Portuguese pharmaceutical market by new legislation.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>A cross-sectional study was conducted, using a self-administered questionnaire, to survey a sample of consumers\/patients that visited a doctor and were prescribed some kind of drug. Data were treated using factor analysis for dimensionality reduction purposes and regression analysis to test the main hypothesis.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>The results show that participative decision-making has no impact on purchase decision of generics, while perceived risk and price consciousness show a predictive power regarding purchase intention of generic drugs.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Research limitations\/implications<\/jats:title><jats:p>Although the results are only applicable to the Portuguese context, it draws important conclusions regarding consumers\u2019 behaviour when choosing between branded and generic drugs.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title><jats:p>Knowing what influences consumers\u2019 choices of generic drugs contributes to tune marketing strategies and actions. For public institutions, this paper offers insights on how to adapt public policies.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>This paper is valuable because it is the first to look at the Portuguese pharmaceutical market from a consumer behaviour perspective since new legislation was set up.<\/jats:p><\/jats:sec>","DOI":"10.1108\/ijphm-07-2016-0039","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T07:17:11Z","timestamp":1506323831000},"page":"439-454","source":"Crossref","is-referenced-by-count":2,"title":["Choice of mandatory prescribed drugs in Portugal: a consumers\u2019 perspective"],"prefix":"10.1108","volume":"11","author":[{"given":"Pedro","family":"Ferreira","sequence":"first","affiliation":[]},{"given":"Hugo","family":"Barbosa","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"issue":"4","key":"key2020120419032358100_ref001","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1007\/s11096-010-9402-0","article-title":"An evaluation of consumers\u2019 knowledge, perceptions and attitudes regarding generic medicines in Auckland","volume":"32","year":"2010","journal-title":"Pharmacy World & Science"},{"year":"2011","key":"key2020120419032358100_ref002"},{"issue":"6","key":"key2020120419032358100_ref003","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1037\/0021-9010.63.6.741","article-title":"Consumer-perceived risk and attitudes toward generically prescribed drugs","volume":"63","year":"1978","journal-title":"Journal of Applied Psychology"},{"issue":"1","key":"key2020120419032358100_ref004","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/0019-8501(79)90020-8","article-title":"Physician and pharmacist perceptions of generic drugs","volume":"8","year":"1979","journal-title":"Industrial Marketing Management"},{"issue":"2","key":"key2020120419032358100_ref005","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1093\/geront\/19.2.191","article-title":"Perceived risk and elderly perceptions of generic drug prescribing","volume":"19","year":"1979","journal-title":"The Gerontologist"},{"issue":"4","key":"key2020120419032358100_ref006","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0277-9536(03)00259-4","article-title":"From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions","volume":"58","year":"2004","journal-title":"Social Science and Medicine"},{"issue":"1","key":"key2020120419032358100_ref007","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.pec.2011.02.004","article-title":"Patient preferences for shared decisions: a systematic review","volume":"86","year":"2012","journal-title":"Patient Education and Counseling, Elsevier Ireland Ltd"},{"issue":"2","key":"key2020120419032358100_ref008","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.healthpol.2010.08.002","article-title":"A nationwide study on generic medicines substitution practices of Australian community pharmacists and patient acceptance","volume":"99","year":"2011","journal-title":"Health Policy"},{"volume-title":"Percep\u00e7\u00e3o E Comportamento Dos Consumidores Gen\u00e9ricos","year":"2010","key":"key2020120419032358100_ref009"},{"issue":"4","key":"key2020120419032358100_ref010","first-page":"32","article-title":"Perceived risk and consumer decision-making: the case of telephone shopping","volume":"1","year":"1964","journal-title":"Journal of Marketing Research"},{"issue":"7072","key":"key2020120419032358100_ref011","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1136\/bmj.313.7072.1624","article-title":"Effect of colour of drugs: systematic review of perceived effect of drugs and of their effectiveness","volume":"313","year":"1996","journal-title":"BMJ: British Medical Journal"},{"issue":"17","key":"key2020120419032358100_ref012","first-page":"1","article-title":"Determinants of generic drug substitution in Switzerland","volume":"11","year":"2011","journal-title":"BMC Health Services Research"},{"issue":"2","key":"key2020120419032358100_ref013","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s40271-013-0042-z","article-title":"Patient perceptions of generic medicines: a mixed-methods study","volume":"7","year":"2014","journal-title":"The Patient"},{"issue":"173","key":"key2020120419032358100_ref014","first-page":"1","article-title":"What do people really think of generic medicines? 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