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March 8, 2012BMC Health Services ResearchOpen Access

Adoption of new drugs by physicians: a survival analysis

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Authors

AAAna AzparrenIVIván VergaraBABorja Azaola

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Overview

Observational study reveals faster adoption of newly launched pharmaceuticals among medical specialists compared to family physicians, highlighting critical windows for timely prescribing guidance.

Key Points

  • To evaluate the diffusion rate of eight newly launched drugs during their initial market phase and determine differences in adoption timing between family physicians and medical specialists.
  • Tracked 36 months of prescription registries following the launch of cefditoren, duloxetine, etoricoxib, ezetimibe, levocetirizine, olmesartan, pregabalin, and tiotropium.
  • Identified adopters as physicians with over 10 prescriptions whose prescribing volume exceeded the 25th percentile for each specialty tier.
  • Compared time to first prescription between family physicians and medical specialists using Kaplan-Meier survival curves.
  • Drug adoption across primary care displayed exponential growth that plateaued between month 6 and month 23 post-launch.
  • Tiotropium exhibited the fastest and widest diffusion, whereas cefditoren spread the slowest with the lowest adoption, and administrative hurdles initially delayed etoricoxib uptake.
  • Specialists adopted all eight drugs earlier than family physicians, who demonstrated a median adoption window of 4 to 6 months.

Cite This Study

Azparren et al. (2012) studied this question.

synapsesocial.com/papers/6ab38464e9857063ca8a231chttps://doi.org/10.1186/1472-6963-12-56
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