Understanding and Prescribing Preference of Generic Medicines Among Doctors in Odisha

Abstract

This study aimed to assess the knowledge, perceptions, and prescribing preferences of doctors in Odisha regarding generic medicines and locally manufactured pharmaceutical products. A cross-sectional survey was conducted among 96 physicians selected through convenient sampling from four government hospitals in Odisha. Data were collected using a structured self-administered questionnaire and analyzed using Fisher’s Exact Test to examine the association between demographic variables and physicians’ perceptions toward generic medicines. The findings revealed inadequate awareness among physicians regarding the therapeutic equivalence, safety, and regulatory standards of generic medicines. Only a limited proportion of respondents recognized that generic medicines are clinically equivalent to branded drugs and comply with the same quality and safety requirements. Negative perceptions were also observed, with many physicians believing that generic medicines are of inferior quality and associated with greater side effects compared to branded medicines. Despite these concerns, a majority of doctors expressed willingness to prescribe affordable medicines to reduce the financial burden on patients. However, many physicians remained reluctant toward pharmacist substitution of branded prescriptions with generic alternatives. The study concludes that misconceptions and limited awareness continue to influence prescribing behavior among doctors in Odisha. Strengthening educational initiatives, professional training, and awareness programs may improve physicians’ confidence in generic medicines and promote their wider acceptance in healthcare practice.