Tracing linkages between pharmaceutical incentivisation, antibiotic prescribing and antimicrobial resistance in Pakistan

Document Type

Book Chapter

ISBN

9781803927237

Editor

Susannah H. Mayhew & Michael Hammer

Publication (Name of Journal)

The Elgar Companion to Health and the Sustainable Development Goals

Department

Pathology and Laboratory Medicine

DOI

10.4337/9781803927244.00030

Publisher

Edward Elgar Publishing Ltd.

Abstract

This chapter is about tracing linkages between pharmaceutical incentivisation, antibiotic prescribing, and antimicrobial resistance (AMR). AMR has now become a critical global health challenge, as due to drug-resistant bacteria there could be a significant burden of morbidity and mortality worldwide. While there are several factors that contribute to the misuse of antibiotics, profit-led prescribing - a practice which arises when physicians prescribe medications to meet pharmaceutical targets without considering patients’ well-being - can be a significant source of antibiotic consumption in LMICs like Pakistan. In this chapter, we attempt to conceptualise profit-led prescribing, explore the reasons behind physicians’ engagement in it, and highlight how this practice may be contributing to AMR. Finally, we propose actions that may potentially be useful to address pharmaceutical incentivisation to physicians which may further lead to a reduction in antibiotic prescribing in Pakistan.

Share

COinS