Article

Attitudes, perception and knowledge of general practitioners towards adverse drug reaction (ADR) reporting in Malaysia – A pilot study
Vol. 1 Issue 1 : 2013

Abstract

Background: The main form of pharmacovigilance system in Malaysia is the spontaneous voluntary reporting system for adverse drug reaction (ADR) set up by the Malaysian Adverse Drug Reactions Advisory Committee (MADRAC) and is plagued by low reporting rates. This pilot study aims to determine the practice, knowledge, attitude and perception of GPs in Malaysia towards ADR reporting.

Methods: This is a cross-sectional questionnaire-based survey among private GPs who are practicing in Kuala Lumpur, Malaysia. A total of 21 out 41 GPs, whose clinics are within a 3-kilometer area within Universiti Kebangsaan Malaysia participated in the pilot study. Data were collected using a self-administered questionnaire in a face-to-face setting.

Results: The majority of the respondents was males (81%), clinic-owners (61.9%) and has practiced medicine for over 30 years (47.6%). None of them reported to MADRAC for the past 1 year. All the respond-ents have high or medium level of knowledge about ADR reporting with 71.4% were not aware of the ADR reporting scheme. The most common reasons that influenced non-reporting were the lack of information on how to report ADRs (52.4%). Most respondents agreed that ADR reporting should be made compulsory (57.1%), but the majority also want the reporting system to hide the identity of the pre-scriber (52.4%). The zero ADR reporting rates for the past one year among GPs in the pilot study is alarming as this may reflect the findings of the actual study.

Conclusion:The main factor for low ADR reporting rates is lack of information on how to report an ADR.