Question

Who is ultimately responsible for shared prescribing decisions and why?

What options do doctors have in responding to patients’ requests for particular medication?

What benefits or hospitality may be accepted from pharmaceutical companies?

What issues do doctors face when prescribing medication for patients they have not seen in person?

Answer 1

Shared decision making is a middle ground between informed choice where decisions are left entirely to the patient and traditional,paternalistic medical decision making .

Shared decision making involves 2 information giving (medical and personal) between the clinician and the patient concerning all the options available.shared decision making and creating a therapeutic alliance for concordance increases patient involvement in healthcare decisions and allows a more open exchange between the clinician and the patient so clinicians are ultimate prescription decision makers

Doctors usually do their best to make a patients preference part to the decision making process ,but if the drug the patient asks for is a realistic option a doctor is likely to say yes even there is another better treatment available

Benefits of pharmaceutical companies are better health outcomes ie,pharmaceutical companies develops drugs that treat every type of condition imaginable such as influenza,sexually transmitted disease cardiovascular disease diabetics ,hepatitis,Parkinson disease and cancer ,  

The the cost which means the generic drug are increasingly available to patients,which drive down cost and the economic benefits

Prescribing medication without seeing the patient face to face or remote prescription, which can be done when the doctor have 're responsibility of care of patient or the doctor knows the prior knowledge about the patients medical background

In other case the doctor prescribe medication for patient who had not seen face to face will be in issues like

The doctor may not be aware about the patients condition or the doctor might not being understand whether the person is having real problem and moreover the drugs will be having a potential side effects .

And the other problem is that the doctors is not aware about the purpose of drug which is prescribed for that person is for.