Patient perceptions and barriers influencing the utilization of generic medicines among individuals with Type 2 Diabetes Mellitus in Mysuru India: a qualitative study
摘要
Despite policy efforts to promote Jan Aushadhi medicines (JAM) in India, their utilization for chronic disease management remains limited, particularly among patients with Type 2 Diabetes Mellitus (T2DM). Understanding stakeholder perceptions is critical to improving acceptance and uptake.
MethodsA qualitative descriptive study was conducted in Mysuru Taluka, Karnataka. A total of 29 participants, including T2DM patients, public and private healthcare providers, pharmacists, and Auxiliary Nurse Midwives, were recruited using purposive sampling. Data were collected through in-depth interviews and a focus group discussion and analyzed using inductive thematic analysis supported by NVivo software.
ResultsPrivate healthcare providers and branded-medicine users expressed skepticism regarding JAM quality and efficacy, while public providers and ASHAs emphasized affordability but reported mistrust and inconsistent availability. Limited provider endorsement emerged as a key barrier influencing patient medicine choices.
ConclusionThe study highlights that perceptions of quality, provider influence, and system-level constraints shape JAM utilization among T2DM patients. Addressing these barriers through targeted provider engagement and patient-focused communication strategies may enhance acceptance of JAM.