SELF-MEDICATION WITH OVER-THE-COUNTER DRUGS AND ANTIBIOTICS IN ROMANIAN CONSUMERS: A QUALITATIVE STUDY
ABSTRACT
Self-medication with antibiotics, irrational prescribing and use of over-the-counter
medicines and antibiotics represent a global concern, with implications for
antibiotic resistance, clinical outcomes and costs of health care.
This paper set out to make an in-depth exploration of the factors that influence
self-medication in Romania. Specifically, this study investigated the factors
prompting self-medication, knowledge about the side effects of medicines and
antibiotic resistance and the practice of prescribing and dispensing antibiotics.
The phenomenon of self-medication was delineated by interviewing individuals that
self-medicate, physicians and pharmacists. Semi-structured individual interviews
were conducted with 7 men and 13 women, aged 24 to 59 years old. The data set
was analyzed using thematic analysis. Findings show that the complex
phenomenon of self-medication is an individual health management habit,
influenced mainly by health related education and sources of information, medical
experience, beliefs about medicines and the quality of the relationships with the
health-care providers. This practice is consolidated by consumersâ social circle
and enabled by factors related to the health-care system, such as medical
insurance, co-payments and informal payments.
KEYWORDS: self-medication, antibiotics, over-the-counter drugs, thematic
analysis PAGES:215-235