inducción a la prescripción

English translation: induced to prescribe

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)

Spanish term or phrase:	inducción a la prescripción
English translation:	induced to prescribe

16:41 Mar 22, 2024

The asker opted for community grading. The question was closed on 2024-03-26 00:54:11 based on peer agreement (or, if there were too few peer comments, asker preference.)

Spanish to English translations [PRO]
Medical - Medical: Pharmaceuticals

Spanish term or phrase: inducción a la prescripción

I wanted to double check what this term means:

'inducción a la prescripción'

Is it related to 'Induced Prescription'? Which I believe is a concept in Spain.

For context here's the full sentence:

No puede excluirse una posible inducción a la prescripción dada la reciente financiación de (XX name of drug XX), para esta indicación, lo que supondría una modificación de los hábitos de prescripción del médico.

My attempt:

A possible prescription induction cannot be excluded given the recent financing, September 1, 2023, of (xx name of drug xx), for this indication, which would imply a modification of the physician's prescribing habits.

Any help on this would be greatly appreciated.

Arabella Itani KudoZ activity Questions: 22 (2 open) (1 without valid answers) (3 closed without grading) Answers: 0 United Kingdom
Local time: 01:43

induced to prescribe

Explanation:
This is not unique to Spain - it happens everywhere. But I agree with Liz's reference that 'induced prescription' won't be recognised in the anglophone world - or at least it won't instantly be understood.

We don't have the full context, so my suggestion may need tweaking, but you could say: 'The physician may have been induced to prescribe [drug name] by the fact that its funding was recently approved for this indication.'

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Note added at 11 hrs (2024-03-23 04:23:00 GMT)
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I don't think your suggested translation reflects what the Spanish says.

Selected response from:

philgoddard
United States

Grading comment

I agree that this is the best answer. Thank you! And thank you all for your input and research into this! It's very, very much appreciated.
4 KudoZ points were awarded for this answer

Summary of answers provided

4 +3

induced to prescribe

philgoddard

induced prescribing/prescription

liz askew

incentive to prescribe

Adrian MM.

pressure may have been exerted on the physician to prescribe...

AllegroTrans

Summary of reference entries provided

Chema Nieto Castañón

Discussion entries: 2

Answers

33 mins confidence:

induced prescribing/prescription

Explanation:
https://www.tandfonline.com/doi/abs/10.3109/1381478990909425...

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Note added at 34 min (2024-03-22 17:15:55 GMT)
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The article in this issue of the Journal on induced prescribing by Vallès i Callol et al. appears, on initial reading, to describe a problem unique to the Spanish healthcare system. The papers cited show that the term ‘induced prescription’ or ‘prescriptión inducida’ is well recognised and understood in the Spanish literature. The term, however, is not one recognised in the anglophone world. A Medline search using ‘induced prescription’ throws up references to induced abortion and drug-induced problems but few to the phenomenon discussed in this article.

liz askew
United Kingdom
Local time: 01:43
Works in field
Native speaker of:

English
PRO pts in category: 716

Notes to answerer

Asker: Hi Liz, thank you for this! I did see this document that's why I was reluctant to use the term induced prescribing... It almost needs an explanatory note for the client on what this is. Do you agree? Thanks so much again!

3 hrs confidence:

incentive to prescribe

Explanation:
'The question you are about to answer is not among your general fields of expertise, is this intentional?'

Reference: http://www.proz.com/kudoz/spanish-to-english/medical-pharmac...

Adrian MM.
Austria
Native speaker of:

English
PRO pts in category: 4

2 hrs confidence:

peer agreement (net): +3

induced to prescribe

philgoddard
United States
Native speaker of: English
PRO pts in category: 80

Grading comment

I agree that this is the best answer. Thank you! And thank you all for your input and research into this! It's very, very much appreciated.

Notes to answerer

Asker: What about a more free translation such as: 'A possible increase in demand in prescriptions cannot be ruled out for this indication given the recent financing of...' What do you think?

3 days 1 hr confidence:

pressure may have been exerted on the physician to prescribe...

Explanation:
I don't really like "induced" in this context

AllegroTrans
United Kingdom
Local time: 01:43
Native speaker of:

English

Reference comments

1 hr peer agreement (net): +1

Reference

Reference information:
I'm not sure how to express this in English as there are very few articles addressing this fact. Here is an interesting one of those, worth reading:

EFFECTS OF PATIENT MEDICATION REQUESTS ON PHYSICIAN PRESCRIBING BEHAVIOR:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151257/

"Induced prescribing" may work but needs an explanation -and I have only found this expression on Spanish-to-English translations. The success of patient's medication requests on physician prescribing behaviour is what "prescripción inducida" tries to convey; "prescripción inducida por petición del paciente".

"Patient's-request induced prescriptions" might be self explanatory.

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Note added at 2 hrs (2024-03-22 19:01:19 GMT)
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As for the particular case the Asker refers to I believe phil is right; that seems not to be a patient-request induced prescription ("prescripción inducida") but a prescription that may be induced by recent approval of social security financing.

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Note added at 5 hrs (2024-03-22 22:13:18 GMT)
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El concepto de "prescripción inducida" se refiere originalmente a la presión efectiva del paciente o de su entorno a la hora de que el médico de atención primaria prescriba un fármaco determinado, bien por preferencia personal del paciente (cuando el paciente dice saber lo que quiere o necesita) o por preferencia "externa", al haber recibido una prescripción previa de otro médico (atención hospitalaria, medicina privada) que el paciente no quiere suspender o sustituir.

En el segundo caso, de no existir presión por parte del paciente para mantener el mismo tratamiento, se trataría más bien de una "receta inducida" en caso de que el médico mantuviera sin cuestionar el mismo fármaco prescrito originalmente.

Existen otras formas de presión sobre el médico prescriptor ajenas al paciente que en sentido estricto tampoco entrarían en este concepto original de "prescripción inducida" (publicidad, recomendaciones de pares, resultados prometedores de estudios piloto, etc.).

No obstante, es cierto también que la denominación por sí misma, como idea genérica de "inducción a la prescripción", es más amplia que la referencia concreta a la presión del paciente o de su entorno en la consulta del médico de cabecera a la hora de prescribir, lo que supone un cierto grado de confusión y justifica las diferencias en el uso y sentido de "prescripción inducida" en distintos artículos -y la evolución del propio concepto.

Por todo ello, parece pertinente ajustarse, a la hora de traducir, al contexto específico planteado en el texto original.

En el caso que aquí plantea el Asker creo que phil tiene razón al vincular la "inducción" a la presión directa sobre el médico que la aprobación de financiación pueda tener, si bien no cabe asegurarlo dado el limitado contexto aportado -el texto original podría estar refiriéndose a la presión del paciente sobre el médico al conocer la nueva situación de un fármaco que ya puede prescribirse con financiación para una aflicción concreta, o a ambas (presión del paciente y efecto directo sobre el propio médico) de manera indistinta.

En cualquier caso, la opción de refraseado que plantea phil creo de nuevo que resulta apropiada, aunque sugeriría mantener la ambigüedad original a falta de mayor contexto. Por ejemplo (con las debidas correcciones y por si sirve para aportar ideas),

It cannot be ruled out that the recent approval of [social security] funding may have had an inducing effect on the prescription of XX, which would entail a modification of doctors prescription behaviour.

Chema Nieto Castañón
Spain
Specializes in field
Native speaker of:

Spanish
PRO pts in category: 48

Note to reference poster

Asker: Thank you so much for this! It really helps clarify it. Hugely appreciated!

Peer comments on this reference comment (and responses from the reference poster)

neutral

philgoddard: As Liz's reference says, it can be induced by all sorts of people, including colleagues and pharmaceutical companies.

24 mins

-> Hi phil; I did explain further. I think you are right anyhow as for the need of rephrasing in this case. I agree with your "induced to prescribe" -or "inducing the prescription", without explicit reference to a "doctor being induced".

agree

Robert Carter: Riffing on your suggestion, how about: "There is a possibility that the recent approval of [social security] funding may be [have been(?)] driving the prescribing of XX, which would mean that doctors' prescribing habits have changed."?

11 hrs

-> "May be driving the prescribing of"; yeap, sounds great to me! Thks!

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English translation: induced to prescribe

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