Table 1.

Issues with the current process of assessing medicine effectiveness- factors that hamper appropriate medical care of patients in developing countries

Process/system factors: accessibility of health facilities, lack of updated treatment guidelines, cost of treatment.
Physician factors: lack of knowledge on evidence-based medicine and research, misconceptions by physicians on patient’s treatment claims, no/low accountability of physicians for inappropriate treatment, lack of time.
Patient factors: misconceptions of medicines and health conditions, low literacy level, low economic condition.