Safety Drug Use Assessment in Contracting Units of Primary Care-CUP, Nakhon Ratchasima Province 2009-2010 - การประเมินความปลอดภัยด้านยาในเครือข่ายบริการสุขภาพระดับอำเภอ จังหวัดนครศรีราชสีมา ปี 2552-2553

บทคัดย่อ

          The objectives of this study were to assess the safety drug use and search for factors influenced safety drug use in contracting unit of primary care-CUP in Nakhon Ratchasima Province. The methods were divided into 2 parts: analyzed from quality drug use criteria by National Security Health Organization in 2009 and used focus group method among pharmacists from 20 community hospitals (74.07 percent), conducted from February to March 2010. It was found that the safety drug use in contracting unit of primary care had adverse drug reaction (ADR) surveillance system and high alert drug (HAD) system coverage 100 percent, drug utilization evaluation (DUE) or drug utilization review (DUR) system coverage 85 percent and antibiotic smart use (ASU) system coverage 70
percent. Factors influenced safety drug use were 4 groups: 1) system factors: (1) hospital accreditation development; (2) drug policy in contracting unit of primary care of district, provincial and national level; (3) pharmaceutical therapeutic committee (PTC) development; (4) national drug list guideline or district common drug list guideline (5) non-government organization for drug consumer protection in community; 2) prescriber factors: (1) knowledge and skills for safety drug use; (2) good attitude and concerns for safety drug use; (3) concerns to follow up treatment and drug side effects; 3) administrator factors: (1) knowledge and skills for safety drug use; (2) good attitude and
skills to communicate and stimulate for cooperation among professional personnel to provide safety drug use for consumers; (3) information and proper advice about safety drug use for consumers; 4) consumer factors: (1) demographic characteristics in education and knowledge in self care; (2) consumer drug needs; (3) culture and consumer beliefs about drug use. Policy recommendations; (1) safety drug use development integrated along with hospital accreditation development; (2) district pharmaceutical therapeutic committee requirement; (3) district common drug list requirement and (4) non-government organization for drug consumer protection requirement in community.
Key words: safety drug use, contracting unit of primary care, Nakhon Ratchasima Province