Results of the Service plan Rational drug use hospital under the Office of the Permanent Secretary for Public Heath, Reginal 8th

Abstract

To study the results of the Service plan Rational drug use hospital under the Office of the Permanent Secretary for Public Heath, Reginal 8^th During the fiscal year 2017 - 2018. And to reflect information into problem management. Including the further development towards the success of being the appropriate rational drug use hospital. Research methods: Divided into 2 parts: Part 1 is a quantitative research using secondary data from special reporting programs of Public Health Administration Division and RDU 2016 program of Banmuang hospital during Fiscal year 2017 – 2018. Analyzed by the program. Using descriptive statistics, ie percentage. Part 2 is Qualitative study, review documents including minutes, Take off  lessons in the exchange forum for the Ministry of Public Health examination during Fiscal year 2017 – 2018. In-depth interviews with open-ended questions brought to the point of analysis to find support factors and obstacles in operations according to the results of the Service plan Rational drug use hospital under the Office of the Permanent Secretary for Public Heath, Reginal 8^th. Result: Divided into 2 parts: Part 1 Process results of operations in fiscal year 2017 - 2018 found that the policy formulation (95.45,100%), Measures and activities (95.45,100 %t), Information and data system (95.45,100 %), Monitoring and evaluation (95.45,100 %) and Anti microbial resistance system (88.89,100 %). Part 2 is Results for indicators. Found that indicators with results exceeding 80 percent. In fiscal year 2017, there are 9 items, including Indicator 1; Ordering national drugs (93.18 %), Indicator 3; List of medicines in 13 groups with details on the complete drug label. Indicator 4; List of drugs that were not effective in 8 items (95.45%), Indicator 5; The hospital has ethics in purchasing medicines (95.45%),Indicator 13; Chronic kidney disease outpatient level 3 and up who received NSAIDs (100%), Indicator 14; Patients with repeated NSAIDs not more than 5 percent (100 percent),Indicator 16; Patients with repeated NSAIDs, elderly patients using long-acting benzodiazepine drugs not more than 5 percent (98.86 percent), Indicator 17; The hospital did not find the use of prohibited drugs in pregnancy (92.05%), Indicator 18; Receiving non-sedating anti-histamine drugs in children diagnosed with respiratory infections (100%) and indicator 19; Tambon Health Promotion Hospital In networks with an antibiotic utilization rate in upper respiratory tract infections and acute bronchitis not more than 20 percent (85.23 percent). In the fiscal year 2018, there were 3 additional criteria that were met from the fiscal year 2017, including Indicator 2: Performance of the PTC Committee (100 percent). Indicators 10, hypertensive outpatients who use 2 types of blockage RAS in the treatment of hypertension (100 percent) and indicators 15, elderly outpatients who use long- acting benzodiazepine (100 percent). Conclusion: Process indicators are fundamental to driving success. Due to the complexity and complexity of indicators, it requires many factors to be involved.The regional 8^th has adopted the 6 Building blocks concept framework to help in the planning of the operation at Health Zone 8. There are still interesting issues to be studied to search for support factors or factors that hinder. operations to achieve the goals set in the next opportunity.