Analysis of Patterns of Herbal Medicine Use in Outpatients of Health Service Units in Samut Songkhram Using Business Intelligence System
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Abstract
Objective:To analyze the patterns of herbal medicine use in outpatient department within health service units of Samut Songkhram with a business intelligence system, and propose suggestion for promoting the use of herbal medicines Methods: This research was a descriptive research to analyze the patterns of herbal medicine use using the data from Ministry of Public Health’s standard of health information structures (43 files) within health service units of Samut Songkhram in fiscal year 2020 with Microsoft Power Business Intelligence. BI Desktop. Results: Proportion of the use of herbal medicines in outpatient department in Samut Songkhram province was 74.20% in primary care units and 25.80% in hospitals. The prescribers with the highest proportion of use were registered nurses, public health practitioners, community public health officials, physicians, and Thai traditional medical doctors, respectively. The main diagnostic group according to the ICD10 with the highest proportion of herbal medicines were respiratory diseaes, undiagnosed symptoms, diseases based on Thai traditional medicine, cardiovascular diseases, endocrine diseases, diseases of bone and muscles, and diseases of gastrointestinal tract, respectively. A total of 38 herbal medicines were prescribed. Those with the highest proportion of use were Andrographis paniculata, Solanum violaceum, Indian gooseberry, turmeric and senna, respectively. The drugs with the lowest cost/regimen was Solanum violaceum, Andrographis paniculata, and Derris scandens. Western medicines that could be replaced by herbal medicines according to the announcement of the Department of Thai Traditional Medicine with highest proportion of use were dimenhydrinate, paracetamol+orphenadrine, analgesic balm, paracetamol and chlorpheniramine. Suggestions for increasing the use of herbal medicines include promoting the use of herbal medicines in place of modern medicines with high volumes of prescribing, promotion of the use of herbal medicine with low cost/regimen and promoting the prescribing of herbal medicines by physicians in hospitals. Conclusion: Herbal medicines were mostly prescribed by staff in primary care units for both symptomatic treatment and treating diagnosed diseases. Relevant parties should promote the use of herbal medicines with low cost/regimen and replace modern medicines with high volume of use with herbal medicines, especially in the prescribing by physicians in hospitals. Analyzing big data on the use of herbal medicine with business intelligence system revealed the information on the use of herbal medicines in various dimensions that is useful in planning to promote the use of herbal medicine.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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