Perspectives of Patients towards the Performance of "The Service Plan: Rational Drug Use" under the CIPP Model
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Abstract
Objective: To study the perspectives of patients on the performance of the service plan: rational drug use (RDU) by using the CIPP model and analyze the correlation between various dimensions of evaluation, namely, context, input, process, and product, in three levels of hospitals including regional hospitals, general hospitals, and community hospitals, in the 10th health region. Methods: This research was a mixed-methods study using quantitative and qualitative research methods. The study collected data using questionnaire surveys and in-depth interviews on context, input, process, and product from patients receiving care in chronic disease clinics for more than a year. Result: The participants in the quantitative study were 523 patients. All evaluated dimensions including context, input, process, and product, had an average and standard deviation on the appropriateness for the RDU service plan implementation at a high level, namely 3.88±0.48, 3.69±0.59, 4.01±0.64 and 3.92±0.46 from a full score of 5, respectively. A statistically significant moderate correlation was found between context and product (r=0.550, P<0.001), while a high correlation was found between input, process, and product (r=0.625, P=<0.001; r=0.627, P<0.001, respectively). The results from qualitative research in 15 patients pointed to their satisfaction and positive changes at both the individual and community levels. However, the patients misunderstood in some issues regarding RDU and showed no desire to participate in activities to promote RDU in the communities. Conclusion: Patients perceived a high level of appropriateness of context, input, process, and product of the RDU service plan. However, there were obstacles that need to be improved, such as public education, enforcement of drug laws, RDU literacy among patients/public, health service facilities in the public sector that are responsive to the need of public, and community strength, in order to increase knowledge, awareness, and RDU behavior at the individual and community levels.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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