Factors Associated with the Effectiveness of Personalized Medication Management : A Case Study of Kalasin Hospital

Abstract

The expiration of medications represents a critical challenge within Thailand’s healthcare system, particularly among personalized or patient-specific medications, which tend to have a higher risk of expiration. This issue is often attributed to inappropriate usage patterns and inefficiencies in medication management processes. The present study aims to investigate the factors associated with the effectiveness of personalized medication management at Kalasin Hospital. A cross-sectional descriptive research design was employed. The study population comprised 32 pharmacy personnel working at Kalasin Hospital, selected through purposive sampling. Data were collected using a structured questionnaire during the period of April to May 2025. The research findings revealed that the majority were female (93.75%), aged 31-40 years (46.88%), held a bachelor's degree (87.50%), and had more than 11 years of work experience (68.76%). They primarily worked in inpatient pharmacy (46.88%), with responsibilities related to medication dispensing (90.63%) and monitoring expired medications (71.88%). Most had a high level of knowledge regarding specific patient medication management (mean = 9.28, S.D. = 0.73). The personnel also exhibited high levels of individual medication management efficiency (mean = 4.33, S.D. = 0.38), perceived benefits (mean = 4.32, S.D. = 0.42), participation (mean = 3.87, S.D. = 0.37), and satisfaction (mean = 4.28, S.D. = 0.38). The analysis of the relationship using chi-square statistics found that job positions and roles in managing drug inventory were significantly related to the effectiveness of the individual drug management model (p-value<0.05). This research shows that individualized medication management with a knowledge system, monitoring, and clear roles for personnel plays a significant role in reducing the problem of expired medications in public hospitals.