Development of a Model on Promoting Rational Drug use in Srisomdet District, Roi-Et Province

Abstract

Purpose : To study the situation, develop a model and study the results of rational drug use (RDU) in Srisomdet District Roi Et Province.

Study design : Action Research.

Materials and Methods : This research is divided into 3 phases: 1) Situation analysis  2) Development a model and 3) Monitoring and evaluating results in a model of RDU. Data were analyzed using descriptive statistics. Compare results before and after development with percentage difference and content analysis.

Main findings : Model for RDU in Srisomdet district, Roi Et Province consists of 4 system: 1) Development at hospital level and subdistrict health promotion hospital level 2) development at the health entrepreneur level 3) development at the network and leaders level and 4) development at the community level. By having activities to develop knowledge and thoroughness at every level. Using tools to assist in the prescription, promoting ethics, medication safety care and continuous surveillance. The results of the model development was increase in the appropriate prescriptions in URI, AD and CW (29.20%, 6.19%, and 2.76%, respectively). The rate of antibiotic use was decreased in URI, AD and CW disease (21.70%, 22.82% and 1.98%, respectively).

Conclusion and recommendations: Development of a model for RDU must be developed to cover all levels, from the hospital level to the community level. Development of all sectors will lead to more efficacy and safety. The directly results is appropriate use medicines and indirect result are reduced drug costs and drug resistance.