Development system evaluation of thai traditional medicine for public health unit, Udon thani province

Abstract

Background: Development of human resources in Thai traditional medicine to have more knowledge about the herbal medicine system will reduce the imported drugs from abroad. Objective: The study aimed to evaluate herbal medicines used from public health units in Udon Thani province by context and input, process, product (CIPP) model. Materials & methods: The descriptive research, by using CIPP model include context-input, process development and development product. Qualitative data collection from January to December 2017. Population & samples: the sample study was the public health units in Udon Thani province include 21 hospitals and 211 sub-district health promotion hospital. Tools were question structure group discussion, record from the information center Ministry of Public Health (Health Data Center: HDC), used data between fiscal year 2016-2017. Descriptive analysis using frequency, percentages and content analysis of qualitative data. Results: there was restructuring and communication policy in Thai traditional medicine by appointment of experts to supervise developing and appoint of Thai traditional medicine department in Udon Thani Provincial Health Office and development of Thai traditional medicine personnel in service units. Fiscal year 2015, the provincial herbal system development committee using valuation algorithms 44 items, Development of herbal medicine replacement. The policy of Thai traditional medicine services in the public health service 5 items. Fiscal year 2016, determine the number of different herbal medicines covered the sub-committee on herbal medicine development policy of prescribing herbal medicines in hospitals and sub-district health promotion hospital there was Thai traditional medicine 73 items, no Thai traditional medicine 55 items, specific medicines 19 recipes, (3) develop products between fiscal year 2016-2017, there was access to OP services provided by traditional Thai medicine services was 24.8% and 25.3% (increased 0.5%), herbal medicine 457,479 times and 488,993 times (increased 6.9%), OP herbal medicine 10.7% and 11.79% per time (increased 9.5%) respectively. Access to herbal medicine by OP receiving traditional Thai medicine 43.2% and 47.73% respectively, prices of herbal remedies for OP =5.8 and 6.3 Baht per time (increased 9.4%) respectively. Prices of herbal remedies for patients receiving traditional Thai medicine = 23.2 and 24.8 Baht per time (increased 7.3%) respectively. Conclusion: These results from development of the herbal medicine system for public health units could enhance the efficiency of Thai traditional medicine services and achieve the criteria.