การประเมินผลการพัฒนาด้านการใช้ยาอย่างสมเหตุผลสำหรับโรงพยาบาลเอกชนจังหวัดสมุทรสาคร

Abstract

          Rational drug use is an important policy at the national level. There are goals related to the safe and benefit use of medicines with the lowest cost both in public and private hospitals. Samut Sakhon Province has the largest number of private hospitals in Health Region 5. The Provincial Public Office is  important sector in promoting the implementation of rational drug use in private hospitals.The objective was to assess the development of rational drug use for private hospitals in Samut Sakhon Province according to PLEASE guidelines. The study method was a descriptive research with using self-assessment form for rational drug use of the Department of Health Service Support ,collect data once a year for            3 years from 2020-2022.Data from 9 private hospitals were analyzed by descriptive statistics. The results showed that the average percentage of rational use of drug use in 2020 was 74.24%, in 2021 was 76.26% and in 2022 was81.81% with to increase. In the year 2022, the assessment results were at a very good level, 7 places(78%) and at a good level of 2 (22%).Results according to the PLEASE guidelines, it was found that the topic that received the highest score was supplementary drug labels .While the topic with the lowest score was the system for reporting about drug-resistant strains to the Department of Disease Control. The Samut Sakhon Public Health Office has work development including explaining policies to executives of private hospitals training , to educate multidisciplinary professionals , consulting  to develop Information system, organizing a reporting system for drug-resistant bacteria and creating a network for exchanging knowledge between government and private hospitals.The Provincial Public Health Office has appointed a working group to evaluate hospital standards and changed from a self-assessment to a provincial working group to assess instead.. It clearly shows there are measures to control the use of antibiotics ,reduce unnecessary use of antibiotics , develop drug labels with completer information and patients in risk groups receive increased safety from drug use. In summary, the results of the study showed that Private hospitals in Samut Sakhon province have shown good to very good performance in rational drug use.Compared with the results in government hospitals, it was consistent with the results in private hospitals. That is, it should focus on raising awareness of medical personnel and service users. Suggestions: The Provincial Public Health Office should monitor and assess private hospitals annually in order to develop and support private hospitals to achieve the goal of using reasonable medicine.