Publication: Antibiotics smart use: A workable model for promoting the rational use of medicines in Thailand [Utilisation intelligente des antibiotiques: Un modèle viable visant à promouvoir l'usage rationnel des médicaments en Thaïlande]
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Issued Date
2012
Resource Type
File Type
application/pdf
ISSN
429686
Other identifier(s)
2-s2.0-84870445778
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Bulletin of the World Health Organization. Vol 90, No.12 (2012), p.905-913
Suggested Citation
Sumpradit N., Chongtrakul P., Anuwong K., Pumtong S., Kongsomboon K., Butdeemee P., Khonglormyati J., Chomyong S., Tongyoung P., Losiriwat S., Seesuk P., Suwanwaree P., Tangcharoensathien V. Antibiotics smart use: A workable model for promoting the rational use of medicines in Thailand [Utilisation intelligente des antibiotiques: Un modèle viable visant à promouvoir l'usage rationnel des médicaments en Thaïlande]. Bulletin of the World Health Organization. Vol 90, No.12 (2012), p.905-913. doi:10.2471/BLT.12.105445 Retrieved from: https://hdl.handle.net/20.500.14740/6916
Abstract
The Antibiotics Smart Use (ASU) programme was introduced in Thailand as a model to promote the rational use of medicines, starting with antibiotics. The programme's first phase consisted of assessing interventions intended to change prescribing practices; the second phase examined the feasibility of programme scale-up. Currently the programme is in its third phase, which centres on sustainability. This paper describes the concept behind ASU, the programme's functional modalities, the development of its conceptual framework and the implementation of its first and second phases. To change antibiotic prescription practices, multifaceted interventions at the individual and organizational levels were implemented; to maintain behaviour change and scale up the programme, interventions at the network and policy levels were used. The National Health Security Office has adopted ASU as a pay-for-performance criterion, a major achievement that has led to the programme's expansion nationwide. Despite limited resources, programme scale-up and sustainability have been facilitated by the promotion of local ownership and mutual recognition, which have generated pride and commitment. ASU is clearly a workable entry point for efforts to rationalize the use of medicines in Thailand. Its long-term sustainability will require continued local commitment and political support, effective auditing and integration of ASU into routine systems with appropriate financial incentives.
Subject(s)
Antibiotic agent
Antibiotics
Conceptual framework
Health services
Medicine
Sustainability
Acute diarrhea
Antibiotic resistance
Article
Behavior change
Common cold
Conceptual framework
Drug monitoring
Drug program
Drug use
Health care delivery
Health care personnel
Health care planning
Health program
Health promotion
Human
Intervention study
Medical practice
Politics
Prescription
Scale up
Sore throat
Thailand
Wound
Anti-Bacterial Agents
Diffusion of Innovation
Drug Utilization
Health Promotion
Humans
Inservice Training
Physician's Practice Patterns
Program Evaluation
Thailand
Thailand
Antibiotics
Conceptual framework
Health services
Medicine
Sustainability
Acute diarrhea
Antibiotic resistance
Article
Behavior change
Common cold
Conceptual framework
Drug monitoring
Drug program
Drug use
Health care delivery
Health care personnel
Health care planning
Health program
Health promotion
Human
Intervention study
Medical practice
Politics
Prescription
Scale up
Sore throat
Thailand
Wound
Anti-Bacterial Agents
Diffusion of Innovation
Drug Utilization
Health Promotion
Humans
Inservice Training
Physician's Practice Patterns
Program Evaluation
Thailand
Thailand