Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand
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 feasibili...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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The World Health Organization
2012-12-01
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| Series: | Bulletin of the World Health Organization |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862012001200010&lng=en&tlng=en |
| _version_ | 1797282008252022784 |
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| author | Nithima Sumpradit Pisonthi Chongtrakul Kunyada Anuwong Somying Pumtong Kedsenee Kongsomboon Parichart Butdeemee Jurairat Khonglormyati Santi Chomyong Parnuchote Tongyoung Suraphol Losiriwat Piyanooch Seesuk Pongthep Suwanwaree Viroj Tangcharoensathien |
| author_facet | Nithima Sumpradit Pisonthi Chongtrakul Kunyada Anuwong Somying Pumtong Kedsenee Kongsomboon Parichart Butdeemee Jurairat Khonglormyati Santi Chomyong Parnuchote Tongyoung Suraphol Losiriwat Piyanooch Seesuk Pongthep Suwanwaree Viroj Tangcharoensathien |
| author_sort | Nithima Sumpradit |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T17:05:47Z |
| format | Article |
| id | doaj.art-4260f39bb2fa409792a3225d8911ea35 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T17:05:47Z |
| publishDate | 2012-12-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-4260f39bb2fa409792a3225d8911ea352024-03-03T02:41:40ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862012-12-01901290591310.2471/BLT.12.105445S0042-96862012001200010Antibiotics Smart Use: a workable model for promoting the rational use of medicines in ThailandNithima Sumpradit0Pisonthi Chongtrakul1Kunyada Anuwong2Somying Pumtong3Kedsenee Kongsomboon4Parichart Butdeemee5Jurairat Khonglormyati6Santi Chomyong7Parnuchote Tongyoung8Suraphol Losiriwat9Piyanooch Seesuk10Pongthep Suwanwaree11Viroj Tangcharoensathien12Ministry of Public HealthChulalongkorn UniversitySrinakharinwirot UniversitySrinakharinwirot UniversityLangkhao Tambon Health Promoting HospitalMuangsamsib HospitalProvincial Health OfficeProvincial Health OfficeProvincial Health OfficeVichaivej International HospitalKuntang HospitalSuranaree University of TechnologyMinistry of Public HealthThe 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.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862012001200010&lng=en&tlng=en |
| spellingShingle | Nithima Sumpradit Pisonthi Chongtrakul Kunyada Anuwong Somying Pumtong Kedsenee Kongsomboon Parichart Butdeemee Jurairat Khonglormyati Santi Chomyong Parnuchote Tongyoung Suraphol Losiriwat Piyanooch Seesuk Pongthep Suwanwaree Viroj Tangcharoensathien Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand Bulletin of the World Health Organization |
| title | Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand |
| title_full | Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand |
| title_fullStr | Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand |
| title_full_unstemmed | Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand |
| title_short | Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand |
| title_sort | antibiotics smart use a workable model for promoting the rational use of medicines in thailand |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862012001200010&lng=en&tlng=en |
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