Abstract
The objectives of Research Project in Development of Rational Drug Use (RDU) Hospital include: (1) to support the hospitals which join the RDU Hospital Project to achieve its goal by having a plan for concrete and effective actions based on the key advice P-L-E-A-S-E, (2) to strengthen the network of hospitals within the same geographical area, and (3) to support central tools in the implementation process of the hospital and network. The participatory action research (PAR) has been used to emphasize participation and action of local personnel and administrative team in 6 networks in the northern, northeastern-upper and lower, southern, central-eastern areas and the University Hospital Network (UHosNet). The suitable approaches are analyzed through the
self-assessment of the hospital, network, and the performance indicators at the end of the project. Good practice and advice will be shared with the collaborators, stakeholders and hospitals continuing the RDU Hospital Development along with the central supporting tools. The key findings of the projects conducted within the two-year period (10/2015 to 9/2017) can be summarized as follows: (1) In cooperation with the hospitals and networks, several good actions were recognized in each aspect of the key advice P-L-E-A-S-E, which enable us to collect, recommend and distribute the report as a KM book; (2) Results of the performance indicators revealed improvement of the RDU Hospital processes and outputs in most hospitals, even if the targets are not reached in some metrics, thus imply the project success; (3) The key success factors are identified as the support of the executive team, multidisciplinary joint collaboration and the clear national policy. These also include the importance of networking of which results
showed that more members of well-established network submitted the key performance results at the end of the project; and (4) Collaboration at multiple levels were established to develop a single and unique patient information drug leaflet in the country, that will be linked to Mobile Application ‘RDU รู้เรื่องยา’ to improve the nation's health literacy in medication for Thai people. Major impacts of the research project are (1) its utilization as the development for the 15th Ministry of Public Health Service Plan started in the budget year 2017, (2) its acceptance as one of the tools being used for the healthcare accreditation process (the subjects of pharmaceutical and therapeutic committee and medication safety), (3) its support for the RDU Core Curriculum for healthcare undergraduates, and (4) its involvement to promote the adoption of 2016 Ethical Criteria for Medicinal Drug Promotion Thailand.
