Siritree Suttajit | Chiang Mai University (original) (raw)

Papers by Siritree Suttajit

The pharmaceutical system relies on pharmacists. Pharmacists currently hold a variety of roles in... more The pharmaceutical system relies on pharmacists. Pharmacists currently hold a variety of roles in a variety of sectors, including manufacturing, community health, primary care, and hospitals. These various positions and responsibilities necessitated training to meet a variety of social and professional requirements. As a result, competency has become the most widely used tool in the pharmacy profession. "Competency" refers to the capacity to accomplish an action that displays one's success or efficiency in a role. Competency is typically clustered with other competencies of a similar nature, and competency is usually made of behavioral competency. Pharmacist skills are classified into a variety of categories or sub-levels, including generic frameworks, sector- or role-specific frameworks, and specialty-specific frameworks. The primary health care system is currently used as a path to universal health coverage, as evidenced by a number of policies, including the United ...

Health science journal, Sep 26, 2021

Research in Social and Administrative Pharmacy, 2014

Children

Lack of access to child-appropriate medicines results in off-label use. This study aimed to explo... more Lack of access to child-appropriate medicines results in off-label use. This study aimed to explore medicine management for paediatric patients and to highlight the challenges of the healthcare system under the universal health coverage of Thailand. Semi-structured interviews were conducted with 35 healthcare practitioners working in the public hospital network of Chiang Mai province from February to September 2020. Participants were asked about their experiences in managing the medicine supply for children. Findings revealed that paediatric patients had limited access to age-appropriate medicines. Children’s medicines are rarely selected for inclusion into hospital formularies because of constraining regulations and limited budgets. Additionally, child-appropriate formulations are unavailable on the market. Pharmaceutical compounding is unavoidable. Prepared products are provided weekly or monthly because of product stability concerns. Often, tablets are dispensed, and caregivers a...

Southeast Asian Journal of Tropical Medicine and Public Health, 2005

Upper respiratory tract infections (URIs) are the most common infections worldwide. Their frequen... more Upper respiratory tract infections (URIs) are the most common infections worldwide. Their frequent inappropriate treatment with antibiotics is likely to increase antibiotic resistance, contribute to morbidity and mortality, and waste scarce resources. Using data from registration books and prescriptions, we measured patterns and assessed appropriateness and predictors of antibiotic prescribing for viral and bacterial URIs treated in health centers located in two slum communities in Bangkok, Thailand. Based on recorded diagnoses and symptoms, 91% of the patients probably had viral URIs; 60% of viral and 89% of bacterial URI patients were prescribed an antibiotic. Compliance with the national treatment guideline was 36.4% for treatment of viral URIs and only 1.7% for treatment of bacterial URIs. Amoxicillin was the most frequently prescribed antibiotic regardless of diagnosis. Among viral URI patients, those who were young, male, and self-paying were more likely to receive antibiotics...

Journal of Health Science, 2020

Irrational use of antibiotics is a complex problem. The root of the problem is not only identifie... more Irrational use of antibiotics is a complex problem. The root of the problem is not only identified in hospitals, but it is also found in many sectors of the community. At the system level, people conveniently have access to medicines through a variety of sources, including hospitals, pharmacies, and grocery stores. At the individual level, people lack of knowledge and misunderstand about antibiotics; and they are unaware of the consequences of irrational antibiotic use. Additionally, antibiotics are used irrationally in livestock and agriculture. Consequently, people and society are at risk of antimicrobial resistance. Formerly, the interventions for rational drug use have been mainly focused on operations in public health facilities. However, due to the complexity mentioned above, solutions cannot be carried out solely in the hospitals. Integrated interventions for all sectors in society are needed – including empowering people to have better health and drug literacy, supporting co...

Demand for healthcare services in Thailand are in transition, resulting from social changes withi... more Demand for healthcare services in Thailand are in transition, resulting from social changes within the nation and globally. The need for equality, efficiency, quality, and continuity of care requires combined efforts from a variety of stakeholders in the health workforce. Pharmacists responsible for ensuring access to medicines need reformation as well. There has been an increase in the number of pharmacy schools and graduates. Additionally, the pharmacy education curriculum has been gradually adapted to align to the changes. The pharmacy curriculum has transformed from 5-year to 6-year programs, offering three specialty tracks aiming to develop qualified pharmacists to fit with the needs of the job market. However, with the rapid changes in social contexts and the labor market, and limited information regarding pharmacy manpower, professional leaders in the Pharmacy Council of Thailand, pharmacy schools, and professional organizations are urged to work together to set long-term and...

COUNTRY BACKGROUND AND IMPORTANT HEALTH STATISTICS T hailand is located in the centre of the Indo... more COUNTRY BACKGROUND AND IMPORTANT HEALTH STATISTICS T hailand is located in the centre of the Indo-Chinese peninsula; its land area of about 514 000 km 2 makes it the third largest country in Southeast Asia, after Indonesia and Myanmar. 1 The country is geographically and administratively separated into 5 regions and 77 provinces. In 2017, the population was estimated at about 66.23 million. 1 The age structure has undergone dramatic changes within the past 50 years. In particular, it has been estimated that the proportion of the population 60 years or older will increase substantially, from 11.9% in mid-2017 to 15.9% in 2020. 1 According to the World Health Organization, 2 ischemic heart disease was the leading cause of death in Thailand in 2010, followed by stroke, lower respiratory infection, and road injury. Cardiovascular diseases, diabetes, and cancer were major causes of premature mortality, reducing healthy life years through increased likelihood of disability. 2 Total health expenditure has been increasing over time. In 2010, it was estimated at about US$13 000 million (at the exchange rate of 32 Thai baht per US$1), and in 2012, it accounted for about US$15 639 million (at the exchange rate of 30.47 Thai baht per US$1). 3 These figures represented about 4% of the gross domestic product in their respective years. 3 Hospitals are the most important group of service providers of Thailand, consuming 68.3% of total health expenditure in 2012. 3 The overall value of domestic drug consumption was US$4518 million, of which anti-infective agents made up the largest share. 3

Pharmacy Practice

Background: In Thailand, pharmacists are responsible for all activities to ensure access to medic... more Background: In Thailand, pharmacists are responsible for all activities to ensure access to medicines throughout pharmaceutical supply chain. Competency framework (CF) is an important guidance for professional development and workforce planning. Objective: This study aimed to explore needs for pharmacy services in pharmaceutical supply chain and competencies of pharmacists to serve those needs. It was the first step for developing evidence-based pharmacy CF within the context of Thailand in 2026. Methods: A qualitative method using in-depth interviews to gain rich data from practitioners and leaders in all area of practices. 99 key informants from 56 workplaces in Thailand were interviewed during January and March 2016. Data was transcribed verbatim, and thematic analysis was used. Competencies were extracted, followed by several rounds of group discussion among team members to develop an initial framework. The competencies and CF were presented, and recommendations were gained from...

Advances in Medical Education and Practice

Purpose: To serve the higher demands of pharmaceutical services, pharmacy education in Thailand h... more Purpose: To serve the higher demands of pharmaceutical services, pharmacy education in Thailand has shifted from 5-year BPharm program to 6-year PharmD program with two specialization tracks: pharmaceutical care (PC) and industrial pharmacy (IP). This study aimed to compare the perceptions regarding professional competencies, pharmacy profession, and planned workplace between graduates with 5-year BPharm and 6-year PharmD and between those with PC and IP specialty. Methods: A cross-sectional national survey using a paper-pencil self-administered questionnaire was distributed to all new graduates attending the pharmacy licensure examination in March 2015. Results: Of all 1,937 questionnaires distributed, 1,744 were returned and completed (90% response rate). Pharmacy graduates rated highest on their competencies in professional ethics, followed by PC services and system management. They rated low confidence in medication selection procurement and pharmaceutical industry competencies. The 6-year PharmD graduates showed higher confidence in ethics and professional pride than the 5-year BPharm graduates. Graduates with PC specialty rated higher perceived competency in PC, system management, primary care, and consumer protection domains, while the IP graduates were superior in IP and medication selection and procurement domains, and most graduates (PC and IP) intended to work mainly in a hospital or a community pharmacy. Hospital was preferred for the PC graduates, and the IP graduates were more likely to work in pharmaceutical industry, regulation and consumer protection, sales and marketing, and academia. Conclusion: With some gaps still to be filled, the transition from 5-year BPharm to 6-year PharmD program with specialty tracks gave extra confidence to graduates in their specialty competencies and professional pride, leading to differences in preferred workplace. The findings of this study reflect that Thai pharmacy education continues to adjust to the needs of the society and the changing health care environments. Longitudinal monitoring to observe this transition is needed for both curriculum adjustment and competency of the graduates.

The Canadian Journal of Hospital Pharmacy

วารสารเภสัชศาสตร์อีสาน, 2010

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Thai Pharmaceutical and Health Science Journal วารสารไทยเภสัชศาสตร์และวิทยาการสุขภาพ, 2013

Journal of Pharmaceutical Health Services Research, 2015

Public Health, 2015

ABSTRACT To explore the experience of and willingness to use seven pharmacy public health service... more ABSTRACT To explore the experience of and willingness to use seven pharmacy public health services related to cardiovascular risk among the general public in England. Mixed-methods study. A mixed-methods study, involving a cross-sectional survey using multiple distribution methods followed by a focus group discussion (FGD) with a sample of survey respondents. From 3596 approachable individuals, 908 questionnaires were completed (response rate 25.3%). Few respondents (2.1-12.7%) had experienced any of the seven pharmacy public health services. About 40% stated they would be willing to use health check services, fewer (9.3-26.3%) were willing to use advisory services. More females, frequent pharmacy users and those in good health were willing to use services in general (P < 0.05). Smokers, overweight individuals and those with alcohol-related problems were most willing to use specific advisory services supporting their problems (P < 0.05). FGD identified barriers to service use; for example, frequent staff changes, seeing pharmacist as medicines suppliers and concerns about competence for these services. The general public are receptive to pharmacy public health services. Pharmacists must consider barriers if uptake of services is to increase. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.