รูปแบบการให้บริการแพทย์แผนไทยในระบบบริการสาธารณสุขระดับตติยภูมิของโรงพยาบาลศูนย์/โรงพยาบาลทั่วไปในเขตบริการสุขภาพที่ 12

Abstract

This descriptive study aimed to examine current situation and management approach for the development of Thai traditional medicine in the Tertiary Public Health System of Regional Hospitals and General Hospitals in the 12th Area Health Service. 39 of Thai traditional medicine practitioners were involve in this study. Tools used were questionnaires and structured questions for the focus group discussion. Questionnaires were created by the researcher. Data collection was done from February to March 2017. Frequency, percentage, and content analysis were used for data analysis. The results of this study revealed that The current situation composed of two issues: (1) Thai Traditional Medicine Service consisted of 4 aspects: 1.1 treatment, 1.2 promotion health, 1.3 disease prevention, and 1.4 rehabilitation. (2) Thai Traditional Medicine Management consisted of 5 aspects: 2.1 Thai Traditional Medicine Service Systems. The number of patients entering the Thai traditional medicine service was 11.40% of the total number of patients in 2016. They were diagnosed and ordered treatment by modern medicine with Thai Traditional Medicine and Applied Thai Traditional Medicine. Provided services at outpatient and inpatient departments. It also offered parallel OPD clinics and knee osteoarthritis clinics. 2.2 Herbal Medicine System. There are 13 single herbs, 41 medicine herbs, and 3 specific cooking medicine herbs. 2.3 The structure. There was only 1 hospital managed directly made the hospital director. 2.4 The personnel development. Personnel development was provided by training for an average of twice a year. 2.5 The budget allocation. There were some budget from the NHS and revenue from services for supporting to the management. The management approach to Thai traditional medicine have five major items: (1) Management System for Thai Traditional Medicine Service (TTMS). Most commented that TTMS should be added to all services and opened for specialized clinics. Parallel OPD clinic services should be defined as disease/condition. The level of illness was clear with patient referral system. TTMS should be managed on the building side. Give people access to the service. (2) Herbal Medicine Management System. The manager, pharmacist, and Thai traditional medicine doctor had to meet together for boiling medicines to have a standard dose of GMP. (3) The structural management approach. TTMS should have enough government officials suitable for amount of Thai traditional medicine in the hospital. (4) The management approach for personnel development. There should be short-term and long-term training for Thai Traditional Medicine Service. (5) The budget management approach. TTMS should receive additional funding from the Department of Traditional Thai Medicine, Alternative Medicine, and NHSO. In brief, Model of Thai Traditional Medicine Service in the Tertiary Public Health System of Regional Hospitals and General Hospitals in the 12th Area Health Service should compose of 4 aspects of the service system those will be treatment, health promotion, disease prevention, and rehabilitation. However, there should have more services than those in the primary hospitals and the secondary hospitals.