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Abstract
Herbal Medicine Usage in Current Health Service System: A Case Study of Sung Noen
Contracting Unit of Primary Care-CUP, Nakhon Ratchasima Province
Nilnetr Virasombat, Wilai Prakobkij, Thitiya Tunthaworn, Patcharee Riyachan,
Maneerat Sudto, Maneerat Ouaysawat, Pattama Larsomboon, Supa Jantarawivatn,
Penpapar Chairat, Chantra Pinyo, Tithima Boonman and Kanokwan Benchanak
Sung Noen Hospital, Nakhon Ratchasima Province 30170
The objectives of this research were to study the herbal medicine usage situation in Sung Noen Contrac-
ting Unit of Primary Care-CUP; to search for the main factors related to herbal medicine usage with effective-
ness in Sung Noen Contracting Unit of Primary Care-CUP; to integrate herbal medicine usage with effective-
ness, efficiency and security in both modern and Thai traditional medicine in Sung Noen Contracting Unit of
Primary Care-CUP. Action research was done and divided into three phases: (1) pre-action phase: to evaluate
the herbal medicine usage situation from past to present; (2) action phase: in-depth interviews and focus
group discussions were conducted among staff dealing with herbal medicine usage to update criteria for the
herbal medicine usage manual and training the staff; (3) evaluation phase: treatment results after herbal
medicine usage and evaluation of the manual. Target groups were staffs from modern and Thai traditional
medicine in Sung Noen Contracting Unit of Primary Care-CUP, and Thai traditional medicine consumers.
This study was conducted from February to June 2010. Pre-action phase: found that trends in overall herbal
medicine usage were rather good, that is, the value of herbal medicine usage in hospitals met the goal while
that in health centers was higher and met the goal closely. Action phase: found that policies for herbal medi-
cine and health service systems in hospitals and health centers supported herbal medicine usage, but there
were no clear policy implications for physicians and public relations campaigns in hospital and communities.
Herbal medicine usage results were found to relieve symptoms, be safer and have fewer side effects compared
with modern medicine. Draft criteria for improving the manual on herbal medicine usage were prepared and
used to train staff, (98 persons, or 34.51%). Evaluation phase: found that systematic factors, factors of cur-
rent and Thai traditional medicine providers, and consumer factor influenced herbal medicine usage and
results; the criteria manual was further elaborated and will be evaluated in the future. Policy recommenda-
tions for district health service systems were to clearly publish herbal medicine usage data for replacing or
being used in parallel with modern medicine, and information on rational herbal medicine usage for treat-
ment and herbal medicine usage for community self-care.
Key words: Herbal medicine usage, Heath Service System, Sung Noen CUP