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Thai Drug Systems 2020 Thai Drug Systems 2020 วารสารวิชาการสาธารณสุข Journal of Health Science ส�านักวิชาการสาธารณสุข กระทรวงสาธารณสุข Health Technical Office, Ministry of Public Health ปีที ่ 29 ฉบับพิเศษ มกราคม - กุมภาพันธ์ 2563 Vol. 29 Special Issue, January - February 2020 Thai Drug Systems 2020 Contents Page number Editorial Thai Drug Systems 2020 S1 Suwit Wibulpolprasert Special Articles National Drug Policies in Thailand: Evolution and Lessons for the Future S3 Anchalee Jitruknatee, et al. Thailand’s Legal Framework Concerning Drugs S15 Kitti Pitaknitinun, et al. A Review on the Selection of Drugs in Thai Heath Care at National, Pharmaceutical industries and S31 Public Hospital Levels Anchalee Jitruknatee, et al. Drug Procurement and Distribution S45 Netnapis Suchonwanich, et al. The Impact of Drug Financing System under Thailand Universal Health Coverage (UHC) on the S59 Performance of Drug System Rungpetch Sakulbumrungsil, et al. Irrational Antibiotic Use and Distribution in the Thai Community: a Complex Situation in Need of S72 Integrative Solution Somying Pumtong, et al. วารสารวิชาการสาธารณสุข Journal of Health Science ส�านักวิชาการสาธารณสุข กระทรวงสาธารณสุข Health Technical Office, Ministry of Public Health ปีที ่ 29 ฉบับพิเศษ มกราคม - กุมภาพันธ์ 2563 Vol. 29 Special Issue, January - February 2020 Contents Page number The Current Situation of the Herbal Medicinal Product System in Thailand S82 Pakakrong Kwankhao, et al. The Landscape of Biologics Drug System in Thailand S96 Suthira Taychakhoonavudh, et al. Situation of Data and Pharmaceutical Information Systems in Thailand S112 Netnapis Suchonwanich, et al. Current Situation of the Modern Pharmaceutical Manufacturing Industry in Thailand S129 Sathaporn Nimkulrat, et al. Pharmacy Workforce: a Call for Professional Cohesion to Meet the Rising Healthcare Demand S141 Puckwipa Suwannaprom, et al. International Trade Agreements and Impact on Medicine System: the Causal Relations? S153 Chutima Akaleephan, et al. Political Economy of Thailand Drug System: What Lessons Learned? S167 Vichai Chokevivat Challenges and Opportunities for Improving the Drug System in Thailand S188 Noppakun Thammatacharee, et al. วารสารวิชาการสาธารณสุข Journal of Health Science ปีที่ 29 ฉบับพิเศษ มกราคม - กุมภาพันธ์ 2563 Vol. 29 Special Issue, January - February 2020 Journal of Health Science Introduction Preparation of Manuscript Journal of Health Science is published by Health A manuscript should be prepared as follow: Technical Office, Ministry of Public Health, Thailand. 1. The structure of original article should be in the The Journal has been published regularly since 1992. following order: The publications are managed by an editorial team - Title appointed by the Ministry of Health. The team is - Author name(s), with abbreviation of academ- comprised of outstanding technical experts within the ic qualification (such as B.Sc., M.D., or Ph.D.) Ministry and from various leading medical and health - Author address(es) institutions. In addition, several multidisciplinary ex- - Key words, 1-5 key words in alphabetic order perts are invited to support the Journal in the capac- - Introduction ity of reviewers who carefully reviewed the quality of - Material and Methods submitted manuscripts before being accepted for - Results publication. Six issues of the Journal are produced - Discussion each year: (1) January-February, (2) March-April, - Acknowledgement (3) May-June, (4) July-August, (5) Spetember-Oc- - References tober, and (6) November-December. 2. The Health Science Journal uses a citation The Journal of Health Science welcomes all kinds method that follows the Uniform Requirements for of health-related articles. These included: Manuscripts Submitted to Biomedical Publication 1. Original article (Vancouver Style). Abbreviations should be based on 2. Review article the U.S. National Library of Index Medicus. 3. Special article 3. A manuscript can be submitted online at: 4. Case report https://digitaljournals.moph.go.th. It should be sub- 5. Miscellany litted in Word format. 6. Letters to the editor, All submission will be acknowledged by the Each article must not be published elsewhere; and Editor. Those unaccepted will also be notified. The the contents of the article should not exceed 10 pag- Editor reserves right to edit all manuscripts for prop- es. er publication according to the format of the Journal. วารสารวิชาการสาธารณสุข Journal of Health Science ส�านักวิชาการสาธารณสุข Health Technical Office กระทรวงสาธารณสุข Ministry of Public Health The Committee for the Journal of Health Science Advisory Committee Permanent Secretary for Public Health Deputy Permanent Secretary (Dr Supakit Sirilak) Director Generals of all departments in Ministry of Public Health Secretary General, Food and Drug Administration President, Praborommarajchanok Institute Director, Government Pharmaceutical Organization Director, Health System Research Institute Chief, Office of the Inspector Generals Chief, Health Technical Office EDITORS Editor-in-Chief Deputy Editor Deputy Editor Dr Wiwat Rojanapithayakorn Dr Rungruang Kitpati Dr Kritsada Sawangdee Mahidol University Health Technical Office Health Technical Office EDITORIAL BOARD Dr.Jureerat Kijsomporn Dr.Juraporn Krates Prof.Dr.Tippawan Liabsuetrakul Dr.Teeraporn Sathiraangkura Research Division Health Technical Office Faculty of Medicine Health Technical Office Praboromrajchanok Institute Office of the Permanent Secretary Prince of Songkhla University Office of the Permanent Secretary Banjert Dechasilapachaigoon Dr. Busarawan Sriwanthana Prof. Dr. Prasert Assantachai Dr. Piya Hanvoravongchai Health Technical Office Medical Sciences Technical Office Faculty of Medicine Siriraj Hospital Faculty of Medicine Office of the Permanent Secretary Department of Medical Sciences Mahidol University Chulalongkorn University Dr.Phunapa Kittiratnapaiboon Dr.Phattarapol Jungsomjatepaisai Prof.Dr.Pisake Lumbiganon Asst.Prof.Dr.Phudit Tetjativaddhana Bureau of Mental Health Academic Health Technical Office Faculty of Medicine ASEAN Institute for Health Development Affairs, Department of Mental Health Office of the Permanent Secretary Khon Kaen University Mahidol University Dr.Phusit Prakongsai Prof. Dr. Manote Lotrakul Dr. Ratchanee Chantraket Prof. Dr. Wichai Aekplakorn Health Technical Office Faculty of Medicine Ramathibodi Office of Data and Evaluation, Department Faculty of Medicine Ramathibodi Office of the Permanent Secretary Hospital, Mahidol University of Thai Traditional and Alternative Medicine Hospital, Mahidol University Dr. Supachai Kunaratapruk Dr. Supachai Rerkngam Prof. Dr. Supasit Pannarunothai Dr. Sombat Thanphasertsuk Office of the President AIDS Prevention Foundation Centre for Health Equity Office of the Senior Experts Rangsit University Monitoring Foundation, Phitsanulok Department of Disease Control Dr. Sompong Chaiopanont Dr. Salakchit Chutipongvivate Prof. Dr. Sukhontha Kongsin Prof. Dr. Suwat Chariyalertsak Office of the Senior Experts Association of Medical Technologist Faculty of Public Health Faculty of Public Health Department of Health of Thailand Mahidol University Chiang Mai University Prof. Sawang Boonchalermvipas Dr. Attasit Srisubat Assoc. Prof. Aroon Chirawatkul Thammasat Thammarak Hospice Institute of Medical Research and Technology Faculty of Public Health Thammasat University Assessment, Department of Medical Services Khon Kaen University Management Team, Health Technical Office, Office of the Permanent Secretary for Public Health Dr. Suriyaporn Tungsrisakul Dr. Juraporn Krates Sumalee Sakphiofad Mayuree Jongsiri Dr. Benthira Rachatapantanakorn Wipada Chupukchee Vorawalan Injan Lanlalin Rueanglue วารสารวิชาการสาธารณสุข Journal of Health Science ปีที่ 29 ฉบับพิเศษ มกราคม - กุมภาพันธ์ 2563 Vol. 29 Special Issue, January - February 2020 บทบรรณาธิการ Editorial Thai Drug Systems 2020 While medicines play a crucial role in the health Health, Thailand, includes 14 articles des- cribing systems, they also contribute to the rapidly increasing various components of the Thai drug systems. All cost of providing health services. In Thailand, articles are extracted from the 14 chapters in the third medicine prices, particularly single-source manufac- Thai Drug System Report 2019. The report assessed turer or patented drugs are often higher than those in current situations, and proposed concrete recommen- many high-income countries. The World Health dations for development. The Report, since it first Organization estimates that globally up to 40 per cent edition in 1995, has been well recognized and of medicines are used irrationally. Additionally, the widely referred to among Thai academics, researchers, irrational use of medicines creates tremendous side and and policy advocates. This theme issue, in English, toxic effects. There is also evidence that differences now attempts to meet the interests of the inter- in health insurance schemes lead to inequitable access national community to essential medicines. The authors are experts from various ‘walk of lives’ To achieve the goal of the sustainable Universal related to medicines systems, from both public and Health Coverage – universal access to essential health private sector. They include academics, health services and technologies without financial barrier -- professionals, civil society organizations and policy a country needs a decent and well managed medicine makers. Although the chapters and articles have been systems. The systems include how essential medicines extensively reviewed including a few face-to-face are
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