Hospital pharmacists’ satisfaction with antimicrobial resistance management in Thailand
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Keywords

Antimicrobial resistance
attitude
hospital pharmacist
job satisfaction
opinion

How to Cite

Khunjan, S., Pumtong, S., & Anuratpanich, L. (2022). Hospital pharmacists’ satisfaction with antimicrobial resistance management in Thailand. Life Sciences, Medicine and Biomedicine, 6(1). https://doi.org/10.28916/lsmb.6.1.2022.97

Abstract

Since 2017, antimicrobial resistance (AMR) management has been one of the key performance indicators (KPIs) of tertiary hospitals in Thailand. Pharmacists are an integral part of a multidisciplinary team combating AMR in hospitals. There has been no previous research on Thai pharmacists’ satisfaction with AMR management. This study aimed to investigate hospital pharmacists’ opinions, attitudes, and job satisfaction regarding AMR management as well as the relationships between variables. A cross-sectional survey was conducted. Self-administered questionnaires were posted to both public and private hospitals (n=1,298) across Thailand. Between April and July of 2021, data was collected. Descriptive statistics, Mann Whitney U test, and Kruskal Wallis test were used for analysis. A total of 249 pharmacists who were actively involved in AMR management in their hospitals completed questionnaires. The response rate was 19.2%. The respondents’ average age was 37.20±8.2 years. Most of the pharmacists (77.5%) were female. The average number of years spent as a hospital pharmacist was 12.3±8.2. Approximately 63% believed it was worthwhile to work in AMR management and they liked their current job. Secondary hospital pharmacists had more favorable attitudes than tertiary hospital pharmacists. In terms of job satisfaction, pharmacists in secondary hospitals reported higher level of satisfaction with their salary than pharmacists in the tertiary hospitals (p=0.000). Regarding gender, work competency and career path were found to be statistically significant (p < .05). Males expressed greater satisfaction with work competency than females, whereas females expressed greater satisfaction with their career path. Pharmacists' opinions, attitudes, and job satisfaction with AMR management were significantly positively associated. It can be stated that the hospital pharmacists were optimistic about AMR management. While the majority of them expressed satisfaction with their jobs, improving some factors such as job-related skills and career path is necessary to retain health care professionals in hospitals.

https://doi.org/10.28916/lsmb.6.1.2022.97
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References

Centers for Disease Control and Prevention. (2019). Core elements of hospital antibiotic stewardship programs. US Department of Health and Human Services. Retrieved from https://www.cdc.gov/antibiotic-use/core-elements/hospital.html

Charani, E., & Holmes, A. H. (2013). Antimicrobial stewardship programmes: the need for wider engagement. BMJ quality & safety, 22(11), 885-887.

https://doi.org/10.1136/bmjqs-2013-002444

European Centre for Disease Prevention and Control. (2019). Survey of healthcare workers' knowledge, attitudes and behaviours on antibiotics, antibiotic use and antibiotic resistance in the EU/EEA.

Kallen, M. C., Ten Oever, J., Prins, J. M., Kullberg, B. J., Schouten, J. A., & Hulscher, M. (2018). A survey on antimicrobial stewardship prerequisites, objectives and improvement strategies: systematic development and nationwide assessment in Dutch acute care hospitals. The Journal of antimicrobial chemotherapy, 73(12), 3496-3504.

https://doi.org/10.1093/jac/dky367

Lim, C., Takahashi, E., Hongsuwan, M., Wuthiekanun, V., Thamlikitkul, V., Hinjoy, S., Day, N. P., Peacock, S. J., & Limmathurotsakul, D. (2016). Epidemiology and burden of multidrug-resistant bacterial infection in a developing country. eLife, 5, e18082.

https://doi.org/10.7554/eLife.18082.022

Ministry of Agriculture and Cooperatives and Ministry of Public Health. (2016). Thailand's National Strategic Plan on Antimicrobial Resistance 2017-2021. Retrieved from https://www.who.int/publications/m/item/thailand-national-strategic-plan-on-antimicrobial-resistance-2017-2021

Ministry of Public Health. (2019). Integrated AMR Management (IAM) in hospital: Thailand's Strategic Plan on Antimicrobial Resistance 2017-2021. Retrieved from https://amrthailand.net/uploads/strategy/73/Final_Factsheet_IAM_EN.pdf

Ministry of Public Health. (2016a). Guideline for Antimicrobial Resistance Management in Hospital. Retrieved from http://dmsic.moph.go.th/index/detail/6885

Ministry of Public Health. (2016b). Template Key Performance Indicator Ministry of Public Health 2017. Retrieved from https://bps.moph.go.th/new_bps/node/91

O'Neill, J. (2014). Review on Antimicrobial Resistance. Antimicrobial Resistance: Tackling a Crisis for the Health and Wealth of Nations. HM Government.

Phodha, T., Riewpaiboon, A., Malathum, K., & Coyte, P. C. (2018). Excess annual economic burdens from nosocomial infections caused by multi-drug resistant bacteria in Thailand. Expert Review of Pharmacoeconomics & Outcomes Research.

https://doi.org/10.1080/14737167.2019.1537123

Phumart, P., Phodha, T., Thamlikitkul, V., Riewpaiboon, A., Prakongsai, P., & Limwattananon, S. (2012). Health and Economic Impacts of Antimicrobial Resistant Infections in Thailand: A Preliminary study. Journal of Health Services Research & Policy, 6(3), 352-60.

Redmond, P., & McGuinness, S. (2019). Explaining the Gender Gap in Job Satisfaction. Institute of Labor Economics (IZA). https://doi.org/10.2139/ssrn.3475809

Sutthiruk, N., Considine, J., Hutchinson, A., Driscoll, A., Malathum, K., & Botti, M. (2018). Thai clinicians' attitudes toward antimicrobial stewardship programs. American Journal of Infection Control, 46(4), 425-430.

https://doi.org/10.1016/j.ajic.2017.09.022

World Health Organization. (2015). Global Action Plan on Antimicrobial resistance. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/9789241509763

World Health Organization. (2019). Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: A WHO practical toolkit. Geneva: World Health Organization. Retrieved from

https://apps.who.int/iris/handle/10665/329404

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