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The social role of C-reactive protein point-of-care testing to guide antibiotic prescription in Northern Thailand

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  • Haenssgen, Marco J.
  • Charoenboon, Nutcha
  • Althaus, Thomas
  • Greer, Rachel C.
  • Intralawan, Daranee
  • Lubell, Yoel

Abstract

New and affordable point-of-care testing (POCT) solutions are hoped to guide antibiotic prescription and to help limit antimicrobial resistance (AMR)—especially in low- and middle-income countries where resource constraints often prevent extensive diagnostic testing. Anthropological and sociological research has illuminated the role and impact of rapid point-of-care malaria testing. This paper expands our knowledge about the social implications of non-malarial POCT, using the case study of a C-reactive-protein point-of-care testing (CRP POCT) clinical trial with febrile patients at primary-care-level health centres in Chiang Rai province, northern Thailand. We investigate the social role of CRP POCT through its interactions with (a) the healthcare workers who use it, (b) the patients whose routine care is affected by the test, and (c) the existing patient-health system linkages that might resonate or interfere with CRP POCT. We conduct a thematic analysis of data from 58 purposively sampled pre- and post-intervention patients and healthcare workers in August 2016 and May 2017.

Suggested Citation

  • Haenssgen, Marco J. & Charoenboon, Nutcha & Althaus, Thomas & Greer, Rachel C. & Intralawan, Daranee & Lubell, Yoel, 2018. "The social role of C-reactive protein point-of-care testing to guide antibiotic prescription in Northern Thailand," Social Science & Medicine, Elsevier, vol. 202(C), pages 1-12.
    • Handle: RePEc:eee:socmed:v:202:y:2018:i:c:p:1-12
    DOI: 10.1016/j.socscimed.2018.02.018
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    References listed on IDEAS

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    4. le Grand, Amanda & Sri-ngernyuang, Luechai & Streefland, Pieter H., 1993. "Enhancing appropriate drug use: The contribution of herbal medicine promotion: A case study in rural Thailand," Social Science & Medicine, Elsevier, vol. 36(8), pages 1023-1035, April.
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    Cited by:

    1. Troels Kristensen & Kim Rose-Olsen & Christian Volmar Skovsgaard, 2020. "Effects of Point-Of-Care Testing in General Practice for Type 2 Diabetes Patients on Ambulatory Visits and Hospitalizations," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    2. Haenssgen, Marco J. & Savage, Jessica & Yeboah, Godwin & Charoenboon, Nutcha & Srenh, Sorn, 2021. "In a network of lines that intersect: The socio-economic development impact of marine resource management and conservation in Southeast Asia," World Development, Elsevier, vol. 146(C).
    3. Haenssgen, Marco J. & Charoenboon, Nutcha & Zanello, Giacomo, 2021. "You’ve got a friend in me: How social networks and mobile phones facilitate healthcare access among marginalised groups in rural Thailand and Lao PDR," World Development, Elsevier, vol. 137(C).
    4. Helen Lambert & Meixuan Chen & Christie Cabral, 2019. "Antimicrobial resistance, inflammatory responses: a comparative analysis of pathogenicities, knowledge hybrids and the semantics of antibiotic use," Palgrave Communications, Palgrave Macmillan, vol. 5(1), pages 1-13, December.

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