IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v202y2018icp1-12.html

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618300741
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.02.018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Kroeger, Axel, 1983. "Anthropological and socio-medical health care research in developing countries," Social Science & Medicine, Elsevier, vol. 17(3), pages 147-161, January.
    2. Tom Scott-Smith, 2013. "The fetishism of humanitarian objects and the management of malnutrition in emergencies," Third World Quarterly, Taylor & Francis Journals, vol. 34(5), pages 913-928.
    3. repec:wbk:wbpubs:26447 is not listed on IDEAS
    4. Chandler, Clare I.R. & Mangham, Lindsay & Njei, Abanda Ngu & Achonduh, Olivia & Mbacham, Wilfred F. & Wiseman, Virginia, 2012. "‘As a clinician, you are not managing lab results, you are managing the patient’: How the enactment of malaria at health facilities in Cameroon compares with new WHO guidelines for the use of malaria tests," Social Science & Medicine, Elsevier, vol. 74(10), pages 1528-1535.
    5. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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. Majid, Tamanna & Rahman, Ahmed Ehsanur & Perkins, Janet E., 2025. "The promises and limits of standardisation through paper-based technologies: An ethnographic exploration of integrated management of childhood illness (IMCI) in Bangladesh," Social Science & Medicine, Elsevier, vol. 366(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. 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).
    5. Haenssgen, Marco J & Leepreecha, Prasit & Sakboon, Mukdawan & Chu, Ta-Wei, 2026. "“I have already died in this PLACE:” livelihood impact pathways of conservation and land use change among highland Indigenous groups in northern Thailand," World Development, Elsevier, vol. 199(C).
    6. Helen Lambert & Meixuan Chen & Christie Cabral, 2019. "Antimicrobial resistance, inflammatory responses: a comparative analysis of pathogenicities, knowledge hybrids and the semantics of antibiotic use," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 5(1), pages 1-13, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Stekelenburg, Jelle & Jager, Bastiaan E. & Kolk, Pascal R. & Westen, Esther H. M. N. & Kwaak, Anke van der & Wolffers, Ivan N., 2005. "Health care seeking behaviour and utilisation of traditional healers in Kalabo, Zambia," Health Policy, Elsevier, vol. 71(1), pages 67-81, January.
    2. Wild, Kayli & Barclay, Lesley & Kelly, Paul & Martins, Nelson, 2010. "Birth choices in Timor-Leste: A framework for understanding the use of maternal health services in low resource settings," Social Science & Medicine, Elsevier, vol. 71(11), pages 2038-2045, December.
    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. Tarek Drissi Bouzaidi & Aziz Ragbi, 2024. "An analysis of the trend towards universal health coverage and access to healthcare in Morocco," Health Economics Review, Springer, vol. 14(1), pages 1-15, December.
    5. Afolabi, Funmilayo Juliana & De Beer, Paul & Haafkens, Joke A., 2020. "Orthodox or traditional medicine? Private or public healthcare? Exploring treatment pathways for occupational health problems among informal automobile artisans," Social Science & Medicine, Elsevier, vol. 265(C).
    6. Jehu-Appiah, Caroline & Aryeetey, Genevieve & Spaan, Ernst & de Hoop, Thomas & Agyepong, Irene & Baltussen, Rob, 2011. "Equity aspects of the National Health Insurance Scheme in Ghana: Who is enrolling, who is not and why?," Social Science & Medicine, Elsevier, vol. 72(2), pages 157-165, January.
    7. Nisbett, Nicholas, 2019. "Understanding the nourishment of bodies at the centre of food and health systems – systemic, bodily and new materialist perspectives on nutritional inequity," Social Science & Medicine, Elsevier, vol. 228(C), pages 9-16.
    8. Habtom, G., 2006. "Health Care Governance in Developing Countries : The Case of Eritrea," Other publications TiSEM 289e6243-bb73-4d66-a6a1-8, Tilburg University, School of Economics and Management.
    9. Mampi Bose, 2019. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India," Indian Journal of Human Development, , vol. 13(1), pages 47-70, April.
    10. Wong, William C.W. & Gray, Sister Ann & Ling, Davina C. & Holroyd, Eleanor A., 2006. "Patterns of health care utilization and health behaviors among street sex workers in Hong Kong," Health Policy, Elsevier, vol. 77(2), pages 140-148, July.
    11. Ashley E Pickering & Heather M Dreifuss & Charles Ndyamwijuka & Mark Nichter & Bradley A Dreifuss & on behalf of the Global Emergency Care Collaborative Investigators, 2022. "Getting to the Emergency Department in time: Interviews with patients and their caregivers on the challenges to emergency care utilization in rural Uganda," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-19, August.
    12. Sato, Azusa, 2012. "Does socio-economic status explain use of modern and traditional health care services?," Social Science & Medicine, Elsevier, vol. 75(8), pages 1450-1459.
    13. Henrice Altink, 2020. "Tackling child malnutrition in Jamaica, 1962–2020," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 7(1), pages 1-14, December.
    14. Ramos, Amaya Alexandra, 2022. "Opportunities for enhanced institutional accountability and professionalization: Essay on the relationships between refugee resettlement organizations, humanitarian bodies, industry and academia," SocArXiv ef89d, Center for Open Science.
    15. Lindstrom, David P & Muñoz-Franco, Elisa, 2006. "Migration and maternal health services utilization in rural Guatemala," Social Science & Medicine, Elsevier, vol. 63(3), pages 706-721, August.
    16. Haenssgen, Marco J., 2018. "The struggle for digital inclusion: Phones, healthcare, and marginalisation in rural India," World Development, Elsevier, vol. 104(C), pages 358-374.
    17. Naoko Ohata, 2026. "Repoliticizing Hunger: A Cultural Lens to Reframe Knowledge and Care in Humanitarian Food Aid," Development, Palgrave Macmillan;Society for International Deveopment, vol. 69(1), pages 118-126, March.
    18. Friend-du Preez, Natalie & Cameron, Noël & Griffiths, Paula, 2013. "“So they believe that if the baby is sick you must give drugs…” The importance of medicines in health-seeking behaviour for childhood illnesses in urban South Africa," Social Science & Medicine, Elsevier, vol. 92(C), pages 43-52.
    19. Pouliot, Mariève, 2011. "Relying on nature’s pharmacy in rural Burkina Faso: Empirical evidence of the determinants of traditional medicine consumption," Social Science & Medicine, Elsevier, vol. 73(10), pages 1498-1507.
    20. Alexandra K. Heaney & Sandra J. Winter, 2016. "Climate-driven migration: an exploratory case study of Maasai health perceptions and help-seeking behaviors," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 641-649, July.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:202:y:2018:i:c:p:1-12. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.