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All Journal Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) JURNAL FARMASIMED (JFM) Jurnal Kesmas Prima Indonesia JURNAL ILMIAH ADVOKASI JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Best Journal (Biology Education, Sains and Technology) Jurnal Prima Medika Sains Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Ilmiah Wahana Pendidikan Jurnal Antara Abdimas Kebidanan Jurnal Pengmas Kestra (JPK)
Lubis, Basyariah
Institut Kesehatan Medistra Lubuk Pakam
Religion Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Evaluation Of Medicine Procurement Policies On Health Administration And Medicine Demand at X Community Health Center, Deli Serdang Regency In 2025 Meirizal Jefrinaldi; Romauli Anna Teresia Marbun; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/7v0hjk62

Abstract

Background: The 2020–2024 health development agenda emphasizes strengthening primary health services and the utilization of technology, making drug availability an important indicator of service quality. Proper drug management through planning, procurement, distribution, and stock control—supported by competent human resources, adequate funding, and reliable information systems, is essential to prevent stockouts and ensure service continuity. Objective: To analyze and evaluate drug procurement policies in relation to health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025 using a qualitative approach. Methods: This study employed a qualitative research design aimed at analyzing and evaluating drug procurement policies and their impact on health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025. Results: The findings indicate that drug management is supported by structured policies, competent personnel, relatively adequate though limited budgets, and the use of SIMO, which improves data accuracy. However, policy flexibility and system reliability still need improvement. The procurement process has followed the stages of planning, submission, and distribution with fairly good interdepartmental coordination. Remaining challenges include delays in distribution, slow financial administration processes, and discrepancies between physical stock and system records. Overall, drug procurement has had a positive impact on health administration and service fulfillment, as reflected by relatively stable drug availability. Nevertheless, improvements in procurement speed, supply accuracy, and e-logistics system stability are still required to optimize service quality. Conclusion: Drug management and procurement have been implemented relatively well, supported by structured policies, competent personnel, budget allocation, and the SIMO system, resulting in relatively stable drug availability. However, challenges remain in distribution delays, financial administration, stock discrepancies, and e-logistics system stability, which need to be addressed to further enhance service quality.
The Role of Quality Management in Ensuring the Accuracy of Clinical Laboratory Teest Result at Grandmed Lubuk Pakam Hospital Ramadhani, Siti; Ritonga, Ahmad Hafizullah; Lubis, Basyariah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/gx956d91

Abstract

Clinical laboratories hold an important role in modern healthcare services because approximately 60–70% of medical decisions depend on laboratory examination results. Therefore, the accuracy of these results becomes a fundamental aspect that must be maintained through the implementation of comprehensive quality management. Laboratory quality is strongly influenced by three main phases, namely the pre-analytic, analytic, and post-analytic phases. Various studies show that most errors occur in the pre-analytic phase, such as incorrect patient identification, improper specimen collection, and unsuitable storage conditions. Thus, the ability of laboratory personnel to apply standard operating procedures (SOPs) becomes a crucial factor in efforts to improve result accuracy. This study aims to analyze the relationship between human resource competence, the implementation of Quality Assurance (QA), and Quality Control (QC) with the accuracy of laboratory examination results at Grandmed Lubuk Pakam Hospital. The research used a quantitative approach with a cross-sectional design and involved 30 laboratory personnel. Data were obtained through structured questionnaires and analyzed using the Spearman’s rho correlation test. The results showed a very strong relationship between human resource competence and examination accuracy (r = 0.938; p < 0.001), QA and accuracy (r = 1.000; p < 0.001), as well as QC and examination accuracy (r = 0.984; p < 0.001). These findings emphasize that good quality management—supported by competent laboratory personnel and consistent implementation of QA and QC—plays a major role in ensuring the accuracy of examination results. Regular quality evaluations are necessary to improve patient safety and support more accurate clinical decision-making.ongoing basis through improving laboratory personnel competence, ensuring consistent application of QA and QC at all stages of laboratory testing, and conducting regular quality evaluations to support patient safety and accurate clinical decision-making.
Evaluation of Nurses’ Readiness at the Puskesbun Clinic of PTPN IV Langkat in Managing Medical Emergencies among Plantation Workers Harsya, Ridwanul Hakim; Gurusinga, Rahmad; Lubis, Basyariah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1j5n8w64

Abstract

Medical emergencies represent a significant occupational health risk frequently encountered by plantation workers due to the physically demanding nature of their work, the use of work equipment, and exposure to specific environmental conditions. Nurses’ readiness in managing emergency situations is strongly influenced by their level of knowledge, first aid skills, and the availability of healthcare service support. Therefore, this study aimed to examine the readiness of nurses in plantation clinics in dealing with medical emergencies by considering the existing clinical service support.  This study employed a qualitative design with a thematic approach and was conducted at the Puskesbun Clinic of PTPN IV Langkat. The research informants consisted of plantation workers, clinic healthcare personnel, and clinic managers selected through purposive sampling. Data were collected through in-depth interviews, field observations, and document reviews. Data analysis was carried out using thematic analysis, which included data reduction, data display, and conclusion drawing.  The findings indicated that most nurses in plantation clinics possess basic readiness in identifying medical emergency conditions; however, their first aid skills remain limited. Clinical service support plays a significant role in enhancing nurses’ readiness, particularly through the availability of healthcare personnel, initial emergency care services, and medical referral systems. The identified challenges include limited emergency training for nurses, inadequate facilities and infrastructure, and long distances and travel time to referral healthcare facilities.  In conclusion, the readiness of nurses in plantation clinics to manage medical emergencies is not yet optimal and requires further improvement through continuous training, enhancement of clinical facilities, and the development of more effective referral coordination systems.
Evaluation of Drug Procurement Policy on Health Administration and Drug Demand at Lubuk Pakam Community Health Center Jefrinaldi, Meirizal; Marbun, Romauli Anna Teresia; Lubis, Basyariah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pyfz2d97

Abstract

Background: Drug availability is an important indicator in ensuring service continuity and the quality of primary healthcare facilities. An effective drug management system can improve community access to medicines through the strengthening of primary healthcare services. Accurate needs planning, stock control, and procurement processes are key factors in maintaining the continuity of healthcare services. This study aimed to evaluate the drug procurement policy in relation to health administration and drug demand at Lubuk Pakam Public Health Center.  Methods: This study employed a qualitative approach with a descriptive evaluative design. Data were collected through in-depth interviews, observation, and document review. The main informants consisted of the Head of the Public Health Center, the responsible pharmacist, and a pharmaceutical management officer (TTK). Triangulation informants included the treasurer, e-logistics system officer (SIMO), and a nurse.  Results: The findings showed that drug procurement had been implemented relatively well and systematically through the stages of planning, submission through SIMO, distribution, recording, and periodic evaluation. Coordination among staff was carried out through routine meetings and internal communication, which supported stock monitoring and the handling of drug needs. The SIMO system facilitated recording and drug needs planning, although technical obstacles such as network disruptions and slow synchronization were still encountered. Other challenges included budget limitations, delayed fund disbursement, delayed distribution, discrepancies between requested and received medicines, and differences between physical stock and system data. Drug availability greatly influenced service quality, and when shortages occurred, drug substitution was carried out based on pharmacist recommendations.  Conclusion: The drug procurement policy at Lubuk Pakam Public Health Center has had a positive impact on health administration and the fulfillment of drug needs. However, improvements are still needed in procurement flexibility, acceleration of financial administration, supply accuracy, and the reliability of the e-logistics system to further optimize healthcare service quality.
Co-Authors Achmad Rifai ACHMAD RIFAI Achmad Rifai Adela Sari Lubis Aritonang, Esra Puspita Barita Barita Br Bangun, Sri Melda Br Girsang, Desri Meriahta Budi Aswin David Ginting Delita Panjaitan Dwi Handayani Fadlilah Widyaningsih Felix Kasim Felix Kasim Harahap, Mutiara Hatni Harsya, Ridwanul Hakim Hasni Yaturramadhan Harahap Herlina H Ika Nur Saputri Irma Nurianti Irmayani Irmayani Iskandar Markus Iskandar Markus Iskandar Markus Sembiring Jansfianti, Mira Jefrinaldi, Meirizal Juliandi Harahap Jurpia Yasara Koropit, Sesca Vanda Latifah Hanim Lubis, Samran Maswan Daulay Meirizal Jefrinaldi Munthe, Novita Br Ginting Novita Br Ginting Nur Indrawaty Lipoeto Nurmala Sari Nursaputri, Ika Purwati, Yunita Putri Damayanti Damanik Rahma, Amalia Nur Rahmad Gurusinga Rahmad Gurusinga Raini Panjaitan Raisha Octavariny Ramadhani, Siti Redyanto Sidi Rinanda Desela Br Tambunan Riri Safitri Rismauli Situmorang Rizka Wulandari Romauli Anna Teresia Marbun Ronny Ajartha Ronny Ajharta Rosfita Rasyid Rotua Sumihar Sitorus Rozi Sastra Purna Safrida Nuzul Hayati Saiful Batubara Saman Sinambela, Ika Mariani Siregar, GF Gustina Siti Sarah Bintang Siti Wahyuni Situmorang, Manotar Sri Melda Bangun Sri Wahyuni Sri Wulan Suci Wulandari Surio Retno Susi, Susilawati Tioman Deliana Titin Novayanti Dey Wasliati, Balqis Widyaningsih, Fadlilah Yuni Adelia