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MTM-based pharmacist–doctor collaboration and outcomes in type 2 diabetes primary care Sahat Saragi; Umi Athiyah; Ade Iva Murty
Pharmaciana Vol. 16 No. 2 (2026): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/pharmaciana.v16i2.31694

Abstract

Medication Therapy Management (MTM) represents a patient-centered pharmaceutical care strategy that necessitates robust interprofessional collaboration, especially between pharmacists and physicians. Within Indonesia's National Health Insurance framework administered by BPJS Kesehatan, healthcare delivery operates through a tiered referral system prioritizing primary care via First-Level Health Facilities (FKTP). The growing emphasis on strengthening primary care engagement and alleviating hospital overcrowding underscores the critical need for optimized health professional collaboration at this level. This study investigated the impact of MTM-based collaborative practice between pharmacists and physicians on clinical outcomes in type 2 diabetes mellitus patients at primary healthcare settings. A quantitative quasi-experimental approach employing a non-randomized pre–post intervention–control design was carried out across FKTP facilities in Central, South, and West Jakarta. Study participants consisted of pharmacist–physician pairs executing MTM-based collaboration alongside type 2 diabetes mellitus patients registered under the Chronic Disease Management Program (PRB). Eight collaborative pairs were established, encompassing 80 patients divided equally into intervention and control groups of 40 each. Measured clinical indicators included Fasting Blood Glucose (FBG), 2-hour Postprandial Glucose (2h-PPG), blood pressure, and total cholesterol, assessed at baseline and following a three-month intervention period. Statistical analysis utilized paired and independent tests based on data distribution, with significance established at p < 0.05. Findings revealed statistically significant improvements across multiple clinical parameters relative to baseline values (p < 0.05), encompassing glycemic indices, blood pressure levels, and lipid profiles. Within the scope of this study's limitations, MTM-driven pharmacist–physician collaboration demonstrated potential in enhancing clinical outcomes for type 2 diabetes mellitus patients in primary care settings. Subsequent research incorporating larger multicenter populations and extended intervention durations is encouraged to assess the long-term sustainability of this collaborative model.
The Effect of MTM-Based Pharmacist Counseling on Improved Behavior and Clinical Outcomes of Type 2 Diabetes Patients Tatag Mulyadi; Sahat Saragi; Nurita Andayani
Midwinerslion : Jurnal Kesehatan STIKes Buleleng Vol 8 No 1 (2023): MIDWINERSLION Jurnal Kesehatan STIKes Buleleng
Publisher : LPPM STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v8i1.272

Abstract

Badan Penyelenggara Jaminan Sosial Kesehatan menerapkan pelayanan obat di Apotek oleh Apoteker berbasis Medication Therapy Management  (MTM) bagi peserta Program Rujuk Balik. Ini dilakukan karena tingkat kunjungan peserta ke Fasilitas Kesehatan Tingkat Pertama rendah. Penelitian bertujuan untuk mengetahui pengaruh konseling Apoteker berbasis MTMterhadap peningkatan perilaku (pengetahuan, sikap, praktik) dan capaian klinis pasien diabetes  melitus tipe 2 PRB. Metodologi penelitian ini menggunakan rancangan Quasi Experimental, pre and post design. Hasil Uji beda berpasangan untuk melihat pengaruh konseling Apoteker berbasis MTM terhadap peningkatan pengetahuan, sikap, praktik dan capaian klinis dengan membandingkan data pre dan post penelitian, pada kelompok intervensi dan kelompok kontrol. Nilai asymp.Sig. (2-tailed) ˂ 0,050 menunjukkan ada pengaruh yang signifikan. Hasil pengujian di kelompok intervensi, menunjukkan ada pengaruh intervensi konseling Apoteker berbasis MTM secara signifikan terhadap peningkatan pengetahuan, sikap, praktik dan penurunan kadar gula darah puasa. Pada kelompok kontrol, tidak ada intervensi konseling Apoteker berbasis MTM,  secara signifikan juga terjadi peningkatan pengetahuan, sikap dan praktik. Namun pada penurunan kadar gula darah puasa, didapatkan nilai asymp. Sig. (2-tailed)  0,102 > 0,050, artinya secara signifikan tidak ada penurunan kadar gula darah puasa. Pengaruh intervensi konseling Apoteker berbasis MTM dapat meningkatkan  pengetahuan, sikap, dan praktik dan penurunan kadar gula darah puasa.
Model Bisnis Klinik POLTRADA sebagai Fasilitas Kesehatan Tingkat Pertama (FKTP) Berbasis Blue Ocean Strategy (BOS) Wilayah Tabanan Bali: indonesia Reinaldy Yuda Afriza; Sahat Saragi; Lies Putriana
PendIPA Journal of Science Education Vol 9 No 2 (2025): June
Publisher : UNIB Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/pendipa.9.2.413-422

Abstract

Poltrada Clinic is one of the First Level Health Facilities in Bali that serves 634 ‘BPJS Kesehatan’ participants. The clinic under the Ministry of Transportation has the opportunity to develop its services and business reach along with the development of the number of industries in Tabanan. Therefore, its performance needs to be evaluated to formulate an optimal business strategy. The analysis method uses SWOT analysis followed by the Quantitative Strategic Planning Matrix and Blue Ocean Strategy approaches to obtain the right strategic priorities and business models. Data collection was carried out by interviewing 8 informants. The results of the data analysis show: The SWOT matrix produces (x, y = 0.84; 1.89) where this point is in quadrant I, which means the clinic is in a favorable situation. Based on the CPM results from 7 key factors, Poltrada Clinic has a score of 3.49 which is in the first position compared to 3 existing clinics. This means that Poltrada Clinic has a stronger competitive advantage in various key factors for the success of the health service industry. The results of the QSPM matrix processing show that the highest value lies in alternative strategy 1, namely "Utilizing qualified facilities, existing human resources, complete health services, fast-accurate services and 24-hour services to attract cooperation with companies and transportation agencies in conducting basic MCU tests (S3, S4, S7, S8, S9, O3)". The strategy canvas shows a high offering value for each competency factor. Based on the blue ocean strategy, the Bali Poltrada Clinic must eliminate the inpatient room facility which is now an observation room to reduce operational costs. Reduce Operational costs due to excess human resources by maximizing the role of each profession. Raise ongoing digitalization, work motivation with performance-based incentives, and improve the clinic’s image through active promotion. Create basic MCU services, telemedicine services and collaborate with BPJS, companies including hotel/resorts, department of Transportation and physiotherapy. Poltrada Clinic is also advised to introduce a new tagline, namely: "Accurate examination, ready in 25 hours" which means accurate examination with the support of telemedicine technology, quality MCU services, and readiness more than just 24 hours for better health.