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Narrative Review: Lean Management dalam Pengelolaan Perbekalan Farmasi Abdul Hadi; Diesty Anita Nugraheni
INSOLOGI: Jurnal Sains dan Teknologi Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/insologi.v5i1.7082

Abstract

Effective administration of pharmaceutical supplies is absolutely essential for maintaining the quality of care provided by healthcare facilities. Deficiencies in healthcare service quality are often rooted in management practices that are both ineffective and suboptimal within the supply chain. To address these inefficiencies, Lean Management presents a viable framework for adoption within the healthcare environment. This paper summarizes existing literature through a narrative review specifically focusing on how lean principles are applied to the management of pharmacy stock. The methodology involved a systematic search using Boolean logic across major databases, including PubMed, ScienceDirect, and Google Scholar. From a starting pool of 96 articles, nine were ultimately selected based on the defined inclusion criteria. The compiled research findings consistently and unanimously suggest that incorporating lean methodologies offers substantial advantages. These advantages are realized primarily through the ability to minimize operational waste (such as excess inventory, unnecessary movement, or excessive waiting times) and simultaneously boost the overall efficiency of the pharmacy supply chain. Implementing Lean Management is therefore an effective strategy for optimizing logistics and improving service quality in pharmaceutical provision.
Faktor yang Menentukan Pengetahuan Akhir Pasien tentang Obat di Puskesmas Diesty Anita Nugraheni; Prisca Widiyanti; Chaifah Salim Assaidi; Cendana Handayani Hariyadi; Kristina Dewi Pratiwi
Journal of Pharmascience Vol. 6 No. 2 (2019): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v6i2.7355

Abstract

ABSTRAK Proses pemberian informasi yang memuaskan antara pasien dan apoteker merupakan hal yang penting dalam penggunaan obat secara rasional oleh pasien dan sangat dipengaruhi oleh banyak faktor baik dispensing time, karakteristik pasien dan petugas kesehatan. Tujuan penelitian adalah untuk menganalisis faktor-faktor yang menentukan pengetahuan akhir pasien tentang obat di Puskesmas. Jenis penelitian ini adalah penelitian observasional yang dilakukan dengan metode cross-sectional. Populasi adalah pasien atau keluarga pasien yang mendapatkan obat di Unit Farmasi empat Puskesmas Kabupaten Sleman. Sampel dipilih menggunakan teknik systematic sampling. Sumber data primer yaitu menghitung dispensing time dan wawancara terstruktur. Data dianalisis menggunakan uji regresi linier dan crosstab. Faktor-faktor yang diteliti sebagai penentu pengetahuan akhir pasien tentang obat di Puskesmas yaitu waktu penyerahan obat (dispensing time), jenis petugas kesehatan yang menyerahkan obat, jenis kelamin, usia, pendidikan, suku bangsa, status pernikahan, pekerjaan, pendapatan, bahasa sehari-hari, dan area tinggal. Hasil penelitian menunjukkan faktor yang menentukan tingkat pengetahuan akhir pasien adalah jenis petugas kesehatan, usia, pendidikan, pendapatan, bahasa sehari-hari, dan area tinggal pasien yaitu dengan nilai p<0,1 pada analisis regresi linier. Kesimpulan penelitian yaitu tingkat pengetahuan pasien terkait obat di Puskesmas dapat digambarkan dengan persamaan regresi Y= 2,236 + 0,223 jenis petugas kesehatan - 0,338 usia + 0,231 pendidikan – 0,103 pendapatan – 0,115 bahasa – 0,403 area tinggal. Kata kunci: dispensing time, faktor, pengetahuan obat, puskesmas, sosiodemografi.  ABSTRACT The process of providing satisfactory information between patients and pharmacists was important in rational of drugs use and greatly influenced by many factors such as dispensing time, patient characteristics and health care workers. The objective of the study was to analyze the factors related to the patient's medication exit knowledge at primary health care. This research was an observational study conducted with cross-sectional method. The population werw patients or their families who get medication at pharmacy unit of four primary health care in the Sleman district. Samples were selected using systematic sampling techniques. The primary data source were observe dispensing time and structured interviews. Data were analyzed using linear regression and crosstab tests. The factors studied as determinants of the patient's medication exit knowledge at the primary health center were dispensing time, the health worker who dispensing drugs, sex, age, education, ethnicity, marital status, occupation, income,  language, and area of residence. The factors that determine patient’s medication exit knowledge were the type of health worker, age, education, income, language, and area of residence. The conclusion of the study is the patient’s medication exit knowledge at primary health center can be described by the regression equation Y = 2.236 + 0.223 types of health workers - 0.338 ages + 0.231 education - 0.103 income - 0.115 languages - 0.403 residence area. Keywords: dispensing time, factor, medication knowledge, primary health care, sociodemographic
Analisis Efektivitas Biaya Penggunaan Pioglitazone Dibandingkan Glimepiride Pada Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Wilayah Kota Mataram Kholida Zhahara; Diesty Anita Nugraheni; Okti Ratna Mafruhah
Lumbung Farmasi: Jurnal Ilmu Kefarmasian Vol 7, No 1 (2026): Januari
Publisher : UNIVERSITAS MUHAMMADIYAH MATARAM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/lf.v7i1.35915

Abstract

Diabetes mellitus (DM) is a chronic disease requires long-term therapy, which can result in high medical costs. This study aims to analyze the cost-effectiveness of oral antidiabetic therapy with pioglitazone compared with glimepiride in type 2 diabetes mellitus outpatients at RSI Siti Hajar Mataram and RSUD H. Moh. Roeslan Kota Mataram from the hospital perspective. This research is an observational method with a cross-sectional design. Data were collected with retrospective and concurrent from medical record and treatment cost data of patients from May-Auguts 2025. Data analysis using the average cost-effectiveness ratio (ACER). The subject of this study is type 2 diabetes mellitus outpatients who met the inclusion and exclusion criteria, with patients received pioglitazone monotherapy and combination is 119 patients, while 133 patients received monotherapy and combination of glimepiride. The result showed that pioglitazone monotherapy could achieve a higher therapeutic target (80,82%) and had lower ACER value Rp 7.867,80 than the glimepiride. While the combination therapy of glimepiride-metformin could achieve a higher therapeutic target (78,57%) and had lower ACER value Rp 5.404,50 than the combination of pioglitazone-metformin. The conclusion of this study pioglitazone monotherapy is perceived to be more cost-effective than glimepiride, while the combination of glimepiride-metformin is perceived to be more cost-effective than combination of pioglitazone-metformin.