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Journal : Acta Pharmaciae Indonesia : Acta Pharm Indo

Hospital pharmacists’ perspectives on diabetes treatment barriers and solutions: A qualitative study from Indonesia Swandari, Mika Tri Kumala; Cholisoh, Zakky; Karuniawati, Hidayah
Acta Pharmaciae Indonesia Vol 13 No 1 (2025): Acta Pharmaciae Indonesia: Acta Pharm Indo
Publisher : Pharmacy Department, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.api.2025.13.1.15716

Abstract

Background: Despite available treatment options, diabetes mellitus (DM) management faces significant barriers affecting patient outcomes. While most research focuses on patient factors, limited attention has been given to healthcare provider perspectives, particularly hospital pharmacists who are key stakeholders in diabetes care. Objective: This study explored treatment barriers and solutions from hospital pharmacists’ perspectives in Indonesia. Methods: This qualitative phenomenological study involved 18 hospital pharmacists at Cilacap Regional General Hospital, Central Java, Indonesia. Participants were selected through purposive sampling and had minimum one-year experience in diabetes patient care. Semi-structured interviews were conducted from January to February 2025, audio-recorded, transcribed verbatim in Bahasa Indonesia, and analyzed using thematic analysis. All interviews were conducted in Bahasa Indonesia and participant quotes were translated to English while preserving original meaning and cultural context. Results: Analysis of three predetermined barrier themes revealed: adverse drug reactions (ADRs) (particularly metformin-related gastrointestinal effects and insulin-associated hypoglycemia), medication non-adherence (influenced by feeling healed, treatment boredom, age-related denial, and therapy burden), and monthly follow-up challenges (geographic barriers, transportation difficulties, physical limitations, and insufficient family support). Pharmacists proposed comprehensive solutions including patient and family education, interprofessional collaboration, technology integration through WhatsApp support, and flexible monitoring approaches. Conclusion: Pharmacist-identified barriers operate as interconnected system components requiring multi-level interventions. Evidence-based solutions emphasizing education, collaboration, family engagement, and technological support can enhance diabetes management outcomes while respecting cultural contexts and resource constraints.
Co-Authors 'Utsman, Panji A Anifatussaa'dah Abdul Gofir Adiva Tantyas Aurora Adiva Tantyas Aurora, Adiva Tantyas Aflit Nuryulia Praswati Agita Dyah Ayu Kusumaningtyas Ahmad, Farhand Alinda, Oevita Nur Amalya Maulida Ambar Yunita Nugraheni Andi Suhendi Andika Permana Anifatussaa'dah, A Anita Sukmawati Anjani, Rosi Hayyu Ardalia Rinanda Oktaviani Arifah Sri Wahyuni Artamevia, Vanessa Reza Ashari Wahyu Budi Aji Athaillah, Najwa Kayana Auliya, Dhiyahul Basusena, Rahardian Surya Bestari, Mahardika Putri Broto Santoso Burhanudin Ichsan Cholisoh, Zakky Citra, Tia Mella Desti Purnamasari Devi Etivia Purlinda Devi Rahmawati Devi Usdiana Rosyidah Dewi, Meilenia Shinta Kusuma Dewi, Syochi Jannati Pramudya Dewi, Triana Ariska Dian Oktianti Didik Hasmono Dwi Sarbini Dyah Aryani Perwitasari Dzafira, Laila Endang Yuniarti Erindyah Retno Wikantyasning Erna Herawati Erna Herawati, Erna Fahmi, Muhammad Zaini Fahriza Mei Trihatmoko Farida, Rahayu Faridita khoirun Nisa' Febriani, Rizkina Elistya Fidhia Nur Rifaini Fidinillah, Masniar Firda, Fathiyyatu Assadiy Fitriani, Rizki Ainun Fortuna, Tista Ayu Gayuh Ilham Rahmadi Gunawan Setiyadi Hakim, Bilal Rahman Haliza Arzeti Nurseptiria Hanjani, Wildanoor Sekar Haryoto Haryoto Haryoto, H Haya Nabilah Utama Hekmah, Laila Nur Heni Mirawati Hertaliyana, Junita Ayu Hevi Mifta Kumalasari HI, Marsilia Rosa Sinensis Hidajah Rachmawati Ichsan, Burhanudin Ida Maesaroh Ida Maesaroh, Ida Ika Gilar Hapsari Ika Gilar Hapsari, Ika Gilar Ismail, Wan Ismahanisa Karimah, Izqi Keisya, Aulita Khairunnisa, Shafira khusnul khotimah Khusnul Khotimah Kurnia Eryani Kusumastuti, Lina Ayu Laila Dzafira Laila Nur Hekmah Lilla Prapdhani Agni Hajma Lina Ayu Kusumastuti Listiana Masyita Dewi Mahardika Putri Bestari Malik, Muhammad Ihsan Mariska Sri Harlianti Marsilia Rosa Sinensis HI Marsya, Vitania Marwiani Arum Marwiani Arum, Marwiani Maryati Maryati Masniar Fidinillah Maulana, Fahmi Alief Mika Tri Kumala Swandari, Mika Tri Kumala Mufida Alfiana Muhammad Da'i Muhayaroh, Miftah Muhtadi Muhtadi Muhtadi, M Musayyaf, Ahmad Farras Muslihah, Sayyidah Nurul Nisa', Faridita khoirun Nungky Asmaraning Wahyono Nungky Asmaraning Wahyono, Nungky Asmaraning Nur Azizah Nuraini, Filla Rizky Nurseptiria, Haliza Arzeti Nurul Mutmainah Oktaviani, Ardalia Rinanda Oktri Viyanti Panji 'Utsman Puteri Santika, Aprilia Raafika Studiviani Rachmalia, Fauniza Marwa Rahardian Surya Basusena Rahma Saritri Cahyani Rahman, Anees Ur Rajali, Ahmad Retno Sintowati - Riandini Aisyah Rif'aini, Fidhia Nur Rifaini, Fidhia Nur Rizki Ainun Fitriani Rizky Wiharti, Irda Rochmadina Suci Bestari Roshitasari, Eva Sakinatul Hayati Salsabela Salsabela Salsabila Salsabila, Aulia Shafa Sanjaya, Muhammad Riyanto Sari, Erlinda Novita Saskia, Adinda Tri Prabandari Sava Salsabila Putri Sayyidah Nurul Muslihah Septi Fatmawati Setyo Nurwaini Sikanaa, Arinaa Manaa Studiviani, Raafika Sulistyarini, Sulistyarini Suprapto Suprapto Suryani - Susilo, Rinto Syahputri, Janies Arly Syaifia, Diska Awal Syam, Ricky Aditya Syifa Imelda Tanti Azizah Tanti Azizah Tanti Azizah Sujono Thalia Fiandra Tia Mella Citra Tista Ayu Fortuna Tista Ayu Fortuna Trihatmoko, Fahriza Mei Trisya Nur Pratiwi Tsaniya, Naura Azka Utama, Haya Nabilah Vitania Marsya Wikantyasning, Erindyah R. Yunika Isnanda Pratiwi Zaenab Zaenab Zaenab Zuhroh Tustika Vieda Zullies Ikawati