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All Journal JURNAL FARMASIMED (JFM) Borneo Journal of Pharmacy
Azizah Nasution
Universitas Sumatera Utara
Medicine & Pharmacology

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Association between Drug-Related Problems and Blood Pressure of Hypertensive Patients Admitted to Universitas Sumatera Utara Hospital Mutiara Siahaan; Azizah Nasution; Wiryanto Wiryanto; Iksen Iksen
Borneo Journal of Pharmacy Vol. 6 No. 1 (2023): Borneo Journal of Pharmacy
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/bjop.v6i1.3664

Abstract

Patients with hypertension usually experience chronic comorbidities and complications that require complex treatment (polypharmacy), which can further cause drug-related problems (DRPs) and interfere with the required clinical outcomes. This study, by using a case-control prospective cross-sectional, aimed to analyze the association between DRPs and blood pressures (BPs) of hypertensive patients admitted to Universitas Sumatera Utara (USU) hospital from July to September 2021. The incidence of DRPs was analyzed and classified according to the Cipolle classification system and reliable literature. Blood pressures of the patients were classified into controlled and uncontrolled BPs. The association between DRPs and BP was analyzed using the Chi-Square test. Most of the patients (57.5%) were female. Their mean age was 59±9.94 (years). The mean incidence of DRPs experienced by the patients was 1.78±0.79. The most frequently occurred DRPs were drug interactions. There was a significant association between the number of DRPs experienced by the patients and their BPs (p=0.02). DRPs are the contributing factor to the uncontrolled BPs of hypertensive patients.
The Impact of Implementation of Electronic Prescription on Patient Satisfaction in Primary Health Centers Medan Frengki Daniel Tampubolon; Azizah Nasution; Urip Harahap
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4ecn4s52

Abstract

Background: The digital transformation of primary care services necessitates the implementation of electronic prescriptions to optimize productivity, performance, accuracy, service quality, and patient satisfaction. Objectives: This study analyzed the impact of the quality of pharmacy care on patient satisfaction levels and identified the dimensions with the highest to the satisfaction. Methodology:  The quantitative phase involved a patient survey using the Service Quality (SERVQUAL) which consits of tangible facilities, reliability, responsiveness, assurance, and empathy along with satisfaction indicators. Data were analyzed using Structural Equation Modeling – Partial Least Squares (SEM-PLS) to determine the influence of each dimension. The qualitative phase consisted of in-depth interviews with ten pharmacy personnel to clarify and enrich the quantitative findings, followed by a comprehensive integration of both datasets. Results: Most (65.8%) of the participants were female. All SERVQUAL dimensions significantly influenced patient satisfaction. Responsiveness showed the strongest contribution with an Original Sample (O) value of 0.302, followed by empathy (O = 0.254) and assurance (O = 0.185). Reliability and tangibles had a negative yet significant effect. The qualitative findings revealed that real-time prescription input accelerated service delivery. Limited human resources, inadequate infrastructure, network instability, and irregular polyclinic workflows weakened perceptions of service consistency and physical service quality. Conclusion: Patient satisfaction is primarily determined by service speed, quality of interaction, and clarity of information, as reflected in the strong dimensions of responsiveness, empathy, and assurance. The reliability and tangibles dimensions were affected by weakness of infrastructure weaknesses and workflow issues.
Co-Authors Frengki Daniel Tampubolon Iksen, Iksen Mutiara Siahaan Urip Harahap Wiryanto