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The Impact of Implementation of Electronic Prescription on Patient Satisfaction in Primary Health Centers Medan Tampubolon, Frengki Daniel; 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.
The Effect of Pharmacist Intervention on Knowledge, Attitudes, and Hemoglobin Levels Among Adolescent Girls in Preventing Anemia Mirna Risna Lovinanda Lubis; Urip Harahap; Putri Chairani Eyanoer
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/w9gt8z66

Abstract

Background: Anemia is a common health problem among adolescent girls and may negatively affect physical health, concentration, and future reproductive health. Aim: This study aimed to analyze the effect of pharmacist intervention on hemoglobin levels, knowledge, and attitudes of adolescent girls in preventing anemia in Ujung Batu District, North Padang Lawas Regency. Methods:  A comparative experimental study with a one-group pretest-posttest design was conducted from October to November 2024. A total of 80 adolescent girls with anemia were selected using purposive sampling from junior high schools and Islamic boarding schools in Ujung Batu District. The intervention consisted of pharmacist-led education, counseling, and administration of iron supplementation tablets. Hemoglobin levels were measured using HemoCue Hb 301, while knowledge and attitudes were assessed using structured questionnaires. Data were analyzed using the Wilcoxon signed-rank test. Result: The results showed significant improvements after the intervention. Mean hemoglobin levels increased from 10.82 ± 0.49 g/dL to 13.35 ± 0.63 g/dL, knowledge scores increased from 44.75 ± 7.95 to 79.25 ± 7.50, and attitude scores increased from 67.23 ± 6.56 to 83.01 ± 5.12, with all variables showing statistical significance (p < 0.001). Conclusion: Pharmacist intervention was effective in improving hemoglobin levels, knowledge, and attitudes of adolescent girls regarding anemia prevention.
Efektivitas Dua Model Intervensi Medication Therapy Management (MTM) dalam Meningkatkan Pengetahuan, Kepatuhan, dan Luaran Klinis pada Pasien Hipertensi Arihta Sri Perangin-angin; Urip Harahap; Aminah Dalimunthe
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1274

Abstract

Hypertension is a major contributor to morbidity and mortality in Indonesia and worldwide. The success of hypertension therapy is strongly influenced by patient knowledge and medication adherence. The 2023 Indonesian Health Survey reported a hypertension prevalence of 30.6% among adults, with a prevalence of 24.4% in North Sumatra. Medication Therapy Management (MTM) represents a strategic approach to optimizing hypertension treatment outcomes. This study aimed to evaluate two MTM intervention models—direct interaction and audio-visual—and assess their effects on knowledge, medication adherence, and clinical outcomes among hypertensive patients at the Aviati Clinic, Medan. This quasi-experimental comparative study employed a three-group pretest–posttest design involving 126 hypertensive patients. Participants were allocated into a control group receiving usual care without structured education, a direct interaction MTM group, and an audio-visual MTM group. Patient knowledge was assessed using the HKLS questionnaire, adherence was measured using the MARS-5 questionnaire, and clinical outcomes were evaluated through blood pressure measurements. Data were analyzed using the Kruskal–Wallis test followed by Bonferroni post hoc analysis. The results demonstrated that both MTM intervention models significantly improved knowledge, medication adherence, and clinical outcomes compared with the control group (p < 0.001). Although both intervention groups were effective, the direct interaction MTM model produced a greater reduction in systolic blood pressure than the audio-visual intervention. These findings indicate that structured MTM interventions, particularly those delivered through direct interaction, are effective in improving therapeutic outcomes in patients with hypertension.
Co-Authors Ade Sri Rohani Ambali Azwar Siregar Aminah Dalimunthe Anayanti Arianto Ardinata, Dedi - Arfayani Isna Arihta Sri Perangin-angin Azizah nasution Azmi Sarriff Br Turnip, Nur Ulina M Cahya, Cucu Arum Dwi Dasopang, Eva S. Delyuzar, Delyuzar Denny Satria, Denny dharma Lindarto, dharma Dharmawan, Hariyadi Edy Fachrial Eka Lestari Mahyuni Embun Suci Nasution Eva S. Dasopang Febriady, Andy Fitri, Raissa Hakim Bangun* Harahap, Ikhsanuddin Ahmad Harahap, Mawandha Sari Harefa, Herman Syukur HARI PURNOMO Hari Purnomo4 Hasibuan, Poppy Anjelisa Zaitun Husori, Dadang Irfan Jansen Silalahi Julia Reveny Julianti, Maelani Khairunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Leo, Natassya Manda Linda Margata Lokot Donna Lubis Mahyuni, Eka Lestari Mardianto Mardianto Mardianto Mardianto Mirna Risna Lovinanda Lubis Muhammad Rizki Nadroh br Sitepu Nasri Nasri Nasri, Nasri Nasution, Azizah Nasution, M. Pandapotan Nasution, Salli Roseffi Nasution, Salli Roseffi Ningrum, Siti Rahmi Novidawati Boru Situmorang Nurmaini Nurmaini Poppy Anjelisa Z. Hasibuan Purba, Novandi Putri Chairani Eyanoer, Putri Chairani R. Hamdani Harahap R. Hamdani Harahap Ricke Loesnihari Rifda Amaliya Ma’ruf Rizki Doli Hartama Harahap Rumanda Nurhasanah Sanjaya, Angga Nugraha Siahaan, Jekson Martiar Siregar, Ambali Azwar Siti Morin Sinaga Sitorus, Panal Sri Wahyuni Suci Wulandari Sunarti Sunarti Syukur Berkat Waruwu Tampubolon, Frengki Daniel Tanjung, Hari Ronaldo Tarigan, Betharina Br Tri Widyawati Yuandani Yustika Wirda Ningsih Ziza Putri Aisyia Fauzi Zulmai Rani