Anna Wahyuni Widayanti
Departemen Farmasetika, Fakultas Farmasi, Universitas Gadjah Mada

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USER ACCEPTANCE OF MOBILE-JKN: INSIGHTS FROM THE TECHNOLOGY ACCEPTANCE MODEL Damanik, Ferina Septiani; Widayanti, Anna Wahyuni; Wiedyaningsih, Chairun
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.206-217

Abstract

Background: Technological advancements in healthcare have driven BPJS Kesehatan Indonesia to develop the Mobile JKN application to enhance accessibility, efficiency, and quality of services. Despite its potential benefits, the implementation of this application faces various challenges, such as application errors, differing levels of digital literacy, and data security issues, necessitating an evaluation of its adoption and acceptance. Aims: To analyse the public acceptance of Mobile JKN based on the Technology Acceptance Model (TAM) variable while also exploring user experiences towards the application. Methods: A descriptive-analytical approach with a cross-sectional design. Data were collected through a questionnaire developed based on the TAM model, involving 406 respondents across Indonesia. Data analysis was performed using a regression linear test with SPSS after all basic assumptions were met. Results:  Perceived Ease of Use, Perceived Usefulness, and Attitude Toward Use individually and simultaneously impact Actual System Use (Sig. 0.000; R-Square 0.827). Respondents generally answered “Agree” to all TAM indicators, with mean scores of 4.20 for Perceived Usefulness, 4.16 for Perceived Ease of Use, 4.25 for Attitude Toward Use, and 4.33 for Actual System Use. Most users accessed the app through self-access (48%), frequently used features were membership information (28%), and encountered issues such as application errors (25%). Conclusion: The app was deemed relevant, accurate, easy to use, and beneficial. To enhance public acceptance, BPJS Kesehatan should focus on developing a user-friendly Mobile JKN app by incorporating key TAM factors, optimizing popular features, improving technical stability, and regularly addressing user feedback to ensure effective health administration and service delivery. Keywords: Adoption, Application, BPJS Kesehatan, Mobile JKN, TAM
NARRATIVE REVIEW: DRUG AVAILABILITY IN HEALTHCARE SERVICES IN INDONESIA Sagitasari, Yanna; Widayanti, Anna Wahyuni; Yuniarti, Endang
Medical Sains : Jurnal Ilmiah Kefarmasian Vol 9 No 4 (2024)
Publisher : Sekolah Tinggi Farmasi Muhammadiyah Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37874/ms.v9i4.1255

Abstract

This narrative review delves into the availability of drugs within Indonesia’s healthcare services, analyzing 11 articles to uncover prevalent issues such as drug shortages, inadequate planning, and various factors influencing drug availability. This review underscores the critical need to ensure sufficient drug availability to enhance patient safety across healthcare settings. By examining journal articles, this review sheds light on the multifaceted aspects of drug availability, including planning management and the methods employed to evaluate their ability. The findings provide valuable insights into improving strategies for drug availability in hospitals and primary health care centers in Indonesia. This study found that out of the 11 articles reviewed, six reported insufficient drug availability, highlighting significant challenges in ensuring consistent access to necessary medications across different healthcare settings, including both primary healthcare centers and hospitals. Furthermore, the study identified geographical disparities in drug availability, with studies conducted outside Java Island reporting more severe drug shortages than those within Java Island. In summary, this study highlights the complex interplay between factors affecting drug availability in Indonesia, including geographical location, supply chain management, and procurement practices. This underscores the need for targeted interventions to address these challenges and improve drug availability across the healthcare system. Keywords: drug availability in Indonesia, patient safety, drug procurement in Indonesia, drug shortage.
Penilaian Rasionalitas Peresepan Rawat Jalan Berdasarkan Indikator World Health Organization (WHO) Wabula, Syahrul; Puspandari, Dyah Ayu; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 20, No 4 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i4.94189

Abstract

Pelayanan kesehatan diharuskan memberikan pengobatan yang rasional. Penggunaan obat menjadi penting karena merupakan bagian dari pengelolaan obat yang menunjukan efisensi dan efektifitas pelayanan kesehatan. Diyakini bahwa obat yang diresepkan dan diberikan secara tidak tepat sehingga menghambat tujuan dari pengobatan. Penelitian ini bertujuan untuk mengevaluasi peresepan rawat jalan RSD Kota Tidore Kepulauan sesuai dengan standar indikator WHO tentang penggunaan obat yang rasional. Dengan sumber data retrospektif, penelitian ini menggunakan 660 lembar resep pasien rawat jalan antara bulan januari hingga desember 2022 sebagai sampel untuk dianalisa. Hasil pengukuran indikator peresepan menunjukan terdapat 3,16 item rata-rata per lembar resep, persentase 70,25% obat yang diresepkan dengan nama generik dan persentase 62,38% resep yang termasuk dalam daftar obat esensial. Hasil ini belum sesuai standar indikator peresepan, sedangkan, 8,73% resep antibiotik dan 3,60% resep sediaan injeksi sudah sesuai dengan standar yang ditetapkan. Dapat disimpulkan bahwa peresepan rawat jalan RSD Kota Tidore belum mencapai peresepan yang rasional. Dengan kepatuhan peresepan obat yang rasional, dapat menjamin penggunaan obat yang tepat dan meningkatkan efisensi dan efektifitas pengobatan.
Faktor yang Mempengaruhi Manajemen Vaksin yang Efektif Di Negara Berpenghasilan Rendah dan Menengah: Tinjauan Literatur Pakpahan, Agustina Rotua; Kristina, Susi Ari; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 20, No 4 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i4.94710

Abstract

Latar Belakang Penelitian: Manajemen vaksin yang efektif dapat mencegah pemborosan biaya dan meningkatkan kualitas pelayanan kesehatan. Dengan berbagai tantangan, sarana dan prasarana yang kurang memadai, sumberdaya manusia yang terbatas dan beban kerja yang tinggi di negara berpenghasilan rendah dan menengah apakah pengelolaaan vaksin masih dapat dilakukan dengan baik? Tujuan: Mengidentifikasi dan menganalisis faktor yang mempengaruhi manajemen vaksin yang efektif di negara berpenghasilan rendah dan menengah. Metodelogi: Pencarian komprehensif menggunakan 4 database yaitu Science Direct, Pubmed, PLOS One, serta GARUDA. Pencarian menggunakan kata kunci “cold chain management” AND vaccine, “effective vaccine management” AND vaccine dan “rantai dingin vaksin” dengan pembatasan tahun publikasi 2018-2022.  Dilakukan seleksi artikel menggunakan PRISMA dan ekstraksi data didapatkan 12 artikel untuk direview. Hasil dan ksimpulan: faktor yang mempengaruhi manajemen vaksin yang efektif yaitu perencanaan logistik, ketersediaan stok vaksin, stok opname vaksin, sistem pencatatan elektronik, penyimpanan vaksin sesuai suhu rekomendasi, ketersediaan peralatan cold chain, sistem Internet Of Things (IOT) untuk monitoring suhu, rencana kontijensi, panduan pemeliharaan cold chain, koordinasi yang baik, penilaian berkala atau monitoring, umpan balik hasil monitoring, penilaian Effective Vaccine Management (EVM), memiliki Standard Operating Prosedure (SOP), kepatuhan terhadap SOP, kualitas pengelola vaksin, status pendidikan petugas, pelatihan yang berkelanjutan.
Hubungan Dukungan Keluarga Terhadap Kepatuhan Minum Obat Pasien dengan Gangguan Jiwa: Studi Literature Review Asyari, Wahid Hasyim; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 20, No 3 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i3.96306

Abstract

Orang dengan Gangguan Jiwa (ODGJ) adalah seseorang yang mengalami gangguan fikiran, perilaku dan emosi, ditunjukkan pada peningkatan gejala dan perubahan perilaku yang signifikan, sehingga menyebabkan penderitaan dan gangguan kinerja dalam kehidupan. Salah satu aspek penting dalam pengobatan gangguan kesehatan jiwa adalah kepatuhan pasien dalam minum obat. Kepatuhan minum obat pada pasien gangguan jiwa dapat diawasi dengan baik jika ada dukungan dari anggota keluarga. Pasien dengan gangguan jiwa sangat bergantung pada dukungan keluarga, yang merupakan komponen penting dalam menentukan kepatuhan mereka terhadap minum obat. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga terhadap kepatuhan minum obat pasien dengan gangguan jiwa di Indonesia. Metode: Penelitian ini menggunakan metode Literature Review, pengumpulan data/ artikel dilakukan dengan mengakses database jurnal Garuda dan Researchgate. Berdasarkan hasil review dari sepuluh artikel memberikan hasil yang signifikan antara dukungan keluarga dan kepatuhan minum obat pasien jiwa. Kesimpulan dari hasil tinjauan menunjukkan bahwa ada hubungan antara dukungan keluarga dan kepatuhan minum obat pasien dengan gangguan jiwa. Semakin banyak dukungan keluarga yang diberikan, semakin baik kepatuhan minum obat pasien dengan gangguan jiwa.
Complexity of Treatment Regimens and Patient Adherence in Individuals with Heart Failure in Yemen: A cross Sectional Study Abdullah, Ramez; Rahmawati, Fita; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 20, No 4 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i4.96997

Abstract

Various studies have consistently found that increased complexity in medication regimens leads to poorer adherence. Recognizing the growing global prevalence of heart failure and the specific challenges it presents, especially in low-resource settings, this study aims to investigate the influence of complexity of treatment regimens on adherence levels among Individuals with heart failure in Yemen. Through a cross-sectional observational study conducted at three major hospitals in Sana’a, structured questionnaires were employed to assess self-reported medication adherence and regimen complexity. The findings reveal a significant negative association between higher regimen complexity and adherence with regression coefficient (B = -0.150; P value 0.020). Moreover, socioeconomic factors such as income (B = 2.753; P value 0.000) and employment status (B = -1.380; P value 0.006) were found to exert considerable influence on adherence levels. This study underscores the imperative for simplified medication regimens and improved patient education to enhance adherence rates among heart failure patients in developing nations.
Evaluation of Blood Supplement Tablet Distribution at Community Health Centers (Puskesmas) in Sleman Regency Candra Sari, Veronika Yuni; Puspandari, Dyah Ayu; Widayanti, Anna Wahyuni
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.94019

Abstract

Background: Anemia is a condition often found in adolescent girls and pregnant women in developing countries. The government has made efforts to reduce cases of anemia through a program that provides blood supplement tablets to teenage girls and pregnant women. However, the distribution coverage in Sleman is still 85%.Objectives: This study aimed to determine how to distribute blood supplement tablets from the community health center.Methods: This research used a qualitative approach, data collection techniques with interviews, and observation of the document distribution process in 2022. The study was conducted using purposive sampling, and 35 respondents were health workers, teachers, pregnant women, and female students. The interview results were analyzed using content analysis.Results:  The results of the observation document show that only one of the five indicators is still below standard: TOR, at Puskesmas A is 0,72 times, and at Puskesmas B is 0,44 times. The availability in Puskesmas B is 27 months. The supporting factors in the distribution are regulations, educating pregnant women, and the availability of blood supplement tablets. The inhibiting factors in the distribution process are the need for more budget for distribution to schools, the lack of schedule for distribution and taking blood supplement tablets together in schools, and the lack of education of health workers for teachers and female students.Conclusion: The process of distributing blood supplement tablets at the community health center in Sleman Regency is efficient and according to the guidelines for administering blood supplement tablets to pregnant women and female students.
Exploring Technology Acceptance Models: A Systematic Review of Health Application Adoption in Asian Countries Damanik, Ferina Septiani; Widayanti, Anna Wahyuni; Wiedyaningsih, Chairun
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.96755

Abstract

Background: Health applications are a crucial technological advancement in healthcare, enhancing service quality and access to essential information. Despite this, challenges in implementation and user adaptation remain. Evaluating these applications is vital, and the Technology Acceptance Model (TAM) provides a dependable framework for assessing user acceptance and meeting its intended goals.Objectives: This review aims to explore the use of the TAM method for evaluating health applications adoption in Asia, focusing on ease of use, usefulness, user attitudes, and factors affecting technology acceptance.Methods: The method used is Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles were gathered using PubMed and ScienceDirect employing Boolean search terms. The search focuses on technology acceptance and health applications, combined with the names of Asian countries. Eligible studies must describe the technology acceptance model of a health application in Asia. Quality assessment is performed using JBI and data are systematically extracted and analyzed.Results: A total of 11 original articles meet the inclusion criteria from 2428 articles. TAM plays a pivotal role in understanding the adoption of healthcare technology in Asia. TAM original constructs are widely used, with some integrating additional factors. Continued integration and modification of TAM will enhance its utility in addressing evolving healthcare challenges, ultimately improving healthcare outcomes across diverse user settings. TAM's adaptability and integration with theories like PMT and SUS improve its relevance across various healthcare settings and user contexts.Conclusion: Future research should mitigate biases, employ longitudinal and comparative analyses, and integrate TAM with complementary theories to advance healthcare technology adoption.
Exploring Financial Literacy Among MSME Owners and Managers: a Narrative Review for Community Pharmacy Measurement Seraguma, Rahzopan; Widayanti, Anna Wahyuni
Majalah Farmaseutik Vol 21, No 2 (2025)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v21i2.98967

Abstract

Micro, Small, and Medium Enterprises (MSMEs) were crucial in shaping a nation’s economic landscape, particularly in developing countries. They acted as key drivers of economic development by boosting domestic production and creating job opportunities. However, MSMEs in these regions often faced significant challenges, particularly in accessing adequate financing. This narrative literature review examined the financial literacy of MSME owners and managers and its impact on improving their performance. The review utilized the Science Direct database, focusing on articles published in the last five years within the fields of business, management, accounting, economics, and finance. Only open-access research articles were included. Out of 2,259 articles screened, 2,249 were excluded due to mismatches in topic, methodology, or setting, resulting in 10 papers that aligned with the research focus. The findings highlighted that financial literacy provided entrepreneurs with a deeper understanding of corporate goals and strategies and familiarized MSME owners and managers with various financing options and support services available to them.