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Pharmaceutical Management in Response to Natural Disasters: A Systematic Literature Review Nurlita, Diah; Satibi, Satibi; Widayanti, Anna Wahyuni; Alim, Syahirul
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 16, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.101622

Abstract

Background: Problems still occur regarding pharmaceutical supplies management in overcoming natural disasters, such as excess stock, slow distribution, staff knowledge about emergency response, logistics systems, inappropriate pharmaceuticals for the disaster type, and cross-sector coordination.Objectives: This is a systematic review of natural disasters. The results are hoped to provide recommendations to improve pharmacy management responses.Methods: Research on pharmaceutical management at natural disaster sites, covering all phases of the management process from pharmaceutical selection to disposal, original research that is fully accessible, and those published in English within 2019-2024, are the conditions for inclusion. Duplication of publications is the exclusion criteria. Databases were searched for information about pharmaceutical management for natural disasters, such as Crossref, Science Direct, PubMed, Research Gate, and Google Scholar. This study'squality assessment applied the JBI CAT checklist, and was thematically synthesized.Results: Six studies were included in the total of59.794 identified studies. The relevant characteristics of the studies are related to pharmaceutical management scope, specifically the Drug Management Cycle.Conclusion: This study concludes that pharmaceutical management in dealing with natural disasters focuses more on aspects of planning, distribution, and management support when disasters occur.  The limitation of this review is the lack of research on the scope of storage, recording and reporting, evaluation, and disposal of pharmaceuticals.
Tinjauan Sistematik terhadap Penerapan HOT-Fit sebagai Framework Evaluasi Keberhasilan Sistem Informasi Rumah Sakit Fathur Rahman; Lutfan Lazuardi; Anna Wahyuni Widayanti
Journal of Pharmascience Vol. 12 No. 2 (2025): Jurnal Pharmascience
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v12i2.21542

Abstract

Framework HOT-Fit merupakan salah satu model evaluasi yang digunakan untuk menilai keberhasilan implementasi sistem informasi kesehatan melalui tiga dimensi utama yaitu manusia, organisasi, dan teknologi. Penelitian ini bertujuan untuk meninjau penerapan framework HOT-Fit dalam evaluasi keberhasilan sistem informasi di rumah sakit. Tinjauan sistematik dilakukan menggunakan Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) dengan pencarian artikel terbitan 2014-2023 pada database PubMed, Scopus, dan ScienceDirect menggunakan kata kunci “Hospital” AND “HOT-Fit” AND “Human Organization Technology-Fit”. Sebanyak sembilan artikel yang memenuhi kriteria inklusi dan ekslusi dianalisis dalam tinjauan ini. Hasil menunjukkan bahwa framework HOT-Fit telah diterapkan dalam berbagai jenis sistem informasi seperti EMR, HRIS, CDSS, dan sistem cloud, serta di berbagai negara dengan kondisi geografis dan institusional yang berbeda. Ketiga dimensi HOT-Fit tetap relevan digunakan, meskipun tingkat penekanannya bervariasi tergantung pada konteks lokal dan tujuan evaluasi. Beberapa studi juga mengombinasikan HOT-Fit dengan framework lain seperti TOE, TAM, dan FITT untuk memperluas cakupan analisis. Kesimpulannya, HOT-Fit merupakan framework yang fleksibel, dapat berdiri sendiri maupun dikombinasikan, serta tetap relevan dalam mengevaluasi sistem informasi kesehatan di berbagai konteks pelayanan. Kata Kunci : Teknologi, Pelayanan Kesehatan, Sistem Informasi Kesehatan, Data, Evaluasi Sistem The HOT-Fit framework is one of the evaluation models used to assess the success of health information system implementation through three key dimensions: human, organization, and technology. This study aims to review the application of the HOT-Fit framework in evaluating the success of hospital information systems. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, with articles published between 2014 and 2023 retrieved from the PubMed, Scopus, and ScienceDirect databases using the keywords “Hospital” AND “HOT-Fit” AND “Human Organization Technology-Fit.” This review includes nine articles that met the inclusion and exclusion criteria. The results show that the HOT-Fit framework has been applied to various types of information systems, including EMR, HRIS, CDSS, and cloud-based systems, across countries with diverse geographical and institutional contexts. All three dimensions remain relevant, although their emphasis varies depending on local context and evaluation objectives. Several studies also integrated HOT-Fit with other frameworks such as TOE, TAM, and FITT to broaden the scope of analysis. In conclusion, HOT-Fit is a flexible framework that can be applied independently or in combination, and remains relevant in evaluating health information systems across diverse healthcare settings.
Evaluation of Telemedicine Access with Health Insurance: A Systematic Review Erlisa Irawati Putri; Diah Ayu Puspandari; Anna Wahyuni Widayanti
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/bne7rx24

Abstract

Introduction: Telemedicine transforms healthcare through electronic Communication technologies and offers high-quality medical treatments from a distance. The COVID-19 pandemic is accelerating the adoption of telemedicine, making its integration with insurance financing a strategic step to increase access to healthcare, reduce the financial strain on patients, and ensure continuity of service. Some nations have extended the coverage of private insurance companies and health insurance programs like Medicare and Medicaid to include telemedicine services. Objectives: Assess the impact of implementing telemedicine technology in the context of insurance financing and formulate policy recommendations to improve the accessibility and effectiveness of health services. Methods: Following PRISMA guidelines, a comprehensive search was conducted in Scopus, ScienceDirect, and PubMed, covering studies from 2015 to 2024. The inclusion criteria described telemedicine or telehealth financed by health insurance written in English. Based on the inclusion criteria, seven articles were reviewed in this article. We then assessed the studies’ quality using different research evaluation tools based on the research methods. Results: Health insurance-backed telemedicine has been shown to increase access to healthcare, lessen individuals’ financial burdens, and enhance the standard of medical care. However, several issues, including inadequate infrastructure, low digital literacy, and unclear regulations, continue to impede the use of telemedicine in conjunction with health insurance programs. Adapting to telemedicine presents challenges for elderly populations and people with physical disabilities. Policies, training for healthcare professionals, and technical advancements are required for these services to be inclusive and sustainable. Conclusion: Health insurance-backed telemedicine can improve access and efficiency of care and reduce patients’ financial burdens. By implementing corrective measures, as some countries have successfully done, health systems can maximise the benefits of telemedicine and create more inclusive, efficient, and sustainable health services.
Narrative Review: Expired Medicines in Public Health Services and Exploration of Causal Factors and Prevention Strategies Cicillia Debora Melissa Sumardi; Diah Ayu Puspandari; Anna Wahyuni Widayanti
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/kjr6pf92

Abstract

Background: Although medications are essential to healthcare, the issue of expired medicines in public health institutions continues to be a significant obstacle. Various studies show high rates of expired medicines, such as in Jimma Zone (4.87%), Dire-Dawa (3.07%), Hadiya Zone (5.24%), and Arsi Zone (7.66%). The leading causes include delivery of drugs close to expiry, inaccurate quantity planning, weak stock management systems, and limited clinician involvement in the procurement process. Expired drugs cause economic losses, reduced healthcare quality, and environmental impacts. Objectives: to critically appraise, synthesize, and present available evidence on the possible causal factors associated with expired drugs, their impacts, and preventive mitigation or reduction strategy recommendations. Methods: Narrative literature review: content analysis. Results: The main factors leading to expired drugs include delivery of drugs close to the expiration date, inaccurate stock planning, weak inventory management systems, sudden changes in therapeutic protocols, and lack of clinician involvement in the drug procurement process. The impact of this problem is not only significant economic losses and increased waste disposal costs, but also a decrease in the quality of pharmaceutical services, potential environmental pollution, and a negative impact on the distribution of health budgets. Various strategies have been implemented, such as stock management training, the use of digital systems, and coordination among related units, which are expected to reduce the drug expiration rate. Conclusion: expired drugs remain a serious issue that requires collaborative efforts and innovation in the drug management system to achieve optimal budget efficiency and quality of health services.
Effectiveness of delivery mode of pharmacist intervention to improve medication adherence and clinical outcomes in people with depression: a systematic review Yosi Febrianti; Ika Puspita Sari; Anna Wahyuni Widayanti; Diana Setiyawati
International Journal of Public Health Science (IJPHS) Vol 15, No 1: March 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i1.25537

Abstract

Depression is a treatable mental health condition with various medication options available. For patients with major depressive disorder (MDD), adherence to antidepressants is essential for effective treatment. However, low medication adherence remains a significant challenge, particularly in individuals with depression. Pharmacists play a crucial role in managing these patients. This systematic review evaluated the impact of pharmacist-led interventions, focusing on the effectiveness of delivery modes (in-person vs. online) in improving medication adherence and clinical outcomes for patients with depression. Randomised and non-randomised controlled trials were included. Data were sourced from PubMed, Scopus, ScienceDirect, and Google Scholar using keywords such as "pharmacist intervention," "education," "medication adherence," "depression," and "medication compliance." Three reviewers independently screened and selected articles, and methodological quality was assessed using the Joanna Briggs Institute Randomized Controlled Trial Checklist. From an initial pool of 791 publications, 364 underwent a comprehensive review, and 14 met the inclusion criteria. The most successful interventions were those conducted face-to-face (83%), compared to those conducted through video and phone calls (16%). However, neither method could improve the severity of depression significantly. Pharmacist interventions can enhance patient adherence to antidepressant medication in patients with depression. Compared to virtual methods, face-to-face techniques are more effective at improving adherence. However, they were not able to improve the symptoms of depression.
Knowledge and Awareness of Chronic Kidney Disease among the General Population: A Systematic Review Suyamei Lavita; Anna Wahyuni Widayanti; Chairun Wiedyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 16, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.107046

Abstract

Background: As a serious public health problem, chronic kidney disease (CKD) often shows no symptoms until it has progressed. Meanwhile, limited knowledge and awareness of the general population may delay early detection, impair preventive behavior, and increase exposure to modifiable risks, such as uncontrolled hypertension and diabetes, inappropriate medication use, and unsafe use of herbal supplements. Therefore, it is essential to improve community-based education, early screening, and pharmacy practice interventions by assessing the general public’s knowledge and awareness of CKD.Objectives: This systematic review synthesizes evidence on public knowledge and awareness of CKD and identifies factors influencing them.Methods: Web of Science, Scopus, and EBSCO databases were searched for relevant studies published in 2015–2024 using combinations of the keywords “knowledge,” “awareness,” “chronic kidney disease,” “public,” and “general population.” This study included original full-text English-language articles examining CKD-related knowledge and/or awareness in the general population. Meanwhile, systematic reviews, non-English articles, and studies that did not focus on the general population were excluded. The methodological quality of the reviewed studies was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist for analytical cross-sectional studies.Results: This review identified 176 records, 152 of which were screened after duplicate removal. Following the screening process, 15 cross-sectional studies involving 17,705 respondents were included. Most studies reported low public knowledge and awareness of CKD, particularly those regarding kidney function, symptoms, risk factors, diagnosis, and complications of CKD, and medication-related risks. Higher education, income, employment status, and health status, family history of CKD, and previous kidney function testing were frequently associated with better knowledge and awareness.Conclusion: Public knowledge and awareness of CKD remain inadequate across settings. These findings contribute to structured public education, early detection programs, and pharmacist-supported community interventions to improve CKD awareness and promote safer medication use.
Knowledge, Attitude, and Practice toward Varicella Vaccine among Families: A Systematic Review Syifa Mediati Firdausya; Anna Wahyuni Widayanti; Susi Ari Kristina
Jurnal FARMASIMED (JFM) Vol 9 No 1 (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/xg7h4e92

Abstract

Background: The World Health Organization (WHO) recommends implementing universal varicella vaccination in countries where varicella provides an important burden under conditions that can ensure reaching and sustaining high coverage of more than 80%. Parents and caregivers play a crucial role in improving vaccine uptake and protecting children from varicella infection. Objective: This review aimed to provide a comprehensive overview of knowledge, attitudes, and practices regarding varicella and its vaccination among parents and caregivers. Understanding these factors is important for identifying determinants of vaccine hesitancy and strategies to improve vaccination coverage. Methods: A systematic literature search was conducted using relevant keywords in ScienceDirect, Scopus, PubMed, and SpringerLink for studies published between 2015 and 2024. Data from eligible studies were reported descriptively Results: Ten studies were included in the review. Six studies were conducted in high-income countries. Most participants were parents or expectant parents, and data were primarily collected through self-administered surveys. Overall, studies reported low levels of knowledge regarding varicella and its vaccination, while approximately half demonstrated positive attitudes toward vaccination. Several countries also showed a low varicella vaccination coverage. Factors most commonly associated with knowledge, attitudes, and practices included caregiver education level, information sources, personal beliefs, and healthcare provider recommendations. Conclusion: Caregivers generally demonstrated limited knowledge, moderately positive attitudes, and moderate vaccination coverage. Strengthening public health campaigns and healthcare communication regarding the risks of varicella may improve knowledge, attitudes, and vaccination practices.
Hubungan Dukungan Keluarga Dengan Kepatuhan Pengobatan Pada Pasien Tuberkulosis: Tinjauan Sistematis. Putu Dyah Ayu Sekar Nindita; Anna Wahyuni Widayanti; Niken Nur Widyakusuma
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1549

Abstract

Tuberculosis (TB) remains a serious global health threat. The success of therapy depends heavily on patient adherence to long-term treatment. In this context, family support plays a crucial role. Families not only provide emotional support but also ensure adherence to routine treatment and provide support to ensure patients complete their treatment. This systematic review was conducted to identify commonly used research instruments to measure the relationship between family support and treatment adherence. A literature search was conducted using ScienceDirect, PubMed, and Scopus data from December 2025 to February 2026, using the keywords "tuberculosis," "family support," and "treatment adherence." The study selection process was conducted using the Rayyan application and based on a standard PRISMA diagram. The search identified eleven studies using a cross-sectional design. Nine of these studies found a positive association between strong family support and patient adherence, while two studies indicated that a lack of family support was a contributing factor to patient non-adherence to treatment. The use of various instruments in this study, such as the MSPSS, MMAS, MARS, WHOQOL-BREF, PHQ-9, and EQ-5D-5L, reflects a high degree of heterogeneity in the measurement approaches used. Therefore, although this argument confirms a relationship between family support and improved adherence to treatment, the strength of the existing evidence remains limited due to variations in study designs and instruments used. To improve conclusions and comparability between future studies, longitudinal or intervention-based studies using more standardized and consistent measurement instruments are needed.