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All Journal SENTRI: Jurnal Riset Ilmiah Jurnal Ilmiah Ekotrans & Erudisi (JIEE)
Arrasily, Nailul Fithri
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Aerospace Engineering Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Law, Crime, Criminology & Criminal Justice Social Sciences

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Hospital Cash Flow Management Strategies in Facing the Post-COVID-19 Global Health Crisis Arrasily, Nailul Fithri; Minarsih, Try Jenny; Hartono, Budi; Daud, Alfani Ghutsa
Jurnal Ilmiah Ekotrans & Erudisi Vol. 5 No. 1 (2025): June 2025
Publisher : LPPM Universitas Ekasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69989/aprqsn10

Abstract

The COVID-19 pandemic has exposed significant vulnerabilities in global healthcare systems, severely impacting the financial and operational stability of hospitals. This systematic literature review analyzes the post-COVID-19 global health crisis's effects on hospital cash flow, identifies core principles of effective cash flow management, and formulates comprehensive strategies to enhance hospitals’ financial and operational resilience. This study employs the Systematic Literature Review (SLR) method as the primary approach to identify, evaluate, and synthesize findings from various sources of literature relevant to the research topic. Findings reveal that hospitals have faced sharp revenue declines and increased operational burdens, further exacerbated by challenges in claims processing and reimbursement systems. Nevertheless, adaptive hospitals demonstrated resilience through revenue diversification and cost efficiency. This report highlights the importance of proactive cash flow planning and monitoring, optimization of receivables and claims management, prudent debt management, operational efficiency, and strategic investment in digital transformation. Furthermore, human resource development and the establishment of strong crisis management teams are critical elements in building long-term resilience. Recommendations include adopting integrated technologies, enhancing collaboration, and advocating for more efficient payment systems to ensure the sustainability of healthcare services amid future global uncertainties.
Regulation of Drug Procurement and Supply Chain Management in Indonesian Hospitals: Implications for Drug Availability and Mitigation of Drug Shortage Arrasily, Nailul Fithri; Minarsih, Tri Jenny; Hartono, Budi; Daud, Alfani Ghutsa
Jurnal Ilmiah Ekotrans & Erudisi Vol. 5 No. 2 (2025): December 2025
Publisher : LPPM Universitas Ekasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69989/yg78vk12

Abstract

Pharmaceutical management in hospitals is a critical component of the healthcare system, directly influencing service quality and operational sustainability. This study examines the relationship between the pharmaceutical regulatory framework established by the Ministry of Health (Kemenkes) and the National Agency of Drug and Food Control (BPOM) and the operational performance of pharmaceutical Supply Chain Management (SCM) in Indonesian hospitals. A Systematic Literature Review (SLR) using a Scoping Review approach was conducted to synthesize quantitative evidence on drug procurement regulations, distribution, and inventory efficiency. Secondary data show that 34.7% of hospitals experience shortages of essential medicines at least once a year, and 80% of pharmaceutical distributors (PBFs) fail to meet the maximum three-day delivery lead time. This highlights a substantial gap between comprehensive regulations, such as Ministry of Health Regulation No. 17 of 2024 on Telepharmacy and BPOM Regulation No. 20 of 2025 on Good Distribution Practice (CDOB), and operational logistics implementation. The main challenge lies not in regulatory design but in weak enforcement of logistical discipline and supplier monitoring. Recommended strategies include performance-based contracts linking lead-time compliance to penalties or incentives and continuous data-driven training for pharmaceutical personnel. Strengthening the synergy between regulatory frameworks and operational discipline is essential to ensure sustainable drug availability and high-quality healthcare services in Indonesia.
Tinjauan Literatur: Model dan Mekanisme Distribusi Obat pada Instalasi Farmasi Rumah Sakit di Indonesia: Analisis Kuantitatif Kinerja dan Implikasi Keselamatan Pasien (2015–2025) Muharani, Defrika; Faizah, Hashifah; Arrasily, Nailul Fithri; Farhiyah, Nur Laili; Minarsih, Tri Jenny; Hartono, Budi; Daud, Alfani Ghutsa
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 1 (2026): SENTRI : Jurnal Riset Ilmiah, Januari 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i1.5378

Abstract

This literature review aims to synthesize quantitative empirical evidence from studies published between 2015 and 2025 concerning drug distribution models and logistic mechanisms implemented in Hospital Pharmacy Installations in Indonesia. The review focuses on comparing the effectiveness of the Unit Dose Dispensing system with conventional drug distribution models, namely Individual Prescribing and Floor Stock systems, while also examining the role of inventory control methods such as ABC-VEN Analysis and the Economic Order Quantity approach in improving pharmaceutical logistics performance. The findings reveal that national compliance of IFRS with established pharmaceutical care standards remains relatively low, reaching only 65.28%, indicating significant gaps in service quality and operational efficiency. Conventional distribution models are consistently associated with substantial inefficiencies, as reflected by an average inpatient drug return rate of approximately 18%, ranging from 17.11% to 19.62%. Prescription duplication emerges as the dominant contributor, accounting for 42.27% of total medication returns. Conversely, studies evaluating the implementation of the UDD system demonstrate a marked reduction in medication errors, highlighting its effectiveness in enhancing patient safety. From a financial perspective, the application of EOQ-based inventory management has shown the potential to reduce pharmaceutical inventory costs by an average of 8.21% per month, indicating meaningful improvements in cost efficiency. Overall, this review concludes that IFRS in Indonesia must progressively transition toward automated, standardized, and integrated drug distribution systems. Successful implementation requires addressing critical socio-technical challenges, including high initial investment costs, limitations in technological infrastructure, and resistance among healthcare personnel, to achieve optimal patient safety, and service quality.
Co-Authors Budi Hartono Daud, Alfani Ghutsa Faizah, Hashifah Farhiyah, Nur Laili Minarsih, Tri Jenny Minarsih, Try Jenny muharani, Defrika