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INDONESIA
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
Published by Universitas Gadjah Mada
ISSN : 20888139     EISSN : 24432946     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Public Health
JMPF is the first open access journal in Indonesia specialized in both research of pharmaceutical management and pharmacy practice. Articles submitted in JMPF are peer reviewed, we accept review articles and original research articles with no submission/publication fees. JMPF receives manuscripts in both English (preferably) and Indonesian Language (Bahasa Indonesia) with abstracts in bilingual, both Indonesian and English. JMPF is also open for various fields such as pharmaceutical management, pharmacoeconomics, pharmacoepidemiology, clinical pharmacy, community pharmacy, social pharmacy, pharmaceutical marketing, goverment policies related to pharmacy, and pharmaceutical care.
Arjuna Subject : -
Articles 6 Documents
 1 
Search results for , issue "Vol 7, No 3" : 6 Documents clear
Analysis of Outpatient Services at a Public Hospital in Yogyakarta using Lean Hospital Approach Rofi'atun Suryani; Wakhid Slamet Ciptono; Satibi Satibi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33252

Abstract

Outpatient services are a reflection of hospital-provided services. A public hospital in Yogyakarta is leading to a new development by adding new facilities and buildings. Objective of this study is to identify the outpatient service outline, the location of the bottleneck and its causes to provide some suggestions of continuous improvement with Lean Hospital approach. This study was conducted on outpatient service department during November 2016 to April 2017. This research is a qualitative descriptive study. Samples were taken by purposive technique using patient sample until it reached data saturation that is 61 respondents. Value Stream Mapping was used to identify outpatient service flow, waste and the location of the bottleneck. Fishbone Diagram was used to analyze the cause of the bottleneck. This research applied Baseline, Assess, and Suggest Solution from BASICS Method. The result shows the Total Cycle Time is 4,79 hours; Total Lead Time is 9,31 hours; and Total Waiting Time is 4,52 hours. Waste observed is as listed: waste of waiting, inventory, defect, transportation, motion, overproduction, overprocessing, and human potential. Bottleneck was located at the Outpatient Clinic, Outpatient Pharmacy, Laboratory, and Radiology. From the Fishbone Diagram the root causes of the problems are found and solutions are proposed to improve the performance in terms of: (1) Manpower, the employee working in the outpatient service, (2) Material, the infrastructure used for service, (3) Method, include management of service (Standard Operational Procedure), (4) Equipment, tools used in the outpatient service and (5) Environtment which is an area of the outpatient service include service area and waiting rooms.
Differences of Implementation Pharmaceutical Care Standard with Potential Medication Errors Analysis at Several Hospital in Semarang Satibi Satibi; Vika Marin Y.W.; Sri Suwarni; Kuswardhani Kuswardhani
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33251

Abstract

The impact of not implementing good pharmacy service activities are the possiblility of medication errors in the pharmaceutical care process (Depkes, 2014). In fact, most hospitals do not perform pharmaceutical care activities as expected, given some constraints such as the ability of pharmacy, limited knowledge of the hospital management in functions of hospital pharmacy, policy of the hospital management, and the limited knowledge of the relevant parties about hospital pharmacy service. Peraturan Menteri Kesehatan Republik Indonesia nomor 58 Tahun 2014 appeared as a pharmaceutical care standard. This study aims to determine differences of the implementation of pharmaceutical care standard with potential medication errors prescriptions in Government and Private Hospitals in the city of Semarang. The methode used is quasi experiment time approach. The sampling technique used is purposive sampling on an outpatient prescriptions. Subjects were the outpatient prescription in government and private hospitals in Semarang. The analysis used in this study were bivariate analysis Chi square test results obtained administrative requirements x2count = 103,793 and p = 0.000, pharmaceutical requirements showed x2 count = 53,231 and p = 0.000, clinical requirements obtained x2 count = 259,515 and p = 0.000. Based on the three requirements medication errors in prior implementation of pharmaceutical care standard periods was significantly different to the classification of goverment and private hospitals.
The Anticholinergic Drug Effect on Decreasing Cognitive in Geriatric Patients at Kota Surakarta General Hospital Nurlena Ikawati; Fita Rahmawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33257

Abstract

This leads the geriatric patients to receive multiple drugs regimen (polypharmacy) which include using anticholinergic drugs. Risk of anticholinergics drug use is associated with cognitive impairments that have been demonstrated in experimental and cohort studies. The objective of this study is to determine the profile of anticholinergic drug use and its impact on cognitive reduction in elderly patients at Outpatient Unit Department of Kota Surakarta General Hospital. This study used cohort design. Data were collected through patient medication records and direct interviews to measure the cognitive status of patients using a six-item cognitive impairment test questionnaire (6-CIT). This study divided the respondents into two group; 178 patients (50,6%) took anticholinergic agents, and 174 patients (49,4%) did not use the anticholinergic drugs. Data analysis used Chi-square comparative test and linear regression test with SPSS (Statistical Package for Social Science). The results showed 136 patients or 58,12% use level one anticholinergic drug. The most widely used anticholinergic are diazepam (13,9%) and furosemide (12,5%). The anticholinergic drugs were extensively used by patients who suffer circulatory system diseases as much as 171 (32,1%), followed by endocrine disease, nutrition and metabolic diseases were 83 (15,6%). The number between women and men who take anticholinergics is not significantly different, 91 (51.41%) for women. Whereas by age, the number of most anticholinergic prescribed for patients who are 60 to 74 years is 124 patients (69,66%). There was a significant correlation between anticholinergic drug use in decreasing cognitive function of the geriatric at Outpatient Unit Department of Kota Surakarta General Hospital (p <0,005) proven by r value 0.631.
Dispensing Prescription Medicines without a Prescription in Pharmacy M. Rifqi Rokhman; Mentari Widiastuti; Satibi Suwarni; Ria Fasyah Fatmawati; Ni&#039;matul Munawaroh; Yenda Ayu Pramesti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33256

Abstract

A poor drug monitoring system in many developing countries makes patient easy to buy any prescription medicines without prescription. This research aimed to assess the compliance of pharmacy towards prescription medicine’s regulations, pharmacist knowledge toward a list of medicines as prescription or over the counter medicines, and the reasons associated with dispensing prescription medicines without a prescription in pharmacy. The research was a descriptive non-experimental study. The sample was taken using simple random sampling in Sleman and Kota Yogyakarta Regency from September 2016 to January 2017. Data were taken in 2 steps, using simulated patient and a questionnaire one week after the first step. The simulated patient would come to the pharmacy and requested amlodipine 5 mg 10 tablets and allopurinol 100 mg 20 tablets. The questionnaire assessed pharmacist knowledge in classifying of several medicines as prescription or over the counter medicines, information taken and given when dispensing prescription medicines without a prescription, and the reason associated with dispensing prescription medicines without a prescription. The data were analyzed descriptively. The results showed that from 138 pharmacies randomly selected, 132 pharmacies (95,7%) dispensed amlodipine and 127 pharmacies (92,0%) sold allopurinol without a prescription. Majority of pharmacists (more than 85%) hold a view that prescription medicines mainly for chronic diseases (glibenclamide, metformin, amlodipine, captopril, allopurinol, dan simvastatin) as the over the counter medicines, as the main reason was patients regularly taking this medication before. However, the majority of pharmacists (79,2%) perceived that antibiotics as prescription medicines that should be dispensed only with a medical prescription. This research showed that pharmacist does not fully implement applicable regulations.
Methods to Estimate Willingness-to-Pay Per Quality Adjusted Life Year as Cost-Effectiveness Threshold Tri Murti Andayani; Dwi Endarti; Susi Ari Kristina; Rifqi Rokhman
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33255

Abstract

Pharmacoeconomic studies, especially the cost-utility analysis method, require a cost-effectiveness threshold for interpretation of the cost-effectiveness ratios of the study. The cost-effectiveness threshold is determined by each country. Therefore, a study to determine the Willingness-To-Pay per Quality Adjusted Life Year (WTP per QALY) as cost effectiveness threshold for pharmacoeconomic studies is indispensable in Indonesia. The purpose of this study is to review the literature and to develop guidelines for estimating WTP per QALY as cost effectiveness threshold in pharmacoeconomic studies. Literature review was conducted using some electronic databases, such as MEDLINE, Pubmed, Science Direct, and Google Scholar. The study was conducted by holding survey on healthy population or patients. Estimated WTP per QALY are differentiated based on therapy for preventive, curative, and life saving or interventions that can prolong life expectancy. The study was conducted in three stages: measuring utility, measuring WTP, and combining WTP and utility values in WTP per QALY. Utility measurements are performed either with single or multi-attribute instruments, whereas WTP measurements use contingent valuation or discrete methods. Survey technique can be done with face to face interview, telephone, and internet. This research can be used as a guide in the development of methods to estimate WTP per QALY as cost effectiveness threshold in pharmacoeconomic studies.
Significance of Consumption Patterns and ABC/FSN Matrix to Optimize Vital Drugs Inventory Management Nang Nwe Ni Hlaing; Cha-oncin Sooksriwong; Farsai Chanjaruporn; Oraluck Pattanaprateep
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33258

Abstract

Drug shortage affects patient’s life, especially life-saving medicines. The main objective of the study was to analyze the retrospective consumption data from 2016 in order to optimize the inventory management of vital drugs. 136 of vital drug items were categorized by ABC (Always Better Control) and FSN (Fast, slow and non-moving) matrix and analyzed the consumption patterns of vital drugs in each group. Total consumption value for vital drugs during 2016 were 361,091,149 Thai Baht. ABC and FSN matrix were sub-categorized into Category I (AF, AS, AN, BF, CF), Category II (BS, BN CS) and Category III (CN). Irregular consumption patterns from Category I and II, required special attention regarding stock control to overcome shortage and oversupply. Although Category III consists of non-moving items, these drugs have to be in stock in sufficient amount for emergency issues. Depending on the nature of consumption patterns, different inventory control methods are necessary for different characteristics of demand patterns.

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