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JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

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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.

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Articles 8 Documents

Search results for , issue "Vol 9, No 3" : 8 Documents clear

Perkiraan Kadar Seftazidim dalam Darah pada Pasien Pneumonia dengan Gangguan Fungsi Ginjal Dewi Latifatul Ilma; Djoko Wahyono; Ika Puspita Sari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Pneumonia is one of the major causes of mortality due to infection in hospitalized patients. It was frequently found in patients with renal failure. Clinical outcomes of infected patients with renal failure are worse compared to patients without renal failure. The presence of renal impairment affects the pharmacokinetics of the drug. Ceftazidime is one of the most commonly used antibiotics in patients with pneumonia. Approximately, 80-90% of ceftazidime’s total drug fraction is eliminated by kidneys so that the presence of kidney disorders will affect the concentration of ceftazidime in the blood. This study aimed to determine the estimated concentration of ceftazidime in the blood and clinical outcome of pneumonia patients with renal impairment. This study was a retrospective study with descriptive observational design. Data were obtained from patient’s medical record in a hospital in Yogyakarta between January 2013-June 2017 which fulfilled the inclusion criteria, i.e., ≥18 years old patients with complete medical record data, treated in internal medicine ward with diagnosis of pneumonia (HAP/HCAP) who had chronic renal failure, and received ceftazidime for minimum 72 hours or 3 days. The number of research samples were 40 patients. This study showed that 31 patients (77.5%) had achieved estimated ceftazidime concentration in the blood above the minimum inhibitory concentration of 8 μg/ mL. After ceftazidime therapy, 19 patients (47.5%) had improved clinical outcome and 21 patients (52.5%) had not improved clinical outcome.

Korelasi Pelayanan Kefarmasian dan Citra Rumah Sakit dalam Analisa SWOT Instalasi Farmasi RS Baptis Batu Charina Halim Sugiono; Rollando Rollando; FX. Haryanto Susanto; Eva Monica
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Good pharmacy services are expected to build the positive image of the hospital. This includes the enhancement of competitive advantage among hospitals. The expected output of this research is identifying the effect of three dimensions of pharmacy services; interpersonal relations, therapy management and general satisfaction, to the image of the Baptis hospital, Batu City. The implementation of SWOT analysis is expected to determine the effect between variables, and the hospital can improve the competitive advantage. This study used quantitative and qualitative methods. Quantitative research involved 200 respondents and the method of statistical analysis was Multiple Linear Regression to investigate the effect of pharmacy services on the hospital image. The results of the study prove that pharmacy personnel at the Pharmacy Installation of Baptist Hospital Batu has provided good service, cared for patients, showed respect, and gave their willingness to provide information, education, counseling, and good activities. While the rating is classified as low, but still in good range is the patient's response time which is in the dimensions of general patient satisfaction. Qualitative research used the SWOT analysis and involved pharmacists of the Baptis Hospital. Generally, the result of statistical analysis revealed that the dimensions of pharmacy services have a positive effect on the hospital hospital image, both partially and simultaneously. In addition, the result of SWOT analysis demonstrated that Baptis Hospital is included in the first quadrant, which means the hospital runs a strategy that leads to the growth of the hospital. The hospital is in the perfect position that allows the management to rely on the strength in order to develop rapidly.

Efektivitas Hybrid e-Learning Mata Kuliah Kimia Klinik dan Bioanalisis di Fakultas Farmasi, Universitas Gadjah Mada Adam Hermawan; Muthi Ikawati; Susi Ari Kristina; Edy Meiyanto
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The e-learning method has emerged over the years along with the development of information technology. One of the advantages of this method is not depending on space and time of lecture. The course of clinical chemistry and bioanalysis consisting of lectures and practical courses has time and place limitations for practical and discussion between lecturers and students, therefore learning method innovation is needed. This study aimed to evaluate the effectiveness of the hybrid e-learning method using eLisa on student, as well as understanding and evaluating student perceptions and acceptance of the hybrid e-learning method in clinical chemistry and bioanalysis courses. The platform for the the hybrid e-learning method is eLisa (elisa.ugm.ac.id), developed by the Center for Innovation and Academic Studies (PIKA) UGM. A total of 54 UGM Pharmacy students in the sixth semester of the academic year 2017/2018 participated in this learning activity. Online discussion was conducted on a scientific paper or data obtained from practical courses. Lecturers also provide assignments and online quizzes through eLisa every 2 to 3 weeks. Online assignments and quizzes are opened 24 hours after the lectures. The hybrid e-learning method improve student’s understanding on the lectures and results in the increased number of students who get A marks by 100% compared to conventional learning methods. Most students were satisfied and able to enjoy the learning process with hybrid e-learning with eLisa. This method is able to improve the understanding of subjects and students are satisfied with the implementation of course learning. Further development on improving e-learning methods is needed to improve the quality of learning outcomes.

Estimasi Nilai Ekonomi Obat Tidak Digunakan pada Kalangan Rumah Tangga Kota Yogyakarta Bai Athur Ridwan; Susi Ari Kristina; Chairun Wiedyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Pengeluaran untuk obat-obat yang diresepkan dan obat yang dijual bebas merupakan persentase besar dari total biaya perawatan kesehatan. Pasien mungkin tidak dapat menggunakan semua obat yang diperoleh dari pengobatan karena perubahan dosis atau obat-obat yang telah kedaluwarsa. Hal ini diperkirakan memiliki konsekuensi terhadap finansial. Tujuan utama dari penelitian ini adalah untuk mengetahui nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga Kota Yogyakarta.Jenis Penelitian ini yaitu observatif dengan rancangan studi cross sectional. Responden dipilih secara convenience sampling dan diwawancara langsung dan mendata obat-obat yang disimpan di rumah. Data dianalisis dan dipersentasikan secara deskriptif.Dari 400 responden, hanya 261 (65,2%) yang menyimpan obat terdiri dari obat sedang digunakan dan persediaan, obat tidak digunakan dan obat kedaluwarsa dengan total harga sebesar Rp7.082.556. Total harga obat tidak digunakan sebesar Rp1.273.921 (18%) dengan rata-rata Rp13.698 per orang sedangkan obat kedaluwarsa hanya berharga Rp140.065 (2%) dengan rata-rata Rp12.733. Berdasarkan kelas terapi, jumlah obat tidak digunakan paling banyak adalah analgesik (28,6%), sistem respirasi (13,7%), dan antimikroba (11,9%), sedangkan obat kedaluwarsa utamanya analgesik, saluran cerna dan antiseptik masing-masing (18,8%). Nilai ekonomi obat tidak digunakan dan kedaluwarsa pada kalangan rumah tangga dari penelitian ini relatif kecil. Penelitian ini dapat berfungsi dalam program edukasi masyarakat untuk meningkatkan kepatuhan dan penggunaan obat secara tepat dan efisien agar dapat dilakukan penghematan biaya kesehatan yang dikeluarkan.Kata Kunci: Obat tidak digunakan, obat kedaluwarsa, biaya

Penilaian Kualitas Hidup Pasien Hemodialisis Rutin dengan Anemia di Yogyakarta Candra Eka Puspitasari; Tri Murti Andayani; Fredie Irijanto
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Anemia is often experienced by hemodialysis patients and can have an impact on the quality of life. This study aims to determine the effect of hemoglobin (Hb), hematocrit (Ht), and the characteristics and sociodemographic of the subjects on quality of life. The method used in this study was cross sectional and consecutive sampling technique. The data is retrieved by interviews which then analyzed using dummy multiple regression. Inclusion criteria included routine hemodialysis patients and did not receive blood transfusions. The validity and reliability test of the KDQoL-SF36 questionnaire showed reliable results. The results of the study on 112 subjects obtained an increase in Hb levels positively correlated with an increase in the KDQoL-SF36 score but not for an increase in Ht levels. Increased KDQoL-SF36 score illustrates the better quality of life of patients. Characteristics and sociodemography that influence quality of life include comorbid dummy hypertension-diabetes and work status. The condition of anemia can worsen the quality of life for hemodialysis patients.

Pengendalian Persediaan Obat dengan Minimum-Maximum Stock Level di Instalasi Farmasi RSUP Dr. Sardjito Yogyakarta Titik Rahayu Indarti; Satibi Satibi; Endang Yuniarti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Inappropriate inventory control of medicines in hospital can lead to shortage or over stock, which is a problem faced by Dr. Sardjito Hospital Yogyakarta. The aim of this study was to examine the effect of the Minimum-Maximum Stock Level (MMSL) method on efficiency and effectivity of medicine inventory at Hospital Pharmacy Dr. Sardjito. A quasi experimental nonequivalent without control group design was applied, and purposive sampling was taken from retrospective data in January-June 2018 and the application of methods prospectively i.e. August-December 2018. Thirty-five types of medicines which met the inclusion and exclusion criteria were obtained, i.e. high cost, high volume, clinicaly important, and supply focus. These types of medicines were included in category A of ABC Pareto Analysis. The effect of minimum-maximum stock level method on inventory value, stock out value, and Inventory Turn Over Ratio (ITOR) was analysed using Wilcoxon Signed Rank Test statistic. The effect of minimum-maximum stock level method on stock out incident was analysed using Mc Nemar Test statistic. This study found that minimum-maximum stock level method to impact the positively their efficiency of drug control marked by decreased of inventory value and ITOR ideal value. The effectiveness of drug control marked by decreased incidence of stock out in Hospital Pharmacy Departement Dr. Sardjito.

Pengukuran Kualitas Hidup Pasien Kanker Payudara di Kota Denpasar Menggunakan Instrumen EQ-5D-5L Abdillah Mursyid; Restu Nur Hasanah Haris; Dwi Endarti; Chairun Wiedyaningsih; Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Breast cancer is the second most common cancer in the world and is one of the biggest causes of cancer deaths every year. Measurement of the quality of life in breast cancer patients could improve treatment and become a prognosic factor along with medical parameters for the patients. This study aims to measure the life quality of breast cancer patients and observe how it affects the life quality based on patient characteristics. The study was conducted on 93 breast cancer patients. Data were collected form patients in several breast cancer comunities in Denpasar which were carried outh within 3 months (January – March 2019). This study used a cross sectional design using a snowball sampling technique involving breast cancer patients in several cancer communities in Denpasar. The patient's life quality data was obtained using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) generic instrument and conversion to health utility (utility) used the Indonesian value set. The entire data was analyzed using the independent t-test and multivariate regression. The results showed that pain/discomfort and anxiety/depression were the most dominant problem in breast cancer patients (82,7%). The utility value of breast cancer patients was 0.821±0.123 and the VAS value was 74.41±11.67. There was a significant difference in utility value based on patient characteristics of occupation (p=0.035), symptoms (p=0,003), and cancer stadium (p=0.015). Affected 20.5% of the quality of life of breast cancer patients in Denpasar city.

Evaluasi Luaran Klinis Terapi Antibiotik pada Pasien Community Acquired Pneumonia Anak Rawat Inap Sabrina Handayani Tambun; Ika Puspitasari; Ida Safitri Laksanawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Community Acquired Pneumonia (CAP) is an infectious disease which is one of the main causes of child mortality in developing countries. The pattern of giving antibiotics at the hospital is usually still empirical. Inappropriate use of antibiotics may cause failure of therapy or bacterial resistance. This study aims to determine the empirical antibiotic rationality and the relationship of rationality to the clinical outcome of CAP-pediatric inpatients at RSUP. Dr. Sardjito Yogyakarta. The study conducted using a descriptive analytic method with a retrospective cohort design. The subjects were CAP-pediatric inpatients at RSUP. Dr. Sardjito Yogyakarta period 1 January-31 December 2018. The rationality of empirical antibiotics is evaluated using the Gyssens algorithm. The clinical outcome was either good or bad outcome according to the clinician stating in the medical record. Patient characteristics, empirical antibiotic therapy and rationality patterns were analyzed descriptively. The relationship between empirical antibiotic rationality and clinical outcome were evaluated using Chi square test. There were 73 patients who met the inclusion and exclusion criteria (132 empirical antibiotic regimens). Rational antibiotic therapy accounted 76.5% (category 0). Types of irrationality of antibiotic found were IIIB (5.3%) and IIA categories (18.2%). Chi-square analysis showed that empirical antibiotic rationality related to good clinical outcome of CAP children (p = 0.011; OR = 2.957; 95% CI = 1,263 - 6,923).

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