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JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
ISSN : 20888139     EISSN : 24432946     DOI : -
Core Subject : 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 487 Documents
EVALUASI KUALITAS HIDUP PENDERITA OSTEOARTRITIS DI INSTALASI RAWAT JALAN RUMAH SAKIT PERIODE FEBRUARI – MEI 2013 Asrul Ismail; Ika Puspitasari; I Dewa Putu Pramantara
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.197

Abstract

Penderita osteoartritis mengalami berbagai gangguan gejala  penyakit yang berdampak negatif terhadap kualitas hidup. Peningkatan kualitas hidup adalah penting sebagai salah satu  tujuan dari terapi pada penyakit kronis. Penelitian ini secara  umum bertujuan untuk mengetahui skor kualitas hidup dan  mengevaluasi faktor apa saja yang mempengaruhi kualitas hidup penderita osteoartritis di RSUP Dr. Sardjito Yogyakarta.  Penelitian ini merupakan penelitian observasional dengan rancangan Cross Sectional Study. Pelaksanaan pengambilan data  dilakukan dengan membagikan kuesioner AIMS 2 SF (Arthritis  Impact Measurement Scale 2 Short Form) kepada pasien  osteoartritis rawat jalan RSUP Dr. Sardjito Yogyakarta periode  Februari – Mei 2013. Variabel bebas adalah usia, jenis kelamin,  penyakit penyerta, jenis terapi, status pekerjaan, dan intensitas  nyeri. Sedangkan variabel tergantung adalah kualitas hidup  penderita osteoartritis. Alat pengolah data menggunakan SPSS   17. Perbedaan rerata kelompok variabel bebas terhadap variabel tergantung dilakukan dengan uji t dan one-way ANOVA,  sedangkan hubungan antara variabel bebas terhadap variabel  tergantung dilakukan dengan uji multivariat regresi linear. Hasil  penelitian menunjukkan skor kualitas hidup pasien osteoartritis  sebesar 4,187. Terdapat pengaruh yang signifikan antara variabel usia, status pekerjaan dan intensitas nyeri terhadap kualitas hidup  dengan nilai signifikansi ketiga faktor tersebut sebesar 0,000  (p<0,05). Faktor jenis kelamin, penyakit penyerta, dan jenis terapi, tidak mempengaruhi kualitas hidup penderita osteoartritis. Kata kunci: kualitas hidup, osteoarthritis, intensitas nyeri, AIMS 2 SF
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.
PENGARUH KONSELING APOTEKER TERHADAP TINGKAT KEPATUHAN DAN HASIL TERAPI PASIEN HIPERTENSI RAWAT JALAN DI POLIKLINIK PENYAKIT DALAM Yosi Febrianti; Satibi Satibi; Rina Handayani
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.248

Abstract

Pemberian konseling yang tepat dan bermanfaat diharapkan dapat meningkatkan kepatuhan terhadap terapi obat untuk mencapai tekanan darah yang diinginkan. Tujuan penelitian ini untuk mengetahui pengaruh pemberian konseling terhadap tingkat kepatuhan  dan hasil terapi serta mengetahui hubungan tingkat kepatuhan dan hasil terapi pasien hipertensi rawat jalan di di RSUD Sleman. Penelitian ini dilakukan dengan rencangan control group design with pretest posttest. Penelitian ini dilakukan pada 106 pasien yang terbagi secara random menjadi 2 kelompok yaitu 53 pasien pada kelompok kontrol dan 53 pasien pada kelompok perlakuan. Pada kelompok perlakuan, konseling diberikan 2 kali setiap 2 minggu . Penilaian kepatuhan dilakukan dengan menggunakan kuesioner MMAS (Morisky Medication Adherece Scale) pada kedua kelompok tersebut yaitu pada awal pasien rawat jalan dan 1 bulan setelah pemberian konseling. Kemudian nilai dari MMAS pada kedua kelompok akan dianalisis dengan Mann Whitney dan Wilcoxon karena data tidak terdistribusi normal serta diuji chi square dan spearman untuk mengetahui hubungan dari masing-masing kelompok. Hasil penelitian menunjukkan bahwa terjadi penurunan rerata tekanan darah bermakna pada kelompok perlakuan 19,2 poin (p=0,000) pada tekanan darah sistolik dan 6,03 poin (p=0,074) pada tekanan darah diastolik sedangkan pada kelompok kontrol tidak terdapat perubahan rerata yang bermakna. Hasil uji korelasi kepatuhan dan hasil terapi menunujukkan hubungan yang positif dan bermakna antara kategori MMAS dengan tekanan darah sistolik (p=0,000; r=0,725) dan tekanan darah diastolik (p=0,002; r=0,205). Penelitian ini menyimpulkan bahwa konseling dapat berpengaruh terhadap kepatuhan pasien sehingga dapat menurunkan tekanan darah sistolik dan diastolik pada kelompok perlakuan dibandingkan kelompok control. Kata kunci: konseling, apoteker, kepatuhan, tekanan darah
EVALUATION OF GENTAMICIN DOSES FOR TREATING CHILDREN WITH SEVERE PNEUMONIA Nialiana Endah Endriastuti; Djoko Wahyono; Ristantio Sukarno
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.25

Abstract

Administration of gentamicin in pediatric with severe pneumonia cases is a rational use of antibiotic. Gentamicin as a narrow therapeutic range agent (0.5 to 10 mg/L) should be followed by monitoring using TDM in order to know the levels of drug in the patient’s body so it does not cause toxicity or effects of drugs that are too small. This study aimed to estimate levels of gentamicin in serum after administration pediatric with pneumonia at Dr. Sardjito Hospital and assesed the improvement of clinical outcomes.The study was conducted retrospectively and data were obtained from medical record of pediatric inpatient, 1 month-16 years, whose recieved gentamicin in Dr. Sardjito Hospital in period between January 2009-April 2014. Clinical outcomes were namely body temperature, respiratory rate, chest retraction, and leucocyte number. The data were analyzed descriptively including the patient characteristics, estimated blood levels of gentamicin, estimated gentamicin for adjusment dose. In order to determine the effect of clinical outcome parameter on the success of therapy. Data were analyzed statistically using chi square on SPSS program. The results showed that the average of blood levels of gentamicin in all 31 patients were in therapeutic range (0.5 to 10 mg/L). However there were 20 patients (64,52%) had the level of gentamicin at > 10 mg/L and 10 patient (32,26%) had < 0,5 mg/L. The research also showed that 8 patient had improvement in the clinical outcome although 23 patient not yet had improvement in these parameters.Keywords:  severe  pneumonia,  gentamicin,  dose  evaluation,  estimate  levels, clinical outcome
BRAND SWITCHING ANALYSIS IN HAND & BODY LOTION FOR WOMEN CONSUMERS : A CASE STUDY IN STUDENT OF FACULTY PHARMACY UGM Tia Aningtyas; Sampurno Sampurno; Djoko Wahyono
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.56

Abstract

The causes of brand switching are dissatisfaction, the desire of variety and the influence of promotion. This type of research was associative study to analize link between customer dissatisfaction, need to find variations and the influence of promotion on brand Hand&Body Lotion, that causing the brand Switching Hand&Body Lotion. Location of research conducted at the Faculty of Pharmacy UGM, with sample Strata 1 (S1) student, Pharmacist and Master (S2) as many as 200 people. Determination techniques in non-probability sample used was purposive sampling or sampling based on the criteria, the student of Faculty of Pharmacy who using Hand & Body Lotion for 6 months. Data retrieval method used was a questionnaire. The analytical method used was multiple regression method. The result obtained was Y = -1,551 + 0,182X1 + 0,189X2 + 0,215X3 where Y was the displacement of the brand, X1 was the dissatisfaction of consumers, X2 was the need to find variation and X3 the influence of variations in the promotion. Equation can be interpreted that consumer dissatisfaction , needs to find the variety of products and promotional products significantly influenced the decision on Brand Switching Hand & Body Lotion (p <0.05). Promotion variables had the most impact on brand switching by consumers decision between the other independent variables under study that was equal to 0.215. The desire for a variation variable had a constanta 0,189 and 0,82 for advertisment variable.Keyword : Brand switching, dissatisfaction, variation, promotion
THE COMPARISON BETWEEN MONOTHERAPY AND POLYTHERAPY IN EPILEPSY IDIOPATHIC GENERALISED TONIC CLONIC Ratna Wijayatri; Zullies Ikawati; Abdul Ghofir
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.106

Abstract

The prevalence of epilepsy in the world reachs 5-20 per 1000 population. In Indonesia, the prevalence of epilepsy is approximately at 0.5-1.2%. Antiepilepsy drug has an important role in the epilepsy treatment. This study was aimed to know the effectiveness and safety of monotherapy treatment compared to polytherapy in terms of seizure frequency, seizure-free duration, and adverse drug reaction. This study was the observational research. The data were collected prospectively using instruments i.e.: seizure diaries and APS (Adverse Drug Reaction Probability Scale). Subject of this study were epileptic patient with idiopathic generalized tonic clonic who receive either polytherapy or monotherapy in neurological clinic of Dr. Sardjito Hospital on May-June 2012 period, which fulfilled the inclusion criteria. The data from monotherapy and polytherapy group was analysed in term of seizure frequency, seizure-free duration and adverse drug reaction. Result showed that monotherapy treatment more effective in controlling seizure (reduce the frequency of seizure) compared to polytherapy (<0.05). Percentage of seizure free was 83% in monotherapy compared to 48% in polytherapy. The prevalence of adverse drug reaction was about 20% in monotherapy and 14% in polytherapy. Based on the interview, although monotherapy caused more adverse drug reaction than that in polytherapy, the drug adverse reaction in monotherapy was milder and did not annoy patient convenience.Keywords: Epilepsy, Idiopathic Generalised Tonic Clonic, Monotherapy, Polytherapy, Adverse Drug Reaction
Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province Ivonie Carolien; Achmad Fudholi; Dwi Endarti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.30294

Abstract

The availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center’s document of 2012 to 2015, for 35 indicator medicine, and interview with  the medicine manager and  the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were  the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center’s need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and  stock out time increased after NHI. In that period, the factors affect were, the demand process has not been optimal, insuffiecient and uneven distribution, lack of personel and  inadequate supporting for drug distribution charges the solution proposed were,  to improve knowledge and skill for medicine manager of health center, to plan pharmacist requirements, to set up medicine management information system, to do the integrated medicine planning and to provide the enough cost of distribution.
DRUG RELATED PROBLEMS PASIEN PEDIATRIK DI INSTALASI RAWAT JALAN RUMAH SAKIT Maya Arfania; Tri Murti Andayani; Fita Rahmawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.132

Abstract

Drug related problems (DRPs) merupakan bagian dari suatu medication error yang dihadapi hampir semua negara di dunia dan menyebabkan biaya pengobatan menjadi mahal. Pediatrik menempati peringkat kedua sebagai spesialis medis yang sering mengalami DRPs. Tujuan dari penelitian ini adalah untuk mengidentifikasi DRPs dan mengetahui angka kejadian DRPs pada peresepan pasien pediatrik rawat jalan serta mengetahui faktor yang berhubungan dengan terjadinya DRPs pada peresepan rawat jalan. Penelitian ini menggunakan rancangan cross sectional. Pengambilan data dilakukan secara prospektif. Penelitian dilakukan di RS PKU Muhammadiyah Yogyakarta dan RSUD Kabupaten Sleman pada bulan Oktober sampai Desember 2014. Subyek penelitian ini adalah pasien pediatrik rawat jalan sebesar 198 pasien dengan metode pengambilan sampel secara consecutive sampling. Penelitian ini dilakukan dengan mengidentifikasi adanya DRPs pada peresepan pasien pediatrik rawat jalan, kemudian menentukan faktor yang berhubungan dengan terjadinya DRPs pada pasien. Hubungan faktor usia, jenis kelamin, jumlah obat, jumlah diagnosis, dan dokter penulis resep dengan DRPs dianalisis menggunakan Chi square/ Fisher exact test sedangkan untuk melihat besarnya rasio jenis obat yang dapat menyebabkan DRPs dilakukan dengan menghitung drug risk ratio (DRR). Hasil penelitian menunjukkan DRPs terjadi pada 99 (50%) pasien pediatrik dengan total kejadian DRPs sebanyak 172 kejadian. Tipe DRPs yang mayoritas terjadi adalah interaksi obat sebesar 97 (56,40%) kejadian, dosis terlalu kecil 42 (24,42%) kejadian, kepatuhan 17 (9,88%) kejadian, obat tidak tepat 13 (7,56%) kejadian, dan ESO 3 (1,74%) kejadian. Faktor risiko yang berhubungan dengan kejadian DRPs adalah usia, jumlah obat, dan dokter penulis resep.
REVIEW OF DRUG DISTRIBUTION SYSTEM STRATEGY OF INPATIENT AT PROF. DR. MARGONO SOEKARJO HOSPITAL PURWOKERTO Niluh Puspita Dewi; Gunawan Pamudji; Aris Widiastuti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.72

Abstract

Decree of Minister of Health Number 1197/menkes/SK/X/2004 about Standard of Hospital Pharmacy Service, states that the Hospital Pharmacy Service was integral part of hospital health care system which oriented to patient care, provision of drugs quality, clinical pharmacy services, which affordable for all levels of society. Departement of Hospital Pharmacy (IFRS) was the only division were fully responsible for the management and control of all pharmaceuticals and other medical supplies which circulated and used in hospitals. Therefore IFRS should make appropriate strategies that start with the analysis of internal and external environments known as SWOT analysis to formulate strategy that can be implemented in the service of the IFRS. The research carried out by primary and secondary data collection regarding IFRS and direct observation in field conducted by the researchers. Research can be determined which factors into strengths, weaknesses, opportunities and threats that exist on Inpatient Drug Distribution System, which then made the determination of alternative strategies to be applied by using SWOT analysis and matrix QSP. The research results showed that the calculation results of internal evaluation matrix, strengths value of Inpatient Drug Distribution System in IFRS was greater than the weaknesses value at 0.32. The results of external factor evaluation matrix also the probability value was greater than the threat value at 0.06. Therefore Drug Distribution System of Inpatient at Prof. Dr. Margono Soekarjo Hospital located in quadrant 1, which supports policy of aggressive growth. Selection strategy by QSP matrix obtained results to improve the quality and quantity of human resources at 7.01; to establish patient visite program, at 7.43; to improve service quality in order to be more  competitive with other pharmacies and hospitals at 7.28; and implement UDD distribution system at 7.66.Keywords: SWOT Analysis, Drug Distribution System of Inpatient.
ANALISIS PERSEPSI APOTEKER DAN FAKTOR YANG MEMPENGARUHINYA TERHADAP PENERAPAN SISTEM PEMBAYARAN DI ERA JAMINAN KESEHATAN NASIONAL PADA APOTEK DI DAERAH ISTIMEWA YOGYAKARTA Novita Kaswindiarti; Satibi Satibi; Diah Ayu Puspandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.221

Abstract

BPJS kesehatan sebagai pelaksana sistem Jaminan Kesehatan Nasional (JKN) dalam memenuhi pelayanan kesehatan pada peserta, melakukan kerjasama dengan Fasilitas Kesehatan Tingkat Pertama (FKTP) seperti klinik pratama dan dokter keluarga serta fasilitas penunjuang seperti Apotek Rujuk Balik (PRB) untuk memberikan pelayanan obat. klinik pratama harus memiliki Apoteker atau melakukan kerjasama untuk melakukan pelayanan kefarmasian (apotek klinik). Dokter keluarga harus memiliki jejaring dengan apotek (apotek jejaring). Pada ketiga jenis Apotek ini terdapat perbedaan mekanisme sistem pembayaran. Penelitian ini bertujuan untuk mengetahui pengaruh karakteristik apoteker, dan jenis tempat praktek apoteker terhadap persepsi apoteker, serta untuk mengetahui apakah terdapat perbedaan persepsi apoteker pada apotek PRB, apotek klinik pratama dan Apotek jejaring tentang pelaksanaan sistem pembayaran (kapitasi atau pembayaran langsung) di era JKN. Penelitian ini dilakukan di Daerah Istimewa Yogyakarta dengan desain observasi cross sectional, dengan menggunakan keseluruhan populasi apoteker yang bersedia mengisi kuisioner, yaitu sebanyak 48 responden dari apotek program rujuk balik, apotek klinik pratama dan apotek jejaring. Persepsi tentang sistem pembayaran di bagi menjadi 4 indikator yaitu indikator profit, klaim biaya, perjanjian kerjasama, dan pelayanan. Hasil penelitian menunjukkan bahwa jenis tempat praktek berpengaruh signifikan pada persepsi indikator profit dengan nilai sig 0,025 dan pada indikator pelayanan (sig 0,007). Tingkat pendidikan berpengaruh signifikan terhadap persepsi indikator klaim biaya (nilai sig 0,038). Usia dan lama praktek berpengaruh signifikan terhadap persepsi indikator perjanjian kerjasama (sig 0,042 dan 0,043). Perbedaan persepsi apoteker untuk indikator profit terjadi antara apoteker PRB, klinik pratama dan jejaring (p=0,003). Perbedaan persepsi apoteker untuk indikator pelayanan menunjukkan adanya perbedaan persepsi apoteker PRB, klinik pratama dan jejaring (p=0,001). Untuk Indikator klaim biaya dan perjanjian kerjasama tidak terdapat perbedaan persepsi antara apoteker di Apotek PRB dan Apotek jejaring.Kata kunci: persepsi, apoteker, sistem pembayaran, kapitasi, JKN

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