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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 487 Documents
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SATISFACTION ANALYSIS OF OUTPATIENT SERVICE QUALITY USING SERVQUAL Widdy Kurniawan Santoso; Marchaban Marchaban; Riswaka Sudjaswadi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.79

Abstract

Medical service companies are getting more competitive so companies have to always improve the service quality. The Pharmacy Unit of Yakkum Emanuel Hospital which is a supporting medical unit is demanded to give an optimal service to their patients. The recapitulation of the complaint box in February 2011 showed that 50% of patients (10 patients) complain on waiting time; 30% of patients (6 patients) complain on the hot air in the waiting room; and 20% of patients (4 patients) complain about when the patients will get their medicine. Regarding those issues, this research aimed to analize the level of patient satisfaction on the service quality at pharmacy unit of Yakkum Emanuel Hospital. This research was conducted with descriptive method. The subjects of this research were outpatient in Yakkum Emanuel Hospital that met the inclusion criteria. The number of the sample was 480 patients that taken with purposive method of sampling. The data were obtained using quetionaire about the quality of service based on SERVQUAL model (referring to tangibles, reliability, responsiveness, assurance, and empathy dimensions) and the data were mapped in cartesian diagram. The result shows that there were negative gap values between the patients’ expectation and perception. The highest gap value was on the assurance dimension followed by responsiveness, reliability, empathy, and tangibles dimensions. In general, patients felt dissatisfied with the performance of the management of the Pharmacy Unit of Yakkum Emanuel Hospital Purwareja-Klampok. Based on the Cartesian Diagram mapping, the management of the Pharmacy Unit of Yakkum Emanuel Hospital should pay more attention to the Assurance and Responsiveness dimensions.Keywords: service quality, satisfaction, SERVQUAL.
STUDI ON APLICATION OF HOUSE OF QUALITY (HOQ) TO IMPROVE THE QUALITY OF HEALTH CARE : Case Study in GMC Health Center Yogyakarta Yurista Septiani Dewi; Achmad Purnomo; Edi Prasetyo Nugroho
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.6

Abstract

GMC is an organization that provided health assurance for academicians in UGM. As a health assurance, GMC should increase their quality. Quality Function Deployment (QFD) is a part of Total Quality Management (TQM) tool that can use for measure TQM by House of Quality (HOQ) design. The aim of this study is to analyze the implementation of HOQ. This study located in GMC Health Center of Yogyakarta. The research was conducted using 2 samples. The samples consist of 2, 100 external customers and 10 internal customers, amounting to 10. This research followed by interviews with top managers to build house of Quality. And then build house of quality, finally analyze the atribute that must be repaired by management of GMC. The results showed that there were three aspects that should be prioritized by GMC. The first aspect is pharmaceutical care that included 4 attributes. The highest gap of this aspect completeness of drug supplies 6.21 and the availability of a pharmacist that was consumer value answered by the management GMC with the high level of difficulty. From the relative weight score 106.61 percent can be showed that the availability of pharmacist has the highest value on the customer excpectations for this aspects.The other aspects that must be improved are the emphaty and responsiveness and time. Emphaty dimension has the the highest value of technical descriptors 538.397 that can be done by the GMC for complete customer expectations in all aspects. Systemic obstacle for implement the House of Quality were financial and human resources. Keywords: Service Quality, Total Quality Management, Quality Function Deployment, House Of Quality
EFEKTIVITAS EDUKASI KELOMPOK OLEH APOTEKERTERHADAP KEPATUHAN DAN OUTCOME KLINIK PASIEN DIABETES MELITUS Intan Rahmania Eka Dini; Tri Murti Andayani; Luthfan Budi Purnomo
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.195

Abstract

Edukasi merupakan salah satu pilar pengelolaan diabetes melitus (DM) yang bertujuan memberikan pemahaman mengenai  penyakit, pencegahan, penyulit, dan penatalaksanaan DM kepada pasien dan keluarganya. Apoteker merupakan salah satu tenaga kesehatan yang turut memiliki tanggung jawab dalam meningkatkan kepatuhan pasien terhadap pengobatan salah satunya melalui edukasi. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian edukasi secara kelompok  dilihat dari kepatuhan dan outcome klinik pasien DM tipe 2 rawat jalan di RSUP Dr. Sardjito Yogyakarta. Penelitian eksperimental selama7 bulan di Poliklinik Endokrin RSUP Dr. Sardjito pada bulan Desember 2012 – Juni 2013 dengan sampel 26 pasien kelompok intervensi dan 28 pasien kelompok kontrol. Kelompok intervensi dibagi dalam 10 kelompok yang terdiri atas 2-3 pasien/kelompok yang mendapat edukasi dari apoteker. Pengukuran skor kepatuhan dilakukan dengan Morinsky Medication Adherence Scale dan outcome klinik diukur dengan perubahan nilai HbA1c sesaat sebelum edukasi dan setelah 3 bulan. Analisis kuantitatif dilakukan dengan menggunakan paired t test, independent t test, dan linear regression. Edukasi apoteker secara kelompok dapat meningkatkan kepatuhan pasien DM tipe 2 rawat jalan di RSUP Dr. Sardjito terhadap pengobatan dan memperbaiki kontrol glikemik kelompok intervensi dibandingkan dengan kelompokkontrol dengan masing-masingnilai p adalah 0,023(p<0,05) dan 0,010 (p<0,05). Selain itu, kepatuhan pasien berpengaruh terhadap perbaikan kontrol glikemik (HbA1c) dengan nilai p 0,002 (p<0,05). Kata Kunci: edukasi kelompok, kepatuhan, HbA1c
EVALUASI PHARMACY SUPPORT SYSTEM DALAM IDENTIFIKASI DRUG RELATED PROBLEMS PADA PASIEN GERIATRIK RAWAT JALAN Arissa Dwiningrum; Tri Murti Andayani; Fita Rahmawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.233

Abstract

Tujuan dari penelitian ini adalah untuk validitas software Pharmacy Support System melalui uji diagnostik (sensitivitas, spesifisitas, nilai duga positif dan nilai duga negatif) dari Pharmacy Support System dalam mendeteksi DRPs potensial pada pasien geriatrik rawat jalan dan untuk mengetahui perbedaan antara jenis DRPs yang terdeteksi oleh farmasis dan farmasis dengan dukungan PSS.Penelitian ini bersifat analitik observasional dengan desain cross sectional. Pengambilan data pada penelitian secara retrospektif (Oktober- Desember 2014) dari RS PKU Muahmmadiyah dan RSUD Kabupaten Sleman dengan jumlah sampel 200 pasien. Kriteria inklusi yaitu pasien dengan usia ≥60 tahun, pasien berasal dari poli penyakit dalam dan saraf. Untuk mengetahui nilai diagnostik dari PSS dianalisis menggunakan cross tabulation (tabel 2x2) dan analisa menggunakan uji Goodness of fit.Pharmacy Support System memiliki sensitivitas 99%, spesifisitas 60%, nilai duga positif 76% dan nilai duga negatif 98% dalam mendeteksi DRPs potensial pada pasien geriatri rawat jalan. PSS memiliki sensitivitas dan spesifisitas dalam mendeteksi jenis DRPs yaitu terapi tanpa indikasi (81,4%;98,8%), kondisi yang perlu diterapi (80%;96%), obat tidak tepat (94%;94%), dosis tidak tepat (100%;79%), efek samping obat (89%; 100%) dan interaksi obat (95%; 85%). Dan juga terdapat perbedaan bermakna antara jenis DRPs yang terdeteksi oleh farmasis dan farmasis dengan dukungan PSS.Kata kunci: geriatrik, DRPs, clinical decision support system, sistem informasi klinik farmasi
MEASUREMENT OF SERVICES QUALITY IN OUTPATIENT PHARMACY UNIT AT GENERAL REGIONAL HOSPITAL SLEMAN Rizkia Ainaini; Marchaban Marchaban; Triana Hertiani
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.44

Abstract

Health service facilities which are considered to have an excellency will also have a greater opportunity tobe selected by the customer. The formation of positive perceptions from customer that is expected to bringsatisfaction will provide a positive impact on efforts to increase profit and service in Hospital Pharmacy Unit. Thisstudy was aimed to measure the services quality in Outpatients Pharmacy Unit at Regional General Hospital Slemanwhich were reviewed from input, process, and outcome variables.The input variables were assessed through observation of the pharmacy services supporting resources,interviews with the insurer Pharmacists unit responsible for outpatient and job satisfaction questionnaires ofOutpatient Pharmacy Unit employees. The variable process was assessed through the results of drug use indicators.The variable outcome was assessed through value gap customer satisfaction questionnaires based on SERVQUAL methods. Subjects in the study covered the pharmacy services supporting resources (9 persons of employee), prescription drugs, and customers of Outpatient Pharmacy Unit at General Hospital Sleman (257 prescription drugs and customers). Input variables data were analyzed by descriptive analysis. Process variables data were checkedfor completeness from its data fields, tabulated and analyzed using a triangulation method. Outcome variables datawere analyzed by gap analysis.Results showed that the outcome of service did not match the quality services target of Pharmacy Unit at General Regional Hospital Sleman. The gap values of all dimensions service quality were negative, outpatient customers satisfaction index score was 74.41%. Some of the resources input variables need improvement and have not fulfilledthe Law on Hospitals, Government Regulation on Pharmacy Practice, Standard for Pharmacy Services in Hospital, aswell as there were still some obstacle on process variables that affect the pharmacyservices. Key words: pharmacy services quality, the variable input, process, outcome,Outpatient Pharmacy Unit GeneralHospital Sleman. 
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS HIDUP PASIEN GAGAL JANTUNG KRONIK Nadia Pudiarifanti; I Dewa Pramantara; Zullies Ikawati
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.218

Abstract

Gagal jantung kronik (CHF) merupakan salah satu sindrom penyakit yang dapat menurunkan kualitas hidup. Prevalensi CHF meningkat 10% pada lanjut usia. Perbedaan kualitas hidup dapat terjadi pada ras yang berbeda.Tujuan penelitian adalah untuk mengetahui gambaran kualitas hidup dan faktor-faktor mempengaruhi kualitas hidup pasien gagal jantung kronik di poliklinik jantung RSUP Dr. Sardjito Yogyakarta. Penelitian merupakan penelitian non-eksperimental (deskriptif analitik) dengan desain potong lintang.Pengumpulan data dilakukan pada bulan Januari – April 2015 dengan metode consecutive sampling di poliklinik jantung RSUP Dr. Sardjito Yogyakarta. Kualitas hidup pasienakan dinilai menggunakan kuesioner Minnesotta Living with Heart Failure (MLHF) dan kuesioner Morisky Medication Adherence Scale (MMAS-8) untuk menilai kepatuhan. Faktor risiko yang mempengaruhi kualitas hidup berupa usia, jenis kelamin, ejection fraction (EF), derajat keparahan New York Heart Association (NYHA), kepatuhan, komorbid, Body Mass Index (BMI), lama diagnosis, dan terapi dianalisis menggunakan uji Chi-Square/Fisher dan Uji T dua sampel independen untuk melihat distribusi dan hubungan faktor tersebut terhadap kualitas hidup. Total 97 subjek ikut serta dalam penelitian. Hasil penelitian menunjukkan bahwa nilai rata-rata skor total MLHF pada dimensi fisik adalah 16,72±8,68 dan pada dimensi emosional adalah 5,36±3,26. Perempuan dengan CHF memiliki tingkat emosional lebih baik dibandingkan laki-laki (p<0,05). Berdasarkan hasil analisis, hanya fraksi ejeksi yang memiliki perbedaan bermakna terhadap kualitas hidup (p<0,05). Pasien dengan EF<40% memiliki risiko mengalami kualitas hidup yang buruk dibandingkan pasien CHF dengan EF≥40%. Pengaruh komorbid seperti hipertensi dan diabetes, penggunaan digoksin atau obat golongan angiotensin reseptor blocker hanya berpengaruh pada dimensi fisik pasien CHF (p<0,05).Kata kunci: gagal jantung, kualitas hidup
IDENTIFICATIONS OF DRUG RELATED PROBLEMS ON HOSPITALIZED PATIENTS WITH ASTHMA IN PKU MUHAMMADIYAH YOGYAKARTA HOSPITAL IN 2009 Fitria Nur Hidayah; Septimawanto Dwi Prasetyo
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.17

Abstract

The change of pharmacy services paradigm from drug-oriented to patient-oriented (pharmaceutical care) requires an increase in the role of pharmacist in patient therapy. In order to support it, identification of Drug Related Problems (DRPs) is necessary. DRPs are problems that arise in drug therapy that could affect the outcome of patient therapy. DRPs are following the increase of types and amount of drugs consumed by patients, especially in the treatment of chronic diseases. Asthma is a chronic disease with increasing prevalence each year. The purpose of this study is to identify the incidence of DRPs in hospitalized patient with asthma. This study is a non-experimental descriptive research. Data collection was done retrospectively on the medical records card of hospitalized patients with asthma at PKU Muhammadiyah Yogyakarta Hospital in 2009. The data obtained were then analyzed with descriptive analysis. DRPs being analyzed include need for additional drug therapy, unnecessary and duplication drug therapy, wrong drug, dosage too low, drug interaction, and dosage too high. The results showed that the precentage of patients with DRPs was 55% (55 patients) and there were a total of 75 DRPs occured. The percentage incidence of each category were need for additional drug therapy is 16,0% , unnecessary and duplication drug therapy is 21,3%, wrong drug is 10,7%, dosage too low is 18,7%, drug interaction is 12,0%, and dosage too high is 21,3%. Key words : hospitalized patients with asthma, Drug Related Problems (DRPs), PKU Muhammadiyah Yogyakarta Hospital
THE ROLE OF INDONESIAN PHARMACIST ASSOCIATION ON THE IMPLEMENTATION OF PHARMATEUTICAL SERVICES STANDARD IN PHARMACY IN DIY Ankie Aulia Rachmandani; Sampurno Sampurno; Achmad Purnomo
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 1, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.38

Abstract

The public guidance of pharmaceutical services policy standard has been provided by the government throughIndonesian Health Ministrial Decree No. 1027/Menkes/SK/IX/2004. This policy, however, i still unimplementedyet, and seems need to be further evaluated. Study on the role of Indonesian Pharmacist Association (IAI) on theImplementation of pharmaceutical services standard in the pharmacy of DIY region was conducted. The study aimsto explore the IAI effort in implementing the government policy in DIY region, including services, learning andprotection. An explorative descriptive research was carried out. The data were collected through observation using passiveparticipatory model, indepth interview to the management of IAI and chemist management in DIY region. A total of17 respondents, covering chairman and secretary of DIY IAI, pharmacist and chemist management were interviewed.Triangulation was also conducted to pharmacist which manage the chemists.The study results show for service role, the policy level IAI seeks to play its role by issuing movement “NoPharmacist No Service”, but the operational level this movement has not been as expected. The protection role, IAIseeks advocacy function by providing protection to its members. In contrast the networking function has not beenable to lift the pharmacist image in society. For learning role, continuing professional education activities must be continuously conducted with some notification for improvement. The awareness of pharmacist in improving theircompetency should be increased through improvement of accountability of IAI. Key words: Indonesian Health Ministrial Decree No. 1027, IAI, pharmaceutical services policy
EVALUASI SISTEM INFORMASI MANAJEMEN FARMASI MENGGUNAKAN D&M IS SUCCESS MODEL UNTUK MENDUKUNG PENGELOLAAN OBAT DI RSUD KOTA SEMARANG Advistasari, Yustisia Dian; Lutfan, Lutfan; Pudjaningsih, Dwi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.151

Abstract

Rumah Sakit Umum Daerah Kota Semarang merupakan rumah sakit umum kelas B milik Pemerintah Kota Semarang yang telah menggunakan sistem informasi manajemen Medifirst2000 yang berbasis komputer untuk mendukung kegiatan operasionalnya sejak tahun 2007 yang dikelola oleh vendor. Namun pada awal tahun 2012 sistem informasi manajemen dikelola sendiri oleh instalasi sistem informasi manajemen rumah sakit dan telah diterapkan ke semua bagian pelayanan termasuk instalasi farmasi. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kualitas sistem, kualitas informasi dan kualitas pelayanan terhadap penggunaan sistem di RSUD Kota Semarang, untuk mengetahui pengaruh kualitas sistem, kualitas informasi dan kualitas pelayanan terhadap kepuasan pengguna di RSUD Kota Semarang serta untuk mengetahui pengaruh penggunaan sistem dan kepuasan pengguna terhadap net benefits yang diperoleh. Penelitian ini merupakan penelitian deskriptif analitik kuantitatif dengan metode penelitian menggunakan model kesuksesan sistem informasi DeLone dan McLean. Penelitian dilakukan di RSUD Kota Semarang dengan subyek penelitian adalah staf instalasi farmasi RSUD Kota Semarang. Analisis data dilakukan dengan analisis statistik deskriptif dilanjutkan dengan uji asumsi klasik dan uji regresi linier. Jumlah responden yang digunakan dalam penelitian ini sebanyak 55 responden dengan karakteristik responden mayoritas berjenis kelamin wanita (87,27%), usia 21-28 tahun (41,82%) dengan jenis pekerjaan sebagai assisten apoteker (69.09%). Berdasarkan hasil uji regresi linier dapat disimpulkan bahwa kualitas pelayanan mempunyai pengaruh positif terhadap penggunaan sistem dengan nilai sig.0,000. Kualitas sistem mempunyai pengaruh positif terhadap kepuasan pengguna dengan nilai sig,0,000. Penggunaan sistem dan kepuasan pengguna mempunyai pengaruh positif terhadap net benefits dengan nilai sig. 0,020 dan 0,001. Secara simultan kualitas sistem, kualitas informasi dan kualitas pelayanan mempunyai pengaruh positif terhadap penggunaan sistem dan kepuasan pengguna dengan nilai sig. 0,000. Sedangkan penggunaan sistem dan kepuasan pengguna secara simultan mempunyai pengaruh positif terhadap net benefits yang diperoleh dengan nilai sig. 0,000.
EVALUATION OF ANTIBIOTICS USAGE AMONGST PATIENTS WITH DIABETIC FOOT INFECTION: PROSPECTIVE COHORT STUDY AT ENDOCRINOLOGY CLINIC OF SARDJITO HOSPITAL Ninisita Sri Hadi; Djoko Wahyono; I Dewa Putu Pramantara
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.92

Abstract

Diabetic foot is common foot problems in persons with diabetes mellitus. It is suggested that the prevalence of diabetic food cases increase along with the growing number of patients with diabetes mellitus. Diabetic foot commonly appears with manifestation of ulcers, infection, gangrene and Charcoat atrophy. Infection occurs in fifty percent of diabetic foot with ulcers that could lead to amputation if it is not immediately and appropriately treated. Proper antibiotics treatment prevents diabetic foot patient from amputation. This study aimed to understand the pattern of antibiotics usage amongst diabetic foot patients. The appropriateness of antibiotics therapy against current guideline was studied and compared with culture and sensitivity test results. Effectiveness of therapy and patient’s safety was then evaluated. Prospective cohort approach was used to this study. Data of diabetic foot patients was collected during November 2011 – January 2012 at Endocrinology Clinic of Sardjito Hospital. Collected variables included subject characteristics, antibiotics and other medication treatments, visual sign of diabetic foot infection and laboratory test results. Descriptive analysis was then conducted toward all variables. Majority of subjects obtained single therapy of antibiotic when diagnosed with diabetic foot infection. These antibiotics were ciprofloxacin and cefadroxil. Combination of 2 antibiotics were about 31,1%, ciprofloxacin with clindamycin was the most combination in this therapy (37%). About 28.7% of antibiotics therapy was not appropriate with existing guideline. Culture and sensitivity tests strengthen this inappropriateness. It was found that 84.4% of antibiotics therapy was effective. However, there were 5.7% of antibiotic orders that potentially interact negatively with other medication during therapy.Keywords: diabetic food infection, antibiotic, appropriateness, effectiveness, drug  safety

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