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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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KEPUASAN PASIEN DIABETES MELITUS RUJUK BALIK PESERTA BPJS KESEHATAN TERHADAP PELAYANAN KEFARMASIAN DI KLINIK DAN APOTEK KOTA YOGYAKARTA Hilda S.; Achmad Fudholi; 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.216

Abstract

Pelayanan program rujuk balik merupakan pelayanan kesehatan yang diberikan kepada peserta BPJS Kesehatan penderita penyakit kronis diantaranya penyakit diabetes melitus yang sudah stabil/terkontrol, namun masih memerlukan asuhan keperawatan dan pengobatan dalam jangka panjang yang diberikan di fasilitas kesehatan tingkat pertama.Kepuasan pasien akan mempengaruhi keberlangsungan program-program dalam sistem JKN. Faktor-faktor yang berhubungan dengan kepuasan antara lain pelayanan kefarmasian dan karakteristik pasien. Penelitian ini bertujuan untuk melihat hubungan pelayanan kefarmasian dan karakteristik pasien terhadap kepuasan pasien rujuk balik diabetes melitus peserta BPJS Kesehatan di klinik dan apotek Kota Yogyakarta. Penelitian ini merupakan penelitian deskriptif analitik dengan desain survey cross sectional. Data diambil secara kuantitatif dengan menggunakan kuisioner dan dilengkapi dengan data kualitatif melalui wawancara untuk memperdalam temuan di lapangan. Teknik sampling yang digunakan adalah purposive sampling untuk klinik dan apotek rujuk balik danjumlah sampel sebanyak 100 responden. Data dianalisis menggunakan uji Chi-square untuk melihat hubungan karakteristik pasien dengan kepuasan dan regresi linear untuk melihat hubungan pelayanan kefarmasian dengan kepuasan. Pelayanan kefarmasian yaitu kemudahan akses, ketersediaan obat, dan hubungan pasien dengan apoteker memiliki hubungan yang signifikan terhadap kepuasan pasien dengan nilai signifikansi (p) berturut-turut: 0,031; 0,027; dan 0,003. Karakteristik pasien yang memiliki hubungan yang signifikan terhadap kepuasan pasien adalah pekerjaan (p=0,015). Kesimpulan dari penelitian ini adalah pelayanan kefarmasian meliputi kemudahan akses,ketersediaan obat, dan hubungan pasien dengan apoteker, dan karakteristik pasien yaitu pekerjaan, memiliki hubungan yang signifikan dengan kepuasan pasien rujuk balik diabetes diabetes melitus peserta BPJS Kesehatan di klinik dan apotek Kota Yogyakarta.Kata kunci: kepuasan pasien, diabetes melitus, klinik dan apotek program rujuk balik, BPJS Kesehatan
Evaluation of Antihypertension Drugs on Patients Diabetes Mellitus in RSI Sultan Agung Semarang 2016 Dian Oktianti; Nurul Fitria Dewi; Meiji Pujiawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33342

Abstract

More than 50% of patients with type 2 diabetes mellitus are associated with hypertension. Uncontrolled blood pressure in patients with type 2 diabetes mellitus correlated with the onset of cardiovascular and cerebrovascular complications. Therefore, proper blood pressure management is needed to delay and prevent complications. Selection of appropriate antihypertensive drugs along with appropriate doses is one way to inhibit the possibility of complications. The purpose of this study is to know about the accuracy of the use of antihypertensive drugs and doses used. This research is a descriptive and observational retrospective research. The subjects of the study were 88 patients with diabetes mellitus with accompanying hypertension. Data taken include antihypertensive, antidiabetes mellitus, laboratory data. The data obtained are then analyzed descriptively using JNC edition 8 and DIH 2015. The results showed that there were 88 samples meeting the inclusion and exclusion criteria. The commonly used single antihypertensive group is Angiotensin Receptor Blocker (ARB) of 56.09%, and antihypertensive combination is Angiotensin Receptor Blocker (ARB) - Calsium Chanel Blocker (CCB) of 65.95%. Based on the results of analysis, the results obtained for the right drug and the patient is 98.86% and for the accuracy of the dose obtained 97.72%.
ANALISIS KARAKTERISTIK PIMPINAN DAN RUMAH SAKIT DALAM PRAKTEK STERILISASI YANG BAIK Ansyori, Achmad Kadri; Satibi, Satibi; Mulyaningsih, Rosita
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.147

Abstract

Central Steril Supply Departement (CSSD) merupakan salah satu unit pengelola alat kesehatan dan linen steril pada fase akhir di rumah sakit, sehingga CSSD merupakan ujung tombak terjaminnya sterilitas alat kesehatan. Oleh karena itu, dibutuhkan tenaga kesehatan yang mampu mengelola kinerja CSSD secara baik, serta dapat pula menjamin semua produk CSSD di rumah sakit agar dapat dikelola secara optimal sesuai kebutuhan medis. Penelitian bertujuan untuk melihat hubungan dan perbedaan karakteristik pimpinan dan karakteristik rumah sakit terhadap praktek sterilisasi yang baik di CSSD rumah sakit. Metode pengambilan sampel yang digunakan yaitu purposive sampling. Alat yang digunakan adalah kuesioner. Lokasi penelitian yaitu 23 rumah sakit kelas A dan B di Yogyakarta dan Jawa Tengah. Jumlah responden yang digunakan sebanyak 38 responden, terdiri dari kepala dan sub divisi CSSD. Analisis penelitian ini menggunakan analisis deskriptif analitik, serta merupakan penelitian korelasi Spearman’s rank, uji T, dan anova. Hasil penelitian menunjukkan bahwa terdapat hubungan dan perbedaan karakteristik pimpinan CSSD (tingkat pendidikan, jenis kelamin, pimpinan yang mengetahui CSSD dan memahami proses sterilisasi sebelum bekerja di CSSD) terhadap praktek sterilisasi yang baik di CSSD. Adanya hubungan signifikan karakteristik rumah sakit berdasarkan jumlah tempat tidur terhadap praktek sterilisasi yang baik di CSSD dengan nilai signifikasi 0,015. Tidak terdapat perbedaan signifikan antara profesi tenaga kesehatan CSSD (apoteker, perawat, kesehatan masyarakat) terhadap praktek sterilisasi yang baik di CSSD rumah sakit.
THE EFFECTIVENESS ANALYSIS OF MEDICATION BOOKLET ON ADHERENCE RATE IN TYPE 2 DIABETES MELLITUS PATIENTS Atika Wahyu Puspitasari; Retnosari Andrajati; Anton Bahtiar
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.84

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by elevation of blood glucose concentration. Non-adherence to diabetes treatment in type 2 DM patients leads to poor glucose control and increases the risk of disease complications. Education is one of the ways to increase medication adherence. Limitation of pharmacists in public primary health care in Indonesia led to education could not be done effectively so that it was necessary to find other alternatives education such as medication booklet. This study was undertaken to evaluate the effect of a medication booklet on adherence rate parameters, in type 2 diabetic patients. This was pre-experimental and prospective study conducted at Bakti Jaya primary care, Depok from January to June 2012. A convenience sample of 30 type 2 diabetic patients was studied to receive medication booklet. The value of The 8-item Morisky Medication Adherence Scale (MMAS-8) and percentage of glycosylated haemoglobin (HbA1C) were measured before and after the 8-week intervention. The results were analyzed by paired t-test for HbA1C and Wilcoxon test for MMAS-8. The research result  showed that there were significant differences (p < 0.05) of the value of HbA1C and MMAS-8 between before and after the 8-week intervention. It indicated that a diabetes education by medication booklet, was effective enhancing their medication adherence. This study also found that patients with a lower score on the Morisky scale had a lower HbA1C measurement.Keywords : MMAS-8, HbA1C, adherence, blood glucose, type 2 diabetes mellitus, booklet, pharmacist
TOTAL BIAYA TERAPI INSULIN PADA KASUS DIABETES MELLITUS TIPE 2 RAWAT JALAN DI KOTAMADYA DENPASAR Luh Putu Febryana Larasaty; I Gusti Ngurah Agung Dewantara Putra; Made Ary Sarasmita
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.361

Abstract

Insulin merupakan salah satu terapi obat untuk pasien diabetes mellitus (DM) tipe 2. Terdapat 4 jenis insulin berdasarkan onset kerjanya. Tiap jenis insulin memiliki besaran biaya dan effektivitasnya masing - masing. Telah banyak penelitian dilakukan untuk menilai effektivitas penggunaan insulin, di lain pihak penelitian yang membandingkan biaya total tiap jenis insulin masih sangat sedikit. Tujuan penelitian ini adalah untuk mengetahui total biaya yang dibutuhkan untuk terapi insulin pada pasien DM tipe 2 rawat jalan di rumah sakit kotamadya Denpasar. Penelitian ini merupakan penelitian deskriptif yang dilakukan pada bulan Maret sampai dengan bulan Juni 2016 di rumah sakit pemerintah di Kotamadya Denpasar. Subyek penelitian adalah pasien DM tipe 2 rawat jalan. Data regimen terapi insulin dan biayanya diperoleh dari rekam medis pasien, data resep, lembar administrasi, laporan terapi pasien pada instalasi farmasi dan juga riwayat sosial pasien. Total biaya dihitung berdasarkan biaya medis langsung (jasa dokter, tes laboratorium, biaya obat dan biaya penyiapan obat serta alat kesehatan), biaya non medis langsung (biaya administrasi dan transportasi) serta biaya non medis tidak langsung (hilangnya gaji/upah karena tidak masuk kerja). Terdapat 8 nama dagang insulin yang diresepkan untuk pasien DM tipe 2, dengan masing – masing persentase penggunaannya adalah sebagai berikut : Apidra Solostar (12,50%), Humalog Mix (4,35%), Humalog Quickpen (3,80%), Humulin N (2,17%), Lantus Solostar (28,26%), Levemir (11,96%), Novomix (1,09%) and Novorapid (35,87%). Total biaya terendah regimen terapi insulin adalah penggunaan Lantus Solostar (Rp 528.480,-) dan total biaya tertinggi adalah Humalog Mix (Rp. 685.066,-). Rata – rata total biaya terapi insulin adalah sebesar Rp. 565.474,-
THE STRATEGY FORMULATION OF PHARMACY DEPARTMENT TO IMPROVE STAKEHOLDER SATISFACTION Deviana Eka Oktaviantari; Lukman Hakim; Endang Yuniarti
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.108

Abstract

Pharmacy department at Yukum Medical Centre Hospital (IFRS YMC) Central Lampung can not avoid the effects of tight business competition, so it needs to improve the services quality continuously. The purpose of this research was to analyse stakeholder satisfaction of pharmacy department services, and to formulate strategies to increase the stakeholder satisfaction. This research was a descriptive study with qualitative and quantitative data. Qualitative data were obtained by in-depth interviews, whereas quantitative data were acquired using questionnaires to measure satisfaction of stakeholder and pharmacy department staffs. The internal and external environments were analyzed, followed by SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis. The result was used as data to formulate strategies followed by Quantitative Strategic Planning Matrix (QSPM) test to sequence priorities of the chosen strategies as strategy development of IF RSYMC Central Lampung. The result stated that IFRS YMC Central Lampung had bigger opportunities (average score=1.36) than threats (1.27), and had smaller strengths (1.69) than weaknesses (1.73). The priority of alternative strategies based on QSPM test was developing technologies to support services, following national or international accreditation for hospitals, improving the capacity and quality of human resources in IFRS, and formulating a written standard operating prosedure to whole service in IFRS YMC Central Lampung.Keywords : SWOT analysis, QSPM test, Pharmacy Department,
Performance Analysis of Pharmacist and Influencing Factors in the Era of National Healt Insurance at Puskesmas Satibi Satibi; Eliza Hanum Daulay; Gusti Ayu Oviani; Karina Erlianti; Achmad Fudholi; Dyah Ayu Puspandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.34441

Abstract

Puskesmas is one of the first-rate health facilities that organizes National Health Insurance. Pharmacists, who are responsible for pharmacy at Puskesmas, must follow Pharmacy Service Standard at Health Center as stated in Minister of Health Regulation (MHR) no. 74 of 2016 to ensure patient safety, but in the implementation of pharmaceutical services in Puskesmas, it is not done according to the standard of performance in which pharmacists need to be done. The purpose of this study was to assess the suitability of performance with MHR No. 74 of 2016 and factors affecting performance. This research is an analytical descriptive research. Data were retrospectively retrieved through document search and completed with qualitative data through observation sheets. The study was conducted at Puskesmas Kota Yogyakarta, Brebes Regency, and Banjarmasin City. The variables studied were performance conformity with MHR No. 74 of 2016 and the factors that affect the performance of pharmacists in Puskesmas are the characteristics of pharmacists (age, gender, education level, duration of practice and income). The data were analyzed descriptively for the appraisal of pharmacist performance, and the factors influencing the pharmacist's performance were analyzed statistically with independent sample t-test and One Way ANOVA. The number of respondents in this study was 18 pharmacists. The result showed that the pharmacist performance at health center as a whole was 82,97% (high) with achievement of pharmacist performance on drug management aspect and clinical pharmacy in high category that is 76,94% for drug management, and 89% for clinical pharmacy. From the results of this study, it is showed that the influences are the age factor, education, duration of practice, and income on the performance of pharmacists.
COST OF ILLNESS PASIEN STROKE Sandi Purbaningsih; Djoko Wahyono; Endang Suparniati
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.134

Abstract

Stroke adalah penyakit gangguan otak yang dapat mengakibatkan kematian dan kecacatan dengan biaya perawatan yang besar. Studi Cost of Illness (COI) bertujuan untuk mengukur beban ekonomi suatu penyakit. Penelitian dimaksudkan untuk melihat gambaran total biaya penyakit stroke, mengetahui perbedaan biaya riil pasien stroke rawat jalan dan rawat inap ditinjau dari faktor usia, jenis kelamin, kelas perawatan, lama perawatan, jumlah komorbid, cara bayar dan tipe stroke. Jenis penelitian adalah penelitian analitik dengan rancangan cross sectional berdasarkan perspektif rumah sakit. Pengambilan data dilakukan secara retrospektif melalui catatan medik pasien, bagian penjaminan, dan dari bagian Unit Teknologi Informatika di RSUP Dr. Sardjito Yogyakarta selama periode bulan Januari sampai Juni 2014. Variabel bebas meliputi usia, jenis kelamin, kelas perawatan, lama perawatan, jumlah komorbid, cara bayar dan tipe stroke meliputi stroke iskemik dan hemoragi, sedangkan variabel terikat adalah biaya riil pasien stroke rawat jalan dan rawat inap. Analisis data menggunakan analisis statistik deskriptif, Mann Whitney, dan Kruskal Wallis. Hasil penelitian menunjukkan bahwa total biaya penyakit stroke untuk 606 pasien adalah sebesar Rp. 5.867.281.315,97. Biaya rawat jalan menunjukkan berbeda signifikan ditinjau dari faktor usia, jenis kelamin dan cara bayar untuk stroke iskemik, sedangkan untuk stroke hemoragi menunjukkan beda signifikan ditinjau dari faktor jenis kelamin dan cara bayar. Biaya rawat inap menunjukkan beda signifikan ditinjau dari faktor usia, kelas perawatan, lama perawatan dan jumlah komorbid untuk stroke iskemik, sedangkan untuk stroke hemoragi menunjukkan beda signifikan ditinjau dari kelas perawatan, lama perawatan dan jumlah komorbid. Tipe stroke memberikan hasil perbedaan signifikan pada biaya stroke rawat jalan.
PENGEMBANGAN MODEL SISTEM INFORMASI MANAJEMEN SKRINING RESEP PASIEN RAWAT JALAN DI PUSKESMAS WILAYAH KOTA YOGYAKARTA Jaelani, Abdul Qadir; Sampurno, Sampurno; Andayani, Tri Murti
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.162

Abstract

Skrining peresepan pasien berbasis teknologi informasi sangat dibutuhkan sekarang ini. Penggunaan teknologi dalam pelayanan resep dapat meningkatkan kinerja tenaga kefarmasian di instalasi rawat jalan dalam melakukan skrining resep pasien. Tujuan dari penelitian ini untuk menganalisis kebutuhan sistem informasi manajemen skrining resep dan membuat model desain sistem informasi manajemen skrining resep sesuai dengan kebutuhan puskesmas wilayah kota Yogyakarta. Pengembangan sistem dalam penelitian ini menggunakan metode prototipe dimulai dari analisis kebutuhan dan desain sistem. Pengambilan data analisis kebutuhan sistem dilakukan secara retrospektif (data resep bulan Mei 2015) dan prospektif (wawancara dengan kerangka PIECES (performance, information, economic, control, efficiency dan service)), setelah mendapatkan analisis kebutuhan sistem selanjutnya pembuatan desain sistem dengan menggunakan diagram konteks, data flow diagram (DFD) dan entity relationship data (ERD). Kriteria sampel dalam penelitian ini adalah resep pasien BPJS rawat jalan dan petugas farmasi yang bertanggung jawab di instalasi farmasi rawat jalan di puskesmas wilayah kota Yogyakarta. Penelitian ini dianalisis secara deskriptif kualitasif. Berdasarkan hasil analisis kebutuhan sistem, skrining klinis merupakan skrining yang paling tinggi menimbulkan error. Sedangkan hasil studi kelayakan berdasarkan kerangka PIECES (Performance, Information, Economic, Control, Efficiency, dan Service) dengan adanya sistem informasi skrining resep ini dapat membantu tenaga farmasi dalam melakukan skrining resep dan meningkatkan waktu proses pelayanan resep sehingga sistem ini layak untuk dikembangkan. Berdasarkan desain sistem, desain input dan desain output, desain sistem informasi manajemen skrining resep pasien rawat jalan ini memenuhi kriteria sehingga siap untuk diimplentasikan ke dalam sistem.
Pattern of Antibiotic in Community-Acquired Pneumonia (CAP) Comparison in Type A and B Hospital Ika Puspita Sari; Titik Nuryastuti; Rizka Humardewayanti Asdie; Anton Pratama; Endang Estriningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.33261

Abstract

Pneumonia is a threat to all States. CAP treatment in hospitals typically uses empirical antibiotic therapy with IDSA/ATS guidelines. This research aimed to compare empirical antibiotic therapy of CAP patients in types A and B hospital and to analyze the variations that occur and compare the outcome of the therapy. The research was conducted retrospectively by collecting data from the medical records of patients diagnosed with CAP. The inclusion criteria in this research were male and female adult patients aged ≥18 years who had complete medical record data. Patients who underwent inpatient care in the in-patient wards (non ICU) of type A and B hospital received empirical antibiotic therapy. Data from type A hospital (RS A) were taken within the period of January 2014-December 2016, while data from type B hospital (RS B) were taken in January 2013-December 2016. The number of patients with CAP in hospital A is 72, whereas in hospital B, it is 34. Patients with malignancy and immunocompromise were excluded from this research. In this research, germs found in hospital A were mapped, while no gynecologic examination/culture was performed in hospital B. The outcome of the treatment was an improvement in response 5-7 days after empirical antibiotics was given, as reported by a physician and/or by an improvement in the x-ray thorax results. Patient demographic data and antibiotic therapy pattern were analyzed descriptively. Outcome of patient therapy was analyzed using Chi square statistics with 95% confidence level.The results showed that empirical antibiotic therapy in CAP patients in type A hospital were largely based on IDSA/ATS guidelines, whereas in it is the opposite for type B hospital. Outcomes of patient therapy in A and B hospitals showed patient improvement of about 76%. In type A hospital, the cause of CAP is largely negativeGram bacteria which are still sensitive to cephalosporin/carbapenem (cefpirom, ceftasidim, cefepim, and imipenem) and aminogicosida (amikacin, netilmisin, and tobramisin).

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