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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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POLA PENGOBATAN DAN LUARAN KLINIS PADA PASIEN TERINFEKSI HELICOBACTER PYLORI Yanita Harliana Atharini; Probosuseno Probosuseno; Agung Endro Nugroho
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.267

Abstract

Prevalensi Helicobacter pylori (H. pylori) bervariasi di seluruh dunia dan tergantung pada standar kehidupan di wilayah masing-masing. Dalam penanganannya, terdapat beberapa regimen terapi eradikasi yang akan mempengaruhi luaran klinis pasien. Penelitian ini bertujuan untuk mengetahui pola pengobatan dan luaran klinis pasien. Penelitian ini merupakan penelitian multicenter di tiga rumah sakit dengan rancangan observasional analitik retrospektif dengan metode potong lintang, menggunakan data sekunder dari tanggal 1 Januari 2009 hingga 31 Mei 2014. Jumlah pasien yang memenuhi kriteria inklusi dan eksklusi sebanyak 47 pasien. Cara penilaian luaran klinis dengan melihat keluhan yang dirasakan pasien sebelum di terapi dibanding dengan keluhan yang dirasakan pasien setelah di terapi.Karakteristik umum pasien adalah laki-laki (53,2%), usia kurang dari sama dengan 59 tahun (68,1%), peserta askes (57,4%), pendidikan terakhir SLTA (29,8%), dan pekerjaan PNS (23,4%). Sebanyak 37 pasien (78,7%) mendapatkan terapi antibiotik, dan 10 pasien (21,3%) tanpa antibiotik. Kombinasi amoksisilin-klaritromisin merupakan kombinasi paling banyak digunakan (72,3%). Keluhan dirasakan pasien adalah mual (48,93%), nyeri perut (48,93 %), melena (40,42%), muntah (31,91%), nyeri ulu hati (31,91%), buang air besar cair (19,14%), hematemesis (17,02%) dan nafsu makan menurun (17,02%). Terdapat perbedaan signifikan dalam perbaikan luaran klinis antara pasien yang mendapatkan antibiotik dengan yang tanpa antibiotik (p = 0,046; OR=5,438). Lansoprazol-Amoksisilin-Klaritromisin merupakan regimen terapi eradikasi paling banyak digunakan, Perbaikan luaran klinis dipengaruhi oleh penggunaan antibiotik. Jenis kelamin, faktor usia, dan jenis antibiotik tidak memberikan perbedaan signifikan pada luaran klinis, dikarenakan perbaikan luaran klinis dan keberhasilan terapi lebih dipengaruhi oleh tingkat resistensi antibiotik, kepatuhan dalam mengkonsumsi obat, dan reinfeksi.Kata Kunci: Helicobacter pylori, terapi eradikasi, luaran klinis, gejala dispepsia, perbaikan klinis
IS INTERPROFESSIONAL PRACTICE (IPP) FOCUSED ON MEDICATION SAFETY FEASIBLE IN INDONESIA? A QUALITATIVE STUDY Desak Ketut Ernawati; Ya Ping Lee; Bruce Sunderland; Jeff Hughes
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.356

Abstract

This paper explores facilitators for and barriers to the implementation of IPP focusing on medication safety in a public hospital in Bali, Indonesia. Qualitative methods involved interviews with stakeholders from a university and a hospital and focus group discussions with healthcare professionals in the hospital. Semi-structured questions were developed as a guide for the interviews and discussions. All interviews and discussions were recorded. The six steps of Braun and Clarke’s thematic analysis methodology were implemented in determining the themes. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was employed in reporting of findings. Participants indicated that support from the government and perceived benefits of IPP were facilitators for IPP. However, the participants mostly mentioned the barriers of IPP including lack of competencies for IPP and lack of understanding of the role of other healthcare professionals as barriers to the implementation of IPP. This showed that these were the barriers identified to the implementation of IPP in the study hospital. Despite the fact that participants were supportive of IPP, the participants identified some barriers to the implementation of IPP in the study hospital. The implementation requires support of the government, professional organisations, and stakeholders at the university and hospital levels.
THE ADHERENCE OF INSULIN-BASED THERAPY ON THE PATIENTS OF TYPE 2 DIABETES MELITUS IN ENDROCRINOLOGY POLYCLINIC OF DR SARDJITO HOSPITAL YOGYAKARTA Risya Mulyani; Tri Murti Andayani; I Dewa Putu Pramantara S
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.66

Abstract

Diabetes mellitus may cause significant problems on quality of life through the increasing risks of the occurrence of various complications. Lack of knowledge regarding disease and medication, disobedience of the patient to medication and dissatisfaction with the therapy also contribute to the poor blood glucose control. The aim of this study was to determine medication adherence and its association with blood glycemic control (HbA1c value). This research belongs to cross-sectional research in which sampling was conducted prospectively  by performing purposive sampling on type 2 DM patients in Endocrinology Polyclinic of DR Sardjito Hospital from November 2011 until January 2012. Assessment of therapy adherence was conducted using MMAS-8 and data of blood glucose control were collected through examination of HbA1c value. Questionnaires completed by study subjects as much as 109 respondents were analyzed using bivariate analysis the chi-square test. The result showed that there was only 41,3% patients who adhered to the therapy, while 58,7% was considered to disobey the therapy. In addition, respondents with good glycemic control (<6,5%) were only 41,3%, while the remaining 58,7% was considered poor. There was significant correlation of the therapy type on the adherence level (r =-0,449; p<0,05). Moreover, there was significant correlation of disease duration on the adherence level (r =-0,584; p<0,05). There was significant correlation of the adherence level on the HbA1c value (r =0,931; p<0,05). Keywords: Diabetes mellitus, therapy adherence and HbA1c value.
ANALISIS KEJADIAN MEDICATION ERROR PADA PASIEN ICU Hartati Hartati; Nike Herpianti Lolok; Achmad Fudholi; Satibi Satibi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 4, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.277

Abstract

Rumah Sakit Umum Daerah (RSUD) Kota Baubau dan RS Santa Anna Kendari sebagai rumah sakit rujukan di Sulawesi Tenggara terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan peralatan, sarana dan prasarana, serta sumber daya manusia menjadi kendala tersendiri. Di antaranya adalah belum terbentuknya tim patient safety dan masih diterapkannya sistem rawat gabung pada ruang Intensive Care Unit (ICU) yang berpotensi menimbulkan kejadian medication error. Tujuan penelitian ini adalah untuk mengetahui angka kejadian medication error pada pasien ICU di RSUD Kota Baubau dan RS Santa Anna Kendari serta faktor-faktor yang mempengaruhi kejadian medication error tersebut. Penelitian ini merupakan penelitian deskriptif dengan metode pengumpulan data berupa telaah resep dan observasi terhadap proses penyiapan hingga pemberian obat pada pasien ICU yang dilanjutkan dengan diskusi kelompok terarah bersama direktur rumah sakit, kepala instalasi farmasi, dan kepala ruang ICU. Analisis data dilakukan dengan mempresentasikan jumlah kejadian pada masing-masing kelompok indikator medication error. Hasil analisis menunjukan bahwa kejadian medication error terbesar pada pasien ICU RSUD Kota Baubau berupa administration error dengan 144 kejadian (46,91%), kemudian dispensing error dengan 119 kejadian (38,76%), dan kejadian terkecil adalah prescribing error dengan 44 kejadian (14,33%). Demikian pula pada pasien ICU di RS Santa Anna Kendari, angka kejadian medication error tertinggi berupa administration error, yaitu 81 kejadian (42,6%), diikuti prescribing error, yaitu 71 kejadian (37,4%), dan dispensing error, yaitu 38 kejadian (20%). Faktor-faktor yang turut mempengaruhi kejadian medication error adalah persoalan sistem (minimnya kelengkapan fasilitas di rumah sakit), profesional (sumber daya manusia, meliputi dokter, tenaga farmasis, serta perawat), dan dokumentasi. Kata kunci: Medication Error, Pasien ICU, Faktor-Faktor yang Mempengaruhi
THE EVALUATION OF POLICY EFFECT ON GENERIK MEDICINE PRICES 2010 TOWARD SELLING PRICE, THEIR AVAILABILITY AND AFFORDABILITY IN PRIVATE PHARMACIES IN KABUPATEN JEMBER Ika Norcahyanti; Djoko Wahyono; Tri Murti Andayani
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.14

Abstract

One of government’s efforts to guarantee people access on essential medicine is by applying a policy concerning with generic medicine prices. The purpose of the research was to find out the variation and the ratio of generik and branded medicine selling prices in comparison with Harga Jual Apotek (HJA) – Pharmacy Selling Price – based on the regulation of Health Mi n i s t r y and International Reference Prices (IRPs) 2010 and their availability and affordability in some private pharmacios in Jember. The research design was a descriptive non experimental. The data collected retrospectively toward generik and branded medicines mostly prescribe during April-August 2010 include their prices and affordability. Research result showed that the ratio of generik medicine selling price toward HJA was 0.14-9.09 times and 0.26-114.06 times. On the other hand, the ratio of generic and branded medicine selling price toward IRPs 2010 was 0.03-16.67 times and 0.09-501.88 times. In 50 kinds of mostly prescribed medicines, 35 of them were generik medicines with affordibility range 11.4%-93.2%. In the matter of affordability, it needs 1 working day to do a therapy using generik medicines for diabetes mellitus, hypertension, hypercholesterolemia, rheumatoid arthritis, and infection cases. In contrast, it requires 1-35 working days to do those therapies using branded medicines with Regional Minimum Salary of Rp.33.200.00 for each working day. Keywords : generic medicine price policy, pharmachy selling price, medicine avalaibility, medicine avordbility,Jember.
DIFFERENCE IN OUTPATIENT’S EXPECTATION AND PERCEPTION TOWARD PHARMACY SERVICE OF RSUP DR. SARDJITO YOGYAKARTA AND RUMAH SAKIT BETHESDA YOGYAKARTA. Ni Putu Udayana Antari; Achmad Purnomo; Sumarni Sumarni
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.35

Abstract

Pharmacy unit should always strive to satisfy patient by giving excellent pharmacy services so that thepatient become loyal and at the same time hospital’s income increases. Patient’s expectation toward governmenthospital’s services should differ with private hospital’s service. Research is carried out with ServQual method (Parasuraman et al, 1985) through the distribution of expectation and perception questionnaire to self paid outpatient or the family members in RSUP Dr. Sardjito and Rumah SakitBethesda. Patient’s satisfaction is seen from the gap or the ServQual score. Positive score shows respondent is verysatisfied, zero score shows respondent is satisfied, and negative score shows respondent is not satisfied. Difference inpatient’s expectation is analyzed using Kruskal-Wallis test and Mann Whitney test.ServQual score shows negative value for RSUP Dr. Sardjito and Rumah Sakit Bethesda in all dimensions of thetotal score for each of the dimensions. If expectation pattern at each hospital is compared, patient’s expectation inRSUP Dr. Sardjito is highest of assurance dimension and reliability, second at tangible and responsiveness dimension, and third (the lowest) a empathy dimension. Patient expectation of Rumah Sakit Bethesda is highest at assurance dimension, the other four dimensions (tangible, empathy, reliability, and responsiveness) is at the same level afterassurance. Total patient’s expectation of RSUP Dr. Sardjito and Rumah Sakit Bethesda is not difference significantly.Patient’s expectation for each dimension shows difference at empathy and reliability dimension. Key Word : patient’s satisfaction, patient expectation, RSUP Dr. Sardjito, Rumah Sakit Bethesda
PENGARUH FASILITATOR TERHADAP SIKAP APOTEKER UNTUK MENGIMPLEMENTASIKAN PHARMACEUTICAL CARE M. Rifqi Rokhman; Kanthi Noorani Utami; Nurul Adila Dianastuti
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.225

Abstract

Meskipun banyak apoteker telah menerima konsep pharmaceutical care, namun implementasi pada farmasi komunitas terbukti lebih lambat dari yang diharapkan sehingga diperlukan fasilitator sebagai faktor yang dapat mempercepat sekaligus mengatasi hambatan dalam implementasi pharmaceutical care. Penelitian ini bertujuan untuk mengetahui pengaruh fasilitator terhadap sikap apoteker untuk mengimplementasikan pharmaceutical care pada farmasi komunitas di propinsi Daerah Istimewa Yogyakarta. Penelitian termasuk penelitian asosiatif dengan menggunakan alat bantu kuesioner. Pengambilan sampel dilakukan secara purposive sampling dengan jumlah responden sebanyak 110 apoteker. Fasilitator yang diteliti yaitu peningkatan hubungan profesional apoteker dengan dokter, kemampuan klinis apoteker, peran organisasi profesi, remunerasi, permintaan pasien, institusi pendidikan, dan individu apoteker. Data dianalisis menggunakan uji statistik regresi linier berganda dengan bantuan software SPSS. Hasil penelitian menunjukkan bahwa 3 variabel yaitu peran organisasi profesi (p=0,000), institusi pendidikan (p=0,005), dan individu apoteker (p=0,001) secara simultan berpengaruh positif dan signifikan terhadap sikap apoteker untuk mengimplementasikan pharmaceutical care. Dua fasilitator yaitu peran organisasi profesi dan institusi pendidikan merupakan fasilitator pada tingkat organisasi. Hal ini mengindikasikan implementasi pharmaceutical care sebaiknya dilakukan tidak hanya dengan pendekatan individu namun juga dengan pendekatan level organisasi. Model mampu menjelaskan sikap apoteker sebesar 63,6%.  Kata kunci: implementasi, pharmaceutical care, farmasi komunitas, fasilitator
EFFECTS OF SERVICE QUALITY ON INPATIENT’S SATISFACTION AND LOYALTY: EMPIRICAL STUDY IN FATIMAH ISLAMIC HOSPITAL CILACAP Zakki Kholid; Suci Paramithasari Syahlani; Satibi Satibi
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.89

Abstract

The need for qualified hospital service has increased along with the improving economy and health ststus of the people. In recent years, the growth of private hospitals in Indonesia has showed significant development with the various regulations and legislation by the government. Therefore, in order to survive in the midst of competition, the Fatimah Islamic Hospital Cilacap should be able to provide a qualified service that’s oriented to achieve patient satisfaction that will lead to patient loyalty. This study was aimed to determine the effect of service quality on satisfaction and to know the effect of satisfaction with the loyalty of inpatients at the Fatimah Islamic Hospital Cilacap. The research was a crosssectional analytic with prospective data collection. The quantitative data were obtained by using a closed questionnaire. The questionnaire were given to 123 inpatients. Then the data were analyzed using multiple linear regression statistical method to investigate the effect of service quality dimension with satisfaction and simple linear regression methods to investigate the effect of satisfaction with the loyalty of inpatients at the hospital. The results showed that there was a positive effect between service quality and satisfaction of inpatients at the Islamic Fatimah Cilacap Hospital. The quality of service that give the most impact on patient satisfaction was tangible dimension with regression coefficient 0.244, while the smallest effect was the dimension of reliability with regression coefficient 0.185. In addition, this study also shows that there was a positive effect between patient satisfaction and loyalty of inpatients at the Fatimah Islamic Hospital Cilacap.Keywords: Service Quality, Patient Satisfaction, Patient Loyalty, Hospital
EVALUASI PHARMACY SUPPORT SYSTEM DALAM IDENTIFIKASI DRUG RELATED PROBLEMS PADA PASIEN PEDIATRIK RAWAT JALAN Irnayanti Irnayanti; Tri Murti Andayani; Fita Rahmawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.261

Abstract

Tujuan penelitian ini adalah untuk mengetahui nilai diagnostik software Pharmacy Support System (sensitivitas, spesifisitas, nilai duga positif dan nilai duga negatif) dalam mengidentifikasi DRPs, prevalensi dan jenis DRPs potensial yang diidentifikasi oleh apoteker dengan bantuan PSS pada pasien pediatrik rawat jalan.Penelitian ini merupakan penelitian observasional dengan desain crosssectional di RS PKU Muhammadiyah Yogyakarta dan RSUD Kabupaten Sleman. Data yang diambil secara retrospektif pada bulan Oktober-Desember 2014 sebanyak 198 pasien yang digunakan sebagai rujukan untuk uji diagnostik. Kriteria inklusi yaitu pasien pediatrik rawat jalan usia 0-18 tahun yang mendapatkan terapi. Data dianalisa menggunakan crosstabs (tabel IIx2) untuk mendapatkan nilai diagnostik.Hasil penelitian menunjukkan DRPs potensial yang diidentifikasi oleh apoteker dengan PSS terjadi pada 125 (63,13%) pasien pediatrik rawat jalan dengan angka kejadian sebesar 232 kejadian DRPs. PSS memiliki sensitivitas 96,5%; spesifisitas 62,5%; nilai duga positif 66,4%; dan nilai duga negatif 95,8%.Kata kunci: DRPs, pediatrik, pharmacy support system, uji diagnostik
ANALISIS KINERJA DAN PEMETAAN STRATEGI INSTALASI FARMASI MENGGUNAKAN BALANCED SCORECARD Amanda Marselin; Satibi Satibi; P. E. Wardani
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.228

Abstract

Pengukuran kinerja perlu dilakukan di instalasi farmasi. Balanced scorecard menggunakan empat perspektif yaitu perspektif keuangan, pelanggan, proses bisnis internal, serta pertumbuhan dan pembelajaran. Tujuan penelitian ialah mengukur kinerja instalasi farmasi menggunakan balanced scorecard serta menyusun peta strategi yang paling sesuai untuk pengembangan instalasi farmasi. Penelitian termasuk penelitian non eksperimental dengan rancangan deskriptif. Pengambilan data dilakukan secara retrospektif dan prospektif. Pengambilan data dilakukan pada bulan Desember 2014 sampai Februari 2015 menggunakan kuesioner, lembar pengamatan, dan pedoman wawancara. Kinerja pada balanced scorecard diukur melalui indikator dalam perspektif keuangan, pelanggan, proses bisnis internal, serta pertumbuhan dan pembelajaran. Hasil pengukuran kinerja dikombinasi dengan analisis strengths weaknesses opportunities threats (SWOT) digunakan dalam pembuatan peta strategi. Hasil penelitian menunjukkan kinerja yang baik pada indikator pertumbuhan pendapatan, kepuasan pelanggan, keterjaringan pelanggan, pertumbuhan pelanggan, ketersediaan obat, kepatuhan formularium, persentase stok mati, persentase perbekalan farmasi expired date (ED) dan rusak, analisis unit dose dispensing, produktivitas karyawan, turn over karyawan, kepemimpinan, dan kerja tim. Indikator yang memerlukan perbaikan kinerja antara lain inventory turn over ratio (ITOR), dispensing time, kepuasan kerja karyawan, pelatihan karyawan, budaya organisasi, keselarasan, dan kapabilitas sistem informasi. Posisi instalasi farmasi berada pada kuadran III matriks SWOT dengan strategi memperbaiki kelemahan untuk mengambil kesempatan. Peta strategi memprioritaskan penguatan perspektif pertumbuhan dan pembelajaran untuk meningkatkan kualitas pelayanan farmasi sehingga terjadi peningkatan pertumbuhan pelanggan dan pertumbuhan pendapatan. Peningkatan profit dapat tercapai melalui pertumbuhan pendapatan yang meningkat dan efisiensi biaya pada perspektif keuangan.Kata kunci: kinerja, balanced scorecard, analisis SWOT, peta strategi

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