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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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Questionnaire Development and Identification of Factors Contributing to Non-Prescription Antibiotic Selling Behavior in Surabaya Community Setting Dewi Paskalia Andi Djawaria; Adji Prayitno Setiadi; Eko Setiawan
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.826 KB) | DOI: 10.22146/jmpf.36366

Abstract

The selling practice of antibiotics without prescription is one of serious problems in the global health sector, especially in the developing countries. Nevertheless, the significant driver of such pratices had never been identified yet. The aim of this study was to identify the contributing factors of the selling practice of antibiotics without prescription in the drug stores (apotek). The identification was conducted using a new developed questionnaire. The contributing factors of such practices, found in the literature, were used to develop the questionnaire. The face and content validity were conducted using expert opinion, while the construct validity was conducted using the Spearman correlation test. The reliability of the questionnaire was identified using Cronbach’s Alpha test. The dominant factors of the selling practice of antibiotics without prescription was identified by using descriptive analysis and the factor analysis methods. The final questionnaire consisted of 40 questions and the value of the Cronbach’s Alpha and the calculated R were 0.955 and 0.368-0.867, consecutively. There were 91 workers of apotek in Surabaya who were involved in the contributing factors identification process. Findings of the factor analysis emphasized that the most dominant factor was the attitude of workers that allowed the selling practice of antibiotics without prescription (28.3%). The financial issue was found as the second most dominant factors causing the selling practice of antibiotics without prescription (8.66%). Owing to these identified factors, there is a need to make a regulation with a strict punishment in order to prevent the habit of selling and purchasing the antibiotics without prescription in the apotek in Surabaya.
THE INFLUENCE OF EXCELLENT SERVICESAWARENESS TOWARD EMPLOYEE’S MOTIVATION IN SUPIORI LOCAL PUBLIC HOSPITAL Feranianty Harpina; Djoko Wahyono; Edi Prasetyo Nugroho
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.64

Abstract

The overall good service system is by patient satisfaction-oriented system, besides the hospital facility aspects, the role of doctors, paramedical and non medical is very important as they will determine the perception of performance and perceived performance of the services provided patients. Asking a good service needs motivation supported by awareness on the importance of excellent service. The study was done in order to see the level of employee knowledge about the excellent service, looking at the relationship of employee knowledge level for the excellent service with the awareness level for excellent level, and to see how the influence of awareness of excellent service to the employee working motivation in Supiori Local Public Hospital. The subjects for this research consists of 37 permanent employee of Supiori Local Public Hospital, then analized using visual binning of SPSS 17 for windows program to see the employee knowledge level on the excellent service, the method of correlation analysis to see the correlation of employees knowledge level for the excellent service, and regression analysis method to see how the influence of awareness for excellent service by the employee to the Supiori Local Public Hospital using SPSS 17 for windows. The results showed that the respondents’ knowledge level classified as good one are 59.5% and 40.5% were considered not good. Knowledge of excellent service with awareness level for excellent service correlate with r-count of 0.692. The awareness effect of the excellent service to the working motivation by the employees in Supiori Local Public Hospital is 12.7% with the regression equation Y = 12.943 + 0.324 X.Keywords : Excellent service, work motivation
KEPATUHAN PENGGUNAAN ANTIHIPERTENSI SEBAGAI PREDIKTOR LAJU KEJADIAN DAN BIAYA RAWAT INAP Nurmainah Nurmainah; Achmad Fudholi; Iwan Dwiprahasto
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 4, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.288

Abstract

Persistensi penggunaan antihipertensi pada pasien hipertensi sangat diperlukan. Mengingat luaran utama dari terapi hipertensi adalah menurunkan atau mencegah terjadinya kejadian penyakit kardiovaskular seperti infark miokard, stroke yang berujung pada risiko kematian. Penelitian ini bertujuan untuk mengevaluasi dampak klinis berupa laju kejadian dan biaya rawat inap pada kelompok pasien hipertensi yang persisten dan tidak persisten menggunakan obat antihipertensi berdasarkan klaim resep pengobatan PT Askes (Persero). Rancangan penelitian yang digunakan adalah studi kohort retrospektif dengan menggunakan basis data pasien hipertensi rawat jalan peserta asuransi kesehatan PT Askes (Persero) di RSUD Panembahan Senopati Bantul. Jumlah subjek yang ikut dalam penelitian ini sebanyak 304 pasien hipertensi yang menggunakan obat antihipertensi pertama kali (tanggal indeks pengobatan 1 Juli 2007 – 31 Desember 2008). Analisis data yang digunakan pada penelitian ini, antara lain uji khi kuadrat, analisis kesintasan Kaplan-Meier, dan cox proportion hazard test. Setelah dilakukan pengamatan berkisar 3 sampai 4,5 tahun bahwa laju kejadian rawat inap pada pasien yang persisten menggunakan antihipertensi lebih lambat dan bermakna secara statistik daripada pasien hipertensi yang tidak persisten menggunakan antihipertensi (HR= 0,12; IK 95%= 0,006-0,23). Rata-rata biaya untuk mengatasi luaran klinis berupa rawat inap pada kelompok pasien yang persisten menggunakan antihipertensi (Rp. 2.758.109,28) lebih rendah daripada kelompok pasien hipertensi yang tidak persisten menggunakan antihipertensi dan dirawat inap (Rp. 4.125.412,00). Kesimpulan dari penelitian ini adalah peningkatan persistensi penggunaan antihipertensi pada pasien hipertensi dapat menekan laju kejadian dan biaya rawat inap. Kata kunci: persistensi, hipertensi, kejadian rawat inap, biaya
PERSEPSI APOTEKER DAN PASIEN TERHADAP PENERAPAN SISTEM PEMBAYARAN JKN PADA APOTEK Satibi Satibi; Dewa Ayu Putu Satrya Dewi; Atika Dalili Akhmad; Novita Kaswindiarti; Dyah Ayu Puspandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.349

Abstract

Pelayanan kesehatan pada era JKN diselenggarakan oleh semua Fasilitas Kesehatan (faskes) yang bekerja  sama dengan BPJS Kesehatan. Pelayanan kesehatan dapat dilakukan berdasarkan perjanjian kerjasama antara BPJS dan faskes, bagi faskes yang tidak mempunyai sarana kefarmasian dapat menjalin kerja sama dengan apotek dalam hal pelayanan kefarmasian. Metode pembayaran untuk jasa pelayanan kesehatan pada era JKN menggunakan sistem kapitasi dan pembayaran langsung oleh BPJS kepada faskes. Namun masalah yang sering timbul dan menjadi pertanyaan dalam program JKN adalah mutu pelayanan, masyarakat masih ragu dengan mutu pelayanan yang diberikan oleh faskes. Tujuan penelitian ini untuk mengetahui bagaimana sistem kapitasi JKN dilihat dari sudut pandang Apoteker untuk mengetahui persepsi apoteker dan pasien terkait dengan sistem kapitasi JKN di Apotek PRB, Apotek Jejaring, dan Apotek Klinik Pratama. Metode yang digunakan dalam penelitian ini adalah deskriptif analitik menggunakan kuesioner yang berisi pernyataan tentang persepsi apoteker terhadap  profit, klaim biaya, perjanjian  kerjasama, dan pelayanan, sedangkan pada   pasien  tentang kualitas, jumlah, dan ketersediaan obat dan pembayaran obat. Data statistik dianalisis menggunakan analisis dengan Kruskal Wallis test dan uji post hoc Mann Whitney dengan melihat nilai signifikansi (p). Hasil penelitian di Apotek PRB, Apotek Jejaring dan Apotek Klinik Pratama, yaitu terdapat perbedaan persepsi apoteker pada indikator profit (p = 0,003) dan indikator pelayanan (p = 0,001), namun tidak terdapat perbedaan persepsi apoteker pada indikator klaim biaya (p = 0,0546) dan  indikator perjanjian kerjasama (p = 0,606). Selanjutnya, untuk persepsi pasien rawat jalan yaitu  terdapat perbedaan persepsi pasien pada indikator kualitas dan ketersediaan obat (p = 0,000), tetapi tidak terdapat perbedaan persepsi pasien rawat jalan pada indikator jumlah (p= 0,667) dan indikator pembayaran (p = 0,057). Berdasarkan biaya obat, yaitu terdapat perbedaan biaya obat (p = 0,000) pada apotek PRB, Apotek Jejaring, dan Apotek Klinik Pratama.
EVALUASI PHARMACY SUPPORT SYSTEM DALAM IDENTIFIKASI DRUG RELATED PROBLEMS PADA PASIEN KARDIOVASKULAR Deby Afriani Mpila; Fita Rahmawati; Tri Murti Andayani
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.234

Abstract

Pengobatan pada penyakit kardiovaskular berpotensi menyebabkan drug related problems (DRPs). Software Pharmacy Support System (PSS) telah dikembangkan untuk mengidentifikasi DRPs potensial yang dapat membantu apoteker dalam mengambil keputusan klinik dan menghindari kejadian DRPs. Penelitian ini bertujuan untuk validitas software PSS melalui uji diagnostik dalam membantu apoteker mengidentifikasi DRPs potensial pada terapi pasien dengan penyakit kardiovaskular; dan untuk mengetahui perbedaan antara prevalensi dan jenis DRPs yang teridentifikasi oleh apoteker secara manual dan apoteker dengan bantuan PSS.Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional yang dilakukan pada terapi pasien di Poliklinik Jantung RSUP Dr. Sardjito Yogyakarta. Pengambilan data secara retrospektif pada bulan Mei 2015 dengan jumlah sampel sebanyak 200 pasien. Kriteria inklusi yaitu pasien yang berasal dari Poliklinik Jantung. Analisis data menggunakan analisis deskriptif crosstabs untuk mengetahui nilai diagnostik dan untuk mengetahui perbedaan prevalensi dan jenis DRPs dianalisis dengan goodness of fit.Hasil penelitian menunjukkan PSS memiliki nilai sensitivitas yang baik (95%), tetapi nilai spesifisitasnya rendah (32%). Kategori DRPs interaksi obat, obat tidak efektif, dosis obat terlalu rendah, dosis obat terlalu tinggi dan interaksi obat dapat diidentifikasi secara optimal oleh apoteker dengan PSS (kisaran sensitivitas 90,48–100%). Namun, sistem ini kurang optimal pada kategori DRPs indikasi tanpa terapi (sensitivitas 43,39%). Terdapat perbedaan signifikan pada prevalensi dan jenis DRPs kategori indikasi tanpa terapi, dosis obat terlalu rendah, dosis obat terlalu tinggi dan reaksi obat yang tidak diinginkan (p < 0,05).Kata kunci: pharmacy support system, drug related problems, penyakit kardiovaskular, resep rawat jalan
THE STRATEGIC ROLES OF HUMAN CAPITAL, LEARNING AND INNOVATION CAPABILITIES TO INDONESIAN PHARMACEUTICAL COMPANY PERFORMANCE Sampurno Sampurno
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.18

Abstract

Pharmaceutical industry is strongly konwledge-based and research-intensive with knowledge product as the competitive advantages determinant.In the pharmaceutical industry, human capital is strategic assets as the main pilar of organizational competence in creating values to satisfy its customer’s need. Human capital is the key for competitiveness and the key for making innovations. In this contex, knowledge mastery is very crusial to pharmaceutical company. A company can have competitive advantage if they know how to extend, disseminate, and exploate knowledge internally and know how to protect it from being imitated by its competitors. For doing this, individual as well as collective learning in the company is needed in order to integrate different streams of various technologies, which at the same time strengthen its core competence.. Learning will also strengthen its absorbtive capacity, which in turn enables the company to absorb knowledge form external sources to be combined with internal capabilities have been possessed by the company. Within pharmaceutical industry, innovation capability, eitherin terms of innovation process or products, play signifikan important role in creating competitive advantage. Without innovation capability, a pharmaceutical company will be stagnant because it will not be able to respond the demands of hightly dynamic market. Learning capabilitycloselyrelates to innovation outcome. Orgaizatuional learning process has very strong relationship with organizational perfornmance. This research tested the strategic roles of human capital, learning and innovation capabilities to Indonesian pharmaceutical companies. This research was carried out through field study, while the data process and analysis was done with Structural Eqution Modeling (SEM) using Lisrel 8.7 program. This research found that pharmaceutical companies with veru strong human capital, and superior learning and innovation capacities had excellent organizational performance with sustainable competitiveness. These three variables were found to be critical determinants of competitive advantage of Indonesian pharmaceutical companies. Keywords: Human capital. Learning, innovation, competitive advantage and company performance
ANALISIS KINERJA INSTALASI FARMASI RSUD KANJURUHAN KABUPATEN MALANG DENGAN PENDEKATAN BALANCED SCORECARD Ika Ratna Hidayati; Satibi Satibi; Achmad Fudholi
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.192

Abstract

Instalasi Farmasi RSUD Kanjuruhan Kabupaten Malang belum pernah melakukan suatu pengukuran kinerja sehingga belum diketahui sejauh mana keberhasilan pengelolaan tangible dan intangible assets dalam mencapai visi dan tujuan organisasi.Selain itu, pengukuran kinerja juga diperlukan dalam mendukung proses akreditasi rumah sakit. Penelitian ini dilakukan untuk menganalisis kinerja Instalasi Farmasi RSUD Kanjuruhan Kabupaten Malang dengan pendekatan balanced scorecard (BSC) melalui 4 perspektif yaitu pembelajaran dan pertumbuhan, proses bisnis internal, pelanggan, dan keuangan. Penelitian merupakan penelitian non eksperimental dengan analisis secara deskriptif  analitik. Data diperoleh secara prospektif dan retrospektif. Data kualitatif diperoleh melalui kuesioner dan wawancara mendalam dengan Kepala Instalasi Farmasi RSUD Kanjuruhan Kabupaten Malang pada tahun 2011 dan 2012. Data kuantitatif diperoleh melalui observasi langsung, survei terhadap resep, dan laporan keuangan. Hasil penelitian memperlihatkan bahwa kinerja perspektif pembelajaran dan pertumbuhan pada human capital belum mampu melakukan inovasi dalam mendukung  pekerjaannya, budaya organisasi sudah sangat baik di IFRS, dan teknologi informasi belum beroperasi dengan baik. Kinerja perspektif proses bisnis internal pada rata-rata dispensing time untuk resep racikan19,34 menit dan resep non racikan 6,7 menit, kadang–kadang masih ada kegiatan yang dapat memungkinkan terjadinya medication error, rata–rata tingkat ketersediaan obat 93,7%, Standard Operating Procedure (SOP) sudah dibuat sesuai dengan standar 5 dan 6 akreditasi rumah sakit. Kinerja perspektif pelanggan menunjukkan bahwa pasien belum puas dengan layanan terutama pada dimensi tangible (-0,680) dan emphati (-0,366). Tingkat keterjaringan pasien sebesar 95% dan tingkat pertumbuhan pelanggan -1% tiap bulannya. Kinerja perspektif keuangan menunjukkan Inventory Turnover Ratio (ITOR) 7,7 kali per tahun pada 2011 dan 6 kali per tahun pada 2012, selisih antara Rencana Bisnis Anggaran (RBA) dengan realisasi sebesar 2,43% pada tahun 2011 dan 6,50% pada tahun 2012. Kata kunci: analisis kinerja, balanced scorecard, instalasi farmasi rumah sakit
Comparison of Treatment Outcomes among Second-Line Antiretroviral Regimens in HIV/AIDS Patient Winda Dwi Puspitasari; Nanang Munif Yasin; Fita Rahmawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (625.35 KB) | DOI: 10.22146/jmpf.36414

Abstract

Antiretroviral (ARV) therapy can increase life expectancy of people living with HIV/AIDS (PLWHA). If the therapy fails and causes severe toxicity to first-line ARV, the first-line ARV regimen is switched to the second line. Studies on the outcome of the second-line ARV therapy have not been widely conducted in Indonesia. This study aims to identify the comparison of outcomes of the second-line ARV therapy regimens in HIV/AIDS patients. The study employed retrospective cohort design. Medical record data were collected from patients treated from January 2008 until December 2017 at Dr. Kariadi Hospital of Semarang. The number of samples that met the inclusion criteria was 42 patients. The comparison between incidence of opportunistic infections and survival among the regimens was presented descriptively. The comparison of regimens based on changes in CD4 level was performed by using Kruskal-Wallis test. The switch occurred in 24 patients (57.14%) due to toxicity of the first-line ARV and in 18 patients (42.86%) due to treatment failure. Mean CD4 and viral load during the switches were 164.68 ± 204.98 cells/mm3, 154,726.14 ± 296,797.12 copies/ml respectively. After 6 months of the second-line ARV therapy, there was an increase in CD4 level (p 0.05) among the three regimens after 6 months of the second-line ARV therapy.
PERESEPAN OBAT TIDAK TEPAT DAN ADVERSE DRUG EVENTS PADA PASIEN GERIATRI RAWAT INAP DI RUMAH SAKIT UMUM Radiyanti Radiyanti; Fita Rahmawati; Probosuseno Probosuseno
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.238

Abstract

Pasien geriatri merupakan pasien yang memiliki karakteristik khusus, umumnya telah terjadi berbagai penyakit kronis, fungsi organ yang menurun, dan penurunan status fungsional (disabilitas). Kriteria STOPP merupakan alat untuk mengidentifikasi ketepatan peresepan obat / potentially inappropriate prescription (PIP) pada pasien geriatri. Beberapa bukti klinis menunjukkan bahwa inappropriate prescription sering terjadi pada pasien geriatri dan berhubungan dengan meningkatnya risiko adverse drug events (ADEs). Tujuan penelitian ini untuk mengetahui angka kejadian dan gambaran PIP, mengetahui hubungan antara PIP dengan ADEs, serta mengetahui faktor risiko kejadian ADEs. Penelitian ini merupakan observasional cross sectional dan pengumpulan data dilakukan secara prospektif. Penelitian ini dilakukan pada pasien berumur ≥60 tahun yang dirawat inap di Kelas III RSU PKU Muhammadiyah I dan II Yogyakarta, sejak bulan September sampai bulan Oktober 2015. Pengambilan sampel dilakukan secara consecutive sampling. Data dianalisis menggunkan statistik Uji Chi Square untuk data variabel kategorik dan independent t-test /Mann Whitney untuk data variabel kontinyu. Hasil penelitian menunjukan jumlah pasien laki-laki sebanyak 53 orang (43,4%) dan perempuan sebanyak 69 orang (56,6%). Angka kejadian PIP pada penelitian ini sebesar 27,05% (33 dari 122 pasien), dengan 42 kejadian penggunaan PIP. Penggunaan PIP paling banyak berhubungan dengan NSAID. Angka kejadian ADEs sebesar 24,6% (30 dari 122 pasien), dengan 43 kejadian ADEs. PIP berhubungan signifikan dengan kejadian ADEs (p<0,05), OR 3,36; 95% CI 1,38-8,08. Faktor risiko kejadian ADEs adalah jenis kelamin laki-laki (p<0,05); OR 2,44; 95% CI 1,05-5,67, dan indeks komorbiditas charlson (p<0,05).Kata kunci: potentially inappropriate prescription, adverse drug events, geriatri, faktor risiko
STRATEGY ANALYSIS FOR IMPROVING SERVICE QUALITY IN THE PHARMACY DEPARTMENT AT HOSPITAL Naniek Widyaningrum; Sampurno Sampurno; Djoko Wahyono
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.113

Abstract

The Hospital of Army Semarang is a hospital with a strategic location and its Pharmacy Department Swadana has competitive pharmaceutical prices. But, patients from the surrounding communities visiting for treatment in the hospital is less than those in its competitor. The aims of this research were to analyze internal and external conditions and also to evaluate the quality of service delivery in self financing Pharmacy Departement. This research was non experimental research, used quantitative and qualitative methods. Quantitative research measured patient’s satisfaction measured using SERVQUAL questionnaire. Dispensing time was calculated from duration of receipt service, and compare to standard procedures. Qualitative research analyzed internal and external conditions. Result of the research was formulated in a SWOT matrix used as input for the self financing strategic planning of improving the quality of service delivery in the Pharmacy Department in the Hospital of Army. Results of the research indicated that based on all the three indicators, there were unsatisfaction among outpatients, and medical and paramedical staffs in the Hospital of Army, which could be seen from negative gap in all the dimensions of questionnaires. The duration of receipt service was in accordance with public service standards, and the Pharmacy Department did not have a written service standard procedures. From the SWOT analysis, it can be known that the hospital has strenghts, namely, a strategic location and competitive prices, and weaknesses such as the lack of quality and quantity of human resources, opportunity for government to provide public service, and threats such as an increasingly tight business competition and progression of science and technology. It is recommended that the Pharmacy Department of the hospital should increase the coverage and scope of service delivery through promotion and counseling, improve the quality of service delivery, equip the department with adequate physical infrastructures and improve the quality of human resources through education and training.Keywords: SWOT, SERVQUAL, Pharmacy Department

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