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JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
ISSN : 20888139     EISSN : 24432946     DOI : -
Core Subject : Health,
JMPF is the first open access journal in Indonesia specialized in both research of pharmaceutical management and pharmacy practice. Articles submitted in JMPF are peer reviewed, we accept review articles and original research articles with no submission/publication fees. JMPF receives manuscripts in both English (preferably) and Indonesian Language (Bahasa Indonesia) with abstracts in bilingual, both Indonesian and English. JMPF is also open for various fields such as pharmaceutical management, pharmacoeconomics, pharmacoepidemiology, clinical pharmacy, community pharmacy, social pharmacy, pharmaceutical marketing, goverment policies related to pharmacy, and pharmaceutical care.
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Articles 487 Documents
PENERAPAN METODE ECONOMIC ORDER QUANTITY DAN REORDER POINT DALAM MENINGKATKAN EFISIENSI PERSEDIAAN OBAT REGULER DI INSTALASI FARMASI RUMAH SAKIT Nur Aeni Hartih; Satibi Satibi; Gunawan Pamudji Widodo
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 3, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.199

Abstract

Pelayanan kesehatan yang diberikan kepada masyarakat harus tepat waktu dan terjamin mutunya, maka pengelolaan perbekalan  farmasi sangatlah penting khususnya obat-obatan.Tujuan penelitian ini adalah untuk mengetahui pengaruh penerapan metode EOQ dan ROP terhadap nilai persedian obat, inventory turn over ratio (ITOR), customer service level (tingkat pelayanan) di IFRSUD Lasinrang Kabupaten Pinrang Sulawesi Selatan.Penelitian ini menggunakan rancangan quasi eksperimen tanpa kontrol. Rancangan peneltian ini dipilih untuk mengetahui apakah dengan adanya penerapan metode EOQ dan ROP dalam meningkatkan efisiensi persedian obat dapat memperbaiki kinerja pengelolaan obat di Instalasi Farmasi RSUD Lasinrang  Kabupaten Pinrang. Pengukuran efisiensi persediaan obat dengan memakai tiga indikator, yaitu nilai persediaan, Inventory Turn  Over Ratio (ITOR), customer service level, kemudian hasil  penelitian dianalisis paired t-test.Hasil penelitian menunjukkan bahwa penerapan EOQ dan ROP dapat meningkatkan efisiensi  persedian obat di IFRSUD Lasinrang Kabupaten Pinrang, yang  ditunjukkan dengan peningkatan indikator nilai persedian obat  yaitu sebelum intervensi sebesar Rp. 485.071.623 dan setelah  intervensi sebesar Rp. 395.712.319 (p = 0,048), inventory turn  over ratio (ITOR) yaitu sebelum intervensi sebesar 0,47 dan  setelah intervensi sebesar 0,70 (P = 0,003), dan peningkatan  customer service level (tingkat pelayanan) yaitu sebelum  intervensi sebesar 99,65% dan setelah intervensi sebesar 99,93%  (p = 0,017). Kata kunci: ROP, EOQ, Nilai Persediaan, ITOR, customers service level
COST OF ILLNESS DARI CHRONIC KIDNEY DISEASE DENGAN TINDAKAN HEMODIALISIS Fauziah, Fauziah; Wahyono, Djoko; Budiarti, L Endang
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.143

Abstract

Hemodialisis (HD) atau cuci darah sangat berperan penting bagi penderita gagal ginjal. Proses hemodialisis merupakan tindakan pengobatan yang mahal dan akan menjadi beban berat bagi pasien yang melakukan tindakan hemodialisis berulang kali selama seumur hidupnya. Tujuan penelitian adalah mengetahui total biaya penyakit Chronic Kidney Disease (CKD) dan untuk mengetahui perbedaan faktor pasien, faktor penyakit, dan faktor jenis pembiayaan terhadap biaya medik langsung pada pasien CKD dengan tindakan hemodialisis rawat jalan dan rawat inap. Jenis penelitian menggunakan rancangan penelitian deskriptif analitik menurut perspektif rumah sakit. Pengambilan data dilakukan secara retrospektif dengan melihat rekam medis pasien yang melakukan hemodialisis pada periode Januari sampai Juni 2014 di Rumah Sakit Bethesda Yogyakarta. Variabel terikat (dependent variable) adalah total biaya medik langsung pasien rawat inap dan rawat jalan yang melakukan tindakan hemodialisis di Rumah sakit Bethesda Yogyakarta, sedangkan variabel bebas (independent variable) adalah faktor pasien, faktor penyakit, dan faktor jenis pembiayaan. Analisis statistik yang digunakan adalah statistik deskriptif, distribusi varian, uji Mann-Whitney, dan uji Kruskal-Wallis. Hasil penelitian menunjukkan bahwa pasien CKD dengan tindakan hemodialisis yang masuk kriteria inklusi sebanyak 104 pasien dengan 1.861 episode rawat jalan dan 31 episode rawat inap. Cost of illness pasien CKD dengan tindakan hemodialisis sebesar Rp. 2.295.068.531,00. Pada pasien rawat jalan terdapat perbedaan total biaya medik langsung pada faktor jenis kelamin, usia, jenis komorbid, dan frekuensi hemodialisis. Pada pasien rawat inap, tidak ada perbedaan antara faktor tersebut terhadap total biaya medik langsung.
HUBUNGAN PENGETAHUAN, PERSEPSI KUALITAS, DAN NIAT APOTEKER UNTUK MEREKOMENDASIKAN FITOFARMAKA Kestri Harjanti; Triana Hertiani; Sumarni Sumarni
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 4, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.279

Abstract

Apoteker yang mempunyai pengetahuan yang baik dan persepsi yang positif terhadap kualitas fitofarmaka diharapkan akan merekomendasikan produk fitofarmaka kekonsumen di apotek. Penelitian bertujuan untuk mengetahui gambaran pengetahuan danpersepsi apoteker terhadap kualitas fitofarmaka, serta pengaruhnya terhadap niat merekomendasikan produk fitofarmaka. Penelitianmerupakan penelitian korelasional dengan instrumen berupa kuesioner. Responden adalah apoteker yang bekerja di apotek yang menjual fitofarmaka di Yogyakarta. Kuesioner terdiri dari 4 bagian yaitu karakteristik responden, pengetahuan fitofarmaka, persepsikualitas fitofarmaka, dan niat merekomendasikan produk fitofarmaka. Persepsi kualitas dan niat merekomendasikan diukur denganskala Likert. Teknik pengambilan sampel dilakukan secara acak sederhana. Data dianalisis dengan analisis deskriptif dan regresi liniersederhana. Hasil penelitian menunjukkan bahwa pengetahuan apoteker di apotek kota Yogyakarta secara rata-rata adalah cukup (nilai mean 6,67). Persepsi apoteker tentang kualitas fitofarmaka adalah baik (positif) berturut-turut dari nilai dimensi tertinggi adalah keamanan, efikasi, ketersediaan, akseptabilitas, merek, dan harga. Pengetahuan apoteker tentang fitofarmaka memberikan pengaruh positif dan signifikan terhadap persepsi kualitas fitofarmaka. Pengetahuan dan persepsi apoteker tentang kualitas fitofarmaka masing–masing memberikan pengaruh positif dan signifikan terhadap niat merekomendasikan produk fitofarmaka. Kata kunci: fitofarmaka, pengetahuan, persepsi kualitas
Evaluation of Spironolactone in Combination with Furosemide in Cirrhotic Patients with Permagna (Large) Ascites Tuty Mulyani; Fita Rahmawati; Neneng Ratnasari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 7, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.30285

Abstract

Ascites happens in 50% of patients with liver cirrhosis, Some of them experienced permagna ascites (large ascites). Based on the European Association for the Study of the Liver (EASL) guidelines in 2010, therapy of permagna ascites (large ascites) is paracentesis followed by restriction of sodium intake and diuretics. The use of diuretics can cause side effects such as hyperkalemia and hypokalemia. The aims of this study is to determine the effectiveness and safety of the combination of spironolactone and furosemide in patients with liver cirrhosis with permagna ascites.This study was an analytical observational study with retrospective cohort design. This study was done through a search of cirrhotic patients with permagna ascites’ medical record during January 2010-December 2014. This study was conducted at RSUP Dr. Sardjito. A total of 19 subjects categorized in the tense group and 39 subjects were in non-tense group. The effectiveness of diuretics seen by decreasing 1 cm/day of the patient's abdominal girth daily and the achievement of minimum of fluid balance -500 ml/day. Effectiveness data was analyzed by using independent t-test statistic. Side effects data was analyzed descriptively. There are no significantly different in reduction of abdominal girth and achieving fluid balance between cirrhotic patients with tense and non-tense ascites (p> 0.05); Adverse events of diuretics occurs in 5 patients, consist of hypokalemia 2 patients (3.45%), hyperkalemia 2 patients (3.45%) and hyponatraemia 1 patient (1.72%).
Factors Affecting Pharmaceutical Care Implementation by Community Pharmacist: A Discrete Choice Experiment Nia Kurnia Sholihat; Masita Wulandari Suryoputri; Ade Martinus
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 (537.681 KB) | DOI: 10.22146/jmpf.38804

Abstract

Even though pharmaceutical care has been proven increasing patients’ quality of life, pharmacists still have barriers to implement it. Our study aims to examine factors affecting pharmacists in the community to implement pharmaceutical care using a Discrete Choice Experiment (DCE). The study was a cross-sectional study. A structured DCE questionnaire was administered to 90 community pharmacists in Banyumas district, Indonesia. Respondents were chosen using a simple random sampling method. According to the literature review and expert opinions, the following six attributes were selected: pharmacists’ confidence; willingness to implement pharmaceutical care; communication skill; knowledge and professional skill; availability of time; and availability of space in pharmacy. Eighteen choice sets were developed. Each choice sets comprised of two scenarios. Respondents were asked to choose the scenario they preferred the most. Data were analyzed using multinomial logit model. Of 90 questionnaires distributed, 67 were analyzed. Based on multinomial logit, all attributes had a significant effect on pharmacists’ preferences to implement pharmaceutical care. The findings suggested that pharmacist association should train their member to increase professional skills, as well as the management of pharmacy should provide enough space to perform pharmaceutical care.
Cost Effectiveness Analysis Using Antibiotics of Cefixime and Cefotaxime for Diarrhea Patients at X Hospital in 2017 Gayatri Citraningtyas; Ranny Inggrid Ruru; Amelia Nalang
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.022 KB) | DOI: 10.22146/jmpf.36258

Abstract

Diarrhea is a disease characterized by a change in the shape and consistency of stools, from soft to liquid, and increased frequency of bowel movements, which happen three times or more in a day. Different use of antibiotics by patients results in patient’s medical cost increase. The use of expensive antibiotics does not guarantee the effectiveness of patient care, therefore a research needs to be done to determine which antibiotic therapy is more cost effective between cefixime and cefotaxime antibiotics in hospitalized diarrhea patients in X hospital. This research was descriptive research with retrospective data retrieval. This research was conducted at Medical Record Installation and  Fund mobilization department of X hospital from November 2017 - Maret 2018. The samples in this study were 42 patients with 21 patients using Cefixime and 21 patients were using an Cefotaxime. Data was analyzed descriptively in table form. The results showed that the more cost-effective therapy between Cefixime and Cefotaxime in the treatment of diarrhea in X hospital was therapy with Cefixime antibiotic, which can be seen from ACER (Average Cost-Effectiveness Ratio) Cefixime Rp. 323.428,14/day compared with Cefotaxime ACER value of Rp. 477.180,26/day for each increase in effectiveness. The lowest ICER value on Cefixime was Rp. -50.565,8.-
Implementation of Unit Dose Dispensing using Management Information System in Pharmacy Installation of Panti Rapih Hospital Niken Larasati; Christina Asri Wulandadari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (417.036 KB) | DOI: 10.22146/jmpf.37402

Abstract

Unit Dose Dispensing (UDD) is a drug distribution system in hospitals, where drugs are packaged in the form of a single dose and submitted to patients for one use during treatment. One of the hospitals that has applied UDD with information system utilization is Panti Rapih Hospital. The purpose of this study is to evaluate the application of UDD using Management Information System (SIM RS) with the Technology Acceptance Model (TAM) method. This research used descriptive quantitative analytic to present facts systematically. This method is also used to understand and conclude the facts more easily. Hypothesis testing was conducted to see the relationship and influence between variables. This test was conducted using Partial Least Square (PLS) analysis. The hypothesis testing applied was two-way probability with a significant level (α) of 5%. When the p-value of less than 0,05, the data is significant. In addition, the relationship between variables is seen from the original sample value. The result shows the relationship of perceived ease of use to perceived usefulness, the relationship of perceived usefulness to attitude toward using, and the relationship of perceived usefulness to behavioral intention to use has a negative and insignificant effect. On the other hand, the relationship of perceived ease of use to the attitude toward using, the relationship of attitude toward using to the behavioral intention to use, and the relationship of behavioral intention to use towards actual system usage conditions have a positive and significant effect on implementation of UDD using the SIM RS in Pharmacy Installation Panti Rapih Hospital.
The Relation between Knowledge and Belief with Adult Patient’s Antibiotics Use Adherence April Nuraini; Rika Yulia; Fauna Herawati; Setiasih Setiasih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (671.097 KB) | DOI: 10.22146/jmpf.37441

Abstract

The inappropriate use of antibiotics has resulted in bacterial resistance to antibiotics. One of the factors supporting this phenomenon is the lack of patient knowledge and belief of antibiotics. The study aimed to know the relationship between knowledge and belief with adherence in using antibiotics in adult patients at Syarifah Ambami Rato Ebu Hospital, Bangkalan, based on the Health Belief Model theory. This research is observational analysis using cross-sectional study. There were 103 patients chosen by incidental sampling. Data collection about knowledge was obtained through questionnaires containing 13 questions, while one about belief used a questionnaire containing 30 valid and reliable questions. Adherence was measured by the pill count method. The relationship between knowledge and belief to adherence was analyzed using logistic regression test. The relationship between demography and adherence was analyzed using Spearman correlation test with α = 0.05. The result of this research shows that most patients had sufficient knowledge (57,2%), sufficient belief (69,9%) and adherence (55,3%). There was a significant relationship between knowledge with adherence in the use of antibiotics (p = 0.011) and a significant relationship between belief and adherence in the use of antibiotics (p = 0.046). In terms of belief, perceived benefits have a significant effect on adherence. The conclusions of this study is that there is a relationship between knowledge and belief with adherence in the use of antibiotics and in accordance with health belief model (HBM) theory.
Drug Dosing Rationality Based on Jelliffe Equation in Acute Kidney Injury Dealinda Husnasya; Mawardi Ihsan
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (657.369 KB) | DOI: 10.22146/jmpf.39921

Abstract

Patients with Acute Kidney Injury (AKI) experience changes in unstable kidney function which is characterized by instability of serum creatinine values that affect the concentration of drugs in the body. Therefore, adjusting the dosage and frequency of the drug is an important concern. This study aimed to determine the proportion of rational drug dosage regimens in hospitalized patients with AKI. This research was a retrospective observation study with cross sectional design. Sample collection was carried out using simple random sampling method for patients who were hospitalized with AKI during January 1st till December 31, 2017. Data analysis was carried out descriptively to see the proportion and description of the rationality of each dosage regimen given to patients. This research was conducted at the dr. Sardjito General Hospital Yogyakarta. The results showed that the proportion of rational drug dosage regimens given to 100 inpatients with AKI was 60.00% based on literature and 94.12% based on predictive steady-state concentration calculation. Irrationality of the dosing regimen because of administration interval was 52.84%; because of dose was 17.05%; and because of both were 30.11%. The irrationality based on predictive steady concentration showed that drug concentration below minimum effective concentration was 33.33% and over minimum toxic concentration was 66.67%. The proportion of rational drug dosage regimens given to 100 inpatients with AKI based on literature and calculation of predictive steady-state concentrations were quite high. However, some dosing regimens were still irrationally prescribed with the irrationality form were generally in the form of irrational delivery interval with excessive drug concentration.
Explorative Study on Hipertension Treatment among Pregnant Women Anis Ristyaningsih; Fivy Kurniawati; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 8, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.4 KB) | DOI: 10.22146/jmpf.40929

Abstract

Maternal mortality in Indonesia is relatively high, hypertension becomes one of the causes. Hypertension and complication give particular contribution on morbidity and mortality on neonatal and maternal. On the other hand, antihypertensive drug use in  pregnancy has both benefit and risk. Therefore, appropriate hypertension management needs to be assesed in order to minimize the risk in mother and baby. The aim of the study is to determine the utilization pattern of antihypertensive drugs that will be assesed for suitability with the standard of medical service and American College of Obstetrics and Gynecologists (ACOG) guideline, as well as to determine clinical outcome of the therapy, which includes achieving target blood pressure, proteinuria, and edema. This study was a cross-sectional study with retrospective data collected from hospitalized patients’ medical record in RS PKU Muhammadiyah Yogyakarta from 2012 – 2015. The data of patients’ medical records according to inclusion and exclusion criteria was obtained using consecutive sampling method. Data obtained was analyzed descriptively and reviewed with the suitability of standard of medical service and ACOG guideline. Research shows that most widely used antihypertensive drugs are nifedipine by 51,8%, methyldopa by 2,6%, and amlodipine by 2,6%. Based on the evaluation of sensibility of treatment, 75,3% stated right indication, 100% right patient, and right medication and dosage. Clinical outcome includes blood pressure that had achieved the target as many as 77 patient, with negative value of proteinuria and edema. Blood pressure when patients were dismissed from the hospital was on average of 128,9±15,9/85±10,9 mmHg. In general, the utilization pattern of hypertension drugs in pregnant women has been well and according to the standards used.