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JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)

jmpf
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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.

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Articles 487 Documents

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Medication Literacy for Pharmacists: A Review Niken Nur Widyakusuma; Chairun Wiedyaningsih; Fivy Kurniawati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The term health literacy has been emerging since the last decades. Poor health literacy had been realized as a main factor for poor health outcomes, higher medical costs, greater risk of death, and poor health status. With the health care system becoming increasingly complicated and the abundance of unclear health information, the ability to understand health information is important for the patients. Health literacy in the context of medicine was also being studied using different terms. It is rather difficult to compile when interventions to improve health literacy is in need of review. At the moment, the term “medication literacy” has been defined internationally by experts. With this definition, medication literacy studies will have the same concept and will be easier in benchmarking between studies. It is very important for pharmacists to recognize and assist patients with limited medication literacy. Although there are several barriers to do improvement in medication literacy, pharmacists can help both individually and through the system. Some of the interventions that can be carried out by pharmacists are assistance with drug information using literacy-sensitive techniques such as repetition, open questions, devices, demonstration on how to use drugs, and using printed materials to ensure patients understand their condition and treatment plans. Unfortunately, practicing pharmacists are lack of knowledge and even interest in medication literacy.

Analysis of Cesarean Section Clinical Pathway Compliance at a Private Hospital in Yogyakarta Beta Haninditya; Tri Murti Andayani; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

This study aims to analyze the relationship between the compliance with the implementation of clinical pathways to therapeutic outcomes (ILO events, length of stay, pain intensity) and the total real cost of cesarean section patients. The study was conducted at a type C private hospital in Yogyakarta. This study is a non-experimental analytical study (observational analytic) with a cross sectional design using a retrospective data collection method and analyzed using Chi square test and non parametric regression test. Descriptive analysis for compliance with the implementation of clinical pathways was carried out by assessing the compliance of each care point contained in the clinical pathway section of the cesarean consisting of 12 points of care and will be grouped into two categories namely low compliance category with the average compliance value for clinical pathway <85% and good compliance with the average compliance value for clinical pathway ≥85%. Descriptions of adherence to the implementation of clinical pathway cesarean section each patient showed that as many as 686 patients (98%) had a good average compliance score and 14 patients (2%) had a low average compliance score. Outcome description 700 patients with cesarean section were found 1 patient experienced ILO, LOS according to clinical pathway (≤3 days) as many as 620 patients and 700 patients with pain scale ≤3. The results of the analysis of the relationship between the compliance and the implementation of the clinical pathway to the outcome of therapy (ILO events, length of stay, and pain intensity) showed the existence of a compliance relationship to the implementation of the clinical pathway with a value of p<0.05. The analysis of the relationship between the compliance to the implementation of the clinical pathway and the total real costs shows the relationship between the compliance with the implementation of the caesarean section clinical pathway at a type C private hospitals in Yogyakarta with the total real costs with p value of 0,000 and r value of 0.014.

Evaluation of Students’ Skills in Compounding of Divided Powders M Rifqi Rokhman; Hardika Aditama; Angi Nadya Bestari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Several types of medicines for pediatric patients are not commercially available in appropriate dosage forms. While divided powder resulted from compounding process is an alternative to address this problem, the dosage accuracy is still profoundly a major issue. This research was aimed at comparing student’s ability prior to and after taking compounding practical work and analyzing weight accuracy of divided powders compounded by students. This research was designed as a pre-post study. Students who were taking compounding practical work (for 12 weeks) in 2017 were asked to fill a prescription contained divided powders in the beginning and the end of the semester, given enriched learning material of compounding technique videos and feedback as evaluation of their pretest results. The data is presented in the form of a percentage, while differences between pretest and post-test are compared utilizing Wilcoxon test. This study suggests that there was a significant increase of students’ ability in calculating the amount of each ingredient required to fill the prescription, choice of label color, approximating the beyond-use date, folding the divided powders, and making a copy of the prescription. However, there was a small number of students (15.3%) whose divided powders they have dispensed were in the allowed weight range. This study documents the need for quality assessment of medications prepared by students quantitatively and this assessment serves as a parameter of student performance.

The Correlation of Treatment Adherence with Clinical Outcome and Quality of Life in Patients with Type 2 Diabetes Syaiful Katadi; Tri Murti Andayani; Dwi Endarti
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Patients with diabetes mellitus (DM) are patients with a low level of treatment adherence. Low adherence is often the cause of treatment failure, so the risk of complications is higher and can affect the quality of life of patients. This study aimed to determine the relationship between treatment adherence to clinical outcomes and the quality of life of patients with type 2 DM. This study used a cross sectional design involving patients with type 2 DM who met the inclusion and exclusion criteria in three health centers in Bantul, Yogyakarta. Data on patient medication compliance was obtained using medication adherence report scale questionnaire (MARS-5), patient quality of life data using Short-Form 6 Dimensions questionnaire (SF-6D), data on fasting blood glucose levels (GDS / GDP) from medical records, socio demographic data obtained from respondents and medical records. The relationship between the level of adherence to clinical outcomes using Chi-square analysis while the relationship between the level of adherence to quality of life using Spearman Rho analysis. The total number of respondents involved was 179 patients, the majority had a low level of adherence (57%), clinical outcomes that had not been achieved (68.7%), and the average utility score was high (0.816). There was a relationship between medication adherence to clinical outcomes (P = 0.002; OR = 2.875). Similarly, between adherence to quality of life, there is a significant relationship (P = 0.006) with a weak correlation level (r = 0.204). Therefore, patients and Health professionals, especially pharmacists, need to pay attention to medication adherence to achieve optimal clinical outcomes and a better quality of life.

The Inventory Control, Storage Facilities and Distribution at Pharmaceutical Industry in Supporting Drugs Availability of JKN Era Satibi Satibi; Achmad Fudholi; Eirene Copalcanty Tuko; Gabriela Larasati Swastiandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The drugs availability is still a problem in the health system in Indonesia. The number of JKN participants increasing the need for generic drugs. Pharmaceutical industry has a role to produce affordable and good quality medicines by implementing good supply chain. The purpose of this study was to identify the role of inventory control, storage and distribution facilities in the pharmaceutical industry in supporting drugs availability in the JKN era. This is a descriptive research with qualitative method and uses purposive sampling. Data was collected in depth interview with employees from the PPIC and SCM in Pharma A, Pharma B, Pharma C and Pharma D that collaborated with BPJS Kesehatan and become drug providers in e-catalogue tender. Data analysis consisted of making interview transcripts, interpreting data, and triangulation. The results of the analysis showed that inventory control has an influence in the pharmaceutical industry in supporting the drugs availability due to a mismatch between demand and need, thereby increasing the occurrence of stock over or stock out. Facilities of storage has an influence in the pharmaceutical industry in supporting the drugs availability due to overload storage facilities so that the storage method was not optimal and has to pay other costs to rent warehouses. Distribution has an influence in the pharmaceutical industry in supporting the drugs availability because the costs for distribution must reach a minimum order to be distributed and the choice of transportation modes for distribution may be increased the lead time that caused the drug vacancies.

Trend Price Analysis of Drug Before and After the Implementation of E-catalogue at the Hospital Yusi Anggriani; Prih Sarnianto; Siti Aisyah; Jenny Pontoan
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

In 2013, Ministry of Health, Republic of Indonesia, launched a new change to drug procurement system, namely e-catalogue, to ensure the availability and affordability of medicines. This system replaces the previous auction drug procurement system. The purpose of the change into e-catalogue system is to facilitate the drug procurement in hospitals without the need to conduct complex negotiation with producers, to reduce the occurrence of mark-ups or inflating drug prices, to equalize drug prices, to support BPJS (Badan Penyelenggara Jaminan Sosial) activities, and to prevent difficulties in drug distribution in all regions in Indonesia. This study aims to get an overview and magnitude of the impact of e-catalogue application on changes in the price of drugs registered and not registered in e-catalogue at Jakarta Islamic Hospital Cempaka Putih. This research is a longitudinal time series study. The data collection was conducted retrospectively in the period of 2011-2015 taken from procurement data, purchase invoices, and e-catalogue prices from hospital pharmacy installation, which were then categorized based on similar drugs in the hospital. The result shows a decrease in the price of drugs on both e-catalogue drugs (generic, trade names and patents) and non e-catalogue drugs (generic, trade names). On the class of therapy, the biggest price reduction occurred in e-catalogue medicine, such as in antineoplastics, intravenous solution, diabetes, Anti-ashma & COPD, and psycholeptics therapy. Meanwhile, on the category of non e-catalogue, price reduction occurred in systemic antibacterials, antineoplastics, analgesics, cardiac theraphy, and A-acis A-flat A Ulcerants therapy. The magnitude of drug prices reduction ranges from 1% to more than 90% both on e-catalogue drugs and non e-catalogue drugs. On the e-catalogue drugs, the highest price reduction (82.36%) occurred in generic and patent drugs, while on non e-catalogue drugs, reduction occurred in drugs with trade names. The price reduction trend in drug prices based on both type of drugs and therapy class shows a significant decrease in drug prices in the period after the implementation of e-catalogue at Jakarta Islamic Hospital in Cempaka Putih, with a decrease of more than 80%.

Direct Medical Cost Analysis Among Coronary Heart Disease and Heart Failure Outpatients at One Hospital Nunik Dewi Kumalasari; Abdul Rahem; Bobby Presley; Eko Setiawan
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Long-term treatment of cardiovascular disease may give impact in a high burden of medical cost for the patient. A concern arises whether the health budget allocation prepared by the Indonesian Government through "Jaminan Kesehatan Nasional" program is enough to cover medical cost for the outpatient treatment. This study aims to calculate the direct medical cost of patients with coronary heart disease and heart failure and compare it with the Indonesian Case Base Groups (INA-CBGs) tariff. This is a prospective and observational study carried out in one of the public hospitals in East Java between February and April 2015. All data related to outpatients with coronary heart disease and heart failure were analysed. Direct medical cost analysis in this study calculated from a combination of cost of medication, health professional services, electrocardiography, emergency care services, and laboratory test component, then it was compared with INA-CBGs tariff from ICD 10. Total of 390 patients included were 387 patients with coronary heart disease (99.23%) and three (3) patients with heart failure (0.77%). Average direct medical cost for patients with coronary heart disease and heart failure were IDR 130.593,6 (range IDR 50.282 – IDR 385.911) and IDR 128.587 (range IDR 112.832 – IDR 140.103), respectively. Even though this study showed that budget allocation of INA-CBGs could cover the average direct medical cost of patients with both of diseases, some patients had a direct medical cost higher than the limit of INA-CBGs allocation. Therefore, an optimal interprofessional collaboration between physician and pharmacist needed to provide medical treatment based on patient needs and keep it within budget allocation range.

Penilaian Properti Psikometrik Instrumen Kualitas Hidup (HRQol) pada Populasi Umum: Tinjauan Sistematik Restu Nur Hasanah Haris; Rahmat Makmur; Tri Murti Andayani; Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Quality of life (HRQoL) is a measure of a person's health in physical, spiritual, and emotional, and role functions in the society. Measurement of quality of life (HRQoL) is an important thing to understand and evaluate. Measurements are carried out not only on patients but also on the general population with the use of specific or generic instruments. The instrument used requires a psychometric properties test to ensure its validity and reliability. This article aims to conduct a systematic review of the psychometric properties of quality of life (HRQoL) instruments in the general population. Articles were collected in December 1st to 5th, 2018, from Pubmed and Google Scholar. The assessment was carried out using the checklist properties according to the cohen criteria and included the content validity, construct validity, internal consistency reliability, test-retest, ceiling effect and the level of credibility of the instruments. Among 80 articles obtained there were 24 articles that fulfilled the inclusion criteria. Short Form-36 (SF-36) instrument is the most widely used instrument in measuring the quality of life in the general population (26.6%). Some instruments have not been tested according to the criteria, while almost all instruments show a good level of validation of construct validity using convergent and discriminat validity with cronbach alpha values > 0.7. Test-retest reliability provides a good correlation. Some instruments show a ceiling effect. According to the assessment, the SF-36, SF-6D, EQ-5D, SF-12 and PedsQoL instruments are considered as established instruments. Further validation testing is needed to provide and support the measurement of subsequent quality of life (HRQoL) instruments.

Analisis Biaya Penyakit Stroke Pasien Jaminan Kesehatan Nasional di RSUD Blambangan Banyuwangi Zulfa Mazidah; Nanang Munif Yasin; Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Cost analysis of chronic diseases in health care facilities during JKN is needed as quality and cost control. Stroke is a high cost, volume, and risk, catastrophic disease that can cause an increase in medical expenses, which requires special attention. The purpose of this study is to provide an overview of real costs and cost components, providing an overview of the direct medical costs and tariff packages of INA-CBGs based on the type of stroke, and the factors that affect direct medical costs. This study is a descriptive-analytic observational study according to the hospital perspective. Data was taken retrospectively. The subjects of the study were adult JKN patients who were aged ≥18 years old with a stroke diagnosis that entered the inclusion criteria. The research variables included age, gender, type of stroke, comorbidity, hospitalization class, length of stay (LOS), and real costs. Data analysis used univariate, bivariate and multivariate analysis. The research results obtained total real costs of Rp. 1,525,236,503 with an average cost of Rp. 4,872,960, the largest cost component was the cost of drugs and BMHP Rp. 402,248,555 (27.21%). The real cost of hemorrhagic strokes is Rp. 572,969,865 and the INA-CBGs tariff package is Rp. 483,804,000, the real cost of ischemic stroke is Rp. 1,107,055,700. There were significant differences in real cost from class factors and length of stay (p-value <0.005). The concluded that the INA-CBGs tariff package is insufficient to finance hospitalized patients with hemorrhagic strokes (-Rp89.165,865), but sufficient for ischemic stroke (+Rp.154,789,069).

Evaluasi Perencanaan dan Distribusi Obat Program di Dinas Kesehatan Provinsi Sulawesi Tenggara Yuliana Boku; Satibi Satibi; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 9, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The development of the health sector is an important concern in the international commitments set out in the Millennium Development Goals (MDGs). One of the indicators is the availability and affordability of drugs. Therefore, good management of drugs is needed. This study aims to evaluate planning and distribution of drug programs in 2017 at the Southeast Sulawesi Provincial Health Office and the factors that influence it. This study was conducted in September – October 2018. The programs’ drugs evaluated were for malaria, leprosy, tuberculosis and Humman Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS). This is a descriptive research with quantitative data obtained retrospectively and qualitative data obtained through observations and interviews with interviewees selected by purposive sampling. The data was analyzed using indicators and then compared with the research results. The results showed that the planning and distribution of the drugs had not been fully in accordance with the standard. It was indicated that there were 8 indicators had not meet the standards, namely the accuracy of planning; planning irregularities; level of drug availability; percentage of drugs expired; percentage of deviations from drugs distributed; Inventory Turn Over Ratio (ITOR); average time of drug emptiness; the percentage of dead drug stock, and there were 7 indicators which had met the standars, namely the drug structuring system; the matching number of real goods with stock; organizational management; responsible person; the number of human resources; and financial and information systems. The factors that influence is team coordination; recording and reporting; and operational funds.

Page 31 of 49 | Total Record : 487

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