JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice)
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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487 Documents
Analisis Kesuksesan Sistem Informasi Manajemen Puskesmas pada Pengelolaan Obat di Puskesmas Kabupaten Batang
Rizza Fauziyah;
Satibi Satibi;
Eko Nugroho
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.44130
Every Public Health Center in all regions of Batang Regency has implemented a Public Health Center Management Information Systems (SIMPUS) in drug management since 2010 to accelerate access to the drug data, accelerate and improve the accuracy of prescription services, as well as provide accurate and timely information to support the planning, supply, and distribution processes. This study aims to analyze the level of success in the use of information management systems for drug management in the Batang District public health center in terms of user perceptions. This research is a descriptive quantitative analytic. The data from 29 respondents were collected using a questionnaire survey developed from the updated Delone and McLean success model. The quantitative analysis of the questionnaire uses a "Likert" attitude scale. Hypothesis testing is done to find out how the relationship and influence between variables using Structural Equation Modeling Partial Least Square (SEM-PLS) analysis. Hypothesis testing used two-way probability with a significance level (α) of 5%, whereas the T-statistic value is more than 1.96, which means there is a significant influence between variables. The results showed that the relationship of system quality variable on system use, system quality on user satisfaction, and service quality on user satisfaction has a positive but not significant effect. The relationship of system use variables to user satisfaction has a negative and not significant effect. While the relationship between variable information quality on system use, information quality on user satisfaction, service quality on system use, system use on net benefit, and user satisfaction on net benefit has a positive and significant effect. It can be stated that the success of SIMPUS utilization as a whole in drug management in the Batang District Public Health Center is not optimal, it needs an improvement on the reliability and effectiveness of the system and the service quality to increase the level of utilization.
Gambaran Kualitas Hidup pada Pasien Diabetik Retinopati Berdasarkan Tingkat Keparahan Visus
Novita Dhewi Ikakusumawati;
Dewi Magistasari;
Novena Adi Yuhara;
Tri Murti Andayani;
Supanji Supanji;
Susi Ari Kristina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.44456
Diabetic retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) which incidence increases with the high prevalence of DM. The presence of these complications will affect quality of life, especially vision-related. The purpose of this study was to determine the quality of life in RD patients assessed using the VFQ-25 and EQ-5D questionnaires, and to determine the of quality of life based on the visual acuity (VA) severity. This study was an observational study in outpatient with diabetic retinopathy during October 2018 – Januari 2019 period, in RSUP dr. Sardjito and RS Mata Dr. YAP, Yogyakarta. The design of this study was cross sectional which observed quality of life and vision. Quality of life was measured by specific for vision instrument (NEI-VFQ-25) and generic instrument (EQ-5D-5L). The number of patients in this study were 100 patients with an average age of 55 years, the most frequent type of RD was 84% proliferative RD. The average quality of life scores in RD patients measured using the VFQ-25 and EQ-5D utility questionnaires were 64.1 ± 16.2 and 0.61 ± 0.24, respectively. Based on VFQ-25, the most affected subscales were driving, dependence, and role difficulties subscale. Meanwhile, domains that have the most problems with the EQ-5D were pain / discomfort and anxiety / depression (78%). The total VFQ-25 score decreased with increasing visual severity, i.e. normal / mild (n = 19) 73.50 ± 15.08; moderate (n = 15) 68.14 ± 15.33; and severe (n = 66) 60.48 ± 15.64. The EQ-5D utility score showed a similar pattern, with scores of 0.66 ± 0.27 (normal / mild); 0.65 ± 0.22 (medium); and 0.59 ± 0.24 (severe); respectively. The higher severity of visual acuity so the quality of life become lower.
Hubungan Persepsi dengan Kualitas Hidup Pasien Hipertensi Lanjut Usia di RSUD Sultan Syarif Mohamad Alkadrie Pontianak
Nabilla Putri Pratiwi;
Eka Kartika Untari;
Robiyanto Robiyanto
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.45579
Hypertension is still a health problem for the elderly group. The misperception about hypertension still occurs to the elderly. They often ignore hypertension and it impact their quality of life. The aim of this study is to obtain patient perceptions and the elderly’s quality of life who are experiencing hypertension, also the relationship between patient perceptions and the elderly’s quality of life who are experiencing hypertension at Sultan Syarif Mohamad Alkadrie Hospital Pontianak. This study was observational with analytival survey design. EQ-5D-3L (EuroQol five dimensions and B-IPQ (Brief Illness Perception Questionnaire) Indonesian version are instruments used which were valid and reliable. The subjects were hypertensive outpatient attending Sultan Syarif Mohamad Alkadrie Hospital Pontianak at aged> 60 years. The sample size was 118 respondents which were obtained from purposive technique sampling. Data was collected through B-IPQ instruments to measure patient perceptions, and EQ-5D-3L to measure patients' quality of life. The relationship between perception and quality of life was analyzed using Fisher's Exact Test with a 95% confidence level (α = 0.05). The results showed the percentage of respondents who had a positive perception was 74.22%, and good quality of life was 76.56%. The results of statistical analysis show there is a significant relationship between patient perceptions and the quality of life of elderly patients who experience hypertension at Sultan Syarif Mohamad Alkadrie Hospital Pontianak with value of p = 0,000.
Pengaruh Pelayanan Kefarmasian di Rumah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Wilayah Kota Yogyakarta
Nur Rasdianah;
Suwaldi Martodiharjo;
Tri Murti Andayani;
Lukman Hakim
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.46240
The increasing prevalence of diabetes mellitus (DM) in Indonesia requires participation of all parties including pharmacists. This study aims to determine the impact of the implementation of home pharmacy service guidelines for patients with type 2 diabetes mellitus on the level of knowledge, medication adherence, therapeurical satisfaction and glycemic control. This study used a quasi-experimental design with one group pre-test and post-test design involving 37 patients with type 2 diabetes mellitus who met the requirements of inclusion and exclusion criterias. The Diabetes Knowledge Questionnaire (DKQ-24) and the Diabetes Medication Satisfaction Tool (DMSAT) were used for collecting the data. Patient adherence was measured using a pillcount method and fasting blood sugar levels (FSB) data were obtained from the laboratory results. The study was conducted in two community health centers and patient’s home in the Yogyakarta Municipality area. The data were analysed using Wilcoxon and Spearman test. The results showed the change of the level of knowledge, medication adherence, therapeutic satisfaction and glycemic control before and after intervention of pharmacy services at home. The average decreasing of fasting blood sugar levels 17.09 mg/dL ± 1.43
Cost Analysis of Indonesia Case Based Groups (INA-CBGs) Tariff for Stroke Patients
Ingenida Hadning;
Fitriannisa Fathurrohmah;
Muhammad Ridwan;
Bangunawati Rahajeng;
Pinasti Utami;
Indriastuti Cahyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.46720
The INA-CBG’s (Indonesia Case Based Groups) package rate implementation for National Health Insurance Program member since 1st January 2014 suffering from stroke has forced all hospitals in Indonesia to do a quality control and efficient service cost. Stroke, one of the catastrophic diseases often accompanied with some of its comorbid factors, requires high treatment cost. Thus, a cost analysis study is needed to prevent hospital loss. This study was aimed at determining the suitability of cost between the real cost of stroke therapy and the Indonesian Case-Based Groups (INA-CBG) rate according to the Ministry of Health Decree number 69 of 2013. This study was an observational study with a cross-sectional design. Data collection was done retrospectively. Study subjects were all that hospitalized strokes of patients who were members of the National Health Insurance and also met the inclusion and exclusion criteria registered between January to June 2014. The study data were in real direct medical costs analyzed for its suitability with the INA-CBG's rate. Descriptive statistical tests and t-tests were used to analyze the data. The results showed that the average real cost of the first-class hospitalization was higher than INA-CBG's rate for cerebral infarction and for unspecified stroke, with insignificant discrepancies. The average real cost of second class hospitalization was lower than INA-CBG's rate for cerebral infarction, otherwise the average cost was higher than INA-CBG's rate for unspecified stroke, with insignificant discrepancies. The average real cost of third class hospitalization was lower than INA-CBG's rate for cerebral infarction and for unspecified stroke, with significant discrepancies. Most of the average costs were higher than the INA-CBG rate. Thus, the hospital is not capable of managing a stroke of cost-based treatment on INA-CBGs. The hospital has suffered losses. INA-CBG's rate of stroke treatment needs to be evaluated.
Pengaruh Program Pengendalian Resistensi Antimikroba terhadap Penggunaan Antibiotik Profilaksis pada Bedah Obstetri dan Ginekologi
Winarni Winarni;
Nanang Munif Yasin;
Tri Murti Andayani
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.53563
The incidence of surgical site infections (SSI) in obstetric and gynecological surgery is quite high. Rational prophylactic antibiotics in surgery are important strategies for the prevention of SSI. Antimicrobial Stewardship Program (ASP) for rational prophylactic antibiotic use has been carried out. This study aims to determine the rationality of the use of prophylactic antibiotics and incidence rate of SSI, the effect of ASP on the rationality of prophylactic antibiotics and clinical outcomes in obstetric and gynecology surgery. This study used a quasi-experimental pretest postest design without control group with retrospective data collection. Research time for 2 months from May to June 2019. The subjects of this study were obstetric and gynecology surgery patients at Pandan Arang Hospital Boyolali in 2018 who were divided into 2 groups: patients before the ASP and patients after the ASP with a total sample of 93 patients each group. An evaluation of the type, dose, time of administration, route of administration, and duration of prophylactic antibiotics were performed against the standard. Data analysis used the Pearson Chi-square test to see the relationship between rationality and clinical outcomes with ASP. The rationality of prophylactic antibiotic use increased from 0 (0%) cases before the ASP to 52 cases (55.9%) after the ASP. The SSI incidence rate before ASP was 9.7%, down to 4.3% after ASP. There was a significant relationship between the rationality of prophylactic antibiotics and ASP (p <0.05) but the relationship between clinical outcome (SSI incidence) and ASP was not significant (p> 0.05). The result of this study can be used to promote the implementation of ASP in other wards to increase rational use of antibiotics.
Tingkat Pengetahuan Orang Tua terhadap Penyakit Pneumonia dan Imunisasi Pneumococcal Conjugate Vaccine (PCV) di Indonesia
Erlika Saputri;
Dwi Endarti;
Tri Murti Andayani
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.54423
PCV immunization has been proven to be effective in preventing pneumonia, but the immunization coverage is still low in Indonesia. Good parental knowledge about pneumonia and PCV vaccine is an important factor that can support the coverage of PCV immunization. The purpose of this study was to determine the level of parental knowledge about pneumonia and PCV immunization and to know the factors that influence it. This study obeservasional design with a multi-center cross-sectional approach. Data was collected using survey to parents in 5 Provinces in Indonesia which were Provinces of DIY, Lampung, Sulawesi Tengah, Kalimantan Tengah, and Jawa Barat using convenience sampling. Study instrument consisted of questionnaire to determine sociodemographic characteristics and level of knowledge. Data was analyzed and presented descriptively and statistically using the Mann Whitney test. The results showed of 500 respondents had mean score of knowledge 80.6% ± 12.8% and median of knowledge 84.6%. Low knowledge was observed in the item of PCV immunization was not yet included in national program of immunization in Indonesia with percentage of respondents’ correct answer was 24.6%. There was significant difference in the score of knowledge about pneumonia and PCV immunization within different groups in the respondents’ characteristics of expenditure per month (p=0.001), number of responsibilities (p=0.007), experience of hearing illness (p=0,000), experience of illness (p=0.046), experience of hearing vaccines (p=0,000), and vaccine information sources (p=0.024). This study suggests the need of regular education programs for community in Indonesia to improve knowledge regarding pneumonia and PCV immunization.
Evaluasi Kualitas Hidup Pasien Kanker Serviks yang Mendapat Regimen Kemoterapi Cisplatin-Vinkristin-Bleomisin dan Carboplatin-Paklitaksel
Suwendar Suwendar;
Achmad Fudholi;
Tri Murti Andayani;
Herri S. Sastramihardja
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.44475
Cervical cancer is one type of cancer with a high prevalence in women. Quality of life of someone with cervical cancer will decrease. Quality of life can also decrease because of chemotherapy regimens. The purpose of this study was to evaluate the impact of cisplatin-vincristine-bleomycin and carboplatin-paclitaxel regimens on the quality of life of patients. Through this research how the difference in quality of life of patients with cervical cancer before and after chemotherapy could be known. Additionally, the differences impact on the quality of life of the two regimens also were observed. The study was conducted by using cross sectional design in hospitalization patients. Data were taken prospectively by conducting field observations. Measuring the quality of life was done using the EORTC QLQ-C30 questionnaire. Differences of domain values before and after chemotherapy in each regimen were analyzed by paired t-test (p <0.05). Quality of life difference between two regimens were analyzed by unpaired t test (p<0.05). The results showed that there was an increasing trend of the value of the functional domain, impairment of symptoms domain and an increase in the value of global health status domain after three cycles of chemotherapy of two regimens, except the symptoms of nausea and vomiting and loss of appetite that showed an increasing trend. Patients who received cisplatin-vincristine-bleomycin regimen showed a significant increasing (p = 0.009) in decreased of appetite symptom’s scores. No significant differences in the quality of life of patients who delivered chemotherapy regimen of cisplatin-vincristine-bleomycin compared to carboplatin-paclitaxel regimen.
Evaluasi Perencanaan Persediaan Antibiotik Secara Kuantitatif Di Instalasi Farmasi Rumah Sakit Tipe A
Venna Laurensia;
Gusti Noorrizka Veronika Achmad;
Raswita Diniya;
Ivonne Soeliono
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.49035
Planning an inventory of antibiotics that are not good will cause problems in planning, which are over-supply of antibiotics (stagnant) and lack of antibiotic stock (stockout). In this study an quantitative evaluation of antibiotic inventory planning was carried out using the Economic Order Quantity (EOQ) and Maximum-Minimum Stock Level (MMSL) control methods in 2017 at Type A Hospital’s Pharmacy Department. The EOQ method aims to minimize the number of orders while the MMSL method is used to determine the minimum and maximum stock of antibiotics that must be ordered. The results were compared with the need for 2018 then calculations are carried out to determine the amount of stagnant and stockout antibiotics. The number of antibiotics that were stagnant by EOQ method simulation was 44.73% and by MMSL method was 48.02%, while the number of antibiotics stocked by EOQ method was 38.15% and by MMSL method was 42.76%. The category of antibiotic supplies in 2018 in real terms which was included in a stagnant state was 23.68%, stockout ie 55.26% of 152 antibiotics. Evaluation of antibiotic inventory planning using the EOQ method results in the calculation of lower order quantities while the number of orders with MMSL is higher. To find out more broadly about the evaluation of inventory planning in the hospital needed further research by taking into account all drugs not just antibiotics.
Evaluasi Penggunaan Aspirin Jangka Panjang terhadap Fungsi Ginjal Pasien Penyakit Jantung Koroner
Ema Pristi Yunita;
Puji Astuti Nur Hidayanti;
Cholid Tri Tjahjono
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada
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DOI: 10.22146/jmpf.53312
Low-dose aspirin (75-100 mg/day) is a long-term platelet antiaggregation therapy for certain coronary heart disease (CHD) patients. This study aims to evaluate the long-term use of aspirin on kidney function by examining the changes in the levels of serum creatinine, blood urea nitrogen (BUN), and creatinine clearance of CHD patients. The research method used was a prospective observational cohort analysis. The number of study subjects was 37 CHD patients who took 80 mg/day of aspirin and never experienced kidney disease. Serum creatinine and BUN levels were examined in the 1st and 3rd month of the study. Patient creatinine clearance values were calculated using the Cockcroft-Gault equation. The results of the study showed that the mean levels of serum creatinine, BUN, and creatinine clearance on the 1st and 3rd month were 1.03 ± 0.27 mg/dL and 1.03 ± 0.29 mg/dL; 13.05 ± 4.10 mg/dL and 14.65 ± 4.44 mg/dL; 73.16 ± 18.14 mL/min and 72.92 ± 19.76 mL/min, respectively. The paired t-test results showed that the differences in the mean of creatinine serum, BUN, and creatinine clearance on the 1st and 3rd month were not statistically significant (p > 0.05). The One Way ANOVA test results on the effect of the duration of aspirin use on kidney function were also not statistically significant (p > 0.05) however there is a tendency to decrease creatinine clearance and increase in serum creatinine and BUN. Long-term use of low-dose aspirin has the potential to cause a decrease in kidney function that is seen from a decrease in creatinine clearance as well as an increase in serum creatinine and BUN.