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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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Evaluation of Antibiotic Use in the Internal Medicine Ward and ICU at Universitas Tanjungpura Hospital Pontianak with ATC/DDD Rifdah, Dzuria Adhana; Ih, Hariyanto; Liana, Delima Fajar; Mardhia, Mardhia; Mahyarudin, Mahyarudin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.92330

Abstract

Background: Evaluating the wise use of antibiotics is needed to control antibiotic resistance in hospitals.Objectives: This study aimed to analyze patient characteristics, antibiotic profiles, and quantitative use of antibiotics in inpatients prescribed by internal medicine specialists in the internal medicine ward and Intensive Care Unit (ICU) at Universitas Tanjungpura Hospital Pontianak from August to October 2022.Methods: This study method is descriptive observational, and data collection was done retrospectively using a purposive sampling technique. There were 143 samples that met the inclusion criteria, and then using the Anatomical Therapeutic Chemical (ATC)/Defined Daily Dose (DDD) method, the samples were analyzed quantitatively.Results: Most patient characteristics were female patients (60.14%), patients aged 56-65 (26.57%), and the most common diagnosis was typhoid fever (32.74%). Of the 13 types of antibiotics used, cephalosporin was the most commonly prescribed antibiotic group to patients (58.48%), with the most types of antibiotics in ceftriaxone (42,69%) and intravenous administration of antibiotics was the standard route given to patients. The results of the quantitative analysis of all antibiotic prescriptions obtained a total value of 88.55 DDD/100 patient-days. Antibiotics with the most considerable DDD/100 patient-days value were ceftriaxone (44.71), followed by meropenem (10.46) and levofloxacin (9.28). Furthermore, the value of DDD/100 patient-days is not an indicator in determining the rational use of antibiotics, so further study must be done using the Gyssens method.Conclusion: The value of DDD/100 patient-days is not an indicator in determining the rational use of antibiotics, so further study must be done using the Gyssens method as qualitative evaluation to obtain information regarding the rationality of prescribing antibiotics.
Cost-effectiveness Study in Type 2 Diabetes Mellitus in Asia: A Review Wiracana, I Made; Priyatni, Nunung; Virginia, Dita Maria
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.92720

Abstract

Background: Type 2 Diabetes Mellitus (DM) requires intensive treatment to prevent progression and complications. One of the intensive treatments is insulin therapy. The increase in insulin price and variation in insulin therapy results in differences in treatment costs. In Asia, commonly used types of insulin therapy are NPH insulin and glargine insulin. It is urgent to define the most cost-effective insulin therapy among type 2 DM patients because of the economic burden.Objectives: This study aims to assess the cost-effectiveness of these insulin types. We did a narrative review using literature discussing the cost-effectiveness of insulin for type 2 DM patients.Methods: This study employs a narrative review approach using the PRISMA-P 2015 structured approach to examine studies. This article's methodological quality was evaluated using the Drummond checklist. The terms "cost-effectiveness analysis," "diabetes mellitus type 2," and "insulin" were used in the literature search for this study.Results: We obtained five pieces of literature fulfilling inclusion and exclusion criteria. The results indicated that the age range of type 2 DM patients in this study is 57-62 years, with a majority being women. The most frequently occurring complication is cardiovascular complications. NPH insulin and glargine insulin were the most extensively studied insulins in the literature review.Conclusion: Based on the cost-effectiveness analysis, glargine insulin is more cost-effective than NPH insulin in Asia due to the rare occurrence of hypoglycemia which is a common side effect as a treatment outcomes.
Evaluation of Blood Supplement Tablet Distribution at Community Health Centers (Puskesmas) in Sleman Regency Candra Sari, Veronika Yuni; Puspandari, Dyah Ayu; Widayanti, Anna Wahyuni
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.94019

Abstract

Background: Anemia is a condition often found in adolescent girls and pregnant women in developing countries. The government has made efforts to reduce cases of anemia through a program that provides blood supplement tablets to teenage girls and pregnant women. However, the distribution coverage in Sleman is still 85%.Objectives: This study aimed to determine how to distribute blood supplement tablets from the community health center.Methods: This research used a qualitative approach, data collection techniques with interviews, and observation of the document distribution process in 2022. The study was conducted using purposive sampling, and 35 respondents were health workers, teachers, pregnant women, and female students. The interview results were analyzed using content analysis.Results:  The results of the observation document show that only one of the five indicators is still below standard: TOR, at Puskesmas A is 0,72 times, and at Puskesmas B is 0,44 times. The availability in Puskesmas B is 27 months. The supporting factors in the distribution are regulations, educating pregnant women, and the availability of blood supplement tablets. The inhibiting factors in the distribution process are the need for more budget for distribution to schools, the lack of schedule for distribution and taking blood supplement tablets together in schools, and the lack of education of health workers for teachers and female students.Conclusion: The process of distributing blood supplement tablets at the community health center in Sleman Regency is efficient and according to the guidelines for administering blood supplement tablets to pregnant women and female students.
Analysis of Pharmacy Installation Performance ‘Aisyiyah Islamic Hospital Nganjuk Using the Balanced Scorecard Approach Triwidyastuti, Hety Aria; Oetari, R. A.; Harsono, Samuel Budi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.87076

Abstract

Background: The Balanced Scorecard (BSC) is a method that provides complete performance and measurement consisting of four perspectives.Objectives: The study aimed to determine the performance of the RSI 'Aisyiyah Nganjuk Pharmacy Installation using BSC and to determine a strategy map based on performance evaluation.Methods: This research is non-experimental with a descriptive design. The retrospective data was used to examine personnel files, financial reports, stock, sales, patient visits, and prescriptions from January 2019 to December 2021. The prospective data was used for questionnaires, interviews, and direct observation. The data obtained is qualitative and quantitative. Gap analysis using the Wilcoxon test with non-parametric statistical methods. Data analysis was carried out descriptively, comparing with standards and management needs to determine performance, combining SWOT analysis to determine a strategy map.Results: The financial perspective shows ITOR in 2019 (5.84%), 2020 (4.01%), 2021 (4.63%), GROS in 2019 (0.13%), 2020 (-0.18), 2021 (0.02%), GPM in 2019 (33.26%), 2020 (43.67%), 2021 (34.23%). The internal business perspective shows that the availability of medicine has yet to reach 100%, completeness of Medicine Information Services 34.54%, dispensing time of compounded medicine 43.10 minutes, non-compounded 24.40 minutes, and 100% absence of medication errors. The growth and learning perspective show high results in job satisfaction, morale, productivity, employee turnover, and the need for MIS development. The customer perspective shows reasonable customer satisfaction but still low patient connectivity.Conclusion: Several indicators still do not meet the standards, so they need to be developed with the S-O strategy.
Pharmacovigilance Study of Antidiabetic Drugs in Diabetes Mellitus Patients in Three Pharmacies in Yogyakarta Urfiyya, Qarriy 'Aina; Kamilabanat, Ratu Aimeesadra; Solekhah, Rahma Febita
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.88950

Abstract

Background: Diabetes mellitus has become a global health problem. Indonesia has the third highest number of diabetes mellitus cases in the Southeast Asia region, with a prevalence of 11.3%. The high prevalence of diabetes mellitus increases the risk of Adverse Drug Reaction (ADR). Pharmacovigilance studies are important to detect possible adverse drug reaction of antidiabetic drugs.Objective: This study aimed to describe and analyze the adverse drug reaction of using antidiabetic drugs at three pharmacies in Yogyakarta City.Methods: This study used an analytic observational with a cross-sectional study design. Data were collected at three pharmacies in Yogyakarta City from 59 patients with diabetes mellitus who met the inclusion and exclusion criteria. The instrument used was an interview guide that refers to the Naranjo form. Data analysis included the incidence of adverse drug reaction according to patient characteristics, type of therapy, and description of antidiabetic adverse drug reaction based on causality.Results: The results showed that antidiabetic ADRs occurred in 19 patients (32%). The incidence of ADRs was 68% in men and 32% in women. The incidence of adverse drug reaction was most prevalent at the age of 56-65 years (47%). The most common adverse drug reaction of antidiabetic metformin was flatulence, drowsiness, decreased appetite and dyspepsia, diarrhea, weight loss and nausea and vomiting.Conclusion: This study concluded that the most common ADRs of antidiabetics was the probable and possible category (42%). The most common cause of ADRs was metformin (53%).
Knowledge and Behavior of Health Workers on Antibiotic Stewardship at Private Hospital in Pontianak Putri, Lidya Hafidzah; IH, Hariyanto; Mardhia, Mardhia; Liana, Delima Fajar; Mahyarudin, Mahyarudin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.92481

Abstract

Background: One of the causes of increasing antimicrobial resistance is health workers' lack of knowledge about antibiotics, thus causing irrational behavior in antibiotic stewardship.Objectives: This study aimed to analyze the knowledge and behavior among health workers about antibiotic stewardship and their relationship at a private hospital in Pontianak.Methods: This study was a descriptive observational study with a cross-sectional design. Data were collected using consecutive sampling of health workers involved in antibiotic prescribing using a validated and reliable questionnaire. The data were analyzed using Spearman Rank correlation to determine the relationship between knowledge level and behavior.Results: 39 respondents participated, including nine general doctors, 17 specialists, and 13 pharmacists. Most health workers were 26–35 years old (43.59%) and had worked for 1–5 years (48.72%). All respondents had a good knowledge (100%) of the knowledge topic of the etiology, control, and effect of antibiotic resistance. However, only 76.92% of respondents had good behavior, and the rest had moderate behavior (23.08%) on the behavioral topics in the performance of antimicrobial resistance control programs, controlling antibiotic prescribing, performance preventing the spread of resistant microbes, and good antibiotic prescribing practice. The knowledge had a significant relationship towards behavior (p<0.05) with a correlation coefficient (r)=0.568.Conclusion: Most health workers in a private hospital had good knowledge and behavior about antibiotic stewardship, and there was a moderately strong and positive relationship between them.
Comparative Study of Treatment and Potential Drug Interactions with Mental Disorders Phase at Lampung Psychiatric Hospital Isnenia, Isnenia; Sembiring, Elma Viorentina
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.93548

Abstract

Background: There are some phases in mental disorders, acute, stabilization, and maintenance phase. Each phase has a different treatment goal using several types of drugs. Hospitalized patients with mental disorders are typically prescribed 5-9 drugs. Using more than one drug increase the potential for drug interactions.Objectives: This study aims to compare treatments and potential drug interactions with the mental disorders phase at Psychiatric Hospital Lampung Province.Methods: This study was a retrospective with a cohort design. Data were secondary in medical records and inpatient prescription sheets from January to December 2019. Purposive sampling techniques were used. The inclusion criteria in this study were all male patients hospitalized at Psychiatric Hospital Lampung Province who received and completed treatment from January to December 2019.Results: The results showed most of 134 patients were in aged 26-35 years (27.3%), had completed high school (34.3%), were married (61.2%), and were diagnosed with paranoid schizophrenia (93.3%). Average number of medicines was 4.12 in acute phase and 3.89 in stabilization-maintenance phase. Average length of stays were 3.89 days in acute phase and 18.36 days in stabilization-maintenance phase. The second-generation antipsychotics are the most common class of drugs. There was a statistical difference (p = 0.000) for drug classes in both phases. The potential drug interactions in both phases were not significantly different (p = 0.093). The greatest severity was moderate at 88.44% in the acute phase and 94.60%  in the stabilization-maintenance phase.Conclusion: There is a statistical difference in drug classes whereas the potential drug interactions were not.
Path Analysis Study on the Direct and Indirect Effect of Factors Affecting Performance of Pharmaceutical Staff in Primary Health Centers in Bandung Roseno, Mohammad; Widyastiwi, Widyastiwi
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.94281

Abstract

Background: Pharmaceutical staff plays an essential role in pharmaceutical services. Despite their role, several factors have been reported to cause suboptimal provision of pharmaceutical services.Objectives: This study aimed to examine the impact of physical environment, compensation, and motivation on organizational culture, and its implication on performance of pharmaceutical staff.Methods: The sample population comprised 149 pharmaceutical staff from 71 Primary Health Centers in Bandung, selected using total sampling. The inclusion criteria were pharmaceutical staffs in 71 Primary Health Centers in Bandung. Pharmacy personnel who refused to give consent or did not complete filling out instruments were excluded. Data were collected using a questionnaire to assess the participants’ perceptions of physical environment, compensation, motivation, organizational culture, and performance. Direct and indirect effect of each variable and its correlation was determined by path analysis. All analysis were performed by using the SPSS version 25. Results: The physical environment, compensation, motivation, and organizational culture contributes 66.4% to overall performance of pharmaceutical staffs. Physical environment and motivation significantly influenced performance (b=0.331 and b=0.245, respectively) directly and indirectly through organizational culture. Compensation had neither direct and indirect impact on performance. Organizational culture has a direct effect on pharmaceutical performances (b=0.789). Organizational culture is an intervening variable of the physical environment and motivation impact on performance.Conclusion: These findings suggest that the physical environment dan motivation directly influenced performance of pharmaceutical staffs, while financial compensation had no direct or indirect impact. Organizational culture significantly influences the performance by intervening the physical environment and motivation factors.
Adaptation of the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) to Indonesian for Chronic Diseases Patients Viviandhari, Daniek; Wulandari, Nora; Nurhasnah, Nurhasnah
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.95166

Abstract

Background: National data indicate an increase in chronic disease prevalence. Therapeutic outcomes need to be assessed based on the aspects of the patient’s psychology, including treatment satisfaction. In Indonesia, no native or cross-culturally adapted treatment satisfaction tool is available and validated for chronic disease patients.Objectives: The study is intended to conduct cross-cultural translation and adaptation of the Treatment Satisfaction with Medicines Questionnaire (SATMED-Q) into Indonesian and to evaluate the questionnaire’s reliability and validity in the Indonesian context.Methods: SATMED-Q translation and adaptation were conducted following a systematic procedure: forward translation, synthesis, backward translation, expert committee review, and pre-testing. The samples were hypertension and type 2 diabetes mellitus patients at the primary health care center. The internal consistency and known-group validity were analyzed statistically.Results: A total of 45 participants were involved in the research to assess the reliability and validity of the translated questionnaire. Some grammatical changes were made on the forward translation, the back translation, and the expert committee review stage. The major changes were the definition of the Likert-type scale on each domain. The reliability test showed good consistency (Cronbach’s alpha=0.842). Certain factors (gender and working status) showed known group validity, but not the number of antihypertensive or antidiabetic medications. Compared to individuals who took two medications, people who took one medicine indicated less satisfaction with their treatment.Conclusion: The translation and cross-cultural adaptation of the SATMED-Q to Indonesian was satisfactory. The Indonesian version of SATMED-Q was a reliable and valid instrument to assess treatment satisfaction.
Factors Affecting Job Satisfaction Among Community-Pharmacists with VIJS Instrument in South Sulawesi Pawallangi, Andi Nur'ainun Reskia; Prabandari, Yayi Suryo; Trung, Vo Quang; Kristina, Susi Ari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 15, No 1
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.96530

Abstract

Background: Pharmacists' responsibilities have shifted over time. Pharmacists have grown increasingly clinically involved in patient care from delivering pharmaceuticals throughout the healthcare system. These developments may have influenced pharmacists' job satisfaction. This is significant since performance, motivation, and productivity are positively associated with job happiness, whereas a lack of job satisfaction may hurt patient care and safety and increase job turnover.Objectives: To analyze the factors affecting job satisfaction among community pharmacists in South Sulawesi.Methods: This research uses quantitative and analytical observational research with a cross-sectional study design. This research was conducted from mid-January to mid-March of 2024, with the research subject being community pharmacists who worked at pharmacies, primary healthcare, and clinics in the South Sulawesi region. Research instruments are distributed to each IAI branch management in South Sulawesi via Google Forms. The instruments used in this research were sociodemography, pharmacist service characteristics, and the job satisfaction questionnaire (VIJS Instrument). The analysis used is univariate analysis (descriptive), bivariate analysis (independent T-test), and multivariate analysis (multiple regression linear analysis).Results: The general result of this research is satisfied based on the mean score (3.8±0.8). The lowest mean score from both factors is monthly income (3.1±1.1) and learning and advancement opportunity (3.3±1.1). The regression analysis indicated that factors affecting job satisfaction among community pharmacists in South Sulawesi are monthly income (p=0.025), working period (p=0.019), number of patients per day (p=0.008), and number of prescriptions per day (p=0.005).Conclusion: Community pharmacists in South Sulawesi are satisfied with their work, and their satisfaction level is affected by monthly income, working period, the number of patients per day, and the number of prescriptions per day.

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