Diabetes mellitus (DM) is a metabolic syndrome with multi-etiology characterized by chronic hyperglycemia. DM can cause a variety of complications, one of which is impaired liver function. The use of antidiabetics needs to get more attention because most antidiabetics are metabolized in the heart. This study aims to determine the control of antidiabetic glycemic, the relationship of antidiabetic types with effectiveness, as well as factors related to glycemic control in type 2 DM patients with liver cirrhosis. This research was conducted in June-July at Fatmawati Central General Hospital with cross sectional design and data retrieval period of 2014-2019 conducted retrospectively. The observation parameters of glucose control in this study were current blood sugar (GDS). Of the 106 patients who met the inclusion criteria, it was seen that the use of insulin aspart single in 34 patients showed good glycemic control followed by the use of combination insulin glargine-aspart in 25 patients. The results of the Chi-square analysis showed that there was no significant relationship between the type of antidiabetic on glycemic control (p-value = 0,159). However, the results of the Chi-square test showed that there was a significant relationship between the severity of liver cirrhosis and glycemic control (p-value=0,021) and gender was another factor that also showed a significant relationship to glycemic control (p-value=0,042). The use of insulin aspart alone or in combination with insulin glargine is the best in controlling blood sugar levels while in T2DM patients with liver cirrhosis based on this study.
{"title":"Profil Kontrol Glikemik Antidiabetik pada Pasien DM Tipe 2 dengan Sirosis Hati","authors":"Emy Oktaviani, Lusi Indriani, Haryanti Wulandari","doi":"10.22146/jmpf.68075","DOIUrl":"https://doi.org/10.22146/jmpf.68075","url":null,"abstract":"Diabetes mellitus (DM) is a metabolic syndrome with multi-etiology characterized by chronic hyperglycemia. DM can cause a variety of complications, one of which is impaired liver function. The use of antidiabetics needs to get more attention because most antidiabetics are metabolized in the heart. This study aims to determine the control of antidiabetic glycemic, the relationship of antidiabetic types with effectiveness, as well as factors related to glycemic control in type 2 DM patients with liver cirrhosis. This research was conducted in June-July at Fatmawati Central General Hospital with cross sectional design and data retrieval period of 2014-2019 conducted retrospectively. The observation parameters of glucose control in this study were current blood sugar (GDS). Of the 106 patients who met the inclusion criteria, it was seen that the use of insulin aspart single in 34 patients showed good glycemic control followed by the use of combination insulin glargine-aspart in 25 patients. The results of the Chi-square analysis showed that there was no significant relationship between the type of antidiabetic on glycemic control (p-value = 0,159). However, the results of the Chi-square test showed that there was a significant relationship between the severity of liver cirrhosis and glycemic control (p-value=0,021) and gender was another factor that also showed a significant relationship to glycemic control (p-value=0,042). The use of insulin aspart alone or in combination with insulin glargine is the best in controlling blood sugar levels while in T2DM patients with liver cirrhosis based on this study.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48361467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chynthia Pradiftha Sari, S. Hanifah., R. Rosdiana, Y. Anisa
Chronic Obstructive Pulmonary Disease (COPD) is a complex respiratory disorder that requires multiple approaches to assess treatment response, no specific therapy can stop the progression of disease cure. This study aimed to measure the response of COPD treatment in outpatients at Hospitals in Yogyakarta. The study was designed descriptive observational cross-sectional involved COPD outpatients in July 2018 - June 2019 (N = 156). Inclusion criteria the subjects: age> 40 years, without other respiratory diseases (asthma, lung cancer), took theophylline for at least the last one month, complete the CAT questionnaire, and sign an informed consent. Data collected were characteristics of respondents, treatment profile (exacerbation, maintenance), and response therapy data. Evaluation of treatment response was measured using the COPD Assessment Test (CAT) questionnaire and classified the response into effective, quite effective, and not effective. These data were then presented in form of percentage distribution. The results showed that an exacerbation study with single bronchodilator 39.10%, and a combination of bronchodilator with other bronchodilators 60.90%, most LABA-ICS / LAMA rescue therapies (48.72%). Results of evaluation the use of LABA-ICS / LAMA / Methylxanthine (18.59%), LABA-ICS / LAMA / Methylxanthine/ Mucolytic (11.54%), LABA-ICS / LAMA / SABA / Methylxanthine / Mucolytic (9.62%) )) gave a fairly effective treatment response (CAT score ≥10-19) 50.64%, effective (CAT score <10) 47.43%, ineffective (CAT score ≥20) 1.93%.
慢性阻塞性肺疾病(COPD)是一种复杂的呼吸系统疾病，需要多种方法来评估治疗反应，没有特定的治疗方法可以阻止疾病的治愈进展。本研究旨在测量日惹医院门诊患者COPD治疗的反应。该研究设计为描述性观察横断面，涉及2018年7月至2019年6月的COPD门诊患者(N = 156)。纳入标准:受试者年龄在40岁至40岁之间，无其他呼吸系统疾病(哮喘、肺癌)，服用茶碱至少一个月，完成CAT问卷，并签署知情同意书。收集的数据包括受访者的特征、治疗概况(恶化、维持)和反应性治疗数据。使用COPD评估测试(CAT)问卷对治疗反应进行评估，并将疗效分为有效、相当有效和无效。然后将这些数据以百分比分布的形式呈现。结果显示，在急性加重研究中，单用支气管扩张剂占39.10%，联用其他支气管扩张剂占60.90%，LABA-ICS / LAMA抢救治疗占48.72%。评价结果显示，使用LABA-ICS / LAMA /甲黄嘌呤(18.59%)、LABA-ICS / LAMA /甲黄嘌呤/ Mucolytic(11.54%)、LABA-ICS / LAMA / SABA /甲黄嘌呤/ Mucolytic(9.62%))的治疗效果相当有效(CAT评分≥10-19)50.64%，有效(CAT评分<10)47.43%，无效(CAT评分≥20)1.93%。
{"title":"Efektivitas Pengobatan pada Pasien Penyakit Paru Obstruksi Kronis (PPOK) di Rumah Sakit Wilayah Yogyakarta","authors":"Chynthia Pradiftha Sari, S. Hanifah., R. Rosdiana, Y. Anisa","doi":"10.22146/jmpf.56418","DOIUrl":"https://doi.org/10.22146/jmpf.56418","url":null,"abstract":"Chronic Obstructive Pulmonary Disease (COPD) is a complex respiratory disorder that requires multiple approaches to assess treatment response, no specific therapy can stop the progression of disease cure. This study aimed to measure the response of COPD treatment in outpatients at Hospitals in Yogyakarta. The study was designed descriptive observational cross-sectional involved COPD outpatients in July 2018 - June 2019 (N = 156). Inclusion criteria the subjects: age> 40 years, without other respiratory diseases (asthma, lung cancer), took theophylline for at least the last one month, complete the CAT questionnaire, and sign an informed consent. Data collected were characteristics of respondents, treatment profile (exacerbation, maintenance), and response therapy data. Evaluation of treatment response was measured using the COPD Assessment Test (CAT) questionnaire and classified the response into effective, quite effective, and not effective. These data were then presented in form of percentage distribution. The results showed that an exacerbation study with single bronchodilator 39.10%, and a combination of bronchodilator with other bronchodilators 60.90%, most LABA-ICS / LAMA rescue therapies (48.72%). Results of evaluation the use of LABA-ICS / LAMA / Methylxanthine (18.59%), LABA-ICS / LAMA / Methylxanthine/ Mucolytic (11.54%), LABA-ICS / LAMA / SABA / Methylxanthine / Mucolytic (9.62%) )) gave a fairly effective treatment response (CAT score ≥10-19) 50.64%, effective (CAT score <10) 47.43%, ineffective (CAT score ≥20) 1.93%.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42578931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary health centers is a facility that organizes health efforts at the first level to achieve health degrees, but in its implementation is still constrained in realizing standard pharmaceutical services. The purpose of the research is to find out the quality of drug management in Tegal City primary Health Center. This study is a non-experimental descriptive study. The study was conducted throughout the primary health center in Tegal City. Data collection is prospective and retrospective by tracing documents to obtain secondary data and direct observations, interviews of pharmaceutical personnel, heads of primary health centers, and heads of the pharmaceutical section to obtain primary data. The next drug management indicator is done descriptive data analysis by calculating the value of the indicator with the formula then compared to the standard and inter primary health care. Indicators of drug management used 28 and those that meet standard 10. Indicator results include conformity of items with disease patterns 76.39%, planning accuracy 321.10%, the accuracy of the number of requests 169.84%, the storage of narcotics 72.92%, the storage of drugs without contamination 98.97%, the storage of high alert drugs 68.15%, the storage of LASA drugs 87.5%, ITOR 1.87 times /year, the availability of drugs 36.08 months, drug items less than 14.01%, safe drug items 37.94%, excess stock items 41.76%, non-prescribed drugs 4.59% and drug value ED 3.85%. These results show that drug management indicators in Tegal City primary health centers have not been efficient and need improvements ranging from the planning stage to control. Indicators that still need improvement include ITOR and all indicators of drug availability. Things that need to be done to improve indicators that have not been efficient include increasing the number and quality of pharmaceutical human resources in primary health centers, increasing supervision of drug use and control, building communication, and a good organizing culture in primary health centers.
{"title":"Analisis Mutu Pengelolaan Obat di Puskesmas Kota Tegal","authors":"Cholilah Cholilah, Tri Wijayanti, S. Satibi","doi":"10.22146/jmpf.69095","DOIUrl":"https://doi.org/10.22146/jmpf.69095","url":null,"abstract":"Primary health centers is a facility that organizes health efforts at the first level to achieve health degrees, but in its implementation is still constrained in realizing standard pharmaceutical services. The purpose of the research is to find out the quality of drug management in Tegal City primary Health Center. This study is a non-experimental descriptive study. The study was conducted throughout the primary health center in Tegal City. Data collection is prospective and retrospective by tracing documents to obtain secondary data and direct observations, interviews of pharmaceutical personnel, heads of primary health centers, and heads of the pharmaceutical section to obtain primary data. The next drug management indicator is done descriptive data analysis by calculating the value of the indicator with the formula then compared to the standard and inter primary health care. Indicators of drug management used 28 and those that meet standard 10. Indicator results include conformity of items with disease patterns 76.39%, planning accuracy 321.10%, the accuracy of the number of requests 169.84%, the storage of narcotics 72.92%, the storage of drugs without contamination 98.97%, the storage of high alert drugs 68.15%, the storage of LASA drugs 87.5%, ITOR 1.87 times /year, the availability of drugs 36.08 months, drug items less than 14.01%, safe drug items 37.94%, excess stock items 41.76%, non-prescribed drugs 4.59% and drug value ED 3.85%. These results show that drug management indicators in Tegal City primary health centers have not been efficient and need improvements ranging from the planning stage to control. Indicators that still need improvement include ITOR and all indicators of drug availability. Things that need to be done to improve indicators that have not been efficient include increasing the number and quality of pharmaceutical human resources in primary health centers, increasing supervision of drug use and control, building communication, and a good organizing culture in primary health centers.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49072179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hemoglobin A1c (HbA1c) measurement is recommended as the gold standard in long-term blood sugar monitoring the diabetes patients because the fasting blood sugar (FBG) pattern alone cannot provide accurate information regarding the blood sugar variability true picture in type 2 Diabetes mellitus (T2DM) patients. However, many patients have limited access to HbA1c testing for financial reasons. It is necessary to know the relationship between HbA1c and GDP, and the factors that influence it, especially the research participant characteristics. This analytic observational study with a cross-sectional design involved 100 participants from T2DM patients in the hospital, outpatient clinics, and communities in Yogyakarta Province from January-May 2020. The HbA1c and FPG measurement was carried out using capillary blood samples by the research team. Characteristic data were obtained through direct interviews with participants, then analyzed using SPSS version 25 for windows, using the chi-square, Kolmogorov-Smirnov, and Spearman's rho test. The results showed that FPG was significantly positively correlated with HbA1c with moderate correlation criteria (r=0.74, P-value<0.0001). FPG showed a significant negative correlation to the glucometer ownership variable (r=-0.22, P-value= 0.04), and was independent of other parameters. Meanwhile, HbA1c significantly negatively correlated with age (r=-0.26, P-value=0.01), education level (r=-0.22, P-value=0.04), comorbidity (r=-0, 24, P-value=0.02), routine drug consumption (r=-0.29, P-value=0.01) and the ownership of glucometer (r=-0.26, P-value=0.01), but independent of gender, smoking status, daily menu, and physical exercise. It can be concluded that both GDP and HbA1c can be used as a reference for assessing glycemic status.
糖化血红蛋白(HbA1c)测量被推荐作为长期血糖监测糖尿病患者的金标准，因为单独的空腹血糖(FBG)模式不能提供关于2型糖尿病(T2DM)患者血糖变异性的准确信息。然而，由于经济原因，许多患者无法获得HbA1c检测。有必要了解HbA1c与GDP的关系，以及影响因素，特别是研究参与者的特征。这项横断面设计的分析性观察研究纳入了2020年1月至5月日惹省医院、门诊和社区的100名T2DM患者。HbA1c和FPG测量由课题组使用毛细血管血液样本进行。通过与参与者的直接访谈获得特征数据，然后使用SPSS version 25 for windows，使用卡方检验，Kolmogorov-Smirnov检验和Spearman's rho检验进行分析。结果显示，FPG与HbA1c呈正相关，呈中度相关标准(r=0.74, p值<0.0001)。FPG与血糖仪所有权变量呈显著负相关(r=-0.22, p值= 0.04)，与其他参数无关。同时，HbA1c与年龄(r=-0.26, p值=0.01)、文化程度(r=-0.22, p值=0.04)、合病(r=- 0,24, p值=0.02)、常规用药(r=-0.29, p值=0.01)、是否拥有血糖仪(r=-0.26, p值=0.01)呈显著负相关，与性别、吸烟状况、日常菜单、体育锻炼无关。由此可见，GDP和HbA1c均可作为评估血糖状态的参考指标。
{"title":"Analisis Korelasi Gula Darah Puasa, HbA1c, dan Karakteristik Partisipan","authors":"N. Hasanah, Zullies Ikawati, Apt.","doi":"10.22146/jmpf.62292","DOIUrl":"https://doi.org/10.22146/jmpf.62292","url":null,"abstract":"Hemoglobin A1c (HbA1c) measurement is recommended as the gold standard in long-term blood sugar monitoring the diabetes patients because the fasting blood sugar (FBG) pattern alone cannot provide accurate information regarding the blood sugar variability true picture in type 2 Diabetes mellitus (T2DM) patients. However, many patients have limited access to HbA1c testing for financial reasons. It is necessary to know the relationship between HbA1c and GDP, and the factors that influence it, especially the research participant characteristics. This analytic observational study with a cross-sectional design involved 100 participants from T2DM patients in the hospital, outpatient clinics, and communities in Yogyakarta Province from January-May 2020. The HbA1c and FPG measurement was carried out using capillary blood samples by the research team. Characteristic data were obtained through direct interviews with participants, then analyzed using SPSS version 25 for windows, using the chi-square, Kolmogorov-Smirnov, and Spearman's rho test. The results showed that FPG was significantly positively correlated with HbA1c with moderate correlation criteria (r=0.74, P-value<0.0001). FPG showed a significant negative correlation to the glucometer ownership variable (r=-0.22, P-value= 0.04), and was independent of other parameters. Meanwhile, HbA1c significantly negatively correlated with age (r=-0.26, P-value=0.01), education level (r=-0.22, P-value=0.04), comorbidity (r=-0, 24, P-value=0.02), routine drug consumption (r=-0.29, P-value=0.01) and the ownership of glucometer (r=-0.26, P-value=0.01), but independent of gender, smoking status, daily menu, and physical exercise. It can be concluded that both GDP and HbA1c can be used as a reference for assessing glycemic status.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44662145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Internet-resourced health information becomes increasingly common amongst parents before doctor consultation. This study aimed to explore the demographics of online health information-seeking parents and the type of information on children’s healthcare needs and the relationship between the demographics and the online sources. A cross-sectional study was conducted at two Primary Health Centers (PHC) in Jakarta. The respondents were parents of acutely ill children seeking online health information before visiting PHC. A validated questionnaire was distributed to the respondents. Parents’ demographics and type of information were analyzed descriptively. The relationship between the demographics and the information source was tested using the Chi-Square test. 478 respondents were participating in this study where most of the respondents were mothers (75.1%), aged 26-35 years (57.7%), and had 1-2 children (70.7%). Most of them were high-school graduates (64.9%) and unemployed (49.6%). Google (61.5%) was predominantly the most frequently used digital media, followed by websites run by doctors (21.9%). The most sought information included illness causes, transmission probability, treatment, and medicines’ side effects. There was no significant relationship between any demographics and the types of online sources. In conclusion, illness-related basic information is used by most parents to be informed before seeing doctors. The link between parents’ characteristics and the selection of digital media could not be determined.
{"title":"Parental Use of Internet to Navigate Online Health Information for Their Children: An Indonesian Context","authors":"H. Ramadaniati, N. Andayani, Zata Yumni Azizah","doi":"10.22146/jmpf.64781","DOIUrl":"https://doi.org/10.22146/jmpf.64781","url":null,"abstract":"Internet-resourced health information becomes increasingly common amongst parents before doctor consultation. This study aimed to explore the demographics of online health information-seeking parents and the type of information on children’s healthcare needs and the relationship between the demographics and the online sources. A cross-sectional study was conducted at two Primary Health Centers (PHC) in Jakarta. The respondents were parents of acutely ill children seeking online health information before visiting PHC. A validated questionnaire was distributed to the respondents. Parents’ demographics and type of information were analyzed descriptively. The relationship between the demographics and the information source was tested using the Chi-Square test. 478 respondents were participating in this study where most of the respondents were mothers (75.1%), aged 26-35 years (57.7%), and had 1-2 children (70.7%). Most of them were high-school graduates (64.9%) and unemployed (49.6%). Google (61.5%) was predominantly the most frequently used digital media, followed by websites run by doctors (21.9%). The most sought information included illness causes, transmission probability, treatment, and medicines’ side effects. There was no significant relationship between any demographics and the types of online sources. In conclusion, illness-related basic information is used by most parents to be informed before seeing doctors. The link between parents’ characteristics and the selection of digital media could not be determined.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fathul Muin, Anna Wahyuni Widayanti, Yayi Suryo Prabandari
Pharmacy technician as health workers in pharmacies have high risk of transmitting the COVID-19 virus. They often have direct contact to public or COVID-19 patients who come to pharmacies. This study aimed to determine the compliance level of pharmacy technician to the COVID-19 health protocols and its correlations to the level of knowledge, organizational-environment and self-efficacy. This study was designed descriptive correlational used self-administered questionnaire to collect data with cross sectional study. The participants were selected with simple random sampling among pharmacy technician who worked in community pharmacies in Sleman. A total of 98 pharmacy technician were participated in this study. The compliance levels were divided into low, medium and high. Most participants were in medium level of compliance (61.2%), followed by high level (35.7%) and only 3.1% participants in low level. Data analysis was carried out by cross-sectional and statistical test with SPSS by comparing the three factors to the level of compliance. Statistical tests on organizational-environmental factors and self-efficacy showed a significance value (p<0.05) with a Pearson Correlation value of 0.393 and 0.350. The level of knowledge showed not significance value (p>0.05) with a Pearson Correlation value of 0.152. There was a correlation between organizational-environmental factors and self-efficacy with the the compliance level of pharmacist assistants to the COVID-19 health protocols. While the level of knowledge showed results that there is no correlation.
{"title":"Kepatuhan terhadap Protokol Kesehatan oleh Tenaga Teknis Kefarmasian di Apotek","authors":"Fathul Muin, Anna Wahyuni Widayanti, Yayi Suryo Prabandari","doi":"10.22146/jmpf.70373","DOIUrl":"https://doi.org/10.22146/jmpf.70373","url":null,"abstract":"Pharmacy technician as health workers in pharmacies have high risk of transmitting the COVID-19 virus. They often have direct contact to public or COVID-19 patients who come to pharmacies. This study aimed to determine the compliance level of pharmacy technician to the COVID-19 health protocols and its correlations to the level of knowledge, organizational-environment and self-efficacy. This study was designed descriptive correlational used self-administered questionnaire to collect data with cross sectional study. The participants were selected with simple random sampling among pharmacy technician who worked in community pharmacies in Sleman. A total of 98 pharmacy technician were participated in this study. The compliance levels were divided into low, medium and high. Most participants were in medium level of compliance (61.2%), followed by high level (35.7%) and only 3.1% participants in low level. Data analysis was carried out by cross-sectional and statistical test with SPSS by comparing the three factors to the level of compliance. Statistical tests on organizational-environmental factors and self-efficacy showed a significance value (p<0.05) with a Pearson Correlation value of 0.393 and 0.350. The level of knowledge showed not significance value (p>0.05) with a Pearson Correlation value of 0.152. There was a correlation between organizational-environmental factors and self-efficacy with the the compliance level of pharmacist assistants to the COVID-19 health protocols. While the level of knowledge showed results that there is no correlation.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47282290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The management of drugs and disposable medical supplies in healthcare units greatly affects the quality of healthcare services. However, the management is still not carried out optimally because it is not up to the standard. The Hanlon method is a basic priority rating system (Brief Priority Rating Scale, BPRS) which is used to compare health problems with relative and objective to identify factors that must be considered in determining a priority. This study aimed to describe and measure the efficiency of drugs and disposable medical supplies management in Healthcare Centers in Kupang City by using efficiency indicators and to develop the strategy using the Hanlon method. The design of this research is a descriptive quantitative-qualitative combination using retrospective and concurrent data. The sampling technique used was a total sampling of 11 Healthcare Centers in Kupang City, while the object of the study was the management of drugs and disposable medical supplies which were assessed using efficiency indicators. The results of research on the management of medicines and consumable medical materials at 11 Healthcare Centers in Kupang City have not been carried out efficiently because not all indicator values reached the standard, namely the suitability of drug items with DOEN and FORNAS, conformity of items received, the accuracy of planning, items expired or damaged, items that were not prescribed for 3 months, the level of availability of the drug, the percentage of drugs with generic names, use of antibiotics in patients with non-specific diarrhea and the average item per prescription sheet. Therefore it can be concluded that the management of drugs and disposable medical supplies in 11 Healthcare Centers in Kupang City using indicators at the selection, procurement, distribution, and use stages are not yet according to standards and the proposed improvements are proposed as a management development strategy, namely optimizing planning according to the needs of the health center, monitoring stock. and expiration date and conduct regular learning and growth of all human resources.
{"title":"Evaluasi Pengelolaan Obat dan Bahan Medis Habis Pakai di Puskesmas Kota Kupang serta Strategi Pengembangannya","authors":"Novi Winda Lutsina, Arman Rifat Lette","doi":"10.22146/jmpf.61365","DOIUrl":"https://doi.org/10.22146/jmpf.61365","url":null,"abstract":"The management of drugs and disposable medical supplies in healthcare units greatly affects the quality of healthcare services. However, the management is still not carried out optimally because it is not up to the standard. The Hanlon method is a basic priority rating system (Brief Priority Rating Scale, BPRS) which is used to compare health problems with relative and objective to identify factors that must be considered in determining a priority. This study aimed to describe and measure the efficiency of drugs and disposable medical supplies management in Healthcare Centers in Kupang City by using efficiency indicators and to develop the strategy using the Hanlon method. The design of this research is a descriptive quantitative-qualitative combination using retrospective and concurrent data. The sampling technique used was a total sampling of 11 Healthcare Centers in Kupang City, while the object of the study was the management of drugs and disposable medical supplies which were assessed using efficiency indicators. The results of research on the management of medicines and consumable medical materials at 11 Healthcare Centers in Kupang City have not been carried out efficiently because not all indicator values reached the standard, namely the suitability of drug items with DOEN and FORNAS, conformity of items received, the accuracy of planning, items expired or damaged, items that were not prescribed for 3 months, the level of availability of the drug, the percentage of drugs with generic names, use of antibiotics in patients with non-specific diarrhea and the average item per prescription sheet. Therefore it can be concluded that the management of drugs and disposable medical supplies in 11 Healthcare Centers in Kupang City using indicators at the selection, procurement, distribution, and use stages are not yet according to standards and the proposed improvements are proposed as a management development strategy, namely optimizing planning according to the needs of the health center, monitoring stock. and expiration date and conduct regular learning and growth of all human resources.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42163273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. A. Puspandari, Hermawati Setiyaningsih, Zafria Atsna, T. Andayani
Tuberculosis (TB) is an infectious disease that causes a high mortality rate. Currently, Indonesia is the largest contributor to TB cases in the world. In 2019, the estimated number of cases was 845,000 cases, while case enrollment was 562,000. Thus, the Gap in the Case finding is high. As a result, innovation is needed in setting strategies to develop Regulations related to the national TB program, one of which is geospatial. This study aimed to provide an overview of geospatial utilization through HDSS in tuberculosis patients about drug management. Geospatial is an epidemiological approach that can be used to determine policies in accordance with conditions in an area. The research type is a quantitative study using secondary data from the Health and Demography Surveillance System (HDSS) of Sleman in 2016 and the Integrated TB Information System (SITT) of Sleman Regency in 2016. The analysis used descriptive analysis and geospatial mapping used Stata 15 and R software. Geospatial data shows that TB cases are concentrated in densely populated areas, such as Depok, Mlati, Ngaglik, and Gamping sub-districts. In addition, geospatial shows us the distance between the distribution of cases and the availability of health service facilities (puskesmas). The spread of cases is mostly found in the area around the health facilities, and low cases are in areas far from the health facilities. This condition possibly happens because case tracking is less affordable. Knowing the number and distribution of TB cases and the distribution of health care facilities can be used as a basis in the policy-making process, planning of the need for TB drugs, drug distribution, and priority interventions for TB services in a cost-efficiency.
{"title":"Pemanfaatan Geospasial Melalui Health and Demographic Surveillance System (HDSS) pada Pasien Tuberkulosis dalam Manajemen Obat","authors":"D. A. Puspandari, Hermawati Setiyaningsih, Zafria Atsna, T. Andayani","doi":"10.22146/jmpf.66692","DOIUrl":"https://doi.org/10.22146/jmpf.66692","url":null,"abstract":"Tuberculosis (TB) is an infectious disease that causes a high mortality rate. Currently, Indonesia is the largest contributor to TB cases in the world. In 2019, the estimated number of cases was 845,000 cases, while case enrollment was 562,000. Thus, the Gap in the Case finding is high. As a result, innovation is needed in setting strategies to develop Regulations related to the national TB program, one of which is geospatial. This study aimed to provide an overview of geospatial utilization through HDSS in tuberculosis patients about drug management. Geospatial is an epidemiological approach that can be used to determine policies in accordance with conditions in an area. The research type is a quantitative study using secondary data from the Health and Demography Surveillance System (HDSS) of Sleman in 2016 and the Integrated TB Information System (SITT) of Sleman Regency in 2016. The analysis used descriptive analysis and geospatial mapping used Stata 15 and R software. Geospatial data shows that TB cases are concentrated in densely populated areas, such as Depok, Mlati, Ngaglik, and Gamping sub-districts. In addition, geospatial shows us the distance between the distribution of cases and the availability of health service facilities (puskesmas). The spread of cases is mostly found in the area around the health facilities, and low cases are in areas far from the health facilities. This condition possibly happens because case tracking is less affordable. Knowing the number and distribution of TB cases and the distribution of health care facilities can be used as a basis in the policy-making process, planning of the need for TB drugs, drug distribution, and priority interventions for TB services in a cost-efficiency.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48429443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Meliana Waty Parera, S. A. Kristina, N. M. Yasin
According to applicable standards, pharmaceutical services strongly support the role of pharmacists in realizing quality pharmaceutical services to protect patients and the community and provide legal certainty for pharmaceutical personnel. This study aims to evaluate the implementation of pharmaceutical service standards in pharmacies by pharmacists in Kupang City. This study uses a quantitative descriptive approach. Data were collected using a questionnaire adapted from Regulation of the Minister of Health Number 73 of 2016 concerning Pharmaceutical Service Standards in Pharmacies. The population in this study were all pharmacies in Kupang City, totaling 90 pharmacies based on data from the Health Service, with valid pharmacy permits. Respondents are pharmacists who have a valid practice license in pharmacies and are willing to participate in the survey. A total of 66 respondents returned the questionnaire, and 64 were declared complete and qualified for analysis. Data were analyzed using univariate analysis with SSPS 25. The results showed that 53.75% of pharmacies in Kupang City had implemented pharmaceutical service standards in pharmacies by Regulation of the Minister of Health Number 73 of 2016, while 46.25% have not implemented service standards properly. Pharmacies that manage pharmaceutical preparations, medical equipment, and disposable medical equipment (BMHP) according to standards are 66.1%, and clinical pharmacy services are 41.4%. The conclusion shows that pharmaceutical service standards in pharmacies have not been carried out optimally by pharmacists in Kupang City.
{"title":"Implementasi Standar Pelayanan Kefarmasian di Apotek Kupang","authors":"Maria Meliana Waty Parera, S. A. Kristina, N. M. Yasin","doi":"10.22146/JMPF.65738","DOIUrl":"https://doi.org/10.22146/JMPF.65738","url":null,"abstract":"According to applicable standards, pharmaceutical services strongly support the role of pharmacists in realizing quality pharmaceutical services to protect patients and the community and provide legal certainty for pharmaceutical personnel. This study aims to evaluate the implementation of pharmaceutical service standards in pharmacies by pharmacists in Kupang City. This study uses a quantitative descriptive approach. Data were collected using a questionnaire adapted from Regulation of the Minister of Health Number 73 of 2016 concerning Pharmaceutical Service Standards in Pharmacies. The population in this study were all pharmacies in Kupang City, totaling 90 pharmacies based on data from the Health Service, with valid pharmacy permits. Respondents are pharmacists who have a valid practice license in pharmacies and are willing to participate in the survey. A total of 66 respondents returned the questionnaire, and 64 were declared complete and qualified for analysis. Data were analyzed using univariate analysis with SSPS 25. The results showed that 53.75% of pharmacies in Kupang City had implemented pharmaceutical service standards in pharmacies by Regulation of the Minister of Health Number 73 of 2016, while 46.25% have not implemented service standards properly. Pharmacies that manage pharmaceutical preparations, medical equipment, and disposable medical equipment (BMHP) according to standards are 66.1%, and clinical pharmacy services are 41.4%. The conclusion shows that pharmaceutical service standards in pharmacies have not been carried out optimally by pharmacists in Kupang City.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42852329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irianti Bahana Maulida Reyaan, Cempaka Kuning, I. K. Adnyana
Polypharmacy prescription very commonly occurs on patient’s prescription in every health facilities. Polypharmacy may increase the risk of Drug-drug Interactions (DDI’s) which mostly causes harm impact in the patient’s therapy. Drug interactions considered clinically significant if it increases the toxicity or decreases the effectiveness of therapy. The objective of this study was to analyze the potential drug interactions in polypharmacy prescriptions in two pharmacy at Bandung city in general, based on the severity, and mechanism. This study was a non-experimental study that was carried out retrospectively by taken prescription data that received by two Pharmacies in Bandung City for the period of October- December 2018. Samples were obtained by purposive sampling technique and were analyzed by using Stockley’s Drug Interaction 9th Edition and database such as micromedexsolutions.com to determine the potential for drug interactions based on its severity and mechanism of interactions. A total of 1218 prescriptions were analyzed, of which 896 prescription (73.56%) were included in the inclusion criteria, and 569 prescription (63.50%) had potential drug-drug interactions. Based on the severity, majority of drug-drug interaction is moderate (85.60%), followed by minor interactions (9.28%), and major interactions (5.12%). Based on the mechanism, majority of drug-drug interactions is pharmacodynamic interactions (90.34%), and followed by pharmacokinetic interactions (9.66%). Based on the many of potential drug interactions, polypharmacy prescribing should be avoided and management of potential DDI’s should be performed.
{"title":"Studi Potensi Interaksi Obat pada Resep Polifarmasi di Dua Apotek Kota Bandung","authors":"Irianti Bahana Maulida Reyaan, Cempaka Kuning, I. K. Adnyana","doi":"10.22146/jmpf.56931","DOIUrl":"https://doi.org/10.22146/jmpf.56931","url":null,"abstract":"Polypharmacy prescription very commonly occurs on patient’s prescription in every health facilities. Polypharmacy may increase the risk of Drug-drug Interactions (DDI’s) which mostly causes harm impact in the patient’s therapy. Drug interactions considered clinically significant if it increases the toxicity or decreases the effectiveness of therapy. The objective of this study was to analyze the potential drug interactions in polypharmacy prescriptions in two pharmacy at Bandung city in general, based on the severity, and mechanism. This study was a non-experimental study that was carried out retrospectively by taken prescription data that received by two Pharmacies in Bandung City for the period of October- December 2018. Samples were obtained by purposive sampling technique and were analyzed by using Stockley’s Drug Interaction 9th Edition and database such as micromedexsolutions.com to determine the potential for drug interactions based on its severity and mechanism of interactions. A total of 1218 prescriptions were analyzed, of which 896 prescription (73.56%) were included in the inclusion criteria, and 569 prescription (63.50%) had potential drug-drug interactions. Based on the severity, majority of drug-drug interaction is moderate (85.60%), followed by minor interactions (9.28%), and major interactions (5.12%). Based on the mechanism, majority of drug-drug interactions is pharmacodynamic interactions (90.34%), and followed by pharmacokinetic interactions (9.66%). Based on the many of potential drug interactions, polypharmacy prescribing should be avoided and management of potential DDI’s should be performed.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47702507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：