The implementation of pharmaceutical care by pharmacists at the community health center has been regulated in the Minister of Health Regulation No. 74 of 2016. Based on that regulation, assessment of pharmaceutical care services is needed to ensure the quality of services provided by pharmacists. This study aims to develop an Udayana questionnaire that can be used to evaluate the quality of pharmaceutical care provided by pharmacists at community health centers. This research is quantitative (survey implementation) carried out in 2 phases. The first phase is the design of the Udayana questionnaire. The second phase is to verify the validity and reliability of the questionnaire. The questionnaire validity test was carried out in three stages, namely the logical validity test, content validity, and construct validity. The questionnaire statement develop based on Minister of Health Regulation No. 74 of 2016 obtained 31 statements which are divided into 5 dimensions of service quality. The logical validity test resulted in 30 statements that were declared valid by experts. Content validity test is done by calculating the value of the content validity ratio (CVR) and the value of the content validity index (CVI). The CVR and CVI results showed that 7 statements were eliminated because they were not valid (CVR value <0.99 and CVI <70%). Construct validity test and questionnaire reliability were tested on 384 respondents who had met the inclusion criteria. The construct validity test resulted 23 valid statement (r = 0.148). Results of the reliability test based on Cronbach's Alpha value is greater than 0.6, indicating that all the valid statement items in the Udayana questionnaire are reliable. Based on the results of validity and reliability tests, 23 statements of Udayana's questionnaire are stated valid and reliable and can be used to evaluate the quality of pharmaceutical care at the community health center.
{"title":"Pengembangan Kuisioner Udayana untuk Penilaian Kepuasan Pasien terhadap Pelayanan Kefarmasian oleh Apoteker di Pusat Kesehatan Masyarakat","authors":"L. Larasanty, M. Jaya, K. W. Astuti, I. Santika","doi":"10.22146/JMPF.60998","DOIUrl":"https://doi.org/10.22146/JMPF.60998","url":null,"abstract":"The implementation of pharmaceutical care by pharmacists at the community health center has been regulated in the Minister of Health Regulation No. 74 of 2016. Based on that regulation, assessment of pharmaceutical care services is needed to ensure the quality of services provided by pharmacists. This study aims to develop an Udayana questionnaire that can be used to evaluate the quality of pharmaceutical care provided by pharmacists at community health centers. This research is quantitative (survey implementation) carried out in 2 phases. The first phase is the design of the Udayana questionnaire. The second phase is to verify the validity and reliability of the questionnaire. The questionnaire validity test was carried out in three stages, namely the logical validity test, content validity, and construct validity. The questionnaire statement develop based on Minister of Health Regulation No. 74 of 2016 obtained 31 statements which are divided into 5 dimensions of service quality. The logical validity test resulted in 30 statements that were declared valid by experts. Content validity test is done by calculating the value of the content validity ratio (CVR) and the value of the content validity index (CVI). The CVR and CVI results showed that 7 statements were eliminated because they were not valid (CVR value <0.99 and CVI <70%). Construct validity test and questionnaire reliability were tested on 384 respondents who had met the inclusion criteria. The construct validity test resulted 23 valid statement (r = 0.148). Results of the reliability test based on Cronbach's Alpha value is greater than 0.6, indicating that all the valid statement items in the Udayana questionnaire are reliable. Based on the results of validity and reliability tests, 23 statements of Udayana's questionnaire are stated valid and reliable and can be used to evaluate the quality of pharmaceutical care at the community health center.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46240665","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}
Unused medicines in the household cause many problems. Medicines take-back programs were established to prevent inappropriate medicines disposal, abuse, accidental poisoning, and help reduce the number of unused medicines in households. A literature search using the keywords “unused AND medicine”, “disposal AND unused AND medicine”, “reasons AND medicine AND disposal”, “medicine AND take-back program” and “cost AND medicine AND take-back program” in PubMed, Science Direct, Scopus and Google Scholar. Articles published in 2010 – 2020 in English report the medicine take-back program with the number of medicines and/or reasons for the return and/or economic value of medicines collected in the medicines take-back program. A total of 16 articles were included in the criteria for this systematic review. Medicines take-back program was majority-owned in the US (69%). Two programs focus on returning controlled medicines. Gastrointestinal, respiratory, cardiovascular, antimicrobial and non-narcotic analgesic were the most common of all medicines returned. The expired medicine and treatment discontinuation by (doctors/prescribers) were the most reason medicine was returned to the medicines take-back program. The total cost of all medicines returned topped $1,118,020. Medicines take-back program was an essential solution to the inappropriate medicine disposal problem. Good coordination was required between the government and other authorities.This medicine take-back issues can help solve the problems of medicine use, storage, and disposal that lead to the country's economy.
{"title":"A Scoping Review of Disposal of Unused Medicines in Take-Back Programs","authors":"Mufti Alifia Rahmadani, S. A. Kristina","doi":"10.22146/JMPF.61343","DOIUrl":"https://doi.org/10.22146/JMPF.61343","url":null,"abstract":"Unused medicines in the household cause many problems. Medicines take-back programs were established to prevent inappropriate medicines disposal, abuse, accidental poisoning, and help reduce the number of unused medicines in households. A literature search using the keywords “unused AND medicine”, “disposal AND unused AND medicine”, “reasons AND medicine AND disposal”, “medicine AND take-back program” and “cost AND medicine AND take-back program” in PubMed, Science Direct, Scopus and Google Scholar. Articles published in 2010 – 2020 in English report the medicine take-back program with the number of medicines and/or reasons for the return and/or economic value of medicines collected in the medicines take-back program. A total of 16 articles were included in the criteria for this systematic review. Medicines take-back program was majority-owned in the US (69%). Two programs focus on returning controlled medicines. Gastrointestinal, respiratory, cardiovascular, antimicrobial and non-narcotic analgesic were the most common of all medicines returned. The expired medicine and treatment discontinuation by (doctors/prescribers) were the most reason medicine was returned to the medicines take-back program. The total cost of all medicines returned topped $1,118,020. Medicines take-back program was an essential solution to the inappropriate medicine disposal problem. Good coordination was required between the government and other authorities.This medicine take-back issues can help solve the problems of medicine use, storage, and disposal that lead to the country's economy.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49060720","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}
Linda Fidya Ningsih, Adji Prayitno Setiadi, Abd Rahem, Cecilia Brata, Yosi Irawati Wibowo, E. Setiawan, S. V. Halim
Appropiate recommendation provided by pharmacists is considered as a crucial factors to prevent morbidity and mortality among children with acute diarrhea in the community. This study aimed to determine the type and the appropriateness of recommendations provided by the community pharmacists in the eastern part of Surabaya to children presenting with acute diarrhea. This was cross-sectional study conducted by using a questionnaire consisting of questions about participants’ characteristics and a case of acute diarrhea in children without complications and other “alarm symptoms” requiring medical referral. The appropriate recommendation for the case was to give a combination of oral rehydration solution (ORS) and zinc with or without other recommendations. Data were analyzed descriptively using SPSS version 22. A total of 84 pharmacists provided consent to be participants in this study. The majority of participants (73,81%) were pharmacists manager and more than 50% of them completed pharmacist professional degree between 2010 and 2019. Type of pharmacists’ recommendations were further classified as: medical referral, provision of medicine, laboratory testing, and non-pharmacology treatment. The most provided recommendations were provision of medicine (97,62%) with or without other recommendations. Medical referral were recommended by 22 pharmacists (26,19%). Of the total participants, 13,09% provided appropriate recommendations. Findings of this study indicate the necessity to optimise the role of community pharmacists in managing acute diarrhea in children. Further study to identify the needs of community pharmacists, either conducted with qualitative or quantitative approach, is required as the key step before implementing further intervention.
药剂师提供的适当建议被认为是预防社区急性腹泻儿童发病和死亡的关键因素。本研究旨在确定泗水东部社区药剂师为急性腹泻儿童提供的建议的类型和适当性。这是一项横断面研究，采用问卷调查，包括参与者的特征和一例儿童急性腹泻，无并发症和其他需要转诊的“警报症状”。对于这种情况，适当的建议是给予口服补液(ORS)和锌的组合，有或没有其他建议。数据采用SPSS version 22进行描述性分析。共有84名药师同意参与本研究。大多数参与者(73.81%)是药剂师经理，其中超过50%的人在2010年至2019年期间完成了药剂师专业学位。药师建议的类型进一步分为:转诊、提供药物、实验室检测和非药物治疗。提供最多的建议是提供有或没有其他建议的药物(97,62%)。推荐转诊的药师有22名(26.19%)。在所有参与者中，有13.09%的人提供了适当的建议。本研究结果表明，有必要优化社区药师在管理儿童急性腹泻中的作用。在实施进一步干预措施之前，需要进一步研究以确定社区药剂师的需求，无论是采用定性还是定量方法。
{"title":"Apa yang direkomendasikan apoteker untuk tatalaksana diare akut pada anak? Sebuah survei di wilayah timur Kota Surabaya","authors":"Linda Fidya Ningsih, Adji Prayitno Setiadi, Abd Rahem, Cecilia Brata, Yosi Irawati Wibowo, E. Setiawan, S. V. Halim","doi":"10.22146/JMPF.59719","DOIUrl":"https://doi.org/10.22146/JMPF.59719","url":null,"abstract":"Appropiate recommendation provided by pharmacists is considered as a crucial factors to prevent morbidity and mortality among children with acute diarrhea in the community. This study aimed to determine the type and the appropriateness of recommendations provided by the community pharmacists in the eastern part of Surabaya to children presenting with acute diarrhea. This was cross-sectional study conducted by using a questionnaire consisting of questions about participants’ characteristics and a case of acute diarrhea in children without complications and other “alarm symptoms” requiring medical referral. The appropriate recommendation for the case was to give a combination of oral rehydration solution (ORS) and zinc with or without other recommendations. Data were analyzed descriptively using SPSS version 22. A total of 84 pharmacists provided consent to be participants in this study. The majority of participants (73,81%) were pharmacists manager and more than 50% of them completed pharmacist professional degree between 2010 and 2019. Type of pharmacists’ recommendations were further classified as: medical referral, provision of medicine, laboratory testing, and non-pharmacology treatment. The most provided recommendations were provision of medicine (97,62%) with or without other recommendations. Medical referral were recommended by 22 pharmacists (26,19%). Of the total participants, 13,09% provided appropriate recommendations. Findings of this study indicate the necessity to optimise the role of community pharmacists in managing acute diarrhea in children. Further study to identify the needs of community pharmacists, either conducted with qualitative or quantitative approach, is required as the key step before implementing further intervention.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41929767","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}
Hemi Sinorita, Rizka Humardewayanti Asdie, T. Hartati, Pebriati Sumarningsih, T. Rahayu, Ika Puspitasari
Ulkus diabetik terinfeksi memerlukan terapi antibiotik yang tepat untuk menghindari risiko amputasi. Tujuan utama program Outpatient Parenteral Antimicrobial Treatment (OPAT) adalah memungkinkan pasien memperoleh terapi antibiotik parenteral dengan aman dan efektif tanpa menjalani rawat inap. Penelitian ini bertujuan untuk mengetahui perbedaan biaya pemberian antibiotika parenteral dan kualitas hidup pasien antara pasien ulkus diabetik terinfeksi yang memperoleh pelayanan rawat inap dan OPAT. Penelitian ini menggunakan rancangan penelitian ini adalah quasi experimental pada pasien ulkus diabetika yang terinfeksi di di RSUP dr. Sardjito Agustus 2019 sampai April 2020 dengan kriteria inklusi pasien umur ≥ 18 tahun; kondisi klinis stabil; sudah didapatkan hasil kultur swab dasar luka, dengan kriteria eksklusi pasien imunocompromised (pasien kanker dan pasien transplantasi organ yang mendapatkan terapi imunosuppresan serta pasien HIV). Pasien mendapat perawatan luka dua kali dalam seminggu di poliklinik endokrin untuk dinilai outcome klinisnya dan pada akhir pengobatan mengisi kuisioner kualitas hidup SF36. Selanjutnya dihitung biayanya dan dianalisa perbedaan kualitas hidup serta biaya antara OPAT dibanding rawat inap. Selama penelitian terdapat 15 pasien kelompok OPAT dan 15 pasien kelompok rawat inap. Dari sisi perbaikan klinis terdapat perbedaan yang bermakna antara skor PEDIS kelompok OPAT terhadap kelompok Rawat Inap (p = 0,007). Pembiayaan pelayanan OPAT menghemat biaya medik langsung sebanyak 75,77% dari pembiayaan pelayanan rawat inap dengan total pelayanan OPAT sebesar Rp 2.556.117,- dan pelayanan rawat inap sebesar Rp 10.549.487,-. Terdapat perbedaan yang bermakna pada beberapa domain kualitas hidup yaitu domain fungsi peran emosional (p=0,045); domain fungsi sosial (p<0,01) dan score MCS (Mental Component Summary (p=0,005). OPAT meningkatkan 3 domain fungsi ini.
{"title":"Outpatient Parenteral Antimicrobial Treatment sebagai Upaya Menurunkan Biaya Pasien Ulkus Diabetik yang Terinfeksi","authors":"Hemi Sinorita, Rizka Humardewayanti Asdie, T. Hartati, Pebriati Sumarningsih, T. Rahayu, Ika Puspitasari","doi":"10.22146/JMPF.60256","DOIUrl":"https://doi.org/10.22146/JMPF.60256","url":null,"abstract":"Ulkus diabetik terinfeksi memerlukan terapi antibiotik yang tepat untuk menghindari risiko amputasi. Tujuan utama program Outpatient Parenteral Antimicrobial Treatment (OPAT) adalah memungkinkan pasien memperoleh terapi antibiotik parenteral dengan aman dan efektif tanpa menjalani rawat inap. Penelitian ini bertujuan untuk mengetahui perbedaan biaya pemberian antibiotika parenteral dan kualitas hidup pasien antara pasien ulkus diabetik terinfeksi yang memperoleh pelayanan rawat inap dan OPAT. Penelitian ini menggunakan rancangan penelitian ini adalah quasi experimental pada pasien ulkus diabetika yang terinfeksi di di RSUP dr. Sardjito Agustus 2019 sampai April 2020 dengan kriteria inklusi pasien umur ≥ 18 tahun; kondisi klinis stabil; sudah didapatkan hasil kultur swab dasar luka, dengan kriteria eksklusi pasien imunocompromised (pasien kanker dan pasien transplantasi organ yang mendapatkan terapi imunosuppresan serta pasien HIV). Pasien mendapat perawatan luka dua kali dalam seminggu di poliklinik endokrin untuk dinilai outcome klinisnya dan pada akhir pengobatan mengisi kuisioner kualitas hidup SF36. Selanjutnya dihitung biayanya dan dianalisa perbedaan kualitas hidup serta biaya antara OPAT dibanding rawat inap. Selama penelitian terdapat 15 pasien kelompok OPAT dan 15 pasien kelompok rawat inap. Dari sisi perbaikan klinis terdapat perbedaan yang bermakna antara skor PEDIS kelompok OPAT terhadap kelompok Rawat Inap (p = 0,007). Pembiayaan pelayanan OPAT menghemat biaya medik langsung sebanyak 75,77% dari pembiayaan pelayanan rawat inap dengan total pelayanan OPAT sebesar Rp 2.556.117,- dan pelayanan rawat inap sebesar Rp 10.549.487,-. Terdapat perbedaan yang bermakna pada beberapa domain kualitas hidup yaitu domain fungsi peran emosional (p=0,045); domain fungsi sosial (p<0,01) dan score MCS (Mental Component Summary (p=0,005). OPAT meningkatkan 3 domain fungsi ini.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44196845","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}
Methadon maintenance therapy is one of the substitution therapies needed as an approach to harm reduction or the reduction of the adverse effects of drug abuse. This study aims to fix the infinitive relationship doses with retention of drug dependence patients on methadon maintenance therapies program (PTRM) in Kramat Jati Primary Health Care in 2009-2018. A cross-sectional study is conducted using secondary data from medical records subsequently significance analysis. This research involves 136 patients who were included in the inclusion criteria. Results shown mean initial doses received is 27,65 mg (10-40 mg), after 2 weeks of therapy mean doses received are 51,6 mg (range 22,5 – 85 mg). Average lowest and highest maintenance dose which received is 30,9 mg (range 0,25-115 mg) dan 84,39 mg (range 7,77-126,92 mg). This research shows the retention value 1 year or more reaches 64,71%. Maintenance doses 2 weeks (P=0,005), lowest maintenance doses (P=0,000), average maintenance doses (P=0,004), and history misses doses (P=0,000) have significance with retention. The conclusion that the more optimal maintenance doses received, even more in methadone maintenance therapies. Otherwise, lower missed doses frequency better to patients retention in methadon maintenance therapies.
{"title":"Relationship between Dose and Retention of Methadon Maintenance Therapy to Drug Dependence Patients in Primary Health Care","authors":"Lili Musnelina, Jenny Pontoan, B. Prasetya","doi":"10.22146/JMPF.57922","DOIUrl":"https://doi.org/10.22146/JMPF.57922","url":null,"abstract":"Methadon maintenance therapy is one of the substitution therapies needed as an approach to harm reduction or the reduction of the adverse effects of drug abuse. This study aims to fix the infinitive relationship doses with retention of drug dependence patients on methadon maintenance therapies program (PTRM) in Kramat Jati Primary Health Care in 2009-2018. A cross-sectional study is conducted using secondary data from medical records subsequently significance analysis. This research involves 136 patients who were included in the inclusion criteria. Results shown mean initial doses received is 27,65 mg (10-40 mg), after 2 weeks of therapy mean doses received are 51,6 mg (range 22,5 – 85 mg). Average lowest and highest maintenance dose which received is 30,9 mg (range 0,25-115 mg) dan 84,39 mg (range 7,77-126,92 mg). This research shows the retention value 1 year or more reaches 64,71%. Maintenance doses 2 weeks (P=0,005), lowest maintenance doses (P=0,000), average maintenance doses (P=0,004), and history misses doses (P=0,000) have significance with retention. The conclusion that the more optimal maintenance doses received, even more in methadone maintenance therapies. Otherwise, lower missed doses frequency better to patients retention in methadon maintenance therapies.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47361382","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}
Hananditia Rachma Pramestutie, Ratna Kurnia lllahi, Ayuk Lawuningtyas Hariadini, Tamara Gusti Ebtavanny, Tia Eka Aprilia
Problems that often arose as a result of improper management of unused, damaged, and expired drugs in storage and disposal, include drug abused, increased environmental damage, antibiotic resistance, and decrease effectiveness of therapy; due to the lack of public knowledge that can caused by several factors. This study aims to analyse factor associated with level knowledge in the management of unused, damaged, and expired drugs in Malang Raya. This study was an observational analytic study with a cross-sectional design. The subjects were the people of Malang Raya who were selected using a convenience sampling technique in accordance with the inclusion and exclusion criteria. The subjects were 322 respondents. The instrument used was a questionnaire to measure the level of knowledge of respondents that had been tested for validity and reliability. The results showed that, level of knowledge of respondence at Malang Raya in the management of unused, damage and expired drugs in the good (21%), sufficient (58%), and less (21%). Statistical tests used in this study were Somers'd, Kruskal-wallis, and Lambda tests to analysed factor associated with subjects’ level of knowledge in the management of unused, damaged, and expired drugs. There were a significant relationship in factors included age (p = 0.018) and income level (p = 0.003). It can be concluded that among the factors associated with the level of knowledge in the management of unused, damaged, and expired drugs, only age and income level were statistically significant. Further study is needed to determine the factors affecting the level of knowledge the most.
{"title":"Faktor yang Berhubungan dengan Tingkat Pengetahuan Masyarakat dalam Mengelola Obat Sisa, Obat Rusak dan Obat Kedaluarsa","authors":"Hananditia Rachma Pramestutie, Ratna Kurnia lllahi, Ayuk Lawuningtyas Hariadini, Tamara Gusti Ebtavanny, Tia Eka Aprilia","doi":"10.22146/JMPF.58708","DOIUrl":"https://doi.org/10.22146/JMPF.58708","url":null,"abstract":"Problems that often arose as a result of improper management of unused, damaged, and expired drugs in storage and disposal, include drug abused, increased environmental damage, antibiotic resistance, and decrease effectiveness of therapy; due to the lack of public knowledge that can caused by several factors. This study aims to analyse factor associated with level knowledge in the management of unused, damaged, and expired drugs in Malang Raya. This study was an observational analytic study with a cross-sectional design. The subjects were the people of Malang Raya who were selected using a convenience sampling technique in accordance with the inclusion and exclusion criteria. The subjects were 322 respondents. The instrument used was a questionnaire to measure the level of knowledge of respondents that had been tested for validity and reliability. The results showed that, level of knowledge of respondence at Malang Raya in the management of unused, damage and expired drugs in the good (21%), sufficient (58%), and less (21%). Statistical tests used in this study were Somers'd, Kruskal-wallis, and Lambda tests to analysed factor associated with subjects’ level of knowledge in the management of unused, damaged, and expired drugs. There were a significant relationship in factors included age (p = 0.018) and income level (p = 0.003). It can be concluded that among the factors associated with the level of knowledge in the management of unused, damaged, and expired drugs, only age and income level were statistically significant. Further study is needed to determine the factors affecting the level of knowledge the most.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68038958","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 increasing number of patients admited to primary healthcare (PHC) in the JKN era demands the readiness of PHC’s staff, especially pharmaceutical staff, to serve the community. Knowledge is a major necessity in collaborating with other health profesional to improve the quality of health services. Pharmaceutical staff who lack knowledge needs special training to improve their competences in drug management and clinical pharmacy services. This study aims to determine the effect of pharmacy service training on the knowledge of drug manager in PHC’s of Ogan Komering Ilir district. This research is a quasi-experimental design research with pre and post analysis approach in the intervention group and using the control group as a comparison. Subjects in the study were drug managers in the PHC’s of Ogan Komering Ilir district that met the criteria. The intervention was carried out by providing training to drug manager and providing pharmacy service manuals. The training material provided was based on the Pharmaceutical Services Training Curriculum compiled by Ministry of Health. Another instrument used was a validated questionnaire to measure the knowledge score of drug managers before and after training. A total of 13 drug managers participated in this study. After the training, the knowledge score of drug manager in the intervention group increased from 9.83 ± 2.401 to 12.67 ± 2.333 with value of p = 0.013. The majority of intervention group drug managers experienced an increase in knowledge both from the aspect of drug management and clinical pharmacy service aspects. This study concludes that training of drug managers has an effect on increasing knowledge of aspects of drug management and clinical pharmacy services.
{"title":"Pengaruh Pelatihan Pelayanan Kefarmasian terhadap Pengetahuan Pengelola Obat di Puskesmas Kabupaten Ogan Komering Ilir","authors":"H. Amrullah, S. Satibi, Achmad Fudholi","doi":"10.22146/jmpf.50601","DOIUrl":"https://doi.org/10.22146/jmpf.50601","url":null,"abstract":"The increasing number of patients admited to primary healthcare (PHC) in the JKN era demands the readiness of PHC’s staff, especially pharmaceutical staff, to serve the community. Knowledge is a major necessity in collaborating with other health profesional to improve the quality of health services. Pharmaceutical staff who lack knowledge needs special training to improve their competences in drug management and clinical pharmacy services. This study aims to determine the effect of pharmacy service training on the knowledge of drug manager in PHC’s of Ogan Komering Ilir district. This research is a quasi-experimental design research with pre and post analysis approach in the intervention group and using the control group as a comparison. Subjects in the study were drug managers in the PHC’s of Ogan Komering Ilir district that met the criteria. The intervention was carried out by providing training to drug manager and providing pharmacy service manuals. The training material provided was based on the Pharmaceutical Services Training Curriculum compiled by Ministry of Health. Another instrument used was a validated questionnaire to measure the knowledge score of drug managers before and after training. A total of 13 drug managers participated in this study. After the training, the knowledge score of drug manager in the intervention group increased from 9.83 ± 2.401 to 12.67 ± 2.333 with value of p = 0.013. The majority of intervention group drug managers experienced an increase in knowledge both from the aspect of drug management and clinical pharmacy service aspects. This study concludes that training of drug managers has an effect on increasing knowledge of aspects of drug management and clinical pharmacy services.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42237524","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}
Pub Date : 2020-02-29DOI: 10.36423/pharmacoscript.v2i2.388
A. Rahayu, A. Afdhal, Delina Hasan, Feriadi Suwarna, Okpri Meila
The majority of alternative antihypertensive therapies require pharmacoeconomic studies, particularly Cost Effectiveness Analysis, which is useful in balancing patients’ expenditure by determining alternative treatments that represented the most plausible health outcomes with a more reasonable budget. The objective of this study was to compare the cost effectiveness using antihypertensive fixed dose combinations (FDC) of Valsartan-Amlodipine + Furosemide and FDC of Valsartan-HCT + Amlodipin. This research applied the descriptive analytical cross-sectional method and conducted data collection retrospectively from the medical record of hypertensive patients. Meanwhile, the medication cost breakdown was obtained from Outpatient Financial Department of a Type B Hospital in south Jakarta for the period of January - June 2018. Total sample were 74 patients, consisted of 37 patients who used FDC of Valsartan-Amlodipin + Furosemide, and 37 patients who used FDC of Valsartan-HCT + Amlodipin. The parameters of this research were direct medication cost (consisted of examination cost, laboratory cost and medicines cost), indirect medication cost (consisted accommodation cost and lost productivity cost), while the effectiveness used the MAP average (Mean Arterial Pressure). The result of this research showed that the biggest medication effectiveness to lower the blood pressure is FDC of Valsartan-Amlodipin + Furosemide, with 32 patients had the average MAP 101,29 mmHg, while the FDC of Valsartan-HCT + Amlodipin with 29 patients had the average MAP 103,59 mmHg. The cost effectiveness based on ACER value of FDC of Valsartan –HCT + Amlodipin and FDC Valsartan-HCT + Amlodipin sequentially is Rp 3.922.040/MAP and Rp 4.458.034/MAP. In conclusion, the FDC of Valsartan-Amlodipin + Furosemide was more cost-effective.
{"title":"Analisis Efektivitas Biaya Terapi Antihipertensi Kombinasi Tetap Di Satu Rumah Sakit Jakarta Selatan","authors":"A. Rahayu, A. Afdhal, Delina Hasan, Feriadi Suwarna, Okpri Meila","doi":"10.36423/pharmacoscript.v2i2.388","DOIUrl":"https://doi.org/10.36423/pharmacoscript.v2i2.388","url":null,"abstract":"The majority of alternative antihypertensive therapies require pharmacoeconomic studies, particularly Cost Effectiveness Analysis, which is useful in balancing patients’ expenditure by determining alternative treatments that represented the most plausible health outcomes with a more reasonable budget. The objective of this study was to compare the cost effectiveness using antihypertensive fixed dose combinations (FDC) of Valsartan-Amlodipine + Furosemide and FDC of Valsartan-HCT + Amlodipin. This research applied the descriptive analytical cross-sectional method and conducted data collection retrospectively from the medical record of hypertensive patients. Meanwhile, the medication cost breakdown was obtained from Outpatient Financial Department of a Type B Hospital in south Jakarta for the period of January - June 2018. Total sample were 74 patients, consisted of 37 patients who used FDC of Valsartan-Amlodipin + Furosemide, and 37 patients who used FDC of Valsartan-HCT + Amlodipin. The parameters of this research were direct medication cost (consisted of examination cost, laboratory cost and medicines cost), indirect medication cost (consisted accommodation cost and lost productivity cost), while the effectiveness used the MAP average (Mean Arterial Pressure). The result of this research showed that the biggest medication effectiveness to lower the blood pressure is FDC of Valsartan-Amlodipin + Furosemide, with 32 patients had the average MAP 101,29 mmHg, while the FDC of Valsartan-HCT + Amlodipin with 29 patients had the average MAP 103,59 mmHg. The cost effectiveness based on ACER value of FDC of Valsartan –HCT + Amlodipin and FDC Valsartan-HCT + Amlodipin sequentially is Rp 3.922.040/MAP and Rp 4.458.034/MAP. In conclusion, the FDC of Valsartan-Amlodipin + Furosemide was more cost-effective.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43135522","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}
Candra Eka Puspitasari, T. Andayani, Fredie Irijanto
Anemia is often experienced by hemodialysis patients and can have an impact on the quality of life. This study aims to determine the effect of hemoglobin (Hb), hematocrit (Ht), and the characteristics and sociodemographic of the subjects on quality of life. The method used in this study was cross sectional and consecutive sampling technique. The data is retrieved by interviews which then analyzed using dummy multiple regression. Inclusion criteria included routine hemodialysis patients and did not receive blood transfusions. The validity and reliability test of the KDQoL-SF36 questionnaire showed reliable results. The results of the study on 112 subjects obtained an increase in Hb levels positively correlated with an increase in the KDQoL-SF36 score but not for an increase in Ht levels. Increased KDQoL-SF36 score illustrates the better quality of life of patients. Characteristics and sociodemography that influence quality of life include comorbid dummy hypertension-diabetes and work status. The condition of anemia can worsen the quality of life for hemodialysis patients.
{"title":"Penilaian Kualitas Hidup Pasien Hemodialisis Rutin dengan Anemia di Yogyakarta","authors":"Candra Eka Puspitasari, T. Andayani, Fredie Irijanto","doi":"10.22146/JMPF.43187","DOIUrl":"https://doi.org/10.22146/JMPF.43187","url":null,"abstract":"Anemia is often experienced by hemodialysis patients and can have an impact on the quality of life. This study aims to determine the effect of hemoglobin (Hb), hematocrit (Ht), and the characteristics and sociodemographic of the subjects on quality of life. The method used in this study was cross sectional and consecutive sampling technique. The data is retrieved by interviews which then analyzed using dummy multiple regression. Inclusion criteria included routine hemodialysis patients and did not receive blood transfusions. The validity and reliability test of the KDQoL-SF36 questionnaire showed reliable results. The results of the study on 112 subjects obtained an increase in Hb levels positively correlated with an increase in the KDQoL-SF36 score but not for an increase in Ht levels. Increased KDQoL-SF36 score illustrates the better quality of life of patients. Characteristics and sociodemography that influence quality of life include comorbid dummy hypertension-diabetes and work status. The condition of anemia can worsen the quality of life for hemodialysis patients.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48419539","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}
Abdillah Mursyid, R. Haris, Dwi Endarti, Chairun Wiedyaningsih, Susi Ari Kristina
Breast cancer is the second most common cancer in the world and is one of the biggest causes of cancer deaths every year. Measurement of the quality of life in breast cancer patients could improve treatment and become a prognosic factor along with medical parameters for the patients. This study aims to measure the life quality of breast cancer patients and observe how it affects the life quality based on patient characteristics. The study was conducted on 93 breast cancer patients. Data were collected form patients in several breast cancer comunities in Denpasar which were carried outh within 3 months (January – March 2019). This study used a cross sectional design using a snowball sampling technique involving breast cancer patients in several cancer communities in Denpasar. The patient's life quality data was obtained using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) generic instrument and conversion to health utility (utility) used the Indonesian value set. The entire data was analyzed using the independent t-test and multivariate regression. The results showed that pain/discomfort and anxiety/depression were the most dominant problem in breast cancer patients (82,7%). The utility value of breast cancer patients was 0.821±0.123 and the VAS value was 74.41±11.67. There was a significant difference in utility value based on patient characteristics of occupation (p=0.035), symptoms (p=0,003), and cancer stadium (p=0.015). Affected 20.5% of the quality of life of breast cancer patients in Denpasar city.
{"title":"Pengukuran Kualitas Hidup Pasien Kanker Payudara di Kota Denpasar Menggunakan Instrumen EQ-5D-5L","authors":"Abdillah Mursyid, R. Haris, Dwi Endarti, Chairun Wiedyaningsih, Susi Ari Kristina","doi":"10.22146/jmpf.47192","DOIUrl":"https://doi.org/10.22146/jmpf.47192","url":null,"abstract":"Breast cancer is the second most common cancer in the world and is one of the biggest causes of cancer deaths every year. Measurement of the quality of life in breast cancer patients could improve treatment and become a prognosic factor along with medical parameters for the patients. This study aims to measure the life quality of breast cancer patients and observe how it affects the life quality based on patient characteristics. The study was conducted on 93 breast cancer patients. Data were collected form patients in several breast cancer comunities in Denpasar which were carried outh within 3 months (January – March 2019). This study used a cross sectional design using a snowball sampling technique involving breast cancer patients in several cancer communities in Denpasar. The patient's life quality data was obtained using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) generic instrument and conversion to health utility (utility) used the Indonesian value set. The entire data was analyzed using the independent t-test and multivariate regression. The results showed that pain/discomfort and anxiety/depression were the most dominant problem in breast cancer patients (82,7%). The utility value of breast cancer patients was 0.821±0.123 and the VAS value was 74.41±11.67. There was a significant difference in utility value based on patient characteristics of occupation (p=0.035), symptoms (p=0,003), and cancer stadium (p=0.015). Affected 20.5% of the quality of life of breast cancer patients in Denpasar city.","PeriodicalId":33008,"journal":{"name":"Jurnal Manajemen dan Pelayanan Farmasi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43665231","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：