2019冠状病毒病大流行期间马哲朗萨拉曼1号初级卫生中心药物管理评估

Endaryanti Wulandari, Aris Widayati
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引用次数: 0

摘要

初级卫生保健中心(PHC)的药品管理范围包括计划/选择、采购、储存、分发、使用控制以及文件和报告。在2019冠状病毒病大流行期间,初级卫生保健中心的监管和管理发生了许多变化。这种情况对基层卫生保健中心的药品管理必然产生影响。本研究的目的是评估2020年COVID-19大流行期间中爪哇省马格朗区萨拉曼1初级卫生中心的药物管理。本研究是一项评估性研究,采用描述性设计和定性方法。数据通过直接观察、访谈和辅助资料三种方法获得。采用直接观察法观察药物的贮存空间。根据研究的目的,有针对性地选择了五名举报人进行访谈。二级数据的评估是根据现有的和相关的数据文件进行的。数据采用三角剖分法对所产生的三种数据进行分析,即观察数据、访谈数据和二次数据评估。结果表明,在COVID-19大流行期间,Salaman 1 PHC在药物管理方面存在几个问题。药品的选择并不完全适合需要,药品的采购也不能总是按照计划安排。此外,药品流通也相对受阻。使用管制发现过期和接近过期药品的数量有所增加。在2019冠状病毒病大流行期间,Salaman 1初级保健中心在药物管理周期中适当实施了药物储存和文件编制两个步骤。本评价研究认为,2019冠状病毒病大流行影响了2020年马格朗区萨拉曼1初级保健医院的药物管理周期。因此,必须改善利益攸关方之间的协调,以预测不可预见的情况,特别是在大流行期间。必须通过测试、监控和评估来预测新策略实现的影响。
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EVALUATION OF DRUG MANAGEMENT IN SALAMAN 1 PRIMARY HEALTH CENTER MAGELANG DURING THE COVID 19 PANDEMIC
The scope of drug management in Primary Health Center (PHC) includes planning/selection, procurement, storage, distribution, control of use, and documentation and reporting. During the COVID-19 pandemic, there were many changes in regulation and management in Primary Health Center. Such a situation certainly has an impact on the drug management of Primary Health Center. The purpose of this study is to evaluate drug management in Salaman 1 Primary Health Center in Magelang District, Central Java Province, during the COVID-19 pandemic in 2020. This research is an evaluative study using a descriptive design with a qualitative approach. The data was obtained by three methods, i.e., direct observation, interview, and secondary data. Direct observation was applied to observe the medicines' storage space. Interviews were conducted with five informants selected purposively according to the research's purpose. The assessments of secondary data were performed from the available and relevant data documentations. Data were analyzed by triangulation approach of the three types of data produced, namely observation data, interview data, and secondary data assessment. The results show several problems regarding drug management in Salaman 1 PHC during the COVID-19 pandemic. The drug selection is not precisely suitable for the needs, while drug procurement cannot always be arranged according to the planning. Furthermore, drug distribution is relatively impeded. Control of use found the number of expired and almost expired drugs increases. Drug storage and documentation are the two steps in the drug management cycle conducted appropriately in Salaman 1 PHC during the COVID-19 pandemic. This evaluative study concludes that the COVID-19 pandemic affected the drug management cycle in Salaman 1 PHC in Magelang District in 2020. Therefore, coordination among stakeholders must be improved to anticipate unforeseen circumstances, especially during the pandemic situation. The impacts of new policy implementations must be anticipated by testing, monitoring, and evaluating.
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