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KESESUAIAN RESEP DENGAN STANDAR PELAYANAN MEDIS DAN FORMULARIUM JAMKESMAS PADA PASIEN RAWAT JALAN JAMKESMAS Dian Medisa; Sulanto Saleh Danu; Rustamaji Rustamaji
Jurnal Ilmiah Farmasi Vol. 11 No. 1 (2015): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol11.iss1.art4

Health is rights of every human. In Indonesia, poor people had difficulty to access health services. Therefore government creates a program called “Jamkesmas” which based on DRGs (Diagnosis Related Groups) to improve quality of health services. Physicians should prescribe medicines according to the diagnosis and Jamkesmas formulary. The compliance between prescription with Standard Treatment Guidelines (STGs) and Jamkesmas formulary is a must. The aim of this research was to know the prescriptions compliance to STGs and Jamkesmas formulary. This research was observational study using prescriptions of Jamkesmas’s outpatients . Furthermore, qualitative data with in-depth interviews was used to further analysis. Quantitative data were calculated by using drug use indicators for the percentage of prescriptions compliance. The percentage of prescriptions compliance with STGs in each of 10 diseases in once of hospital in Daerah Istimewa Yogyakarta (Hospital X), started from 24.3% in CHF to 82% in DM diseases, whereas prescriptions compliance with Jamkesmas Formulary was started from 49% in vertigo to 96% in hypertension diseases. Average number of drugs per prescription was 2.7 and the most of drugs (85.7%) were prescribed by its generic names; 23.3% of prescriptions contained antibiotic and 22.0% contained of injectable drug. Percentage of drugs prescribed from essential medicines list was 76.7%. The prescriptions of 10 diseases were not fully compliance to Standard Treatment Guidelines and Jamkesmas formulary.

Evaluasi pelayanan kefarmasian pada pasien rawat jalan di rumah sakit swasta Achmad Saiful; Diesty Anita Nugraheni; Dian Medisa
Jurnal Ilmiah Farmasi Vol. 15 No. 1 (2019): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol15.iss1.art3

Abstract Background: WHO found that the inappropriate use of medicine still become a big problem in theworld. Therefore, pharmacy services evaluation must be done to improve the appropriate use ofmedicine.Objective: This study aims to know the pharmacy services based on WHO patient-care indicators andto determine the correlations between socio-demographic characteristics and patient knowledgeabout medicine use.Method: An observational cross-sectional study was conducted by using the WHO patient-careindicator on 211 regular outpatients or non-insurance at one of private hospital in Yogyakarta. Thisstudy used disproportionate stratified random sampling method. Data were collected by observationand interview the patient and analyzed by using WHO patient-care indicator. The relation betweensocio-demographic characteristics and patient knowledge were analyzed using chi-square andspearmen test.Results: The average of dispensing time was 47.52 second and 99.4% medicines dispensed.Percentage of medicine labelled was 92.26% and only 36,5% patients know about the medicines use.Based on statistical analysis, there was no correlation between level of patient knowledge with age(p=0.218) and gender (p=0.209). Otherwise, education (p=0.005) was correlated with level of patientknowledge.Conclusion: The pharmacy services in hospital was good, but pharmacist still need to improvecommunication to patients about medicines they received. Whereas, education have relationship withpatient level knowledge Keywords: pharmacy service, outpatient, hospital Latar belakang: Data WHO menyatakan bahwa masih banyak terjadi penggunaan obat yang tidaktepat oleh pasien. Oleh karena itu, perlu dilakukan dengan evaluasi pelayanan kefarmasian secararutin sebagai salah satu upaya peningkatan penggunaan obat yang tepat.Tujuan: Mengetahui gambaran pelayanan kefarmasian pada pasien rawat jalan umum berdasarkanindikator pelayanan pasien WHO dan mengetahui hubungan faktor sosiodemografi denganpengetahuan pasien tentang penggunaan obatMetode: Penelitian ini merupakan penelitian observasional dengan menggunakan rancangan cross-sectional pada 211 pasien rawat jalan umum atau non-asuransi di salah satu rumah sakit swastaYogyakarta. Pengambilan sampel dilakukan dengan metode disproportionate stratified random sampling. Data diperoleh dari observasi dan wawancara kepada pasien kemudian data dianalisissecara deskriptif menggunakan rumus sesuai indikator pelayanan pasien WHO. Analisis hubungansosiodemografi dengan pengetahuan pasien tentang penggunaan obat dilakukan menggunakan ujistatistik chi-square dan spearman test.Hasil: Rata-rata waktu penyerahan obat yaitu 47,52 detik dengan persentase obat terlayani 99,4%.Persentase etiket obat yang memadai 91,7% dan pasien yang mengetahui cara penggunaan obat yangditerima sebesar 36,5%. Hasil analisis statistik menunjukkan tidak ada hubungan antara usia(p=0,218) dan jenis kelamin (p=0,209) dengan tingkat pengetahuan, serta terdapat hubungan antaratingkat pendidikan (p=0,005) dengan pengetahuan pasien.Kesimpulan: Secara umum pelayanan kefarmasian di rumah sakit sudah baik, namun masih perlupeningkatan dalam pemberian informasi obat kepada pasien saat penyerahan obat. Sedangkan, faktorsosiodemografi yang berhubungan dengan tingkat pengetahuan pasien tentang penggunaan obatadalah tingkat pendidikan.Kata kunci : pelayanan kefarmasian, pasien

The relationship between sosiodemographic factors and public knowledge of herbal medicines in two districts in Sleman Regency Dian Medisa; Hady Anshory; Putri Litapriani; Rezky Fajriyati M
Jurnal Ilmiah Farmasi Vol. 16 No. 2 (2020): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol16.iss2.art1

AbstractIntroduction: The use of herbal medicines in the community is increasing, both in developing and developed countries.. Most people use herbal medicine for generations or based on experience. Therefore, it is necessary to analyze the public knowledge about herbal medicine to support the use of herbal medicines appropriately and correctlyObjective : To determine the relationship between sociodemographic characteristic with public knowledge level about herbal medicine in Sleman Regency.Methods: Survey research conducted on the people of Minggir and Cangkringan districts, Sleman Regency. Sampling of 240 respondents was done by cluster sampling method. Data obtained from the distribution of questionnaires that have been validated to the public. The correct answer was counted and scored, then responden who score greater or equal to the mean were grouped into good knowledge, whereas those who score less than mean were grouped into poor knowledge. Data were analyzed by univariate and bivariate by chi-square test.Result : The majority of respondents were women (61.2%) and the most age was 26-45 years (46.7%). The respondents' knowledge is the best in the domain of how to use herbal medicine with an average percentage of correct answers 67.6%. In the domain of side effects, the average percentage of answers is only 47.7%. Overall respondents who had a good level of knowledge were 66.2% and respondents who were poorly knowledgeable were 33.8%. The results of the bivariate analysis showed no correlation between sociodemographic characteristics and knowledge level about herbal medicine (p> 0.05).Conclusion: Most people in Sleman Regency have good knowledge about herbal medicine. However, education still needs to be done about herbal medicines, especially the efficacy and side effects. Keyword: knowledge, herbal medicine, sleman regencyIntisariLatar Belakang: Penggunaan obat herbal (OH) di masyarakat semakin meningkat, baik di negara berkembang maupun negara maju. Sebagian besar masyarakat menggunakan obat herbal secara turun temurun atau berdasarkan pengalaman. Oleh karena itu, perlu dilakukan analisis terhadap pengetahuan masyarakat tentang obat herbal untuk mendukung penggunaan obat herbal dengan tepat dan benar.Tujuan: Untuk mengetahui hubungan sosiodemografi dengan tingkat pengetahuan masyarakat tentang obat herbal pada dua kecamatan di Kabupaten Sleman.Metode: Penelitian survey yang dilakukan pada masyarakat Kecamatan Minggir dan Cangkringan, Kabupaten Sleman. Pengambilan sampel sebanyak 240 responden dilakukan dengan metode cluster sampling. Data diperoleh dari pembagian kuesioner yang telah tervalidasi. Responden yang memiliki skor di atas nilai rata-rata termasuk dalam kategori berpengetahuan baik, sedangkan jika dibawah atau sama dengan rata-rata termasuk kategori berpengetahuan buruk. Data dianalisis menggunakan uji chi-square.Hasil: Mayoritas responden adalah wanita (61,2%) dan usia paling banyak 26-45 tahun (46,7%). Persentase pengetahuan yang paling baik yaitu pada domain efek samping obat herbal (78,3%), sedangkan pengetahuan yang terendah tentang cara penggunaan obat herbal (32,1%). Lima puluh lima persen responden memiliki pengetahuan yang baik tentang obat herbal secara keseluruhan. Hasil analisis bivariat menunjukkan faktor sosiodemografi tidak berhubungan secara signifikan dengan tingkat pengetahuan responden tentang obat herbal (p<0,05).Kesimpulan: Faktor sosiodemografi tidak berhubungan dengan tingkat pengetahuan tentang obat herbal. Pengetahuan tentang obat herbal dapat ditingkatkan melalui pemberian edukasi yang sesuai dengan kebutuhan dan kondisi sosiodemografi masyarakat.Kata kunci: pengetahuan, obat tradisional, Kabupaten Sleman

TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN RSUD X YOGYAKARTA 2015 Fithria Dyah Ayu Suryanegara; Dian Medisa; Muiz Abdul Aziz
Jurnal Ilmiah Farmasi Vol. 11 No. 2 (2015): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Intisari Jaminan Kesehatan Nasional (JKN) dilaksanakan di Indonesia per 1 Januari 2014. JKN diselenggarakan oleh BPJS Kesehatan (Badan Penyelenggara Jaminan Sosial), sedangkan dalam melayani anggotanya, BPJS Kesehatan bekerja sama dengan beberapa fasilitas kesehatan, seperti rumah sakit daerah, rumah sakit swasta dan lain-lain. BPJS Kesehatan mengembangkan beberapa indicator yang digunakan untuk mengevaluasi kinerja dari fasilitas kesehatan yang nantinya akan digunakan dalam proses seleksi, salah satu indikator yang dikembangkan adalah kepuasan pasien. RSUD X Yogyakarta adalah salah satu rumah sakit daerah yang bekerja sama dengan BPJS Kesehatan dalam rangka memberikan pelayanan kesehatan kepada masyarakat, oleh sebab itu di rumah sakit tersebut perlu dilakukan evaluasi tingkat kepuasan pasien. Tujuan dari penelitian ini adalah untuk mengetahui tingkat kepuasan pasien terhadap pelayanan rumah sakit, yang terbagi ke dalam 4 (empat) bidang, yaitu pendaftaran, verifikasi asuransi, pelayanan poliklinik, dan pelayanan farmasi. Penelitian diselenggarakan pada bulan September-Oktober 2015 di RSUD X Yogyakarta. Desain penelitian menggunakan cross sectional dan teknik pengambilan sampel dengan accidental sampling. Data diperoleh dengan menyebarkan kuesioner yang telah divalidasi pada pasien rawat jalan RSUD X Yogyakarta. Total responden yang diperoleh dalam penelitian adalah 100. Hasil penelitian menunjukkan bahwa tingkat kepuasan pasien di RSUD X Yogyakarta pada bagian pendaftaran, verifikasi asuransi, pelayanan poliklinik, dan pelayanan farmasi sebesar 71.68%; 70.34%; 73.74%; 72.28% secara berturut-turut. Hal tersebut masih jauh dari target BPJS Kesehatan, yaitu 85%. Pasien di RSUD X Yogyakarta cukup puas terhadap pelayanan kesehatan yang diberikan, akan tetapi RSUD X Yogyakarta perlu melakukan perbaikan dalam pelayanan agar tingkat kepuasan pasien setidaknya sesuai dengan yang telah ditargetkan oleh BPJS Kesehatan.Kata kunci : JKN, kinerja, rumah sakit, kepuasan

Evaluasi penyimpanan obat di Puskesmas "X" Kabupaten Sleman Novi Dwi Rugiarti; Atika Nurul Hidayati; Dian Medisa; Diesty Anita Nugraheni
Jurnal Ilmiah Farmasi Vol. 17 No. 1 (2021): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol17.iss1.art8

AbstractBackground: Medicines storage is one of the stages in drug management, which plays an essential role in ensuring the quality and availability of drugs. Therefore, it is necessary to evaluate medicines storage by comparing the performance with the storage efficiency indicators.Objective: This study aimed to determine the efficiency of medicines storage in “X” Primary Healthcare, Sleman Regency.Methods: This research was an observational study during April-May 2020 in “X” Primary Healthcare. Data collection was carried out retrospectively. Data were analyzed based on drug efficiency indicators, including the percentage of expired drugs, the percentage of dead stock, and turnover ratio (TOR).Results: The results showed 2.45% expired drugs, 2.45% deadstock, and 5.2 times TOR. The most expired drugs were pipemidic acid 400 mg, nifedipine 10 mg, and carbamazepine 200 mg.Conclusion: The storage of medicines in "X" Primary Healthcare was not yet efficient.Keywords: Drug storage, efficiency, primary healthcare

The use of anti-hyperlipidemia in a private hospital in Yogyakarta during 2013-2019 Yosi Febrianti; Saepudin Saepudin; Dian Medisa; Haryo Tetuko; Siti Nurul Fadhillah Hasanah
Jurnal Ilmiah Farmasi Vol. 17 No. 2 (2021): Jurnal Ilmiah Farmasi
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.vol17.iss2.art7

Background: Lipid modifying agents have an important role in the primary and secondary prevention of cardiovascular diseases such as coronary heart disease and stroke. The use of lipid-modifying agents tends to increase along with the increasing prevalence of these diseases.Objectives: To determine the utilization of lipid modifying agents for hospitalized patients in a private hospital in Yogyakarta during the period of 2013 - 2019 in regard to the agents used and their quantity.Methods: The main data for this study were aggregate data on the use of lipid modifying agents for hospitalized patients during 2013-2019 obtained from the hospital pharmacy department. After identification of the names of lipid modifying agents, the quantities of these drugs were then calculated in units of defined daily dose (DDD) and the final quantity was expressed in DDD/100 bed days (BD). The R2 value from linear regression was used to determine the trend of use of individual agents over the period.Results: There were two pharmacological subgroups of lipid modifying agents used during the period of 2013 – 2019 with an average of total quantity of 14.81 DDD/100 BD. Utilization of statins was approximately 90% of the total use, and utilization of fibrates tended to decrease over the period. Individually, simvastatin use decreased significantly over the period (R2 = 0.885), but atorvastatin use continued to increase (R2 = 0.908) with 10-fold increase from 2013 to 2019.Conclusion: The lipid modifying agents used during the period 2013 - 2019 were predominantly statins, and the utilization of atorvastatin increased significantly during this period.Keywords: lipid modifying agents, ATC/DDD, fibrates, statinsIntisariLatar Belakang: Antihiperlipidemia memiliki peran penting dalam pencegahan primer maupun sekunder penyakit kardiovaskular terutama penyakit jantung koroner dan stroke. Penggunaan golongan obat tersebut di berbagai fasilitas kesehatan cukup tinggi seiring dengan masih tingginya prevalensi penyakit kardiovaskular.Tujuan: Untuk mengetahui profil penggunaan antihiperlipidemia untuk pasien rawat inap di salah satu rumah sakit swasta di Yogyakarta selama periode tahun 2013 – 2019 berdasarkan jenis obat dan kuantitas penggunaannya.Metode: Data utama yang digunakan dalam penelitian ini adalah data agregat penggunaan antihiperlipidemia untuk pasien rawat inap selama tahun 2013 - 2019 yang diperoleh dari instalasi farmasi rumah sakit. Setelah mengetahui jenis obat antihiperlipidemia yang digunakan, kuantitas penggunaan obat-obat tersebut dihitung dalam satuan defined daily dose (DDD) dan kuantitas akhir dinyatakan dalam DDD/100 bed days (BD). Nilai R2 dari persamaan garis lurus digunakan untuk mengetahui kecenderungan peningkatan atau penurunan penggunaan obat antihiperlipidemia secara individual selama periode tahun 2013 – 2019.Hasil: Terdapat dua golongan antihiperlipidemia yang digunakan selama periode tahun 2013 – 2019, yaitu golongan statin dan fibrat, dengan rata-rata kuantitas penggunaan secara total sebesar 14,81 DDD/100 BD. Penggunaan antihiperlipidemia golongan statin secara rata-rata sekitar 90% dari keseluruhan antihiperlipidemia yang digunakan dan penggunaan obat golongan fibrat cenderung menurun dari tahun ke tahun. Secara individual, simvastatin menunjukkan penggunaan yang menurun secara signifikan dari tahun ke tahun (R2=0,885) namun sebaliknya penggunaan atorvastatin terus meningkat (R2=0,908) dengan peningkatan hampir 10 kali lipat dari tahun 2013 ke tahun 2019.Kesimpulan: Antihiperlipidemia yang digunakan selama periode tahun 2013 – 2019 sebagian besar merupakan golongan statin dan atorvastatin yang penggunaannya yang meningkat secara signifikan.Kata kunci: antihiperlipidemia, ATC/DDD, fibrat, statin

Assessment of prescribing pattern based on WHO indicators at “X” Primary Health Care in Sleman Regency Kristy Tri Wardhani; Dian Medisa; Saepudin Saepudin; Ifada Ifada
Jurnal Ilmiah Farmasi 2022: Special Issue
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jif.specialissue2022.art11

Abstract Background: Puskesmas is a primary level of health service facility that must implement rational drug use. A rational prescribing pattern will improve the quality of health services.Objective: The aim of this study was to know the prescribing pattern at the "X" Primary Health Care in Sleman Regency based on WHO indicators.Method: A retrospective observational study was conducted to assess the prescribing pattern. The sample was selected using simple random sampling and analyzed descriptively. The data was collected from prescriptions in Mei 2019.Result: The results of this study showed the average number of drugs per prescription was 2.66, drugs prescribed by generic name was 100%. The percentage of encounter in which injection and antibiotic was prescribed was 0% and 15.83% respectively. Most drugs (91.85%) were included in National Formulary.Conclusion: It can be concluded that the prescribing pattern at Puskesmas X is rational according to the target of the Ministry of Health and WHO, but it is necessary to carry out a continuous MTP (monitoring training planning) process involving related parties.Keywords: prescribing pattern, primary health care, Sleman, WHO indicatorsIntisari Latar belakang: Puskesmas adalah fasilitas pelayanan kesehatan tingkat I yang harus menerapkan penggunaan obat rasional. Pola peresepan yang rasional akan menghasilkan kualitas dalam pelayanan kesehatan masyarakat.Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran pola peresepan di Puskesmas “X” Kabupaten Sleman berdasarkan indikator peresepan WHO.Metode: Penelitian merupakan penelitian observasional secara retrospektif menggunakan resep bulan Mei 2019. Sampel resep diambil dengan metode random sampling dan data dianalisis secara deskriptif.Hasil: Hasil penelitian menunjukkan rata-rata jumlah obat per lembar resep adalah 2,66, tingkat peresepan obat dengan nama generik 100%, tingkat penggunaan antibiotik sebesar 15,83% dari total kasus, tingkat peresepan injeksi 0%, dan kesesuaian peresepan dengan Formularium Nasional 2017 sebesar 91,85%.Kesimpulan: Pola peresepan di Puskesmas X sudah rasional sesuai target Kementerian Kesehatan dan WHO, namun perlu dilakukan proses MTP (monitoring training planning) berkesinambungan melibatkan pihak terkait.Kata kunci: pola peresepan, puskesmas, Sleman, indikator WHO

Vaccines distribution system at primary healthcares in the special region of Yogyakarta Dian Medisa; Diesty Anita Nugraheni
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 9, No 3, (2018)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jkki.vol9.iss3.art8

Background: Vaccine cold-chain distribution system must be monitored to guarantee the vaccine quality. Improper vaccine distribution system can cause damage and loss of efficacy. Therefore, the Indonesian government released some regulations to manage the vaccine cold-chain system, including the Good Distribution Practices for Pharmaceutical Products (Cara Distribusi Obat yang Baik/CDOB) in 2012 and Regulation of the Minister of Health Number 42 in 2013 (PMK 42/2013). Objective: The purpose of this study was to evaluate the implementation of the vaccine distribution system in primary healthcare (PHCs). Methods: A survey was conducted in 30 PHCs in the Special Region of Yogyakarta. Data were collected by observing the vaccine distribution system in PHCs using checklists developed based on CDOB 2012 and PMK 42/2013.Results: The study showed that the personnel in 24 PHCs (80%) checked the condition of the temperature monitoring device and Vaccine Vial Monitor (VVM) while receiving the vaccines. Furthermore, all PHCs (100%) had both cool packs and vaccine carriers, whereas those having cold packs were only 2 (7%). First expired - first out (FEFO) and first in - first out (FIFO) systems were implemented in 30 (100%) and 28 (93%) PHCs, respectively. Conclusion: The results indicated that most of the PHCs in Yogyakarta Special Region had implemented a good vaccine distribution system, yet they still need improvement especially in vaccine recording procedures.

Public knowledge of self-medication in Ngaglik subdistrict of Sleman regency Dian Medisa; Fithria Dyah Ayu Suryanegara; Ditya Ayu Natalia; Puspita Fitri Handayani; Dhea Putri Indra Kusuma; Diesty Anita Nugraheni
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 11, No 3, (2020)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol11.Iss3.art6

Background: Self-medication is using medicines without a prescription or health professional advice. Over-the-counter (OTC) medicines are commonly used in self-medication. Knowledge and practices of self-medication is required to be assessed to ensure appropriate uses of medicines.Objective: This study is to examine public knowledge and practices of self-medication in Subdistrict of Ngaglik, Sleman, D.I. Yogyakarta.Methods: A cross-sectional survey was conducted in three villages in Ngaglik, Sleman. 339 participants were selected through a cluster sampling. Data were collected by using a self-administered questionnaire. Descriptive analysis and chi-square test were used to analyse the data.Results: Most of participants were female (61.7%) aged between 26-45 years (49.9%). More than fifty percent of participants (59%) had education level of senior high school, and 49.9% participants had good knowledge of the OTC self-medication. The level of knowledge of self-medication was significantly associated with the level of education (p values<0.05). The most commonly used OTC medicines for self-medication were analgesics and antipyretics (48.4%), respiratory drugs (29.7%), and gastrointestinal drugs (9.6%). OTC medicine advertisements were common sources of information about medicines for self-medication (39.5%) whereas information sources from health professionals were accounted for only 2.4%.Conclusion: The public knowledge of self-medication needs to be developed. Health professionals, especially pharmacists, are suggested to provide more information on the OTC medicines for public to allow them to access additional information sources than medicine advertisements.

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