The Quality of Pharmaceutical Services in the New Normal Era on Outpatient Loyalty at the Pharmacy Installation of the Daya General Hospital

Background: The quality of pharmaceutical services is an important factor in ensuring the quality of health services in hospitals. In this current era of the new normal, improving the quality of pharmaceutical services is closely related to patient satisfaction and loyalty. Objective: The purpose of this study was to examine and analyze the effect of pharmaceutical service quality on loyalty through mediating outpatient satisfaction at the Pharmacy Installation of Daya General Hospital. Method: This research was a quantitative study with an analytical observational study design. Respondents in this study were 120 outpatients at the Pharmacy Installation. The data analysis method used was univariate and bivariate analysis through the Statistical Package for the Social Sciences (SPSS) program and multivariate Structural Equation Modeling (SEM) with the AMOS program. Results: Satisfaction affected the loyalty of outpatients at the Pharmacy Installation. The most dominant indicator was feeling satisfied in the satisfaction variable, with a loading factor of 0.93. In the loyalty variable, the most dominant indicator was the loyalty aspect, with a loading factor of 0.41. The direct effect of pharmaceutical service quality on loyalty was 0.550, while the indirect effect mediated by patient satisfaction was 0.303. Conclusion: The direct effect was greater than the indirect effect of service quality on the loyalty of outpatients at Daya General Hospital.

Evaluasi Pengelolaan Sediaan Farmasi dan Bahan Medis Habis Pakai Pada Puskesmas di Kabupaten Pekalongan Berdasarkan Petunjuk Teknis Standar Pelayanan kefarmasian di Puskesmas Tahun 2019

Management of pharmaceutical preparations is a series of activities involving aspects of planning, procurement, receipt, storage, distribution, destruction and withdrawal, control and administration of drugs that are managed optimally to ensure the achievement of determination of the amount and type of pharmaceutical supplies. The purpose of this study was to evaluate the management of pharmaceutical preparations and medical consumables in health centers in Pekalongan Regency based on the Technical Instructions for Pharmaceutical Services at Puskesmas in 2019. The method used in this study was a quantitative method with descriptive quantitative analysis using simple techniques. random sampling consisting of 30 respondents from pharmacy staff in 17 health centers in Pekalongan Regency who met the inclusion criteria. The research instrument used a questionnaire with univariate analysis. The results showed that the management of pharmaceutical preparations and medical consumables (BMHP) in the planning category was very good (100%), the procurement category was very good (76.7%), the acceptance category was very good (100%), the storage category was very good (100 %), very good category distribution (90%), very good withdrawal and annihilation category (100%), very good category control (93.3%) and very good category administration stage (100%). The conclusion of this study is that the implementation of the management of pharmaceutical preparations and medical consumables (BMHP) in district health centers is in accordance with the Technical Guidelines for Pharmaceutical Service Standards at Health Centers in 2019, therefore pharmaceutical staff in each health center must always improve pharmaceutical service standards in order to prosper. high public health.Keywords: Technical Guidelines; for Pharmaceutical Services; Public health center AbstrakPengelolaan sediaan farmasi merupakan suatu rangkaian kegiatan yang menyangkut aspek perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, pemusnahan serta penarikan, pengendalian dan administrasi obat yang dikelola secara optimal untuk menjamin tercapainya ketetapan jumlah dan jenis perbekalan farmasi. Tujuan dari penelitian ini adalah untuk mengevaluasi pengelolaan sediaan farmasi dan bahan medis habis pakai di puskesmas yang ada di Kabupaten Pekalongan berdasarkan Petunjuk Teknis Pelayanan Kefarmasian di puskesmas tahun 2019. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif yang bersifat deskriptif analisis kuantitatif dengan menggunakan teknik simple rundom sampling yaitu sejumlah 30 responden tenaga kefarmasian dalam 17 puskesmas di Kabupaten Pekalongan yang memenuhi kriteria inklusi. Instrumen penelitian ini menggunakan kuesioner dengan analisis univariat. Hasil penelitian menunjukan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) pada perencanaan kategori sangat baik (100%), pengadaan kategori sangat baik (76,7%), penerimaan kategori sangat baik (100%), penyimpanan kategori sangat baik (100%), pendistribusian kategori sangat baik (90%), penarikan dan pemusnahan kategori sangat baik (100%), pengendalian kategori sangat baik (93,3%) dan tahapan administrasi kategori sangat baik (100%). Kesimpulan pada penelitian ini bahwa pelaksanaan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) di puskesmas Kabupaten telah sesuai dengan Petunjuk Teknis Standar Pelayanan Kefarmasian di Puskesmas Tahun 2019, oleh karena itu tenaga kefarmasian di setiap puskesmas harus selalu meningkatkan standar pelayanan kefarmasian guna untuk mensejahterakan kesehatan masyarakat yang tinggi.Kata kunci: Petunjuk; Teknis; Pelayanan; Kefarmasian; Puskesmas

Patients’ perception of the outpatient pharmaceutical service quality in hospital pharmacies with auditable pharmaceutical transactions and services in Ethiopia: a cross-sectional study

ObjectiveTo ensure the availability of quality pharmaceutical products and effective pharmaceutical services, a package of interventions named auditable pharmaceutical transactions and services (APTS), was implemented in the tertiary and secondary hospitals across Ethiopia since 2014. This study aimed to evaluate outpatients’ perception of pharmaceutical service quality in hospitals with APTS in Ethiopia.DesignCross-sectional study.SettingSeven hospitals of Tigray, Ethiopia.Participants794 patients coming for pharmaceutical services.Main outcome measuresSERVQUAL instrument was employed to collect the patient’s perception of pharmaceutical services. The mean perception score of pharmaceutical service quality was the main outcome measurement.ResultsOut of 810 patients approached, 794 participated in the study (response rate of 98.02%). Overall, the mean perception score of the service quality was 3.1 of 5. Among the five dimensions of SERVQUAL, dimension of empathy achieved the highest result with a mean score of 3.71, and tangibility was the second (3.19), followed by responsiveness (3.08), assurance (2.87) and reliability (2.81). The perception of patients in tertiary hospitals of service quality was more positive compared with patients in secondary hospitals (3.265>3.011, p=0.04). However, the difference was only significant in the dimension of assurance when considering the five dimensions separately. Respondents who were older, widowed, illiterate, farmer, retired or Orthodox were found to have better quality service experience compared with others (p=0.001).ConclusionGenerally, outpatients’ perception of pharmaceutical service quality was positive. However, two dimensions of the service quality (assurance and reliability) were negatively perceived. To improve the service quality, we recommended the following: (1) managers should provide more training for pharmacists to strengthen their professional knowledge and encourage them to cooperate with other professionals; (2) the government needs to develop guidelines on information provided to patients and train the pharmacists to follow them; (3) hospitals can apply various procurement methods and efficient inventory management methods.

Pharmaceutical service in the community pharmacy in Romania – present and future trends

Objectives. Highlighting the role of pharmacists in Romanian community pharmacies, in order to build rational approaches, and to establish the legal framework for the implementation of the pharmaceutical services. Analysis of activities carried out in community pharmacies in Romania and evaluation of the potential of pharmacists to provide quality pharmaceutical services. Results. Most pharmacists in community pharmacies in Romania provide advice on medicines and other health services, without them being acknowledged or remunerated. The implementation and recognition of the pharmaceutical service is imperative and involves the establishment of unitary, quantifiable quality standards for each service, so as to benefit the patient, the medical staff and the health system. Conclusions. Maximizing the intervention of community pharmacists in optimizing public health, by implementing pharmaceutical services, could reduce health care costs, and relieve medical staff, making it easier to manage current or crisis situations.

ANALISIS WAKTU TUNGGU PELAYANAN RESEP PADA PASIEN RAWAT JALAN DI RSUD DR. H. ABDUL MOELOEK PROVINSI LAMPUNG

Pharmaceutical services are health services in hospitals that are expected to meet minimum service standards (SPM) in an effort to improve the quality of services to patients. One of the pharmaceutical service categories in the minimum service standard (SPM) in hospitals is the waiting time for prescription services in the form of nonconcoction drugs is the grace period from the time the patient submits a prescription to receiving non-concoction drugs with a minimum standard set by the Ministry of Health that is ≤ 30 minutes, whereas the waiting time for prescription concoction services is the grace period from the time the patient submits the prescription until receiving the concoction drug that is ≤ 60 minutes. This research was conducted to analyze the waiting time for outpatient prescription services in Dr. H. Abdul Moeloek based on hospital minimum service standards (SPM) as an overview of prescription services, evaluation materials and pilots in an effort to improve the quality of pharmaceutical services. This research will be conducted at the pharmacy outpatients Dr. H. Abdul Moeloek in August - September 2019 with a sample of 172 recipes, consisting of 98 non-concoction recipes and 74 recipe concoctions. Based on the research that has been done, the results of waiting time for non-concoction prescription services in the Outpatient Installation of Dr. H. Abdul Moeloek is in accordance with the SPM at the Hospital with an average waiting time of 11 minutes. Waiting time for prescription concoction services in Dr. Outpatient Hospital Installation H. Abdul Moeloek is in accordance with the SPM at the Hospital with an average waiting time of 19.4 minutes. Keywords: Pharmaceutical services, waiting time, pharmaceutical service standards.

Pengkajian Administrasi Dan Farmasetis Resep Anak di Apotek G Madiun

<p class="abstract"><span lang="EN-AU">Prescription assessment is one of pharmaceutical service activities that aims reduce medication errors and improve patient safety. This study aims to see administration and pharmaceuticals completeness on children's prescriptions at Pharmacy G Madiun city. This research is observational descriptive, sample is childrens prescription who received at G pharmacy period juni-agustus 2019. In this study, prescriptions studied was 300 recipes. This research shows: completeness doctors name 100%, doctors address 100%, sign R/ 100%, drugs name 100%, drugs strength 100%, drugs amount 100%, drugs rule used 100%, signature or doctors initial 99,6%, doctors telephone number 99,3%, patients name 99%, prescriptions date 97%, doctors SIP 81,6%, patients age 62%, patients address 28,3%, patients weight 2,6%, patients height 0,67% and patients gender 0%. Based on pharmaceutical assessment showed suitability of dosage form and patients 100%, drugs stability 100%, how to drugs use 100%, prescription incompatibility 0%. </span></p>

ANALISIS PENGELOLAAN LOGISTIK OBAT DI INSTALASI FARMASI RS ELIM RANTEPAO TORAJA UTARA

ABSTRACT Drug logistics management is an application of management principles in logistics activities. The purpose of this study was to analyze the suitability of drug logistics management at the Pharmacy Installation of Elim Rantepao Hospital Toraja Utara against the Regulation of the Minister of Health No. 72 of 2016 on Hospital Pharmaceutical Service Standards. The method used in this research is descreptive qualitative. Data collection in this study was conducted by interview and observation. The results of this study prove drug vacancies often occur due to the distance between drug distributors, and well as inadequate pharmaceutical warehouse facilities. This study concluded that the management of drug logistics at IFRS Elim Rantepao Toraja Utara is not yet in accordance with Regulation of the Minister of Health No. 72 of 2016 on Hospital Pharmaceutical Service Standards. Keywords: Management, drug logistics, Pharmacy, Hospital ABSTRAK Manajemen logistik obat adalah suatu penerapan prinsip-prinsip manajemen adalam kegiatan logistik. Tujuan dari penelitian ini menganalisis kesesuaian manajemen logistik obat di Instalasi Farmasi RS Elim Rantepao Toraja Utara terhadap Peraturan Menteri Kesehatan Nomor 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian Rumah Sakit. Metode yang digunakan dalam penelitian ini adalah kualitatif deskreptif. Pengumpulan data pada penelitian ini dilakukan dengan cara wawancara dan observasi. Hasil penelitian ini membuktikan bahwa sering terjadi kekosongan obat disebabkan jarak distributor obat yang jauh, dan fasilitas gudang yang tidak memadahi. Penelitian ini menyimpulkan bahwa pengelolaan logistik obat di IFRS Elim Rantepao Toraja Utara belum sesuai dalam Peraturan Menteri Kesehatan Nomor 72 tahun 2016 tentang Standar Pelayanan Kefarmasian Rumah Sakit. Kata kunci: Manajemen, logistik obat, Farmasi, Rumah Sakit

MEDICAL AND PHARMACEUTICAL SERVICE PROVISION TO DERMATOLOGICAL PATIENTS FROM AMONG SUBSIDIZED BENEFICIARIES

The article is devoted to the research of medical and pharmaceutical services provided to the patients from among subsidized beneficiaries on the example of the State Autonomous Healthcare Institution «Republican Clinical Dermatological and Venereological Dispensary» (RCDVD), including patients with the diagnosis «common psoriasis» in the Republic of Tatarstan. Ensuring accessibility of pharmaceutical care for the patients at all stages of treatment is the most important task of the state and an important factor for social tension prevention.