Analisis Faktor-Faktor Yang Berkontribusi Terhadap Penurunan Beban Farmasi Di Bawah Dua Puluh Lima Persen di RSUP Dr Soeradji Tirtonegoro Klaten

Sholahuddin Rhatomy, Ir. Djarir Makfoeld, M.S.

2026 | Tesis | MAGISTER KEBIJAKAN DAN MANAJEMEN KESEHATAN

Penelitian ini menganalisis faktor-faktor yang berperan dalam mempertahankan beban farmasi di bawah 25% di RSUP Dr. Soeradji Tirtonegoro Klaten. Penelitian menggunakan mixed methods sequential exploratory, melalui wawancara mendalam terhadap 8 informan serta analisis data sekunder Januari–Desember 2025.

 

Hasil utama: rata-rata beban farmasi berhasil dipertahankan pada 22,14%. Model penelitian mampu menjelaskan 73,2% variasi beban farmasi. Terdapat lima faktor yang berpengaruh signifikan, yaitu intervensi farmasi klinis, inventory turnover, kepatuhan FORNAS, efisiensi pengadaan, LOS, dan proporsi pasien JKN. Faktor dengan pengaruh terbesar adalah intervensi farmasi klinis (? ?0,345), diikuti inventory turnover (? ?0,334). Kepatuhan FORNAS mencapai 98,82%, sedangkan efisiensi pengadaan mencapai Rp8,9 miliar (8,53%).

 Makna utama penelitian: keberhasilan menjaga beban farmasi <25>

 Penelitian menghasilkan model best practice tiga level: Strategic Drivers ? Operational Drivers ? Outcomes, yang dapat menjadi kerangka untuk direplikasi di rumah sakit lain.

This study analyzed the factors contributing to maintaining the pharmaceutical expenditure below 25% at Dr. Soeradji Tirtonegoro General Hospital, Klaten. A sequential exploratory mixed-methods design was employed, involving in-depth interviews with eight key informants and analysis of secondary data from January to December 2025.

 Key findings: The average pharmaceutical expenditure was successfully maintained at 22.14%. The research model explained 73.2% of the variation in pharmaceutical expenditure. Significant contributing factors included clinical pharmacy interventions, inventory turnover, compliance with the National Formulary (FORNAS), procurement efficiency, length of stay (LOS), and the proportion of JKN patients. Clinical pharmacy interventions had the strongest effect (? = ?0.345), followed by inventory turnover (? = ?0.334). FORNAS compliance reached 98.82%, while procurement efficiency amounted to IDR 8.9 billion (8.53%).

 The key implication of this study is that maintaining pharmaceutical expenditure below 25?nnot be achieved through a single intervention. Rather, it results from the synergy between technical and allocative efficiency. Strengthening clinical pharmacy services, optimizing inventory management, ensuring FORNAS compliance, and improving procurement efficiency were the main cost-containment factors. In contrast, longer LOS and a higher proportion of JKN patients tended to increase pharmaceutical expenditure.

 The study developed a three-level best-practice model: Strategic Drivers ? Operational Drivers ? Outcomes, which may serve as a framework for replication and adaptation in other hospitals.

Kata Kunci : Beban farmasi, efisiensi farmasi, efisiensi teknis, efisiensi alokatif, farmasi klinis, kepatuhan formularium, rumah sakit.