EVALUASI DISTRIBUSI DAN PENGGUNAAN OBAT ASKES DI INSTALASI FARMASI RSUD KOTA BAU-BAU SULAWESI TENGGARA

Mirnawati Zalili Sailan, Prof. Dr. Marchaban, DESS., Apt.

2014 | Tesis | S2 Mag.Manaj.Farmasi

Pengelolaan obat di rumah sakit harus mendapat perhatian khusus dari manajemen rumah sakit untuk itu perlu dikelola secara efektif dan efisien. Tujuan dari penelitian ini adalah mengevaluasi pengelolaan obat pada tahap distribusi yaitu penyimpanan dan pendistribusian dan tahap penggunaan dari siklus pengelolaan obat khususnya pelayanan obat Askes dalam hal mempersiapkan rumah sakit menghadapi diterapkannya SJSN 2014. Penelitian ini merupakan penelitian deskriptif. Pengumpulan data dilakukan dengan teknik observasi, wawancara, kuesioner, dan dokumentasi. Data yang terkumpul kemudian dikelompokkan ke dalam data primer dan data sekunder, dan diolah dengan menggunakan analisis persentase. Hasil analisis data dibandingkan dengan standar WHO dan Pudjaningsih (1996). Hasil penelitian adalah 1. Tahap distribusi obat, (a) persentase kecocokan obat dengan kartu stok 92,63%, (b) Nilai Turn Over Ratio yaitu 4,8 kali (c) system penataan di gudang menggunakan kombinasi FEFO dan FIFO, (d) Persentase obat yang kadaluarsa 0% (e) rata-rata pelayanan resep obat non racikan 13,75 menit dan racikan 28,39 menit, (f) persentase obat yang diserahkan rawat jalan 98,67% dan rawat inap 91,43%. 2. Tahap penggunaan obat, (a) jumlah item perlembar resep rawat jalan 3,4 resep dan rawat inap 3,5 resep, (b) persentase obat dengan antibiotik rawat jalan 26,58% dan rawat inap 25%, (c) peresepan sediaan injeksi rawat inap 45%, (d) persentase obat yang diresepkan dengan DPOH rawat jalan 94,35% dan rawat inap 92,85%, (e) persentase obat yang dilabeli dengan benar yaitu 0%, (f) persentase pasien yang paham cara penggunaan obat yang benar sekitar 60% -70%

The medicine using at the hospital needs serious attention from hospital management in order it can be used effectively and effeciently. This study aims at giving description and evaluating the medicine using at the distribution phase covering saving and distribution, and the using phase from medical management circle. This study focused on services of health insurance medicine in terms of presenting hospital to face the implementation of SJSN 2014. Since this study used descrptive method, data collection was done by using observation technique, interview, questionnaire, and documentation. The collected data then grouped in both primary and secondary data, and analyzed by using percentage analysis. The result of data analysis was compared with WHO standard and Pudjaningsih’s study (1996). The result of this study were (1) medicine distribution phase shows (a) the percentage of medicine agreement with stock card is 92.65%, (b) the value of Turn Over Ratio is 4.8 times, (d) percentage of expired drug was 0% (e) average service time for non compounding drug prescription and compounding drug prescription were 13.75 minutes and 28.39 minutes, respectively (f) Percentage of served prescribe for outpatient 98.67% and inpatient 91.43%. (2) the phase of medicine using shows that (a) the number of drug items per prescription for outpatient 3.4 item and inpatient 3.5 item (b) the percentage of encounters with an antibiotic prescribed for outpatient 26.58% and inpatient 25% (c) the percentage of encounters with an injection prescribed was 45% (d) the percentage of prescription relevance with the list for outpatient 94.35% and inpatient 92.85% (e) the percentage of drugs adequately labeled was 0% (f) the percentage of patient’s knowledge of correct dosage was 60% - 70% and the patient ability in retelling information from the aphetic employee is 40%.

Kata Kunci : Pengelolaan obat, Obat Askes, Instalasi Farmasi, Distribusi, Penggunaan