Analisis Antrian Pelayanan Obat Non Racikan di Instalasi Farmasi Rawat Jalan

ABSTRACTDuring 2013 until 2014, pharmacy outpatient services had not reached indicator of the standard minimum service. The average time of respons time was over the standard minimum service. It caused complain from patient, in 2014 the highest complain was 83% about time services. The objective of this research was to find better model queueing system to decrease the waiting time. This study is a quantitative descriptive study with cross sectional design and observational method. The sample calculated by proportional random sampling formula, with 74 prescription and collected by accidental random sampling in peak time. Primary data was obtained by observation and secondary data was collected from documentations in pharmacy outpatients service. The highest service time occured in drugs preparation process with 3.71 minutes and the highest waiting time occured in last checking drugs process. The highest utilization rate occurred in drugs preparation process with 256% and after simulation became 73% with increased service rate in 81%. The lowest utilization rate occurred in giving drugs process was 19%. The conclusion from this study was the drugs preparation process had high workload and caused queueing. A suggestion from this research was to add workload for giving drugs process to help drugs preparation process. Keywords: outpatient pharmacy, queueing system, simulatio

Rekomendasi Peningkatan Pemanfaatan Posyandu Oleh Ibu Balita Berdasarkan Analisis Total Customer Sacrifices

ABSTRACT                The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children                    weighe

Hubungan Karakteristik Individu terhadap Penilaian Kualitas Produk Apotek Rawat Jalan

ABSTRACTPharmacy services in hospitals need special attention to achieve effectiveness and efficiency of quality dimensions. Achievement of customer satisfaction figures in Dr. Moewardi Pharmacy Hospital Surakarta didn't meet hospital standards that set in the amount of ≥ 80% over the years 2013 to 2014, especially in the outpatient pharmacy. The purpose of this research is to study the relationship between the individual factors of patient (age, sex, educational level, employment status, income level) to product quality assessment in an outpatient pharmacy. This research is an observational analytic with cross sectional study design. Data was collected by interview using a questionnaire. Analyzed using univariate and bivariate analysis. The Results of the analysis of the factor that were significantly associated with the assessment of product quality are age and employment status. The majority of respondents give high scores for product quality assessment. Individual patient factors associated with product quality assessment in outpatient pharmacies are age and employment status. Need to maintain the quality of existing products, and specifically to the dimensions of the product's features need to increase in order to better product quality.Keywords: pharmacy services, individual factors, products qualit

Penilaian Puskesmas dan Rumah Sakit Tentang Efektivitas Sistem Rujukan Maternal di Kota Surabaya

ABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health cente

Analisis Pengelolaan Obat Sebagai Dasar Pengendalian Safety Stock pada Stagnant dan Stockout Obat

oai:e-journal.unair.ac.id:article/1483ABSTRACT Stagnant and stockout of drug  are the effects from  the drug logistic management. In average of 52.43% stagnant and 19.08% stockout from 118 types of drugs in Primary Health Care from January to December 2014. This research aimed to analyzed drug management and the safety stock control of stagnant and stockout in Primary Health Care.This was quantitative research with descriptive method. Primary data was obtained by interview and observation. Secondary data obtained from LPLPO and drug planning data, it can be calculated for drug’s planning and safety stock required. Planning and procurement of drugs proposed for 2014 only has the suitability of 16,03% with the use of drugs by 2014. Receipt of drugs have a large enough discrepancy that is 76,93% of the demand for drugs in Primary Health Care. Distribution of drugs is less well with only 50% according to the procedure. Monitoring and control of the drugs have a quite well with 60% according to the procedure. While, no safety stock calculations at the Primary Health planning proposals in 2014. Process of drug management at Primary Health Care is not good enough. It needs improvements in systems planning, procurement, receipt, distribution, monitoring and control of drugs.  Keywords: drug management, safety stock control, primary health car

Kesesuaianbenefit Package yang Diterima oleh Pesertaasuransi di Pusat Layanan Kesehatan Universitas Airlangga

ABSTRACTBenefit package provided for policyholderis expected to be in accordance with policyholder’s expectations. This research aimed to evaluate the conformity of the benefit package received by policyholder in Airlangga Health Care Center.This was descriptive study with cross sectional design. Data analysis quantitative with observational data.The population was all employees of Airlangga Health Care Center. The results of this study show that the total cost of health care in the PLK-UA in 2009 amounted to IDR 1.232.974.580, while the income was IDR 1.309.680.000. Based on the result, the calculation shows that the benefit package received by policyholders is worth the premium paid in the amount of IDR 60.000 per year.These conclutionis the implementation managed care insurance system that provides maximum service to policyholders by means of giving back the premium thathas been paid by the policyholders in the form of benefit package or development of facilities and infrastructure. However,revised service package provided by Airlangga Health Care Centershould be reconsidered in order to meet the expectations of policyholders.Keywords:benefit package, health insurancepremium, policyholder