scholarly journals EVALUASI PELAKSANAAN STANDAR PELAYANAN MINIMAL (SPM) FARMASI KATEGORI LAMA WAKTU TUNGGU PELAYANAN RESEP PASIEN RAWAT JALAN DI RUMAH SAKIT ADVENT MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 318
Author(s):  
Esron Eliazar Toreh ◽  
Widya A Lolo ◽  
Olvie S. Datu

ABSTRACTThe practice of pharmaceutical services was an integrated activity with the aim of identifying, preventing and resolving drug-related problems and health related problems. The need to evaluated the waiting time for prescription services in pharmaceutical installations was to found out the weaknesses that can prolong prescription services, so that improvements can be made immediately in order to improved the quality of pharmaceutical services. The aim of this study was to evaluated the length of waiting time for non-concoction drugs and concoction drugs at the Advent Hospital Manado pharmacy installation in October 2019 - January 2020. This research was a non-experimental descriptive study used quantitative and qualitative methods. Sampling was carried out by the nonprobability sampling method. Quantitatively data was taken by direct observation while implementing prescription service at hospital pharmacy installations and qualitatively data was taken by structured interviews to pharmacists in charge and pharmacy staff at outpatient hospital pharmacy installations. The results showed that the average for non-concoction drug prescription service was 20 minutes 29 seconds and for concoction drug prescription service was 26 minutes 26 seconds. The conclusion that the Advent Hospital Manado has met the standards set by the Ministry of Health of the Republic of Indonesia. Keywords: Waiting Time Prescription, Drug Prescription Service, Pharmacy Installation. ABSTRAK Praktek pelayanan kefarmasian merupakan kegiatan yang terpadu dengan tujuan untuk mengidentifikasi, mencegah dan menyelesaikan masalah terkait obat dan masalah yang berhubungan dengan kesehatan. Perlunya dilakukan evaluasi terhadap waktu tunggu pelayanan resep di instalasi farmasi adalah untuk mengetahui kelemahan-kelemahan yang dapat memperlama pelayanan resep, sehingga dapat segera dilakukan perbaikan dalam rangka meningkatkan kualitas pelayanan kefarmasian. Penelitian ini bertujuan untuk mengetahui lama waktu tunggu pelayanan resep obat jadi dan obat racikan di Instalasi Farmasi Rumah Sakit Advent Manado pada bulan Oktober 2019 – Januari 2020. Penelitian ini merupakan penelitian deskriptif non eksperimental dengan menggunakan metode kuantitatif dan kualitatif. Pengambilan sampel dilaksanakan dengan metode non-probability sampling. Data yang diambil secara kuantitatif adalah dengan pengamatan langsung saat pelaksanaan pelayanan resep obat di Instalasi Farmasi Rumah Sakit dan data yang diambil secara kualitatif adalah dengan wawancara terstruktur kepada apoteker penanggung jawab dan tenaga kefarmasian di Instalasi Farmasi Rumah Sakit rawat jalan. Hasil penelitian menunjukkan bahwa rata-rata untuk pelayanan resep obat jadi 20 menit 29 detik dan rata-rata pelayanan resep obat racikan 26 menit 26 detik. Kesimpulannya bahwa Rumah Sakit Advent Manado telah memenuhi standar yang telah ditetapkan oleh Departemen Kesehatan Republik Indonesia. Kata Kunci: Waktu Tunggu Resep, Pelayanan Resep Obat, Instalasi Farmasi.

2021 ◽  
Vol 9 (2) ◽  
pp. 109-116
Author(s):  
Subur Widodo ◽  
◽  
Masyuri Yusuf ◽  
M. Desirwan Dinata

Abstract 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.


2021 ◽  
Vol 3 (2) ◽  
pp. 54-61
Author(s):  
Muhammad Yunus ◽  
Wiryanto ◽  
Yuandani

The pharmacy installation is one of the units in the hospital that provides. service products and services in the form of prescription services. Prescription service asthe front line of pharmacy services to patients must be managed properly becausethe quality of pharmaceutical prescription service which is generally associated with the speed ingiving service. This research is a descriptive type of research with prospective data collection from March-June 2019 to evaluate the waiting time for outpatient prescription services at the Hospital Pharmacy Installation of the Universitas Sumatera Utara. The data taken were 357 outpatient prescriptions.The results of this study indicate the total average length of time waiting for outpatients for the provision of non-fake drugs at the Pharmacy Installation of Outpatients at the University of Sumatera Utara Hospital at 09.00 - 11.00 is 29.10 minutes, at 11.00 - 13.00 is 34.44. minutes and at 13.00 - finished 42.60 minutes. The average length of waiting time for outpatients for the provision of compound drugs at the Outpatient Pharmacy Installation of the University of Sumatera Utara Hospital at 09.00 - 11.00 is 51.67 minutes, 11.00 - 13.00 hours is 62.27 minutes and at 13.00 - completion was 65.71 minutes. The waiting time for prescription services is ≤ 60 minutes.Based on the results of research conducted at the Outpatient Pharmacy Installation at the University of Sumatera Utara Hospital, non-concocted prescription drugs meet the requirements if the service time speed is ≤ 30 minutes and the concocted drug prescription fulfills the requirements if the service time speed is ≤ 60 minutes.


2019 ◽  
Author(s):  
Turid Kristin Bigum Sundar ◽  
Kirsti Riiser ◽  
Milada Småstuen ◽  
Randi Opheim ◽  
Knut Løndal ◽  
...  

Abstract BackgroundOverweight and obesity are public concerns with risk of adverse health outcomes. Health-related quality of life (HRQoL) is lower in adolescents than children in general. An increase in body mass index (BMI) is associated with a decrease in HRQoL. The purpose of this study was to measure and explore the HRQoL among adolescents with overweight or obesity who had participated in an intervention study with the aim of increasing PA, reducing BMI and promoting HRQoL.Methods Mixed methods, with a convergent design, were used to investigate how different methodological approaches could expand our understanding of the adolescents’ HRQoL. Quantitative post-intervention data on HRQoL were collected among the 84 intervention participants, aged 13–14 years, using the KIDSCREEN 52 questionnaire. The data were compared with a Norwegian reference population of 244 individuals, and analysed using a non-parametric Mann-Whitney test. Qualitative semi-structured interviews were conducted with 21 adolescents from the intervention. A directed approach to content analysis was adopted, using the ten sub-scales from KIDSCREEN 52.ResultsHRQoL in the intervention sample was significantly reduced on the sub-scale of physical well-being compared to the reference population. The reference population scored significantly lower than the intervention sample on the sub-scale of parent relation and home life. No significant differences were found on the other sub-scales. The qualitative data supported the quantitative findings on the sub-scale of physical well-being, but showed that perceptions of fitness, energy level or health could vary. Regarding parent relations, the interviewees extended this to include relationships to other family members as equally important. Most of the interviewees expressed a negative view of their bodies, but not their clothing or accessories. This may explain why no statistically significant differences were found on these aspects in the results from the KIDSCREEN questionnaire. ConclusionThe use of the KIDSCREEN 52 instrument gave important indications about the adolescents’ HRQoL. Combining methods enabled a comprehensive approach to research on HRQoL, indicating better ways of providing help. More research using the benefits of mixed methods approaches is needed to further elucidate these findings.


2018 ◽  
Vol 24 (2) ◽  
pp. 55-66
Author(s):  
Martin Raffaele

This study explored family relationship dynamics of men with Adult Onset Epileptic Seizures (AOES) following an elective lobectomy procedure to address their frequent seizure activity. Informants were five Australian men with history of adult-onset epilepsy for which they received neurosurgery (aged 34–59 years). Thematic analysis following semi-structured interviews yielded three themes: role marginalization, role dependency and role enmeshment. All the men reported significant role marginalization in not being consulted about everyday life activities. They also reported to experience decisional role shifting towards their spouses or partners and children post-surgery. Their family role enmeshment experiences included being perceived by spouses or partners as adult–children and by their children as a parent–child. However, some of the men were accepting of these role definitions and to add rather than take away from their health-related quality of life.


2020 ◽  
Author(s):  
Monirsadat nematollahi ◽  
Roghayeh Mehdi pour Rabori ◽  
Fatemeh Keshavarz ◽  
behnaz bagherian

Abstract Background: parents of children with epilepsy face health-related problems of their children. Coping strategies of parents, major caregivers, affect not only their stresses but also the children's quality of life. This study investigated the coping strategies of parents of children with epilepsy at two educational hospitals affiliated with Kerman University of Medical Sciences in Iran. Method: twenty parents (15 mothers and 5 fathers), and three nurses were selected using the purposive sampling method. Data were collected using qualitative semi-structured interviews and analyzed using the method suggested by Corbin and Strauss version 2008. The Interviews were conducted until thematic saturation was achieved. Results: the coping process had five phases: disbelief, patience, change to preserve, acceptance of the current situation, and self- empowerment.In summary, the parents of children with epilepsy had a five-phase coping strategy. The core category was "continued efforts of parents to restore calm."Conclusion: properly assessing the stresses of parents of children with epilepsy and their coping strategies may help medical staff and social workers provide more targeted support and balance the family function.


2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Mrs. Rohini. T ◽  
Dr. Punitha. V. Ezhilarasu

There is growing recognition of Health-Related Quality of Life (HRQOL) issues in End Stage Renal Disease (ESRD) patients undergoing Hemodialysis (HD). The aim of the present study was to explore the lived experience of Quality of Life (QOL) among patients undergoing Hemodialysis. The study involved a qualitative approach that used an interpretive hermeneutic phenomenology based on Van Manen’s method. The sample included seven patients undergoing Hemodialysis in two selected hospitals at Ernakulam district in Kerala. They were recruited by purposive sampling. Data were collected using semi-structured interviews. The thematic analysis followed the six steps delineated by Max Van Manen and four themes emerged. They were crestfallen life (3 sub themes; hard pressed life, deserted life and abounding losses); support and comfort; accompanying death and unfulfilled wishes. The findings shed light on the lived experience of QOL that has not yet been researched in an Indian scenario. The generated knowledge can be used by health professionals including nurses to help patients undergoing HD lead a life with better quality of life.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Eunji Kwon ◽  
Jeongok Park ◽  
Sue Kim ◽  
Kyung Hee Lee

Abstract Background Health-related quality of life (HRQOL) is an important concept to consider both individuals' ability to manage their daily lives and health status across the lifespan. Despite this variable's importance, there is a lack of clarification on the factors associated with HRQOL, especially for military women. The aim of this study was to examine factors associated with HRQOL of military women in the Republic of Korea (ROK) Army. Methods This cross-sectional study included 196 participants who were currently within their 5-year service period. HRQOL was measured by the Korean version of the Short-Form 36 Health Survey Questionnaire version 2.0 (SF-36v2), and depression was assessed using the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Differences in HRQOL according to general and occupational factors were analyzed using the independent t-test and analysis of variance (ANOVA). Multiple linear regression analysis was performed to identify factors associated with the HRQOL of women serving as military junior officers. Results The mean score for the physical component summary (PCS) of SF-36v2 was 56.0 ± 5.8, and that for the mental component summary (MCS) of SF-36v2 was 47.2 ± 10.0. For depression, the mean score was 5.4 ± 5.2, whereas 19.4% of the participants scored more than 10 out of 27 points, which means moderate to severe. No variables showed statistically significant relationships with the PCS. However, military women showed a lower score for MCS when they were officers (adjusted β = − 3.52; 95% CI = − 5.47, − 1.58), had higher perceived stress (adjusted β = − 0.62, 95% CI = − 0.83, − 0.41), and a higher score for depression (adjusted β = − 0.86, 95% CI = − 1.10, − 0.63). Conclusions Although depression levels were not severe, it was a significant factor of HRQOL. Stress and depression were found to be significant factors associated with the MCS in military women. Therefore, to improve their HRQOL, the ROK Army should provide early screening, intervention, and management program for high-risk military women. In addition, an appropriate organizational atmosphere within the military must be created to promote such programs.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 690-691
Author(s):  
Jennifer McElfresh ◽  
Terry Badger ◽  
Chris Segrin ◽  
Cynthia Thomson

Abstract Providing care to an aging society in the new normal requires increased attention to the informal caregivers who support the health and well-being of older adults with chronic conditions. Hispanic caregivers carry a high caregiver-associated burden. Health disparities experienced by Hispanics, coupled with the emotional, social and physical demands of caregiving, may set an unprecedented risk for lower health-related quality of life (HRQoL). In a quantitative analysis, we investigated the relationship between spirituality, loneliness and HRQoL in Hispanic cancer caregivers using baseline data from the Support for Latinas with Breast Cancer study (N= 234 Hispanic caregivers). Findings suggested an indirect effect of spirituality on HRQoL through reduced loneliness among more spiritual caregivers, effects that were independent of age. The second study was conducted using qualitative semi-structured interviews (N= 10) with Hispanic caregivers. Interviews evaluated spirituality and HRQoL in Hispanic cancer caregivers who reported variable levels of loneliness. Five themes emerged: caregiver experience, coping strategies, loneliness, religion to gain strength or support, and spirituality to gain strength or support. Results supported the role of spirituality in promoting higher HRQoL in Hispanic cancer caregivers and elucidated pathways to intervene on HRQoL through spirituality. With Hispanics often underutilizing formal services, having an improved understanding of caregiving experiences, particularly related to spirituality, will support the development of culturally-relevant strategies and programming to promote HRQoL for Hispanic caregivers.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Simon Deslauriers ◽  
Jean-Sébastien Roy ◽  
Sasha Bernatsky ◽  
Debbie E. Feldman ◽  
Anne Marie Pinard ◽  
...  

Abstract Background Access to multidisciplinary pain treatment facilities (MPTF) is limited by extensive waiting time in many countries. However, there is a lack of knowledge about the impact of waiting time on clinical outcomes, particularly for patients with rheumatic conditions. This study examined the association between waiting time for MPTF and clinical outcomes in patients with rheumatic conditions. Methods Data were extracted from the Quebec Pain Registry, a large database of patients who received services in MPTF. The associations between waiting time (classified as < 2 months, 2–6 months and >  6 months) and change in pain interference, pain intensity and health-related quality of life, from the initial visit at the MPTF to the 6-month follow-up, were tested using generalized estimating equations. Results A total of 3230 patients with rheumatic conditions (mean age: 55.8 ± 14.0 years; 66% were women) were included in the analysis. Small significant differences in improvement between waiting time groups were revealed, with patients waiting less than 2 months having a larger improvement in all clinical outcomes compared to patients who waited 2–6 months or over 6 months before their initial visit (adjusted time X group effect p ≤ 0.001). Only patients waiting less than 2 months reached a clinically important improvement in pain interference (1.12/10), pain intensity (1.3/10) and physical and mental quality of life (3.9 and 3.7/100). Conclusions Longer delays experienced by patients before receiving services in MPTF were associated with statistically significant smaller improvements in pain interference, pain intensity and health-related quality of life; these differences were, however, not clinically significant. Based on these results, we advise that strategies are developed not only to reduce waiting times and mitigate their impacts on patients with rheumatic conditions, but also to improve treatment effectiveness in MPTF.


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