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Back-Referral Program (PRB) is one of several way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. PRB Pharmacy availability and drug unavailability in PRB pharmacy causes PRB for patient who need medication is not maximum yet. This study discusses about the performance of policy implementation related to drug availability of the PRB in the pharmacy room of the District Public Health Center and the PRB Pharmacy in Central Jakarta during quarter I, II and III of 2019 based on the regulation of the Minister of Health of the Republic Indonesia Number 99 Year 2015 concerning Health Services on National Health Insurance article 25. This study is a qualitative research with a descriptive approach using the method of in-depth interviews and document review. The criteria for the research informants were the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not Optimal which was influenced by policy standards and objectives, resources, comminication between organizations, the attitude of the implementers, the characteristics of the implementing organization and the economic, social and politics. Coordination, commitmen and evaluation of activities from the Ministry of Health, BPJS Health, Goverment Service Goods Procurement Policy Institute and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug
Penelitian dilatarbelakangi oleh kenyataan bahwa penyediaan jasa logistik farmasi relatif tinggi yang mencapai 60% anggaran rumah sakit, sehingga diperlukan tindakan efisiensi. Temuan di Instalasi Farmasi RSUD Ciawi menunjukkan perencanaan kebutuhan obat dan alat kesehatan yang tidak akurat sehingga mengakibatkan situasi yang disebut overstock dan out-of-stock.Penelitian dilakukan untuk melakukan analisis proses perencanaan kebutuhan obat dan alat kesehatan di Instalasi Farmasi RSUD Ciawi, Bogor. Penelitian ini merupakan studi kasus dengan pendekatan kualitatif. Data dan informasi mengenai proses perencanaan kebutuhan obat dan alat kesehatan diperoleh dengan cara in depth interview, data sekunder, dan perhitungan kuantitatif khusus untuk masalah yang terukur.Hasil penelititan menunjukkan bahwa perencanaan obat dan alat kesehatan dasar ruangan di Instalasi Farmasi RSUD Ciawi belum efektif dan efisien karena perencanaan obat dan alat kesehatan kebutuhan dasar ruangan tidak akurat yang disebabkan adanya hambatan yang terjadi pada SDM, organisasi, kebijakan, prosedur, laporan pemakaian obat dan alat kesehatan, penentuan perencanaan jumlah obat dan alat kesehatan dasar ruangan pada Instalasi Farmasi.Untuk meningkatkan akurasi perencanaan kebutuhan obat dan alat kesehatan dapat dilakukan upaya bimbingan atau pelatihan SDM yang membuat perencanaan kebutuhan logistik farmasi, menyusun kebijakan internal antara lain dengan standardisasi terapi dan formularium, menyusun dan menetapkan uraian tugas yang jelas, menyusun standar prosedur operasional tentang perencanaan kebutuhan obat dan alat kesehatan di ruangan dan instalasi, membuat usulan kebutuhan obat dan alat kesehatan yang secara rutin dan periodik harus disampaikan kepada Instalasi Farmasi. Selain itu, Instalasi Farmasi perlu membentuk sistem informasi sehingga tercipta koordinasi terutama dalam penyusunan perencanaan kebutuhan obat dan alat kesehatan dasar di ruangan dan instalasi.
Analysis of Basic Ward Needs Planning For Drugs and Medical Supplies of the Pharmacy Department, Ciawi General Hospital, Bogor This study was based on the facts that budget allocation for pharmacies logistic was relatively high, almost 60% of annual hospital budget; a situation that needed certain efficient efforts. Data of the Pharmacy Department at Ciawi General Hospital showed inaccurateness on drugs and medical supplies planning which was finally resulted an overstock and out-of stock situations. The study was conducted to analyze the process on drugs and medical supplies planning of the Pharmacy Department at Ciawi General Hospital, Bogor.This is a case study with qualitative approach. Information and data on drugs and medical supplies planning were collected by in-depth interviews, secondary data, and quantitative analysis specifically for several measured issues.This study showed that basic wards planning for drugs and medical supplies in the Pharmacy Department at Ciawi General Hospital had not been ran effectively and efficiently because of lack of good human resources, organizational issues, regulations, procedures, drugs and medical supplies inventory reports, drugs and medical supplies planning for basic inventory wards supply.Several efforts could be used to increase the accurateness on drugs and medical supplies, i.e. training for the employee who ran the pharmacy logistics planning, internal regulations such as standardization on medical pharmacy and formularium, a finned job description, a good standard operating procedure of drugs and medical supplies needed in all wards and installations, propose a basic drugs and medical supplies for wards and installations which has to be routinely and periodically reported to the Pharmacy Department. Besides, the Pharmacy Department itself should make an information system network to provide a good coordination mostly on drugs and medical supplies planning in the wards and installations.