KURNIA PURUHITA SARI

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6 patients/visit and pattern of diseases. Drug choosing was based on drug utilization in previous year and available stock in the warehouse. Drug choosing was based on DOEN and Jamkesmas formulary. Based on the result of in depth interview, the process of drug choosing was started with basics of drug need which consisted of: 1) Ways of drug choosing that were too many which was done by considering the drug distribution, which consisted of 2: fast moving and slow moving. 2) In avoiding and minimizing utilization, combination had not yet been able to be carried out since activities of clinical pharmacy and comittee of pharmacy and therapy had not been formed yet. 3) Considering ways of drug choosing that were too many, drug choosing could be based on drug of choice by reviewing patients’ Medical Record where DM and hypertension had the highest number of patients, so procurement should include drugs required for these diseases. b. Compilation of utilization This stage had been applied in the Installation of Pharmacy Datu Beru, which was conducted by the making of Jamkesmas drug expenditure report (Laporan Pengeluaran Obat, LPO) every month and recap was conducted annually. Utilization and distribution of drugs, all were conducted in the Installation of Pharmacy. c. Calculation of drug needs At this stage, of the drug budget sourced from Pemda used the consumption method in which the calculation was based on drug use in previous year. The Decree of Indonesian Ministry of Health and and JICA (2010) stated that the calculation of drug need according to consumption method was by using this formula (12x
7 average monthly utilization + safety stock (10-20%) + Lead time (waiting time) 3 months) – year-end ready stock. Result of calculation using consumption method showed that 11% of drug item had been in concordance with drug need in the year 2010. While 28% drug item was still lacking and 61% drug items were excessive as compared to drug need in the year 2010. From the result of in depth interview with Chief of Installation of Pharmacy, it was stated that approach for planning for drug need was done by consumption method. However, calculation above showed that drug need in Datu Beru district hospital in the year 2010 was not in concordance with the calculation result of consumption method. The purchase of drug need sourced from Jamkesmas claim is done by seeing the existing drug stock in the warehouse, if there is the drug which runs out, and then it is immediately ordered to PBF. This drug spending can be done more than one time in once year, accordance with the drug need in the hospital of RSUD Datu Beru. The benefit from drug purchase itself, if it is compared to the use of consumption method, it can minimize the occurrence of expired drug, the exceeded drug stock and empty stock of drug, it is caused by the drug spending is not used for the long term (1 year). d. Evaluation of planning Techniques/Methods of evaluation could be conducted as follows which was by conducting ABC value analysis for evaluation of economical aspects, consideration/criteria of VEN for evaluation of medical/therapetic aspects, combination of ABC and VEN, revision of list of pharmaceutical supply. At this stage, the Installation of Pharmacy Datu Beru had not yet been able to be applied due to the limited human resources no training had been conducted regarding
Page 1 and 2: EFFECT OF MANAGEMENT SUPPORT ON DRU
Page 3 and 4: SUMMARY Introduction Drug managemen
Page 5 and 6: 3 be applied in Pharmacy Installati
Page 7: 5 e. Policy Policy and regulations
Page 11 and 12: 9 policy about the guideline of usi
Page 13 and 14: 11 pharmaceutical supply, policy re
Page 15: 13 b. Routine filling of stock card

KURNIA PURUHITA SARI

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