Evaluation of E-Catalogue Drug Procurement with E-Purchasing and Non-E-Purchasing Methods at RSUD Dekai, Yahukimo Regency, Papua Pegunungan Province, Year 2022

Abstract

Background: In the healthcare service system in the era of health insurance coverage (JKN), the government implemented the drug procurement process based on an electronic catalogue (E-Catalogue) through e-purchasing and non-purchasing methods. The implementation of this system will affect the efficiency of procurement and availability of drugs, which can be assessed through the perception of pharmacists and the implementation of procurement. This study aims to evaluate human resources, budget, regulations, facilities and infrastructure; drug needs planning, drug ordering, contract agreements, delivery or distribution, and the level of drug availability after the implementation of drug procurement with e-purchasing and non-purchasing methods. Methods: This study was conducted at Dekai Regional General Hospital (RSUD), Yahukimo Regency, from January to February 2023. A qualitative case study was conducted by interviewing five informants as respondents. The informant selection was performed using purposive sampling. The data were analyzed using interactive analysis through data collection and conclusion drawing. Result: The results of this study show that human resources in terms of quantity are still insufficient, the budget is sufficient, but there is still unused funding, the regulations regarding e-purchasing procurement have been understood and implemented, and the facilities and infrastructure regarding internet networks are unstable. Drug needs planning using consumption methods and does not have an Integrated Drug Planning Team, drug ordering takes a long time to be respondent to by suppliers, drug distribution takes a long time from suppliers and the expiration dates do not match the contract, resulting in a shortage of certain drugs at RSUD Dekai. The availability of drugs is not in accordance with the indicators set by the Directorate General of Pharmacy and Medical Devices. In response to this condition, the Yahukimo Regency Government, represented by the Head of RSUD Dekai, decided to use the non-purchasing method for E-Catalogue drug procurement. Conclusion: In conclusion, the study reveals several challenges and issues in the implementation of drug procurement using e-purchasing and non-e-purchasing methods at RSUD Dekai, Yahukimo Regency. This includes a shortage of human resources, unused funding in the budget, unstable facilities and infrastructure, suboptimal drug needs planning, delays in drug ordering and distribution, a shortage of certain drugs, and insufficient drug availability. Keywords: Evaluation of drug procurement, e-catalogue, e-purchasing, non-e-purchasing