Abstract
The availability of medicine is important during National Social Healthy Insurance (JKN ) that put into effect in the hospital, one of health service facility. The purpose of this study was to look of the availability of medicines was during JKN era and what factors influence the availability in three Region General Hospitals in Sulawesi. This study was conducted using descriptive method of analytic to get a correlation among doctors, pharmacists and patients as independent variables toward the availability of medicine as dependent variable. The study has been performed in 3 hospitals in Sulawesi. This data obtained were analyzed using statistical model of Linier Regression Analysis with F test or ANOVA test and t test. R was the value of regression which showed the influence of one to another variable. The results showed the level of medicine availability in hospital A was 12.49 months. Factors that influence the availability of medicines were doctors (R=0.778, p = 0.000), pharmacists ( R =0.619, p= 0.000) and patients ( R= 0.653, p= 0.000). All there factor significantly affect the availability of medicines in Hospital A ( R =0.675, p =0.000). Hospital B had an excess supply of medicines, with the average of 23.31 month. Factors that influenced the availability of medicines in Hospital B was doctor ( R =0.877), pharmacist ( R =0.861) and patient ( R =0.984) (p=0.000 all). From multiple regression there factors showed a significant correlation to the availability of medicines ( R =0.901, p=0.000). Similarity on Hospital A and B, data of the availability of medicine in hospital C was categorized excess as the average of stock was 56.01 month. Factors that influenced the availability of medicines in Hospital C was doctor ( R =0.753, p = 0.000), pharmacist ( R =0.869, p = 0.000) and patient ( R =0.545, p =0.001).
Highlights
National Social Healthy Insurance (JKN) was one of social security conducted by Healthcare and Social Security Agency (BPJS) and implemented nationally started from January 2014
The purpose of this research was to understand doctor factor, pharmacist factor and patient factor that influence toward the availability of medicines in the JKN era along with level of availability of medicines in each hospital
On the correlation table we are able to get p value of 0.000, so that it was smaller than level of mistake of 0.05 so that it can be assumed that doctor factor has significant influence toward the availability of medicines in hospital C
Summary
National Social Healthy Insurance (JKN) was one of social security conducted by Healthcare and Social Security Agency (BPJS) and implemented nationally started from January 2014. What is given by this JKN program is provision of medicine at the time people suffer from chronic illnesses such as heart disease or cancer, and including preventing of illnesses, such as immunity and healthy check. During the implementation of JKN program, there were some problems complained by the patients in order to the service given, such as less of quality of services, insufficient of the health staff along with the medicines that patients need was not available. During the implement-tation, JKN often gets problems with the availability of medicines in the hospitals Among those factors are patient, doctor and pharmacist factors who are responsible to manage medicines in the hospital. The purpose of this research was to understand doctor factor, pharmacist factor and patient factor that influence toward the availability of medicines in the JKN era along with level of availability of medicines in each hospital
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