Background: Drug management information systems can serve as tools for decision-making. The effectiveness of such a system can be assessed through evaluation. One of the evaluation methods used is the PIECES method.Objectives: This research aims to evaluate and develop a drug management information system using the PIECES method.Methods: The research conducted was a qualitative descriptive study with inductive analysis. Sampling for this research was conducted purposive sampling. System development in this study utilized the prototype method, with interviews conducted for Management Information System (MIS) evaluation using the PIECES Framework. The design of the MIS system was created using Data Flow Diagrams and Entity Relationship Diagrams. The designed MIS system development was evaluated using the same method. Data processing in qualitative research consists of valid, clear, and accountable word descriptions, sentences, or narratives provided by the researchers, followed by data validation using triangulation techniques and Nvivo 12 Plus software.Results: Evaluation results using the PIECES Framework indicate that the implemented MIS system benefits and aids staff performance in daily drug dispensing. However, there are still manual tasks and lacking features such as distribution, drug expiration warnings, and minimum stock on the dashboard. The proposed design for MIS system development includes several features such as stock in, stock out, and distribution, complemented with drug expiration warnings, minimum stock alerts on the dashboard, and reports for each feature.Conclusion: Implementing the proposed MIS system design can assist and streamline work processes by providing comprehensive information, thus serving as a decision-making tool.

Background: Spontaneous Adverse Drug Reactions (ADRs) reporting is a key to improving the post-marketing safety of medicines. The important factor of under-reporting is lack of awareness for the purpose of ADRs monitoring and reporting. Spontaneous reporting is performed by the patients or consumer to the healthcare professionals and/or industry, then the healthcare facilities and industry should report the suspected ADRs to the National Agency of Drugs and Food Control (NADFC). To date, there is a lack information and study about attitudes on ADRs reporting by healthcare professionals (HCPs), especially in primary healthcare settings.Objectives: The aim of this study was to identify the attitudes towards ADRs reporting by healthcare professionals (HCP).Methods: This research was survey study with cross-sectional design, from November 2022-March 2023. The questionnaire, that have been validated and reliable, was distributed to 3 primary healthcare facilities. demographic data questions (6 items), experiences (3 items), knowledge (4 items), and motives for reporting (1 item).Results: Total 39 HCPs completed the survey, including 14 nurses, 9 midwifes, 3 general physicians, 3 pharmacists, and 10 other professions. Most of respondents were women (84.6%), and mostly the HCPs have been working for ≥5 years (74.3%). Among 39 respondents, only 1 pharmacist have a good attitude about ADRs reporting. The other HCPs had a lack of knowledge and safety awareness. The dominant motives for reporting the ADRs was serious or severe ADRs (39.4%) and the assurance of causality assessment by suspected drugs (15.4%).Conclusion: In conclusion, the HCPs in primary healthcare settings had poor attitudes towards ADRs reporting.

Background: Tuberculosis (TB) remains a health problem in Indonesia. Currently, the number of new TB cases in Indonesia ranks second after India. Patient compliance in using antituberculosis drugs is critical in achieving successful treatment outcomes, prevent further spread of the bacteria that cause TB and the development of drug resistance. Adherence to taking medication can be influenced by various factors, one of which is the level of knowledge.Objectives: This study was aimed to determine the relationship between the level of knowledge about TB and medication adherence of TB patients at the Jakarta Islamic Hospital Pondok Kopi.Methods: This study was conducted from May to June 2022 with a cross sectional design.  The inclusion criteria in this study were TB patients who were over 18 years old, willing to become respondents, and had used antituberculosis drugs for at least one month. The level of knowledge about TB was assessed using a questionnaire and medication adherence was assessed using the MARS-5 questionnaire.Results: The number of respondents in this study was 83 patients. Most patients were male (57.83%), less than 60 years old (83.13%), and had a high school education (53.01%). The results showed that most patients (73.47%) had a good level of knowledge and were compliant with taking medication (77.11%). The level of patient knowledge about TB has a significantly moderate and positive correlation with the level of adherence in taking medication (p 0.001; r 0.517).Conclusion: increasing patients’ knowledge about TB can lead to better patients’ adherence, which may lead to better treatment outcome.

Background: Pharmacy personnel should provide pharmaceutical care concerning the applicable standards. Furthermore, pharmacy management must consider patient satisfaction to ensure business continuity. Patient subjective factors strongly influence satisfaction. Meanwhile, patient perceptions of pharmaceutical services will change as their experience increases. The pharmacy must improve its services effectively and efficiently. Factors that affect patient satisfaction can assist pharmacies in improving service quality. Effective communication does not require additional resources to improve service quality. The same information can have different effects when presented in different ways.Objectives: Predict the domain of effective communication that influences patient satisfaction.Methods: The cross-sectional survey using a valid and reliable questionnaire was conducted in Denpasar. The research involved 100 pharmacy consumers and was taken with a convenience sampling technique. Data were analyzed descriptively, followed by a Chi-square test and multivariate analysis using logistic regression. The research involved four independent variables: pharmacy atmosphere, pharmacist performance, pharmaceutical technical competence, and interpersonal communication competence. Patient satisfaction is the dependent variable in this study. Results: Communication factors generally affect patient satisfaction in providing drug information. Among all the independent variables tested, interpersonal communication competence plays a significant role in predicting patient satisfaction with a p-value of 0.043 (Logistic regression with 95% confidence level).Conclusion: Patients who perceive pharmacists as having good interpersonal communication competence are 3,133 times more likely to be satisfied. Thus, pharmaceutical staff must train interpersonal communication skills to provide drug information to achieve patient satisfaction outcomes in pharmaceutical services.

Background: Various choices of topical analgesic to treat musculoskeletal disorders are available on the marketObjectives: This study aims to determine the influence of psychological, cultural, social, and personal factors on purchasing decisions for topical analgesic drugs among consumers who need medication for musculoskeletal disordersMethods: This is cross-sectional quantitative research with an inferential statistics analysis approach. A convenience sampling technique was used to collect data during January 2023 using a questionnaire that was distributed online with a Likert scale via Google Form. A total of 318 respondents from 30 provinces in Indonesia who purchased topical analgesic drugs with complaints of musculoskeletal disorders and aged 18-60 years participated in this study. The data was analyzed using multiple linear regression to determine the relationship of psychological, cultural, social, and personal factors associated with purchasing decisionsResults: The study showed that the majority of respondents were male (50.6%), domiciled in Central Java (20.1%), aged 21-25 years (29.9%), worked as private employees (37.1%) with a working duration of 6-8 hours (59.4%), and had an income of IDR 2,500,000-3,499,000/month (40.6%). The product most frequently purchased was the cream dosage form (60.1%), with locations in pharmacies (74.5%). The results of partial and simultaneous hypothesis testing show that psychological, cultural, social, and personal factors have a significant positive influence (p < 0.05) on the decision to purchase topical analgesic drugs among consumers who need medication for musculoskeletal disordersConclusion: Given that psychological, cultural, social and personal factors influence decisions, it is recommended that marketers understand these factors.

Background: Implementation of ABC-VEN drug planning evaluation can improve the efficiency of drug stockpiles, reduce the risk of vacuum, and ensure optimal drug availability for patient care.Objectives: In this study, an evaluation of the 2021 drug plan was carried out at Indriati Solo Baru Hospital using ABC-VEN combination analysis to know the percentage proportions of each group as well as the characteristics of the drug.Methods: The type of research is descriptive analysis using quantitative data performed retrospectively. Primary data was used from direct interviews with the head of the pharmacy and logistics unit, as well as secondary information in terms of drug planning activities. Samples are data on drug planning, acquisition, and use in 2021. The data are then analyzed using the ABC-VEN method.Results: The results of the study show the percentage of drug items in groups A, B, and C at 13.28%, 20.68%, and 66.04%, with investment values of 69.99%, 19.99%, and 10.02%. Whereas in groups V, E, and N, there are 18.55%, 71.18%, and 10.28% with an investment value of 23.92%, 65.51%, and 10.57%. The evaluation results using the combination method ABC-VEN obtained drugs from the categories Priority (P), Main (M), and Supplementary (S), which are 148 items, 568 items, and 82 items.Conclusion: The use of ABC-VEN methods in drug stock evaluation is essential to accurately identify PMS medicines so that drug supply planning and management are more efficient and effective, as well as ensuring the availability of medicines that are optimally tailored to patient needs.

Background: Assessing customer satisfaction and its determinants are important for evaluating the quality of pharmaceutical services and identifying areas for improvement.Objectives: This study aims to evaluate the level of customer satisfaction and identify key factors associated with it.Methods: A cross-sectional study was conducted in 10 pharmacies located in Yogyakarta, Surakarta, and Magelang cities, involving a total of 1,200 customers. Data was collected using a validated patient satisfaction questionnaire from previous study and analyzed using SPSS 20 software. It was interviewed questionnaire that consists of three domains: sociodemographic characteristics, patient satisfaction, and opinions on service improvement in the community pharmacies. The inclusion criteria were customer who received services at community pharmacies between July and August 2021. Customers who were sick and unable to participate in an interview were eliminated from the study.  Results: The average overall satisfaction score obtained was 3.46 (SD ±0.34). The average customer satisfaction scores were as follows: facilities (3.92 ± 0.45), waiting time (3.76 ± 0.59), medicine stocks (3.54 ± 0.61), staff availability (3.25 ± 0.53), and counseling hours (3.18 ± 0.54).Conclusion: Overall, customers are quite satisfied with the community pharmacy services. There is a relationship between age, residence, education level, type of medicine, payment method, and experience in using pharmacy with customer satisfaction level. Community pharmacists should prioritize improving service quality by focusing on enhancing customer counseling and pharmacists’ skills in communication.

Background: The quality of pharmacy education is stated in the literature to be one of the factors influencing the quality of self-medication services in pharmacies. However, research describing the ability of pharmacy students to handle self-medication cases is limited.Objectives: This study aims to describe pharmacy students’ recommendations for two vignette cases involving analgesic-antipyretics (i.e., primary dysmenorrhea and childhood fever cases) in an Indonesian university and to identify factors related to the appropriateness of their recommendations.Methods: Apothecary students were asked to provide recommendations and their reasoning for primary dysmenorrhea and childhood fever cases using a structured telephone interview.Results: Of the 86 participants, appropriate recommendations were provided by 86% and 78% for a case of primary dysmenorrhea and for childhood fever respectively. One-quarter of students did not identify referral criteria in the case of childhood fever and thus made inappropriate recommendations. Age and study period were factors significantly related to providing appropriate recommendations, in which students who were younger and completed their study program within 5 to 6 years were significantly able to provide appropriate recommendations compared to students who were older and whose study period exceeded 6 years.Conclusion: A considerable number of apothecary students in an Indonesian university were able to properly manage cases related to analgesic-antipyretic recommendations. Further qualitative research is needed to identify factors underlying the knowledge of Indonesian pharmacy students in identifying major and minor patient presentations.

Providing information when dispensing medicine is a pharmaceutical service that must follow applicable regulations. The best service makes patients satisfied and loyal to the pharmacy. Many things influence patient satisfaction due to varying patient perceptions regarding the quality of pharmacy services. This study aims to analyze the relationship between providing drug information and patient satisfaction, as well as confounding variables. Cross-sectional research was carried out by distributing Likert scale questionnaires and a checklist of types of drug information provided by pharmaceutical staff at the Indobat Padangsambian Pharmacy. The questionnaire was developed from literature studies and has been tested for validity and reliability. A total of 118 respondents who met the criteria were taken using convenience sampling techniques. Data were analyzed using descriptive statistics, chi-square test, and logistic regression. The chi-square test shows that the type of drug information conveyed by pharmaceutical staff is not related to patient satisfaction at the Indobat Padangsambian Pharmacy (p-value 0.580, CI 95%). All variables that are thought to be confounding variables do not have an independent effect on the dependent variable. However, it is known that occupation (health workers and non-health workers) and the patient's proximity to pharmaceutical workers interact and influence patient satisfaction. Pharmacy personnel should provide drug information according to regulations. To make patients satisfied and loyal to the pharmacy, pharmaceutical staff must pay attention to the patient's work background and personal relationship with the patient when providing drug information.

Competitive strategy analysis can be fundamental for responding to external conditions and increasing internal capabilities in generating a company’s competitive advantage. The purpose of this research is to determine the company's position in the industry as a basis for selecting alternative strategies so the company can strengthen its competitiveness and overcome its weaknesses in facing competitors. The methodology is descriptive qualitative research. Observation is done by data obtained from secondary sources. The analysis carried out includes: The Input Stage with Competitive Profile Matrix; The Matching Stage with Boston Consulting Group (BCG) Matrix and the Grand Strategy Matrix based on competitive analysis according to Porter's Five (Plus One) Forces; The Decision Stage with the Quantitative Strategic Planning Matrix (QSPM). Justification was carried out based on a Forum Group Discussion with several experts using the Delphi Method. The result shows that there is a change in competitive conditions, thus the market leader company, Kalbe Farma, needs to make strategic adjustments. In conclusion, the results of strategy alternatives’ formulation through BCG Matrix and Grand Strategy, as well as the selection of strategies using the QSPM show that the priority strategies for Kalbe Farma, respectively sorted from the most recommended are Market Penetration, Market Development, and Product Development.