Quality Of Pharmaceutical Services Research Articles

Association of the barriers of pharmaceutical care perceived by clinical pharmacists and occupational stress in tertiary hospitals of China.

As an important member of the healthcare team, clinical pharmacists' occupational stress will lead to a decline in the quality of pharmaceutical care. According to person-environment fit theory, barriers of pharmaceutical care perceived by clinical pharmacists may be a potential factor influencing occupational stress. This study aimed to assess the association between the specific barriers of pharmaceutical care perceived by clinical pharmacists and their occupational stress in China. A field-based questionnaire survey of tertiary hospitals was conducted in 31 provincial administrative regions in mainland China using a multi-stage stratified sampling method. Data on occupational stress, barriers of pharmaceutical care perceived by clinical pharmacists and other factors of job stress were collected using the Brief Job Stress Questionnaire and a self-administered instrument. The instruments have undergone multiple rounds of pilot investigations, and their reliability is acceptable. Ordinary least squares regression was used to evaluate the association of the perceived barriers and other factors with their occupational stress. A total of 625 clinical pharmacists from 311 tertiary hospitals in China (response rate = 84%) participated. Perceived resource dimension barriers (p = 0.00) and self-improvement dimension barriers (p = 0.01) were associated with increased occupational stress of the participants. In addition, clinical pharmacists with senior professional titles and engaged in neurology and ICU have higher occupational stress. By removing barriers to pharmacists' resources and self-improvement, it is possible to better meet the work needs of clinical pharmacists and may effectively reduce occupational stress, thereby improving the quality of pharmaceutical services.

Analysis of the Quality of Pharmaceutical Services at Outpatient Health Centers, East Sumba Regency, Indonesia

Public administration services are one way to demonstrate maximum government performance in providing welfare and meeting community needs. One important sector in public services is pharmaceutical services at Health Centers. This research uses a descriptive method with a cross-sectional design. Primary data was obtained through observation, interviews and documentation. Secondary data was obtained from the 2022 Health Centers Medicine Usage Report and Request Sheet (LPLPO) and the 2021 Health Centers Drug Requirements Plan (RKO). Of the 28 indicators of the quality of pharmaceutical services, 15 of the third indicators of the Health Centers meet the standards, 10 of the third indicators of the Health Centers do not meet the standards, 1 indicators only one Health Center meets and 2 indicators only two Health Centers fulfill. Factors that influence the quality of management of pharmaceutical preparations at the East Sumba Regency outpatient Health Centers are human resources that do not come from pharmacy. The quality of pharmaceutical services at the East Sumba Regency outpatient Health Centers still needs to be improved. Pharmacists are needed as pharmaceutical personnel to maximize pharmaceutical services to the community.

Evaluation of the Implementation of Pharmaceutical Service Standards at the Keerom District Health Center, Indonesia

Pharmaceutical services are an integral part of health services that focus on optimizing drug use to achieve optimal therapeutic results. Regulation of the Minister of Health of the Republic of Indonesia Number 73 of 2016 concerning Pharmaceutical Service Standards at Health Centers is a reference in providing quality pharmaceutical services. This study aims to evaluate the implementation of pharmaceutical service standards at the Keerom District Health Center. This research uses a descriptive method. Data was collected through questionnaires and observation sheets at 6 Health Centers in Keerom District. Data were analyzed using SPSS to calculate percentages and average values. The research results show that the level of implementation of pharmaceutical service standards at the Keerom District Health Center is in the good category with an average value of 78-84%. The categories with the highest scores are the pharmaceutical preparation management category (84%) and the drug information services category (82%). The category with the lowest score is the quality assurance category (78%). In conclusion, the overall implementation of pharmaceutical service standards at the Keerom District Health Center has reached the good category. Improvement efforts need to be made in several categories, such as quality assurance, to achieve optimal pharmaceutical services.

Customer Satisfaction with Community Pharmacy Services and Its Determinant in Indonesia: A Cross-sectional Survey

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.

Evaluation of the Quality of Pharmaceutical Services in Private Hospitals in Sukoharjo in 2023

Introductory: Minimum Service Standards are very important because they are a benchmark for the performance of health services provided in hospitals. Objective:This study aims to evaluate the quality of pharmaceutical services at the Private Hospitals in Sukoharjo based on indicators of waiting time for ready-made and compounded medicine services, customer satisfaction, and writing prescriptions according to the formulary. Method:This research is non-experimental research with observational research and descriptive analysis..Result:the waiting time indicator for compounded medicines of 31 minutes and non-mixed medicines of 24 minutes meets the Minimum Hospital Service Standard. For the customer satisfaction indicator, the result was 88.8%, and the conformity of prescription writing with the formulary with a result of 83.1% had achieved the target of the National Indicator for Hospital Service Quality based on the Republic of Indonesia Minister of Health Regulation No . 30 of 2022.Conclusion:From the results of this research it can be concluded that the Private Hospitals in Sukoharjo Hospital Pharmacy Installation have met the Minimum Service Standards (SPM) and National Service Quality Indicators that have been determined

The Role of Pharmacists in Providing Pharmaceutical Services in Selected Government Hospitals in Kabul

Objective: This study aims to investigate the role of pharmacists in delivering pharmaceutical services within selected government hospitals in Kabul, utilizing the SERVQUAL model. Methods: A quantitative research design was employed, utilizing a sample population of 338 patients who were hospitalized in the selected hospitals. A structured questionnaire was used to collect data on socio-demographic characteristics and perceptions of pharmaceutical services. The data were analyzed using the linear regression test to examine the relationships between the role of pharmacists and the combined indices. Results: he results indicated a significant positive relationship between the role of pharmacists and the combined indices of tangible factors, reliability and credibility, responsiveness, reassurance, and empathy (R = 0.642, R-squared = 0.412, Adjusted R-squared = 0.403, p < 0.001). Tangible factors, reliability and credibility, and empathy demonstrated the most substantial influence on the pharmacists' role. Conclusion: The results demonstrate that patients in selected hospitals within Kabul are content with the quality of services provided. Based on the SERVQUAL model, patient satisfaction with service quality is achieved across five dimensions: tangible factors, reliability, responsiveness, assurance, and empathy. Notably, the reliability variable garners the highest satisfaction level, while the empathy variable receives the lowest. These findings emphasize the need for targeted efforts to enhance empathy, communication, and the overall quality of pharmaceutical services delivered by pharmacists in selected hospitals within Kabul.

GAMBARAN TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN KEFARMASIAN DI APOTEK EMPUNALA PERIODE MARET – MEI 2023

Pharmaceutical services are health services that have an important role in realizing health quality. Pharmaceutical services apart from being a 2 demand for professionalism such as a factor that attracts consumers' interest in purchasing drugs at pharmacies in order to obtain patient satisfaction. The purpose of this study was to describe the level of patient satisfaction with pharmaceutical services at the Empunala Drug store and to improve the quality of pharmaceutical services at the Empunala Drug store. This Research is descriptive non-experimental with incidental sampling, data collection using a questionnaire. The results of the study on the level of patient satisfaction with pharmaceutical services at the Empunala Drug store period March until May 2023 concluded on the Reliability dimension is 76%, the Responsiveness dimension is 78%, the Assurance dimension is 78%, the Emphaty dimension is 77%, and the Tangible dimension is 80%.

EVALUASI KESESUAIAN RESEP OBAT DM PADA PASIEN RAWAT JALAN TERHADAP FORMULARIUM NASIONAL DI RS ARAFAH ANWAR MEDIKA SUKODONO

Pharmaceutical services are services that are directly responsible to patients in relation to pharmacy. One of the factors that improve the quality of pharmaceutical services is prescription services. In the era of the National Health Insurance (JKN), prescriptions given to patients must refer to the National Formulary. If the prescription is not in accordance with the National Formulary, it will affect the quality of pharmacy installation services. Arafah Anwar Medika Hospital is one of the hospitals with a large number of patients diagnosed with diabetes and requires proper management of drug use. The purpose of this study was to determine the suitability and discrepancy of prescribing with the National Formulary for outpatient Diabetes Mellitus BPJS patients at Arafah Anwar Medika Sukodono Hospital. This research is a non-experimental descriptive study using quantitative research methods, purposive sampling technique with 384 data on all DM prescriptions for outpatient BPJS patients in 2021. not in accordance with FORNAS 2.86%. The conclusion is that a good pharmacy service quality will get a high percentage of prescription conformity with the National Formulary.

GAMBARAN PERENCANAAN, PERMINTAAN, DAN PENERIMAAN OBAT DI PUSKESMAS BANJARBARU UTARA TAHUN 2022

Drug management at the Community Health Center is an important indicator of the quality of pharmaceutical services because it determines the success of Community Health Center management. Drug management activities aim to ensure that drugs can be managed optimally. This type of research is non-experimental with a cross sectional research design using an observation sheet from retrospective data for 2022 which was carried out in February – May 2023. The population and sample are planning, demand and acceptance in the 2022 period. Secondary data processing for this research sheet Drug Needs Plan (RKO) and LPLPO for 2022. The results of the research were that the suitability of planning with the Community Health Center Formulary was 85.43% of the 103 planned drug items, there were 88 items that were appropriate and 15 items were inappropriate, the suitability of planning with demand was 4.85% of the 103 items that were planned, there were 5 items that were inappropriate. appropriate and 98 items that are not appropriate and the conformity of requests with acceptance is 3.60% of the 139 items requested there are 5 items that are appropriate and 134 items that are not appropriate.

ANALISIS PERSEPSI DAN TINGKAT KEPUASAN PASIEN TERHADAP PELAYANAN FARMASI DI RUMAH SAKIT PATUH KARYA

This study aims to determine the level of patient perception and level of patient satisfaction as well as the relationship between these two variables on the quality of pharmaceutical services at the Patuh Karya Regional General Hospital. The method used in this study is the design in this study is observational descriptive using quantitative data based on a cross sectional approach using the ServQual model with 5 (five) dimensions of service quality, namely: Tangible, Reliability, Responsiveness (Responsivness), Assurance (Assurance) and Empathy (Emphaty). The number of samples in this study were 56 people using the sampling technique, namely accidental sampling and the samples were selected according to the inclusion criteria. The instrument used in this study was a questionnaire that was compiled based on pharmaceutical service criteria. The data analysis used in this study was a univariate test and a bivariate test with the help of SPSS. The results showed that the patient's perception of the quality of pharmaceutical services obtained results that were sufficient with a level of satisfaction (30.4%) and good (69.6%). For patient satisfaction with the quality of pharmaceutical services, the results were quite satisfied (66.1%) and satisfied (33.9%). Based on the results of statistical tests with Bivariate analysis or chi square test where this is done to see the relationship or correlation between variables, the independent variable is the patient's perception of the quality of pharmaceutical services and the dependent variable is patient satisfaction with the quality of pharmaceutical services, where the research subjects are patients outpatient care due to the Asymptotic Significance (2-sided) or p-value of 0.00 which is less than the 0.05 significance level (0.01 ≤ 0.05) so that there is a significant relationship between patient perception and satisfaction with the quality of pharmaceutical services at the Regional General Hospital Patuh Karya.

OVERVIEW OF FACTORS INFLUENCING DRUG MANAGEMENT AT PRIMARY HEALTH CENTERS IN INDONESIA: A SYSTEMATIC REVIEW

Drug management is part of pharmaceutical service activities, which includes interrelated stages: selection, planning, requesting, receiving, storage, distribution, controlling, recording, reporting, monitoring and evaluation, which play an essential role in ensuring the availability of drugs at PHCs. The systematic review aims to identify indicators of drug management at PHCs in Indonesia and analyze factors that influenced it. This systematic review used the PRISMA methods. Google Scholar is an electronic database to identify related studies. This study is limited publications from 2013 to 2023. The quality of the articles was assessed using JBI Critical Appraisal. The electronics database search earned 570 articles, while only nine articles met the criteria for analysis. Several indicators are different from the standards used due to several factors. Based on the result, factors influencing drug management at PHCs include human resources, financing, information management, facilities, and technology. For most of them, human resources are a determining factor that significantly influences the quality of pharmaceutical services at PHC’s in Indonesia. The implementation of pharmaceutical services at the PHCs must be carried out by at least one pharmacist, the person in charge, who can be assisted by pharmaceutical technical staff as needed. Resources humans influence indicators of planning accuracy; suitability of requests; storage; distribution; control; recording, reporting, and archiving. This study's results are to make improvement strategies, including interventions to improve the quality of pharmaceutical services that impact community satisfaction and stakeholders.

Patient Satisfaction with Pharmaceutical Services at a Hospital Outpatient Pharmacy in West Sumatra, Indonesia

Background: Patient satisfaction stands as a metric for evaluating the quality of pharmaceutical services. The presence of community requests for high-quality pharmaceutical services has driven pharmacy personnel to enhance these services, aiming to establish patient satisfaction. Objective: The objective of this research is to assess the degree of patient satisfaction with pharmaceutical services in the outpatient pharmacy and to explore how this satisfaction is linked to the patients’ sociodemographics. Methods: Conducted at Padang Panjang Hospital's Outpatient Pharmacy in West Sumatra, Indonesia, this descriptive research employed a questionnaire administered directly to patients. The method used involves a questionnaire consisting of 20 questions divided into two dimensions: Friendly Explanation (containing 11 questions) and Managing Therapy (containing nine questions). The questionnaire's validity (r > 0.632) and reliability (0.97). Data analysis was performed utilizing the Likert scale. Results: There were a total of respondents in this study (365 patients). Most of them (64.4%) were female, in the pre-elderly age group (45.2%), had completed high school (41.1%), and were housewives (31.8%). In general, the level of patient satisfaction is categorized as satisfied, with an average score of 3.49. Specifically, the "Friendly Explanation" got a score of 3.69, and the "Management of Therapy" got a score of 3.25. The study indicated notable statistical disparities in patient satisfaction levels based on age, education, and occupation (p<0.05), but gender did not have a significant impact (p>0.05). Conclusion: In summation, the study found that patients were satisfied with the pharmaceutical services at Padang Panjang Hospital's Outpatient Pharmacy.

Outpatients satisfaction and perceptions toward pharmaceutical services in public and private hospitals in Palestine: a cross-sectional study

BackgroundPharmaceutical care is an essential component of healthcare services, and patient satisfaction with these services is crucial for improving overall health outcomes. We aimed to evaluate patient satisfaction and perception with pharmaceutical care services provided at public and private hospitals for outpatient pharmacies. This study can provide insights into the quality of pharmaceutical services provided in both settings and identify areas for improvement.Materials and methodsA cross-sectional 1-month study was conducted in three hospitals in Nablus city in the Northern District of West Bank, Palestine. Participants were a convenience sample of outpatients who attended the study-selected hospitals (two public and one private). A sample of 30 patients from each hospital was selected with a total of 90 patients. A self-administered questionnaire was used to assess socio-demographics pharmacist-related issues, waiting and working time, and medication availability.ResultsA total of 90 patients were recruited. The overall level of patient satisfaction with pharmaceutical health services was moderate with a mean of 3.24 out of 5. Females represented 58.9%. The most prevalent age was (30–39) years (30%). There was a statistically significant difference in patient satisfaction with pharmaceutical services regarding working time between the morning and evening shifts (p value = 0.009) in favor of morning shift. No statistically significant differences in satisfaction with pharmaceutical treatments based on socio-demographics (age, gender, marital status, education level, family income, employment status, and living place), were found. Nearly, 70% of patients indicated having problems getting the medicine on their last visit to the hospital pharmacy. Only 66.7% of patients expressed satisfaction with the pharmacies’ operating (working) hours.ConclusionsPatient satisfaction with pharmaceutical care services could be enhanced by involving pharmacists in patient-oriented training and informing patients about the role of pharmacists. Patient satisfaction in the evening shift might be improved by establishing a system for continuous evaluation and improvement of pharmaceutical care services in hospitals to ensure the highest quality of care for patients in addition to implementing technology such as electronic prescribing and medication management systems that can improve the accuracy and efficiency of pharmaceutical services in hospitals.

Analysis of pharmaceutical service quality and satisfaction level of healthcare and social security agency patients at Hadji Boejasin Pelaihari Hospital

Background: Pharmaceutical services are services that are provided directly and responsibly to patients, related to medicines, to achieve accurate results that enhance patient quality of life. Hospitals are required to provide health services that meet optimal service standards. The quality of service in the hospital is very important because, with good service, patient satisfaction will also have a positive impact on the hospital. Objective: The purpose of this research is to analyze the quality of pharmaceutical services and the level of satisfaction of BPJS patients at Hadji Boejasin Pelaihari Hospital. Method: A cross-sectional survey design with a targeted sampling design was used in this study. The research method was a questionnaire containing structured questions to quantify each variable studied. Results: According to the quality survey results, pharmaceutical services were 85.96% (according) and 14.03% (not appropriate), while patient satisfaction had a reliability dimension of 78.63% (very satisfied), responsiveness of 77.82% (very satisfied), assurance of 83.01% (very satisfied), empathy of 80.47% (very satisfied), and tangible of 82.53% (very satisfied). Conclusion: From the average of the five dimensions, a result of 547.4 was obtained with an average patient satisfaction index of 80.49%

The Effect of the Implementation of Permenkes No. 72 of 2016 on the Management of Pharmaceutical Preparations and the Role of Pharmaceutical Personnel on Service Quality (Research at Class D Hospital in Bekasi City)

One of the health services in the hospital is a pharmacy installation, while the definition of a pharmacy installation is a functional implementing unit that organizes all pharmaceutical service activities in the hospital. Pharmaceutical Services is a direct and responsible service to patients related to pharmaceutical preparations with the aim of achieving definite results to improve the patient's quality of life. The service standard is contained in the Regulation of the Minister of Health no. 72 of 2016 concerning Pharmaceutical Service Standards in Hospitals which aims to improve the quality of pharmaceutical services, guarantee legal certainty for pharmaceutical personnel, and protect patients and the public from irrational drug use in the framework of patient safety. The regulation of service standards is contained in Minister of Health Regulation No. 72 of 2016. covers management standards for pharmaceutical preparations, medical devices and consumable medical materials as well as clinical pharmacy services. With the implementation of Permenkes No. 72 of 2016 is expected to be able to improve service quality. Factors that play a role in improving service quality include the management of pharmaceutical preparations and the role of pharmaceutical staff. This research is a quantitative research using survey method. The population in this study were pharmaceutical supply managers and patients who came to Class D hospitals in Bantar Gebang, Jatisampurna and Pondok Gede. The results showed that there was an effect of the implementation of Permenkes 72 of 2016 on the quality of pharmaceutical services in Class D Hospitals in Bekasi City, with the involvement of pharmaceutical staff in the management of pharmaceutical preparations from the process of selecting, planning needs, procurement, receiving, storage, distribution, destruction and withdrawal, control, and administration. There is an influence of the management of pharmaceutical preparations on the quality of pharmaceutical services in Class D Hospitals in Bekasi City, as seen from the dimensions of trust and empathy that meet expectations in Class D Hospitals Jatisampurna.

Analysis of Factors Influencing The Quality of Pharmaceutical Services At Pharmacy Outlets in Kotamadya Tangerang

Pharmaceutical services at pharmacies in several regions of Indonesia are still low, that is un-equal to the growth of the establishment in pharmacies which continues to increase. The four sub-sectors which coverage in pharmaceutical services include non-prescription drug service standards, KIE services, and prescription service and drug management standards in pharmacies. This cross-sectional study was carried out in Tangerang area to determine the factors that influence the quality of pharmaceutical services, with a total of 68 pharmacists serving in 68 pharmacies. The characteristics of pharmacists are conducting by using questionnaire and observation. The results obtained for APA characteristics were 72.1% with age 26-35 years, 80.9% female, 94.1% having undergraduate and professional degree, and 98.53% had worked as APA ≤ 10 years. The quality of pharmaceutical services is 48.5% in the good category and the pharmacist (APA) presence factor is the most dominant variable that influencing the quality of pharmaceutical services (OR-58.3 with p-value=0.002), while the ones which not affecting are APA motivation and pharmacy ownership status (p> 0.05).

Analysis of Factors Influencing The Quality of Pharmaceutical Services At Pharmacy Outlets in Kotamadya Tangerang

Pharmaceutical services at pharmacies in several regions of Indonesia are still low, that is un-equal to the growth of the establishment in pharmacies which continues to increase. The four sub-sectors which coverage in pharmaceutical services include non-prescription drug service standards, KIE services, and prescription service and drug management standards in pharmacies. This cross-sectional study was carried out in Tangerang area to determine the factors that influence the quality of pharmaceutical services, with a total of 68 pharmacists serving in 68 pharmacies. The characteristics of pharmacists are conducting by using questionnaire and observation. The results obtained for APA characteristics were 72.1% with age 26-35 years, 80.9% female, 94.1% having undergraduate and professional degree, and 98.53% had worked as APA ≤ 10 years. The quality of pharmaceutical services is 48.5% in the good category and the pharmacist (APA) presence factor is the most dominant variable that influencing the quality of pharmaceutical services (OR-58.3 with p-value=0.002), while the ones which not affecting are APA motivation and pharmacy ownership status (p> 0.05).

Seminar on Implementation of Pharmaceutical Service Standards During the Covid-19 Pandemic at Granmed Lubuk Pakam Hospital at 2020

Pharmacist pharmaceutical services for patients related to pharmaceutical preparations in order to improve the quality of pharmaceutical services in hospitals, the implementation of the Minister of Health Regulation no. 72 of 2016 concerning pharmaceutical service standards at Grandmed Hospitals with patient satisfaction during the Covid 19 2021 pandemic. Hospital pharmacy services involve pharmacists in order to supervise and control all activities related to healing treatment of sufferers in the aim of practicing patient safety standards which include Pharmaceutical supplies management activities starting from demand planning to controlling pharmaceutical supplies as well as clinical pharmacy service activities that are oriented towards reducing the risk of drug use errors in hospitals. This type of design was made by collecting data from 59 visiting patients at a certain point in time. Location at GrandMed Hospital Lubuk Pakam. The data obtained were compared with existing standards in the literature and analyzed using the chi-square test. It is known that out of 25 people (42.4%) respondents stated that clinical pharmacy services were not good. Of the 34 people (57.6%) respondents who stated that clinical pharmacy services were good for each employee, they had been given an understanding regarding clinical pharmacy services which had been socialized every morning briefing to maximize serving patients so that patients were satisfied with the services at Grandmed Hospital. This study can be concluded that the implementation of pmk no. 72 of 2016 there is a relationship between clinical pharmacy services and patient satisfaction during the Covid 19 pandemic at Grandmed Lubuk Pakam Hospital in 2021 (pvalue = 0.007).

Studi Penjaminan Mutu (Quality Assurance) Internal Dalam Pelayanan Kefarmasian

Pharmaceutical services in hospitals aim to improve the quality of pharmaceutical services, protect patients from irrational drug use to maintain patient safety, and ensure legal certainty for pharmacists. Quality Assurance (QA) is used in measuring service quality, whereas QA in IFRS aims to provide assurance of product quality and the quality of pharmaceutical services provided to patients. This research employs descriptive research with a cross-sectional method, and primary date are obtained from questionnaires with the framework of QA standard indicators in pharmaceutical services at the primary Installastion of Mother and Child Hospital Kasih Fatimah Kotamobagu, with five respondents. The results indicate that internal quality assurance in pharmaceutical services at the Fatimah Kotamobagu Mother and Child Hospital Kasih Fatimah Kotamobagu Pharmacy Installation was in accordance with quality assurance standards, especially in the aspects of organizational structure, quality measures, and safety assurance, as well as drug distribution with an overall value in the criteria, are (75%), moderately appropriate are (15%) and not appropriate are (10%).

THE RELATIONSHIP BETWEEN KNOWLEDGE AND COMMUNITY BEHAVIOR IN UTILIZATION OF TELEPHARMACY SERVICES IN THE TABANAN CITY

Background: Telepharmacy appears to be a technology that represents a unique and innovative way to deliver quality pharmaceutical services to rural and regional areas in particular. Providing appropriate pharmaceutical services to patients and conducting consultations with other health workers have an important role in reducing the use of inappropriate and less effective drugs. The development of telepharmaceutical services can be influenced by the knowledge and practice of the community. Objective: to determine the relationship between knowledge and community practice on the use of telepharmaceutical services in Tabanan City. Methods: This research is an observational study using a cross-sectional design. The sample in this study amounted to 100 people who met the inclusion and exclusion criteria. The sample was taken from the population using a purposive random sampling technique. The research instrument used in this study was a questionnaire (questionnaire), collecting data formally for the subject to answer questions in writing. Data were analyzed using computer software, namely the Chi-square test. Results: The respondents who have sufficient knowledge, as many as 55 people have sufficient behavior, and as many as 42 people, while those who have good behavior, 13 people and respondents who have good knowledge, 45 people have sufficient behavior, as many as 23 people and behavior well as many as 22 people (p-value <0.05). There is a relationship between knowledge and practice regarding the use of telepharmaceuticals in the community of Tabanan City. Conclusion: there is a relationship between knowledge and practice regarding the use of telepharmaceuticals in the community of Tabanan City.
 Keywords: Knowledge; Practice; Telepharmaceutic