STIALANMAKASSARSTIALANMAKASSAR

Jurnal Administrasi NegaraJurnal Administrasi Negara

Selection constitutes the initial stage (Alpha) of an efficient, effective, accountable, and sustainable management process for medicines and consumable medical supplies (CMS) in hospitals. This article details the selection phase that precedes the planning phase as part of the overall management process for medicines and CMS at La Mappapenning Hospital. The data was gathered through observation, interviews, and documentation of medicine and CMS management practices. Data analysis followed an interactive model: data collection, data condensation, data presentation, and verification/conclusion. The results indicate that the selection of medicines and CMS is carried out in an efficient, effective, accountable, and sustainable manner, serving as the alpha process or management system at La Mappapenning Hospital. Medicines and CMS are selected prior to procurement planning, based on proposals from users and reference to the national formulary, while considering their efficacy, safety, quality, and cost. The selection process involves medical staff, pharmacists, and employees from related management units. The outcome of this selection serves as the input for the medicine and CMS planning phase, which is regularly updated based on utilization evaluation at La Mappapenning Regional General Hospital in Bone Regency.

The selection of medicines and Consumable Medical Supplies (CMS) constitutes the Alpha (initial stage) of the management process, as it is performed before planning their procurement.This is a finding that simultaneously re-conceptualizes the existing perspective among experts and practitioners who traditionally consider the planning phase as the alpha process and function within the management system.Given the critical importance of this selection stage, it is already implemented efficiently, effectively, accountably, and sustainably at La Mappapenning Regional General Hospital in Bone Regency.The selection process is consistently carried out according to the principles of evidence-based medicine, systematically implemented by the Pharmacy and Therapeutics Committee (PTC), and considers the aspects of efficacy, safety, quality, and cost.Therefore, an appropriate and accurate selection of medicines and CMS ensures that patients receive the best therapy, leading to greater hospital efficiency and optimal healthcare service delivery.

Berdasarkan penelitian ini, terdapat beberapa saran penelitian lanjutan yang dapat dikembangkan untuk meningkatkan efektivitas manajemen obat dan CMS di rumah sakit. Pertama, perlu dilakukan penelitian lebih lanjut mengenai implementasi teknologi informasi dalam proses seleksi obat dan CMS, khususnya penggunaan sistem informasi manajemen rumah sakit (SIMRS) untuk memprediksi kebutuhan obat dan CMS berdasarkan data penggunaan historis. Kedua, penelitian dapat difokuskan pada pengembangan model formularium rumah sakit yang adaptif terhadap perubahan kebutuhan klinis dan ketersediaan obat baru, dengan melibatkan partisipasi aktif dari dokter, apoteker, dan pasien. Ketiga, penting untuk mengeksplorasi efektivitas program edukasi dan pelatihan bagi tenaga kesehatan mengenai prinsip-prinsip rasionalisasi penggunaan obat dan CMS, serta dampaknya terhadap biaya pengobatan dan hasil klinis pasien. Dengan menggabungkan ketiga saran ini, diharapkan dapat tercipta sistem manajemen obat dan CMS yang lebih responsif, efisien, dan berpusat pada pasien, sehingga meningkatkan kualitas pelayanan kesehatan secara keseluruhan.

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