UNISMUH PALUUNISMUH PALU

Journal of Public Health and PharmacyJournal of Public Health and Pharmacy

Healthcare for patients in pasung is often neglected. Limited data is available on the roles of Primary Health Centres (PHCs) as the main providers of primary care in Indonesia. This research aims to explore health services provided for patients in pasung at PHCs and to identify the roles of pharmacists. This descriptive qualitative research used in-depth interviews with a range of stakeholders [i.e., patients in pasung (n=14) or the representative family caregivers (n=12), mental health nurses (n=5), pharmacists (n=5)] at 5 PHCs in Trenggalek, Indonesia from May to July 2023. Inductive thematic analysis was used to address the research questions. Patients in pasung have generally had adequate access to PHCs with no charge for their treatments. Health services provided for patients in pasung at PHCs were categorised into two main themes: outpatient services (i.e., medication supply, and home-care), and referral to inpatient services. Pharmacists roles have largely related to drug supply, while clinical pharmacy services have been very limited (e.g., providing drug information when patients obtained their medications at the pharmacy units).

Findings in this study have provided a baseline for future development of mental healthcare for patients in pasung.Pharmacists have the potential to take up more clinical roles to ensure quality use of medicines among patients in pasung.Supporting policy and resources should be allocated for PHCs to expand pharmacists services.

Berdasarkan hasil penelitian ini, beberapa saran penelitian lanjutan dapat diajukan. Pertama, penelitian lebih lanjut perlu dilakukan untuk mengevaluasi efektivitas intervensi berbasis apoteker, seperti konseling obat dan tinjauan resep, dalam meningkatkan kepatuhan pasien terhadap pengobatan dan mengurangi kekambuhan pada pasien pasung. Kedua, studi komparatif dapat dilakukan untuk membandingkan model pelayanan kesehatan mental di PHC yang melibatkan apoteker dengan model pelayanan yang tidak melibatkan apoteker, guna mengidentifikasi praktik terbaik dan dampak terhadap hasil klinis pasien. Ketiga, penelitian kualitatif mendalam dapat dilakukan untuk menggali lebih lanjut persepsi dan pengalaman pasien pasung serta keluarga mereka terkait peran apoteker dalam pelayanan kesehatan mental, serta untuk mengidentifikasi hambatan dan fasilitator dalam implementasi layanan farmasi klinis di PHC. Penelitian-penelitian ini diharapkan dapat memberikan bukti empiris yang kuat untuk mendukung pengembangan kebijakan dan praktik pelayanan kesehatan mental yang lebih efektif dan berpusat pada pasien di Indonesia.

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Pages12
DMCAReport

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