INTRODUCTION
Pharmaceutical Service
Standards in Hospitals Permenkes No. 72 of 2016 says that drug management is a
cycle of activities starting from selection, needs planning, procurement,
receipt, storage, distribution, destruction and withdrawal, control and
administration (Martei et al., 2018).
In the World Medicine
Situation, cancer ranks fifth chronic disease with a potential death rate of 12
per 10,000 people. The International Agency for Research on Cancer (IARC)
estimates the incidence of 19.2 million new cancer cases and 9.9 million cancer
deaths in 2018 (Organization, 2018). The availability of
chemotherapy drugs is very important considering that cancer drugs are one of
the important elements that cannot be replaced in cancer treatment services
(Minister of Health, 2006).
value Month of Stock is
obtained from the average inventory value divided by the cost of goods sold,
this is to find out or calculate how long the goods that have become stock have
been in the store / warehouse (Quick et al., 2012). The smaller the Month of
Stock, the more efficient it will be, because it means that the�item does not last long in the warehouse (Reddy, 2008).
MRCCC Siloam Semanggi Hospital
is a hospital with superior cancer treatment (Satrianegara et al., 2018). From the data on drugs, the
injection chemotherapy drug class is the drug with the largest total spending
value compared to other drugs, which is 53.8%, while from the Month of Stock
with the current planning, namely the consumption method, the average value of
the Month of Stock has not reached SHG target is 0.66 months. Therefore, researchers
are interested in knowing EBOOK: Business Research Methods(Blumberg et al., 2014). 1). How is the Month of Stock for chemotherapy drugs
with the consumption method. 2). How is the Month of Stock the Morbidity
method. 3). How to classify each type of drug based on the most efficient
method based on the Month of Stock value By knowing the difference in values
Month of Stock from the consumption method and the morbidity method, it can
help management determine the right planning, so as to increase efficiency and
reduce the value of chemotherapy drug supplies (Quick et al, 2012). This can
have an impact on the health services provided to the community for the better
so as to satisfy patients. To realize the efficiency of the chemotherapy drug
supply value, a study was conducted on the difference in the monthly value of
chemotherapy drug planning with the consumption method and the morbidity method
(Puspikaryani et al., n.d.)..
METHODS
This research was conducted at
the MRCCC Hospital Siloam Semanggi, with the time of research or data
collection from October 2021 to January 2022
This research is an
experimental / post facto research and based on its nature, this�research includes a comparative descriptive study with the aim of
explaining the needs planning method the most efficient chemotherapy drug by
comparing the value Month of Stock chemotherapy drug consumption method with
the morbidity method. The research data used prescribing data consisting of the
number of drug use from 2019 to 2021. The data were obtained from the pharmacy
department, medical records
The data obtained were then
checked for completeness and then processed using Microsoft Excel and SPSS 22.
From the research conducted on the planning of morbidity, it was found
that there was an increase of 6.5% every month in patients undergoing
chemotherapy with a total protocol of 15,450.
From the research data obtained data 55% are female patients (8,497
patients) while 45% are male patients (6,953 patients). In female patients,
breast cancer is in the first position, which is 17% or about 1,444 patients,
and 8% of cervical patients or about 679 patients. Whereas in male patients,
the first position is lung cancer as much as 15% or 1043 patients and the
second place is 10% or 695 patients (Society,
2012).
Univariate Analysis
From a total of 122 items of injection chemotherapy drugs, it is
recommended that 67 items be planned with morbidity and 55 items use planning
using the consumption method Bivariate analysis (Notoatmodjo,
2012). From the results of the Kolmogorov-
Smirnov normality test (relatively large data 30), the value of Month of Stock
in the method morbidity and consumption had a significance less than 0.05
(p<0.05), so it can be concluded that the data were not normally distributed
(Quick et
al., 2012).
Because the data are not normally distributed, the different test on
the value of the Month of Stock on the morbidity and consumption method is
carried out using a nonparametric statistical test, namely the Mann Whitney
Test (Kemenkes,
2016).
Based on the analysis of the Mann Whitney test in the 'Test Statistics' table, it can be seen that the 'Z' value obtained is -3.001 and Asymp. Sig (2-tailed) is 0.003 (p<0.05) (Agustin et al., 2022) (Njau & Karugu, 2014). This means that Ho is rejected so it can be concluded that there is a significant difference between the value of Month of Stock on the morbidity and consumption method, it is known that the average value of Month of Stock on the morbidity method is 1,853 months and the average value of Month of Stock on the consumption method is 2,125 months. Based on the average monthly value of stock, it can be seen that the morbidity method has a lower average monthly than the consumption method (Anggoro & Netra, 2022).
Planning chemotherapy drugs with the morbidity method will increase efficiency, which from the graph shows in a matter of 1,853 months or 55.59 days the stock of drugs will be out or sold (Puspitawati et al., 2021). Meanwhile, when using the consumption method, data obtained that chemotherapy drugs will be sold or released in a matter of 2,125 or 63.75 days (Quick et al., 2012) (Manorek, 2016).
If viewed from the nominal side, it is found that when planning with the morbidity method the average final stock is Rp. 7,408,993,252 while when using the consumption method then the final average stock is Rp. 10,975,453,481. So there is a nominal difference of Rp. 3.566.460.229
This planning process would be better
if the two methods combined,
from the month
stock value obtained
a value of 1.41 months, or 42 days, and when viewed from the nominal value obtained efficiency savings of Rp. 1,848,870,531.
CONCLUSSION
The Month of Stock using the consumption method is 2,125 months. The Month of Stock using the morbidity method is 1,853 months. There are 55 items of chemotherapy drugs that are recommended to buy with the consumption method and 67 items of chemotherapy drugs that are recommended to buy with the morbidity method. Based on data from January 2019 to December 2021, the average Month of Stock shows that the morbidity method has a lower average Month of Stock value than the consumption method.
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Copyright holder: Feri Dian
Sanubari, Agusdini Banun Saptaningsih, Rokiah
Kusumapradja, Arrozi (2023) |
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