Hubungan verifikasi resep dan konsultasi resep tidak rasional kepada dokter oleh apotek

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Hubungan verifikasi resep dan konsultasi resep tidak rasional kepada dokter oleh apotek
Relation between prescription verification and pharmacy consultation of physician’s irrational prescription
JURNAL KEDOKTERAN YARSI 13 (2) : 197-204 (2005)
by
Max Joseph Herman1, Siti Nurdjanah2, Sudibyo Supardi1
1Research and Development of Pharmacy and Traditional Medicine Centre, Research and Development for Health Unit, Republic of Indonesia.
2Clinical Epidemiology and Biostatistic Unit-RS. DR. Sardjito


ABSTRACT
Pharmacy is a place where a pharmacist, supported by her or his assistants, has professional responsibilities for dispensing prescriptions. Some factors may influence the consultation of pharmacist assistant with the prescriber over irrational prescription. Many studies show that irrational prescribing occurred frequently anywhere with its various impact in the community. A study to establish the relationship between several factors, i.e. knowledge and attitude, prescription verification, literature, access to physician, working burden measured in terms of ratio between daily average number of prescriptions and number of pharmacist assistants as well as role of the pharmacist with prescriber-consulting by pharmacy over irrational prescription has been carried out at 50 pharmacies in Central Jakarta during the year of 2002. Pharmacies were simple randomly taken. Data were collected by interviewing respondents using questionnaire and the outcome was measured by simulating re-written irrational prescriptions taken from a private hospital. The relationship between each independent variable with the dependent one was determined by Fisher exact test and multivariate analysis was done through multiple logistic regression. Results of the study reveal that 52% pharmacies had little knowledge on irrational prescription, 54% pharmacies had a positive attitude towards it, 60% pharmacies had good prescription verifying practice, 58% pharmacies had the necessary literature, all pharmacies had access to the physician, 68% pharmacies had a low working burden and 54% pharmacies had their pharmacists’ role inactive. The relationship between knowledge and the pharmacy’s consulting action over irrational prescription was statistically significant (p = .009), whereas simultaneously knowledge (OR = 11.9904) and prescription verification (OR = 6.5080) were related to it without any significant interaction between them.