viii

DAFTAR ISI

HALAMAN JUDUL ................................................................................................ i

HALAMAN PENGESAHAN ................................................................................. ii

SURAT PENYATAAN ......................................................................................... iii

PERNYATAAN PERSETUJUAN PUBLIKASI KARYA ILMIAH ................... iv

PRAKARTA ........................................................................................................... v

DAFTAR ISI ........................................................................................................ viii

DAFTAR TABEL .................................................................................................. xi

DAFTAR GAMBAR ............................................................................................ xii

DAFTAR LAMPIRAN ........................................................................................ xiii

INTISARI ............................................................................................................. xiv

BAB I PENDAHULUAN .................................................................................. 1

1.1. Latar Belakang ........................................................................................ 1

1.2. Rumusan Masalah................................................................................... 4

1.3. Tujuan Penelitian .................................................................................... 4

1.4. Manfaat Penelitian .................................................................................. 4

BAB II TINJAUAN PUSTAKA ......................................................................... 6

2.1. Rumah Sakit ........................................................................................... 6

2.2. Instalasi Farmasi Rumah Sakit ............................................................... 9

2.3. Manajemen Pengelolaan Obat Di Rumah Sakit ................................... 11

2.4. Sistem Distribusi Obat .......................................................................... 13

2.5. Indikator Pengelolaan Obat .................................................................. 15

2.6. Pelayanan Farmasi di Rumah Sakit ...................................................... 16

2.7. Kerangka Teori ..................................................................................... 18

2.8. Kerangka Konsep ................................................................................. 18

2.9. Hipotesis ............................................................................................... 18

BAB III METODE PENELITIAN ..................................................................... 19

3.1. Jenis Penelitian Dan Rancangan Penelitian .......................................... 19

ix

3.2. Variabel Penelitian Dan Denifisi Oprasional ....................................... 19

3.2.1. Variabel ......................................................................................... 19

Pengelolaan obat pada tahap distribusi di rumah sakit. ................................. 19

3.2.2. Denifisi Oprasional ....................................................................... 19

3.3. Bahan atau Data dan Alat Penelitian .................................................... 22

3.3.1. Bahan atau Data Penelitian ........................................................... 22

3.3.2. Alat Penelitian ............................................................................... 23

3.3. Instrumen Penelitian ............................................................................. 23

3.3.1. Instrumen penelitian ...................................................................... 23

3.4. Cara Penelitian ...................................................................................... 23

3.5. Alur Penelitian ...................................................................................... 24

3.6. Tempat dan Waktu Penelitian............................................................... 25

3.6.1. Tempat Penelitian.......................................................................... 25

3.7. Analisis Data......................................................................................... 25

BAB IV HASIL PENELITIAN DAN PEMBAHASAN .................................... 27

4.1. Hasil Penelitian ..................................................................................... 27

4.1.1. Kecocokan Antara Obat Dengan Kartu Stock ............................... 27

4.1.2. Turn Over Ratio ............................................................................ 28

4.1.3. Tingkat Ketersediaan Obat ............................................................ 29

4.1.4. Presentase Nilai Obat Kadaluarsa Dan Rusak .............................. 30

4.1.5. Presentase Stock Mati .................................................................... 30

4.2. Pembahasan .......................................................................................... 31

BAB V KESIMPULAN DAN SARAN ............................................................ 37

5.1. KESIMPULAN .................................................................................... 37

5.2. SARAN ................................................................................................. 38

DAFTAR PUSTAKA ........................................................................................... 39

LAMPIRAN .......................................................................................................... 41

x

DAFTAR SINGKATAN

IFRS : Instalansi Farmasi Rumah Sakit

PTF : Panitia Terapi Farmasi

RSUD : Rumah Sakit Umum Daerah

RSUP : Rumah Sakit Umum Pemerintah

SIM : Sistem Informasi Manajemen

TOR : Turn Over Ratio

WHO : World Health Organization

RSI : Rumah Sakit Islam

xi

DAFTAR TABEL

Tabel 4. 1. Kecocokan Antara Obat Dengan Kartu Stock .................................... 28

Tabel 4. 2. Turn Over Ratio 2017 ........................................................................ 28

Tabel 4. 3. Turn Over Ratio 2018 ......................................................................... 28

Tabel 4. 4. Tingkat Ketersediaan Obat 2018......................................................... 29

Tabel 4. 5. Presentase Stock Mati 2018 ................................................................ 30

xii

DAFTAR GAMBAR

Gambar 2. 1. Siklus Manajemen Obat .................................................................. 12

Gambar 2. 2. Pendistribusian Obat Sentralisasi. ................................................... 14

Gambar 2. 3. Pendistribusian Obat Densentralisasi .............................................. 15

Gambar 2. 5. Kerangka Teori ................................................................................ 18

Gambar 2. 6. Kerangka Konsep ............................................................................ 18

Gambar 3. 1. Alur Penelitian................................................................................. 29

xiii

DAFTAR LAMPIRAN

Lampiran 1. Hasil Analisis .................................................................................... 41

Lampiran 2. Tatacara Wawancara......................................................................... 50

Lampiran 3. Surat Perijinan Penelitian ................................................................. 52

Lampiran 4. Etical Clearance ................................................................................ 53