Rumah sakit adalah salah satu penyelenggara yang harus memberikan pelayanan kesehatan menyeluruh, terpadu dan berkesinambungan demi tercapainya upaya Pembangunan Nasional yaitu hidup sehat bagi setiap penduduk.Dalam penyelenggaraannya rumah sakit tidak terlepas dan kebutuhan akan penyediaan dan pemakaian obat-obatan yang berkualitas dan rasional. Pemakaian obat-obatan yang rasional dan berkualitas diatur dalam sistem formularium dimana obat-obatan yang dipakai terdapat dalam buku formularium.Di Rumah Sakit Umum Serang buku formularium sudah mengalami revisi dua kali yaitu pada tahun 1999 dan 2003 tetapi dari hasil survey resep di Instalasi Farmasi dari bulan Januari sampai Desember 2001, clan 1.119 resep berisi obat di luar formularium sebanyak 15% dan dan bulan Januari sampai Mei tahun 2003 dari 1.017 resep berisi obat di luar formularium sebanyak 9 %. Ditambah dengan hasil wawancara dengan beberapa dokter, Direksi, Komite Medik serta Sub Komite Farmasi dan Terapi mengindikasikan bahwa masih ada dokter yang tidak menuliskan obat sesuai formularium, ketaatan dokter terhadap pelaksanaan formularium masih kurang, belum ada pengawasan serta evaluasi tentang formularium di Rumah Sakit Umum Serang. Oleh karena itu perlu diketahui sistem formularium yang sesuai untuk diterapkan di Rumah Sakit Umum Serang.Penelitian dilakukan secara kualitatif dengan meneliti dan memperhatikan hal yang terkait dengan pelaksanaan formularium. Dengan mempergunakan data sekunder sebagai data awal dan kemudian dikembangkan melalui wawancara mendalam maka didapatkan hasil penelitian buku formularium yang ada cukup informatif dan dirasakan bermanfaat tetapi cukup tebal sehingga perlu dibuatkan dalam bentuk poket. Sedangkan pemahaman Dokter mengenai penerapan formularium sudah baik tetapi belum dapat melaksanakannya sehingga perlu adanya pengawasan disertai dengan sistem reward dan punishment. Peran Komite Medik, Sub komite Farmasi dan Terapi serta Instalasi Farmasi belum optimal sehingga perlu ditingkatkan pelaksanaan tugas pengawasan, pelaporan dan evaluasi. Komitmen dan unsur terkait perlu ditingkatkan. Selain itu perlu dibuat penetapan tugas beserta uraiannya yang jelas bagi Komite Medik, Sub Komite Fannasi dan Terapi serta Instalasi Farmasi disertai peningkatan pengarahan dan pengawasan dalam pembuatan, pelaksanaan pelaporan dan evaluasi dalam sistem forrularium.Oleh karena itu untuk pemberlakuan formularium maka perlu ada regulasi oleh Rumah Sakit Umum Serang yang kemudian disosialisasikan dan diinformasikan kepada semua pihak yang terlibat.Daftar bacaan : 44 buah (1984 - 2442)

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Formulary System Analysis in Serang Public Hospital A hospital is one of the institutions that has to provide an integrated and sustainable health service to uphold the national development, which is providing a healthy life for every citizen. Hospital cannot be separated with its necessity to provide medicine that has good quality and rational in its use. This good quality and rational use of medicine is formulated in a formulary system in which all the medicine used are listed in a formulary book.

Serang Public Hospital revised the formulary book in 1999 and in 2003. From the survey conducted by the pharmaceutical division from January-December 2001, 15% from the 1,119 prescriptions were prescriptions with medicine that were not listed in the formulary book. The January-May 2003 survey found that 9% of the 1,017 prescriptions were filled with unlisted medicine. This result was confirmed by the interview held with some doctors, Board of Directors, Medical Committee and Pharmaceutical and Therapeutic Sub Committee indicating that there were some doctors who prescribed medicine outside of the formulary. The discipline of doctors in prescribing formulary medicine was still low and there hasn't been any actions done to supervise and evaluate the implementation of formulary system.

Due to that, the appropriate formulary system for Serang Public Hospital should be identified further. A qualitative research was carried out by checking and evaluating the component link towards the implementation of the formulary system. Using secondary data as the preliminary data combined with the in depth-interviews, the research revealed that the implementation of the formulary system has yet reach an optimum level as a good enough information and useable, but the formulary system shall be made in a pocket book. Actually The Doctors have been understood about the formulary system but in the fact that some of them have not been implemented seriously. The formulary system can be implemented with strong enough supervision, evaluations and good reporting system and than followed using reward and punishment system.

The Medical Committee, Pharmaceutical and Therapeutic Sub Committee and Pharmacy Installation are responsible for those supervision, evaluation and reporting. And also the important one is they should know their duties and responsibilities and always continuously improves their competencies by training or directions to maintain their commitment.

To implement the formulary system, the hospital should create a regulation and socialized it to all related individuals.

Bibliography : 44 (1981 -2002)