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"[Polifarmasi umum terjadi pada pasien geriatri. Kriteria Beers adalah alat untuk menilai ketidaksesuaian pengobatan pada pasien geriatri.Tujuan penelitian adalah untuk menilai efektifitas kriteria Beers dalam menurunkan kejadian penggunaan obat yang berpotensi tidak tepat pada pasien geriatri rawat inap di RSU Ibnu Sina Makassar. Rancangan penelitian ini adalah pre-experimental. Intervensi berupa informasi penggunaan obat kriteria Beers kepada dokter pada saat visite pasien.Sampel penelitian berupa rekam medik 70 pasien kelompok pre intervensi dan 70 pasien kelompok post intervensi. Pengambilan sampel secara retrospektif September–November 2014 pada kelompok pre intervensi dan secara prospektif Desember 2014 - Februari 2015 pada kelompok post intervensi. Hasil penelitian menunjukkan bahwa jumlah obat yang tidak memenuhi kriteria Beers sebanyak 127 obat dari 70 resep sebelum intervensi dan 78 obat dari 70 resep setelahintervensi. Perubahan terjadi dari 1-5 obat perlembar resep yang termasuk cakupan kriteria Beers sebelum intervensi menjadi 1-3 obat perlembar resep. Golongan obat yang paling banyak diresepkan tidak tepat berdasarkan kriteria Beers adalah insulin, benzodiazepin, dan NSAID. Usia 60-74 tahun dan lama rawat pasien lebih dari 5 hari berhubungan bermakna dengan kejadian peresepan yang berpotensi tidak tepat. Pemberian informasi obat berpengaruh bermaknaterhadap penurunan kejadian peresepan yang berpotensi tidak tepat dari 87,1% sebelum intervensi menjadi 65,7% setelah intervensi. Kesimpulan penelitian adalah pemberian informasi kriteria Beers kepada dokter efektif menurunkan peresepan obat yang berpotensi tidak tepat pada pasien geriatri rawat inap di RSU Ibnu Sina Makassar.;Polypharmacy was common in geriatric patients. Beers criteria is a tool that used to determine the inappropriate medical treatment to geriatric patients. The goal of this study was to determine the efectiveness of Beers criteria in decreasing the potency of inappropriate drugs use to the geriatric patients in Ibnu Sina HospitalMakassar. The design of the study was pre experimental design. The intervention was the information about Beers criteria drugs use that given to the doctor when visit the patients. The medical record from 70 patients in pre intervention and 70 patients in post intervetion used as the samples of this study. The method of taking samples retrospectively has been done at September - November 2014 inpre intevention group and prospectively at December 2014 - February 2015 in the post intervention group. 60-74 years of age and length of hospital patients over 5 days significantly associated with the occurrence of potentially improper prescription. Provision of drug information meaningful effect to reducing improper prescribing potentially from 87.1% before the intervention to 65.7% after intervention. So it could be concluded that the information giving aboutBeers criteria to the doctor can decrease the inappropriate drugs use to the geriatric patients in Ibnu Sina Hospital Makassar.;Polypharmacy was common in geriatric patients. Beers criteria is a tool that usedto determine the inappropriate medical treatment to geriatric patients. The goal ofthis study was to determine the efectiveness of Beers criteria in decreasing thepotency of inappropriate drugs use to the geriatric patients in Ibnu Sina HospitalMakassar. The design of the study was pre experimental design. The interventionwas the information about Beers criteria drugs use that given to the doctor whenvisit the patients. The medical record from 70 patients in pre intervention and 70patients in post intervetion used as the samples of this study. The method oftaking samples retrospectively has been done at September - November 2014 inpre intevention group and prospectively at December 2014 - February 2015 in thepost intervention group. 60-74 years of age and length of hospital patients over 5days significantly associated with the occurrence of potentially improperprescription. Provision of drug information meaningful effect to reducingimproper prescribing potentially from 87.1% before the intervention to 65.7%after intervention. So it could be concluded that the information giving aboutBeers criteria to the doctor can decrease the inappropriate drugs use to thegeriatric patients in Ibnu Sina Hospital Makassar, Polypharmacy was common in geriatric patients. Beers criteria is a tool that usedto determine the inappropriate medical treatment to geriatric patients. The goal ofthis study was to determine the efectiveness of Beers criteria in decreasing thepotency of inappropriate drugs use to the geriatric patients in Ibnu Sina HospitalMakassar. The design of the study was pre experimental design. The interventionwas the information about Beers criteria drugs use that given to the doctor whenvisit the patients. The medical record from 70 patients in pre intervention and 70patients in post intervetion used as the samples of this study. The method oftaking samples retrospectively has been done at September - November 2014 inpre intevention group and prospectively at December 2014 - February 2015 in thepost intervention group. 60-74 years of age and length of hospital patients over 5days significantly associated with the occurrence of potentially improperprescription. Provision of drug information meaningful effect to reducingimproper prescribing potentially from 87.1% before the intervention to 65.7%after intervention. So it could be concluded that the information giving aboutBeers criteria to the doctor can decrease the inappropriate drugs use to thegeriatric patients in Ibnu Sina Hospital Makassar]"

"[Penggunaan Potentially Inappropriate Medication (PIM) dapat mengganggu hasilluaran kesehatan yang diinginkan. Penggunaan PIM pun berperan penting dalamterjadinya morbiditas dan mortalitas sehingga dapat menurunkan kualitas hiduppasien geriatri. Di RSCM Jakarta, belum ada data mengenai proporsi penggunaanPIM pada pasien geriatri rawat inap. Tujuan penelitian ini adalah mengevaluasipenggunaan PIM berdasarkan kriteria Beers 2012 pada pasien geriatri rawat inap diRSCM Jakarta. Penelitian ini menggunakan desain potong lintang (cross-sectional)retrospektif. Data diperoleh dari rekam medis pasien geriatri rawat inap yangterdaftar di Bagian Rekam Medis RSCM Jakarta periode Januari-Juni 2015. Datamengenai riwayat penggunaan obat dan diagnosis tiap pasien diolah dan dianalisisberdasarkan kriteria Beers 2012. Dari 63 pasien yang memenuhi kriteria inklusi,didapatkan 16 (25,4%) pasien geriatri rawat inap telah menerima PIM. Obat-obatanyang termasuk PIM berdasarkan kriteria Beers yang paling banyak diresepkanantara lain digoxin >0,125 mg per hari, haloperidol dan klonidin. Dibandingkandengan penggunaan PIM di Rumah Sakit Pendidikan Layanan Tersier di India,Daerah Malabar di Kerala, Rumah Sakit Pendidikan India, Minnesota dan RumahSakit Tersier Pedalaman Nigeria, penggunaan PIM di RSCM Jakarta lebih rendah,namun, lebih tinggi dibandingkan di Rumah Sakit Italia, Brazil, RSUP Dr. M.Djamil Padang dan Metropolitan Hyderabad India. Perbedaan proporsi penggunaanPIM di RSCM Jakarta dibandingkan dengan RS lain dapat dipengaruhi olehperbedaan profil pasien dalam hal penyakit komorbid yang multipel, polifarmasi,ketersediaan obat dan pengetahuan dokter mengenai obat-obat yang masuk didalamkriteria Beers, The use of Potentially Inappropriate Medication (PIM) can affect the outcome oftreatment. The use of PIM contributes to the morbidity and mortality event and itcan reduce the quality of life of geriatric patients. In Cipto Mangunkusumo (CM)Jakarta Hospital, there was no data about the proportion of the use of PIM inhospitalized geriatric patients. The aim of this study is to evaluate the use of PIMbased on the Beers criteria 2012 in hospitalized geriatric patients in CM HospitalJakarta. The design of this study is a retrospective, cross sectional study. Data wasobtained from the medical records of geriatric patients hospitalized in the internalmedicine ward CM Hospital during the period of January to June 2015. Data aboutthe history of drug use and the diagnosis of patients were processed and analyzedbased on the Beers criteria 2012. Of the 63 geriatric patients evaluated, 16 (25.4%)have received PIM. The most frequent prescribed drugs categorized as PIM basedon Beers criteria are digoxin > 0,125 mg per day, haloperidol and clonidine.Compared with the PIM use in The Tertiary Care Teaching Hospital in India, IndianTeaching Hospital, Minnesota and Nigerian Rural Tertiary Hospital, the PIM usein CM Hospital is lower. However, it is higher when compared to those in the ItalianHospital, Brazil Hospital, RSUP Dr. M. Djamil Padang and MetropolitanHyderabad India. The differences in the proportion of use of PIM in CM JakartaHospital compared to other hospitals can be influenced by the differences ofpatients profile in terms of the multiple comorbid diseases, polypharmacy,availability of drugs and knowledge of physicians about drugs listed in the Beerscriteria.]"

"ABSTRAK Terapi polifarmasi yang kompleks dan berpotensi tidak tepat umum terjadi padapasien geriatri. Screening Tool for Older Peoples’ Prescription (STOPP) terdiri dari65 kriteria yang signifikan secara klinis untuk mendeteksi potensi peresepan yangtidak tepat pada pasien geriatri. Penelitian ini bertujuan untuk menilai efektifitaskriteria STOPP dalam menurunkan kejadian penggunaan obat yang berpotensi tidaktepat (Potential Inappropriate Medication/PIM) pada pasien geriatri rawat inap diRSUD kota Depok. Kriteria STOPP diinformasikan kepada dokter untuk dapatdijadikan pedoman peresepan pasien geriatri.Intervensi berupa konfirmasi PIM danrekomendasi penggunaan obat dilakukan kepada dokter selama penapisan resepmenggunakan kriteria STOPP. Rancangan penelitian ini adalah pre experiment.Sampel penelitian berupa resep dari 68 pasien geriatri untuk kelompok preintervensidan 71 pasien geriatri untuk kelompok post intervensi.Pengambilan sampel secararetrospektif Desember 2012-Januari 2013 pada kelompok pre intervensi dan secaraprospektif April-Mei 2013 pada kelompok post intervensi. Jumlah PIM berdasarkankriteria STOPP yang didapat pada kedua kelompok dianalisis menggunakan Uji ManWhitney. Jumlah PIM sebelum intervensi (27,94%) berbeda bermakna (p<0,05)dengan jumlah PIMsetelah intervensi (12,67%). Kriteria STOPP pada penelitianiniefektifmenurunkan kejadian penggunaan obat yang berpotensi tidak tepat padapasien geriatri rawat inap di RSUD kota Depok.

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ABSTRACT Complex polypharmacy and potentially inappropriate therapy are common ingeriatric patient.Screening Tool for Older Peoples’ Prescription (STOPP) consists of65 clinically significant criteria for detecting potential inappropriate prescribing ingeriatric patients. This study is aimed to determine the effectiveness of STOPPcriteria in decreasing the incidence of Potentially Inappropriate Medications (PIM) inhospitalized geriatric patients at RSUD Depok. The design of this study is preexperiment. Thesamples is prescriptions from68 geriatric patients for preinterventiongroup and 71 geriatric patients for post intervention groups.STOPPcriteria was being informed to the doctor so they can use it as a geriatric prescribingguidance. Intervention was given to the doctor by confirming the PIM and providingmedication recommendationduring the prescribing screening using STOPP criteria.The sampling was conducted retrospectively at December 2012-January 2013 for preintervention group and prospectively at April-May 2013 for post-intervention group.PIM amount obtained in the two groups were analyzed using Man Whitney Test. Theamount of PIM before intervention (27,94%) is significantly different (p <0.05)compared with the amount of PIM after intervention (12.67%). STOPP criteria inthis study is effective in decreasing the incidence of potentially inappropriatemedications in hospitalized geriatric patients at RSUD Depok."

"Latar Belakang. Polifarmasi, pengobatan berpotensi tidak tepat (PIM),ketidakpatuhan terhadap pengobatan, dan interaksi obat merupakan permasalahanterkait obat pada usia lanjut dan berhubungan dengan sindrom geriatri danberbagai luaran klinis negatif.Tujuan. Mengetahui karakteristik pasien dan pengobatan yang didapatkannya,mengetahui proporsi polifarmasi, PIM, ketidakpatuhan terhadap pengobatan, daninteraksi obat pada pasien di Poliklinik Geriatri.Metode. Penelitian deskriptif ini dilakukan secara potong-lintang di Rumah SakitUmum Pusat Nasional Dr. Cipto Mangunkusumo. Sampel diambil secarakonsekutif. Melalui wawancara dan telaah rekam medik, data pasien yangdikumpulkan berupa usia, jenis kelamin, tingkat pendidikan, status sosial danekonomi, komorbiditas, pengkajian geriatri komprehensif, obat-obatan yangdikonsumsi pasien, PIM berdasarkan kriteria STOPP versi 2 dan Beers 2019,ketidakpatuhan pengobatan berdasarkan MAQ, dan interaksi obat berdasarkanLexi-Interact Online dari Lexicomp®.Hasil. Dari 101 subjek, didapatkan karakteristik berupa sebagian besar subjekberusia 70 – 79 tahun (57,43%), berpendidikan tinggi (41,58%), menikah(62,38%), tinggal dengan keluarga (87,13%), berpenghasilan di bawah UMR(56,44%), dan berobat dengan Jaminan Kesehatan Nasional (97,03%). Sebagianbesar tidak mengalami malnutrisi (78,22%), memiliki fungsi kognitif normal(87,13%), tidak menderita depresi (90,1%), status fungsional mandiri (64,36%),pre-frail (70,3%), dan indeks komorbiditas Charlson sedang (50,5%). Obatantihipertensi merupakan obat yang paling banyak diresepkan (88,12%), terdapat11,88% subjek mengkonsumsi obat tradisional. Seluruh subjek (100%) memilikimultimorbiditas, komorbid terbanyak adalah hipertensi (85,15%). Polifarmasiterjadi pada 86,14% subjek, PIM berdasarkan kriteria STOPP versi 2 terjadi pada30,69% subjek, sedangkan berdasarkan kriteria Beers 2019 terjadi pada 36,63%subjek. Ketidakpatuhan terhadap pengobatan terjadi pada 60,4% subjek, daninteraksi antar-obat terjadi pada 82,18% subjek.Kesimpulan. Sebagian besar pasien di Poliklinik Geriatri mengalami polifarmasi,namun hanya sebagian kecil yang mengandung obat berpotensi tidak tepat.Sebagian besar pasien tidak patuh terhadap pengobatan dan mengkonsumsi obatobatanyang mengandung potensi interaksi obat.

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Background. Polypharmacy, potentially inappropriate medicine (PIM), nonadherence

to treatment, and drug interactions are drug-related problems that often

occur in the elderly and are associated with geriatric syndrome and various

clinical outcomes so that it needs attention in administering drugs for elderly

patients. .

Aim. Knowing character of the patients and the treatment they received, looking

at polypharmacy, PIM, non-adherence to treatment, and drug interactions in

patients at the Geriatric Polyclinic.

Method. It is a cross-sectional study done in March - April 2020 at Dr. Cipto

Mangunkusumo. The subject selecting based on consecutive sampling. Subjects

are interviewed with questionnaires and review the patient's medical records to

obtain data on age, gender, education level, social and economic status,

comorbidities, comprehensive geriatric assessments, drugs consumed by patients,

PIM based on STOPP version 2 and Beers 2019 criteria, adherence of treatment

with MAQ, and drug interactions based on Lexi-Interact Online from Lexicomp®.

Result. Of the 101 subjects, most of the subjects were 70-79 years old (57.43%),

female (54.46%), highly educated (41.58%), married (62.38%), living with family

(87.13%), earning below the UMR (56.44%), and seeking treatment with the

National Health Insurance (97.03%). Most of them are not malnourished

(78.22%), have normal cognitive function (87.13%), do not suffer from

depression (90.1%), independent functional status (64.36%), pre-frail (70.3 %),

and have moderate Charlson's comorbidity index (50.5%). Anti-hypertensive

drugs were the most prescribed drug (88.12%), 11.88% of patients consumed

traditional medicine. All subjects (100%) had multimorbidity, the most common

comorbid was hypertension (85.15%). Polypharmacy occurred in 86.14% of

subjects, PIM based on the STOPP version 2 criteria occurred in 30.69% of

subjects, and based on Beers 2019 criteria occurred in 36.63% of subjects. Nonadherence

to treatment did occur in 60.4% of subjects, and drug interactions

occurred in 82.18% of subjects.

Conclusion. Most elderly patients in the Geriatric Polyclinic experience

polypharmacy, but only a small proportion of them contain PIM. Most of the

patients do not adhere to treatment, and take drugs that involve drug interactions.

Keywords. polypharmacy, PIM, medication non-compliance, drug interactions,

elderly, outpatient."

"Praktik kerja profesi apoteker di Puskesmas Kecamatan Pasar Rebo bertujuan untuk mengevaluasi jumlah obat di Puskesmas Kecamatan Pasar Rebo berdasarkan klasifikasi Beers Criteria Puskesmas Kecamatan Pasar Rebo. Metode pelaksanaan dilakukan dengan melihat daftar lemari obat yang berada di ruang farmasi Puskesmas Kecamatan Pasar Rebo, Jakarta Timur. Data diambil berupa daftar obat di lemari obat yang berisi obat oral, topikal, tetes mata, tetes telinga, obat narkotika dan psikotropika. Kemudian penelusuran literatur menggunakan Beers Criteria sebagai kategori untuk tiap-tiap obat. Obat-obat di Puskesmas Kecamatan Pasar Rebo yang termasuk ke dalam Beers criteria adalah sebanyak 20% (19 obat). Adapun obat yang termasuk kategori 1 sebanyak 47% (9 obat), kategori 2 sebanyak 26% (5 obat), kategori 3 sebanyak 11% (2 obat) dan kategori 5 sebanyak 16% (3 obat).

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The aim of the professional pharmacist work practice at the Puskesmas Pasar Rebo is to evaluate the number of drugs at the Puskesmas Pasar Rebo based on the Beers Criteria classification. The implementation method is carried out by examining the list of drug cabinets in the pharmacy room of the Puskesmas Pasar Rebo, East Jakarta. The data collected consists of the list of drugs in the cabinet, including oral, topical, eye drops, ear drops, narcotics, and psychotropic drugs. Subsequently, a literature review using the Beers Criteria is conducted to categorize each drug. The drugs at the Puskesmas Pasar Rebo that fall under the Beers Criteria account for 20% (19 drugs). Among these, drugs in category 1 make up 47% (9 drugs), category 2 makes up 26% (5 drugs), category 3 makes up 11% (2 drugs), and category 5 makes up 16% (3 drugs)."

"Clinical Pathway (CP) Apendisititis Akut (AA) memberikan gambaran secara rinci tahap-tahap pelayanan yang akan diberikan kepada pasien. Implementasi CP AA di RSI Ibnu Sina Pekanbaru diharapkan dapat mengendalikan variasi proses perawatan dalam upaya meningkatkan kendali mutu dan kendali biaya. Tujuan penelitian ini adalah untuk melihat peran implementasi CP AA dalam meningkatkan efisiensi biya apendiktomi pasien JKN di RSI Ibnu Sina Pekanbaru. Desain penelitian ini adalah cross sectional menggunakan pendekatan kuantitatif dengan menghitung tagihan biaya pasien yang menjalani apnediktomi sebelum dan sesudah implementasi CP AA dan diolah dengan uji statistik. Pendekatan kualitatif melalui wawancara mendalam dengan informan yang terkait dalam implementasi CP AA. Hasil penelitian terjadi pemendekan Length of Stay (LOS) secara bermakna (P<0.001) pada kelompok pasien sesudah implementasi CP dibandingkan sebelumnya. Terjadi penurunan rata-rata total biaya apendiktomi sebelum dan sesudah implementasi CP (Rp. 5.214.188.02 vs Rp. 4.436.438.37) yang bermakna (P<0.001) dengan persentase selisih 17,5%. Penurunan varian pelayanan berupa utilisasi alat kesehatan (Alkes), obat dan pemeriksaan laboratorium mempengaruhi peningkatan efisiensi biaya apendiktomi. Adanya varian dalam implementasi CP AA menjadi masukan untuk mencapai implementasi CP yang ideal. Varian berupa pengurangan pelayanan yang seharusnya diberikan kepada pasien harus ditinjaklanjuti dengan melakukan penilaian outcome pasien seperti tingakat kejadian readmission dan kondisi pasien ketika melakukan kontrol setelah pulang dari Rumah Sakit (RS).

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Clinical pathway for acute appendicitis provides a detailed description of the steps of healthcare to be given to patients. Implementation of clinical pathway for acute appendicitis at Ibnu Sina Islamic Hospital Pekanbaru is expected to be able to control variations in the treatment process in an effort to improve quality and cost control.The purpose of this study aimed to see the role of implementation of clinical pathway for acute appendicitis in improving appendectomy cost efficiency in The Indonesian National Health Insurance patients at Ibnu Sina Islamic Hospital Pekanbaru. The study design was cross sectional with a quantitative approach through calculating the cost bills of patients who underwent appendectomy before and after the implementation of clinical pathway and processed with statistical tests. Qualitative approach through indepth interviews with informants who were involved in the implementation of CP. The results of the study showed shortening length of stay statistically significant as (P <0.001) in the patient group after the implementation of the clinical pathway compared to before. There was a decrease in average total costs of appendectomy before and after the implementation of clinical pathways (IDR.5.214.188.02 vs IDR.4.436.438.37) statistically significant as (P <0.001) with a percentage difference of 17.5%. Decreasing service variants in the form of the utilization of medical equipment, drug, and laboratory test affected the increase in appendectomy cost efficiency. The existence of variants in the implementation of CP can be used as input to achieve the ideal CP. Variants in the form of reducing services that should be given to patients must be followed up by evaluating patient outcomes such as readmission rates and the patient's condition when controlling after returning from the hospital. "

"Penelitian ini bertujuan untuk mengetahui pengaruh terapi pijat terhadap beratbadan dan lama rawat BBLR yang menjalani perawatan di ruangan perinatologi.Disain penelitian ini adalah quasi experiment nonequivalent control group,before-after design. Jumlah sampel sebanyak 27 bayi, diambil secara consecutivesampling. Hasil penelitian adalah terdapat perbedaan yang bermakna rata-ratapeningkatan berat badan pada kelompok kontrol dan intervensi (p=0,039<0,05);tidak terdapat perbedaan yang bermakna rata-rata lama rawat pada kelompokkontrol dan intervensi (p=0,795>0,05). Hasil analisis menunjukkan bahwa jeniskelamin mempunyai hubungan yang bermakna terhadap peningkatan berat badan;usia gestasi, umur, berat lahir, dan jenis kelamin, mempunyai hubungan yangbermakna terhadap lama rawat. Peneliti merekomendasikan penelitian lanjuttentang pengaruh terapi pijat dengan desain yang berbeda.

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The research aimed to identify the effect of massage therapy to body weight and

the length of stay of baby with low birth weight in Neonatal room. The design was

quasi experiment non equivalent control group, before and after design. The

amount of sample are 27 by using consecutive sampling .The result of this

research that there was significant mean difference of weight gain in control group

and intervention group (p=0,039<0,05); there was no significant length of stay

mean’s difference between control group and intervention group (p=0,795>0,05).

The result analysis show that there was significant correlation between sex and

weight gain , and corelation between gestation age, baby’s age, weight at birth,

and sex to the length of stay. The researcher recommended the continuity research

about the effect of baby massage therapy with various design."

"Biaya belanja obat pada tahun 2000 di Rumah Sakit "IBNU S1NA" Pekanbaru sebesar Rp 2.784.442.315,00 atau 31,29% dari seluruh biaya operasional rumah sakit (Rp 8.894.418.879,00). Meskipun biaya yang dikeluarkan untuk pembelanjaan obat tersebut sudah cukup besar tetapi masih ditemukan masalah berupa belanja obat ke apotek luar sebesar Rp 325.687.400,00 atau 11,69%, dari biaya belanja obat. .Obat yang dibeli secara kontrak menumpuk sebesar Rp 249.059.000,00 atau 49,18% dari nilai obat yang dibeli secara kontrak yaitu sebesar Rp 600.000.000,00. Sejumlah obat deadstock sebesar Rp. 22.603.827,00 atau 0,8% dari biaya belanja obat. Penulis berasumsi masalah tersebut terjadi karena belum memadainya perencanaan obat di Rumah Sakit "IBNU S1NA" Pekanbaru. Berdasarkan hal tersebut penulis ingin mendapatkan gambaran perencanaan obat di Rumah Sakit "IBNU SINA" Pekanbaru pada Januari 2000 sampai dengan Desember 2000.Penelitian ini merupakan studi kasus dengan menggunakan pendekatan kualitatif. Data diperoleh melalui wawancara mendalam yang mencakup informasi dari informan yang terkait, observasi dengan menelusuri data yang terdokumentasi. Penelitian ini dilaksanakan dari awal Mei sampai akhir Juni 2001.Hasil wawancara mendalam dari observasi yang dilakukan terhadap variabel-variabel terkait dengan perencanaan obat di Rumah Sakit "IBNU SINA" Pekanbaru tahun 2000, didapatkan hal-hal yang sudah dipertimbangkan, yaitu pemakaian obat periode sebelumnya, stok akhir, masa tenggang (lead time), kapasitas gudang, stok pengaman, usulan dokter, usulan kepala kamar operasi, dan anggaran. Dengan catatan belum adanya data yang mendukung perhitungan terhadap hal-hal yang dipertimbangkan tersebut. Didapatkan juga hal-hal yang seharusnya sudah dipertimbangkan, tetapi pada kenyataannya belum dipertimbangkan, yaitu usulan komite medik, usulan panitia farmasi dan terapi, usulan kepala IGD, usulan kepala ruangan perhitungan analisis ABC pemakaian, perhitungan analisis ABC investasi, perhitungan indeks kritis ABC, perhitungan Economic Order Quantity (EOQ), pertimbangan Length of Slay, pola penyakit, formularium, dan standar terapi.Hasil penelitian menggambarkan bahwa perencanaan obat di Rumah Sakit "IBNU SINA" Pekanbaru tahun 2000 belum efektif, mengingat hal-hal yang harus dipertimbangkan dalam perencanaan obat belum sepenuhnya dipertimbangkan, dan pihak-pihak yang seharusnya terlibat belum dilibatkan.Agar perencanaan obat lebih efektif dan efisien, maka penulis menyarankan kepada pihak manajemen dalam membuat perencanaan kebutuhan obat sebaiknya mempertimbangkan hal-hal yang semestinya dipertimbangkan dengan melibatkan pihak-pihak terkait. Selain itu, perlu dibuat prosedur tetap dan kebijakan-kebijakan yang berhubungan dengan perencanaan obat.

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The Process of Planning for Medical Supplies at IBNU SINA Moslem Hospital, Yarsi Riau - Pekanbaru, 2000.The medicine expenditure in the year 2000 at IBNU SINA Hospital, Pekanbaru was Rp 2,784,442,315.00 or 31.29% from the whole operational costs (Rp 8,894,418,879.00). Although the medicine expenditure is quite large, there still are prescriptions filled to other pharmacies amounting to Rp 325,687,4000.00 or 11.69% from the total medicine expenditure. Unused medication bought through contracts reached Rp 249,059,000.00 or 49.18% from the Rp 600,000,000.00 spent on medicine. The amount of dead stock medicine was Rp 22,603,827.00 or 0.8% from the total medicine expenditure. The author assumes that inadequate medical planning at IBNU SINA Hospital, Pekanbaru, caused it. Based on those facts, the author aims to achieve an illustration of the medical planning at IBNU SINA Hospital, Pekanbaru in January 2000 to December 2000.

This study was a case study that applies a qualitative approach. The data obtained through in-depth interviews that comprised of the information from related informants, observation by tracing documenting data, and Discussion Group Focus (FGD). This study began in early May to the end of June 2001.

The in-depth interviews, Discussion Group Focus, and observations on related variables against medical planning at IBNU SINA Hospital, Pekanbaru, in the year 2000, these aspects were already being considered: the use of medical supplies during the previous period, final stocks, lead time, warehouse capacity, safety stock, doctor recommendations, recommendations from the head of the surgery room, and budget. However, there is no data that supports the calculations on the aspects above. There were also several items that should be considered, but were not, such as the recommendations from the medical committee, pharmacy and therapy committee, the head of the IGD, the head of the room, calculations analysis of the ABC use, calculations analysis of the ABC investing, calculations on the ABC critical index, the Economic Order Quantity (ECQ), the Length of stay, disease pattern, Hospital drug standard, and therapy standard.

The study indicated that the medical supplies planning at IBNU SINA Hospital, Pekanbaru, in the year 2000, was ineffective, since the aspects that should be considered had not been considered, and the parties that should be involved were not involved.

To make the planning more effective and efficient, the author suggests the management to take into consideration the aspects above and involve the related parties. In addition to that, create a standard procedure and policies that is related to the planning."

"An important aspect of the organization to improve the work ethos and productivity by giving employees the motivation and effort in motivating employees by providing compensation in the form of incentives. Work motivation Muslims are seeking the blessing of Allah and worth worship. The research aims to determine the relationship between incentives and work to worship with employee motivation at the Polyclinic and Maternity Hospital Ibnu Sina Balikpapan. The study was conducted in January 2015 using a questionnaire. Analyses were performed quantitative approach with cross sectional study design. This research sample 95 of 95 total population.The results showed as much as 75.8% of respondents have a low work motivation, as well as the most dominant variable with work motivation is a variable communication with superiors. Suggested Polyclinic and Maternity Hospital has a policy of ensuring good communication with the boss as a forum for formal and informal meetings regulary with employees and optimize the religious forum to improve communication with superiors."