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"Apotek jaringan merupakan sekelompok apotek yang dikelola oleh suatu perusahaan dan memiliki cabang dengan nama yang sama, yang digunakan sebagai sarana pelayanan farmasi klinik untuk meningkatkan mutu kehidupan pasien. Gambaran pelaksanaan kegiatan pelayanan farmasi klinik selama masa pandemi COVID-19 belum diketahui pada apotek jaringan di Indonesia. Penelitian deskriptif analitik dengan desain penelitian cross-sectional ini bertujuan untuk mengetahui perubahan pola pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera selama masa pandemi COVID-19. Metode perolehan sampel dilakukan dengan teknik convenience sampling. Data yang dikumpulkan adalah data primer dari total 60 sampel penelitian melalui online kuesioner yang selanjutnya dianalisis dengan menggunakan IBM® SPSS® versi 22. Dilakukan skoring data penelitian untuk memperoleh rerata skor pelaksanaan kegiatan dengan rentang skor 0-100, dimana rerata skor pelaksanaan menggambarkan seberapa baik pelaksanaan kegiatan pelayanan farmasi klinik yang dilakukan di apotek jaringan. Berdasarkan hasil penelitian, diketahui melalui hasil skoring bahwa pelaksanaan pelayanan farmasi klinik di apotek jaringan secara keseluruhan mengalami penurunan selama masa pandemi COVID-19. Pelayanan farmasi klinik di apotek jaringan memiliki rerata skor pelaksanaan sebelum masa pandemi sebesar 82,63 ± 16,16, sedangkan selama masa pandemi sebesar 73,99 ± 15,60. Terdapat perbedaan yang bermakna secara statistik dalam pelaksanaan pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera saat sebelum dan selama masa pandemi COVID-19 (p < 0,1) terutama pada kegiatan PIO, konseling, pelayanan kefarmasian di rumah, PTO, dan MESO. Selama masa pandemi COVID-19, secara keseluruhan terjadi perubahan pada pelaksanaan kegiatan pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera dengan adanya penerapan protokol kesehatan, pengimplementasian metode telefarmasi, dan pelayanan pengantaran obat ke rumah.

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A chain pharmacy is a group of pharmacies under a certain company divided into several branches with the same name, in which the practice of clinical pharmacy service is carried out to improve the quality of life of patients. The implementation of clinical pharmacy service standards during the COVID-19 pandemic is still unknown at chain pharmacies in Indonesia. This analytical descriptive study with a cross-sectional research design aimed to determine changes in the pattern of clinical pharmacy services in chain pharmacies in Java and Sumatra during the COVID-19 pandemic. The sampling method used was convenience sampling technique. Primary data was collected from a total of 60 research samples through online questionnaires and analyzed using IBM® SPSS® version 22. Scoring of research data is carried out to obtain an average score for the implementation of activities with a score range of 0-100, where the average score of implementation describes how well the implementation of clinical pharmacy service activities carried out in chain pharmacies. The scoring results show that the implementation of clinical pharmacy services in chain pharmacies as a whole has decreased during the COVID-19 pandemic. Clinical pharmacy services at chain pharmacies have an average implementation score of 82,63 ± 16,16 before the pandemic period and 73,99 ± 15,60 during the pandemic period. There was a statistically significant difference in the implementation of clinical pharmacy services at chain pharmacies in Java and Sumatra before and during the COVID-19 pandemic (p < 0,1), especially in drug information services, counseling, home pharmacy care, drug therapy monitoring, and adverse drug reaction monitoring activities. During the COVID-19 pandemic, there was a change in the overall implementation of clinical pharmacy service activities in chain pharmacies across Java and Sumatra with the implementation of health protocols, telepharmacy methods, and home delivery services."

"Apotek jaringan merupakan sekelompok apotek yang dikelola oleh suatu perusahaan dan memiliki cabang dengan nama yang sama, yang digunakan sebagai sarana pelayanan farmasi klinik untuk meningkatkan mutu kehidupan pasien. Gambaran pelaksanaan kegiatan pelayanan farmasi klinik selama masa pandemi COVID-19 belum diketahui pada apotek jaringan di Indonesia. Penelitian deskriptif analitik dengan desain penelitian cross-sectional ini bertujuan untuk mengetahui perubahan pola pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera selama masa pandemi COVID-19. Metode perolehan sampel dilakukan dengan teknik convenience sampling. Data yang dikumpulkan adalah data primer dari total 60 sampel penelitian melalui online kuesioner yang selanjutnya dianalisis dengan menggunakan IBM® SPSS® versi 22. Dilakukan skoring data penelitian untuk memperoleh rerata skor pelaksanaan kegiatan dengan rentang skor 0-100, dimana rerata skor pelaksanaan menggambarkan seberapa baik pelaksanaan kegiatan pelayanan farmasi klinik yang dilakukan di apotek jaringan. Berdasarkan hasil penelitian, diketahui melalui hasil skoring bahwa pelaksanaan pelayanan farmasi klinik di apotek jaringan secara keseluruhan mengalami penurunan selama masa pandemi COVID-19. Pelayanan farmasi klinik di apotek jaringan memiliki rerata skor pelaksanaan sebelum masa pandemi sebesar 82,63 ± 16,16, sedangkan selama masa pandemi sebesar 73,99 ± 15,60. Terdapat perbedaan yang bermakna secara statistik dalam pelaksanaan pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera saat sebelum dan selama masa pandemi COVID-19 (p < 0,1) terutama pada kegiatan PIO, konseling, pelayanan kefarmasian di rumah, PTO, dan MESO. Selama masa pandemi COVID 19, secara keseluruhan terjadi perubahan pada pelaksanaan kegiatan pelayanan farmasi klinik di apotek jaringan Pulau Jawa dan Sumatera dengan adanya penerapan protokol kesehatan, pengimplementasian metode telefarmasi, dan pelayanan pengantaran obat ke rumah.

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A chain pharmacy is a group of pharmacies under a certain company divided into several branches with the same name, in which the practice of clinical pharmacy service is carried out to improve the quality of life of patients. The implementation of clinical pharmacy service standards during the COVID-19 pandemic is still unknown at chain pharmacies in Indonesia. This analytical descriptive study with a cross-sectional research design aimed to determine changes in the pattern of clinical pharmacy services in chain pharmacies in Java and Sumatra during the COVID-19 pandemic. The sampling method used was convenience sampling technique. Primary data was collected from a total of 60 research samples through online questionnaires and analyzed using IBM® SPSS® version 22. Scoring of research data is carried out to obtain an average score for the implementation of activities with a score range of 0-100, where the average score of implementation describes how well the implementation of clinical pharmacy service activities carried out in chain pharmacies.

The scoring results show that the implementation of clinical pharmacy services in chain pharmacies as a whole has decreased during the COVID-19 pandemic. Clinical pharmacy services at chain pharmacies have an average implementation score of 82,63 ± 16,16 before the pandemic period and 73,99 ± 15,60 during the pandemic period. There was a statistically significant difference in the implementation of clinical pharmacy services at chain pharmacies in Java and Sumatra before and during the COVID-19 pandemic (p < 0,1), especially in drug information services, counseling, home pharmacy care, drug therapy monitoring, and adverse drug reaction monitoring activities. During the COVID-19 pandemic, there was a change in the overall implementation of clinical pharmacy service activities in chain pharmacies across Java and Sumatra with the implementation of health protocols, telepharmacy methods, and home delivery services."

"Pelayanan farmasi klinik merupakan pelayanan langsung dan bertanggung jawab kepada pasien untuk mendukung penggunaan obat yang benar dan rasional, mengetahui tujuan akhir dari pengobatan, dan mengetahui kemungkinan terjadinya kesalahan pengobatan. Apotek non jaringan merupakah salah satu sarana yang digunakan untuk menyelenggarakan pelayanan farmasi klinik oleh apoteker, dimana apotek tidak berafiliasi dengan perusahaan dan memiliki kebijakan sendiri. Dalam beberapa bulan terakhir, pelayanan farmasi klinik di beberapa negara mengalami perubahan dalam praktiknya akibat adanya pandemi COVID-19. Penelitian ini bertujuan untuk menganalisis perubahan pelayanan farmasi klinik selama pandemi COVID-19 di apotek non jaringan Pulau Jawa dan Sumatera. Penelitian ini merupakan penelitian kuantitatif kualitatif dengan desain penelitian cross sectional. Teknik convenience sampling digunakan untuk mendapatkan 57 apotek. Data primer dikumpulkan dengan kuesioner online yang diisi oleh apoteker penanggung jawab apotek. Hasil evaluasi dinyatakan dalam bentuk rata-rata skor (0 – 100) yang menunjukkan seberapa baik pelayanan farmasi klinik yang dilakukan oleh apotek non jaringan. Hasil penelitian menunjukkan adanya penurunan rata-rata pelaksanaan pelayanan sebelum dan selama pandemi dengan perolehan skor 68,05+18,00 menjadi 66,01+ 18,44. Hasil uji statistik menunjukkan adanya perbedaan bermakna pada pelayanan tersebut (p = 0,013). Hasil data kualitatif menggambarkan perubahan pada praktik pelayanan farmasi klinik yaitu adanya penerapan protokol kesehatan dan penggunaan telefarmasi.

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Clinical pharmacy services provide direct care and responsible to patients to promote appropriate and rational medicine uses, to understand the treatment main goal, and to find out the medication error possibilities. Non-chain pharmacy is one of the facilities used to provide clinical pharmacy services by pharmacists, which is not affiliated with corporation and it has its own SOP. In recent months, clinical pharmacy services in several countries have experienced changes in practice due to the COVID-19 pandemic. This study aimed to analyse changes in clinical pharmacy services during the pandemic at non-chain pharmacies on Java and Sumatra Island. This quantitative-qualitative research had a cross-sectional design. Convenience sampling used to collect 57 pharmacies. Primary data was collected by using an online questionnaire that was filled out by the pharmacist. The evaluation results represented as an average score (0 – 100) which showed how well the clinical pharmacy services provided by non-chain pharmacies. The result showed a decrease in the implementation average of the services between before and during pandemic from 68,05+18,00 to 66,01+18,44. The statistical results showed a significant difference in the services (p = 0.013). The qualitative data also showed changes in practices, application of health protocols and use of telepharmacy."

"Annotation. Gain a full understanding of the basic science andclinical use of drugs with the most up-to-date andcomprehensive pharmacology text in the health sciences400 ILLUSTRATIONS--MANY IN FULL COLOROrganized to reflect the course sequence in many pharmacology courses and in integrated curricula, Basic &​ Clinical Pharmacology covers the important concepts students need to know about the science of pharmacology and its application to clinical practice. Selection of the subject matter and order of its presentation are based on the authors' many years of experience in teaching this material to thousands of medical, pharmacy, dental, podiatry, nursing, and other health science students.Coverage that spans every aspect of medical pharmacology:Encompasses every aspect of medical pharmacology including botanicals and over-the-counter drugsNew chapter on pharmacogenomics with important examplesEmphasis is placed on discussion of druggroups and prototypesClinically relevant, the book includes sections that specifically address the clinical choice and use of drugs in patients and the monitoring of their effectsFull-color presentation with more than 400 illustrationsCase studies introduce clinical problems in most chaptersSummary tables and diagrams encapsulate important informationIncludes many new drugsA Generic Name/​Trade Name Table appears at the end of most chapters for easy reference when writing a chart order or prescription."

"Annotation. Gain a full understanding of the basic science andclinical use of drugs with the most up-to-date andcomprehensive pharmacology text in the health sciences400 ILLUSTRATIONS--MANY IN FULL COLOROrganized to reflect the course sequence in many pharmacology courses and in integrated curricula, Basic &​ Clinical Pharmacology covers the important concepts students need to know about the science of pharmacology and its application to clinical practice. Selection of the subject matter and order of its presentation are based on the authors' many years of experience in teaching this material to thousands of medical, pharmacy, dental, podiatry, nursing, and other health science students.Coverage that spans every aspect of medical pharmacology:Encompasses every aspect of medical pharmacology including botanicals and over-the-counter drugsNew chapter on pharmacogenomics with important examplesEmphasis is placed on discussion of druggroups and prototypesClinically relevant, the book includes sections that specifically address the clinical choice and use of drugs in patients and the monitoring of their effectsFull-color presentation with more than 400 illustrationsCase studies introduce clinical problems in most chaptersSummary tables and diagrams encapsulate important informationIncludes many new drugsA Generic Name/​Trade Name Table appears at the end of most chapters for easy reference when writing a chart order or prescription."

"Ada beberapa pelayanan farmasi klinik yang dilakukan di puskesmas untuk meningkatkan kepatuhan pasien. Salah satu bagian utama yang paling sering dilakukan oleh apoteker dan terbukti efektif yaitu pemberian konseling pada pasien. Untuk melakukan konseling, apoteker perlu memerhatikan beberapa hal yang perlu dilakukan agar proses konseling dapat terlaksana dengan baik, efektif, dan tepat sasaran. Hal yang perlu diperhatikan apoteker dalam konseling adalah kriteria pasien yang akan dilakukan konseling dan tahap-tahap yang ada di dalam proses konseling serta isi dari konseling yang akan disampaikan kepada pasien. Metode penelitian yang digunakan dalam penyusunan laporan tugas khusus ini yaitu studi literatur sebagai pedoman selama pelaksanaan penelitian. Studi literatur dilakukan dengan beberapa sumber antara lain permenkes yang berkaitan dengan puskesmas dan pelayanan kefarmasian di puskesmas, e-book, buku pedoman standar pelayanan kefarmasian di puskesmas, jurnal, artikel publikasi, maupun sumber lainnya. Hasil studi literatur selanjutnya akan diimplementasikan selama pelaksanaan proses konseling kepada pasien – pasien di Puskesmas Kecamatan Kalideres. Hasil proses konseling akan di catat kedalam form catatan pengobatan pasien. Berdasarkan hasil Praktik Kerja Profesi Apoteker di Puskesmas Kecamatan Kalideres yang telah dilakukan oleh peneliti dapat disimpulkan bahwa Terdapat 6 poin tahapan dari pelaksanaan konseling di puskesmas antara lain apoteker membuka komunikasi antara apoteker dengan pasien/keluarga pasien, menulis identitas pasien, menilai pemahaman pasien tentang penggunaan obat, memberikan penjelasan kepada pasien/keluarga pasien untuk menyelesaikan masalah penggunaan obat dan memberikan informasi serta edukasi obat kepada pasien, melakukan verifikasi akhir untuk memastikan pemahaman pasien/keluarga pasien, dan membuat laporam kegiatan konseling obat.

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There are several clinical pharmacy services performed at the puskesmas to improve patient compliance. One of the main parts most often performed by pharmacists and proven effective is the provision of counseling to patients. To carry out counseling, pharmacists need to pay attention to several things that need to be done so that the counseling process can be carried out properly, effectively, and on target. Things that need to be considered by the pharmacist in counseling are the criteria for the patient to be counseled and the stages involved in the counseling process as well as the content of the counseling that will be delivered to the patient. The research method used in the preparation of this special assignment report is the study of the literature as a guide during the implementation of the research. The literature study was carried out using several sources, including the Minister of Health relating to health centers and pharmacy services at health centers, e-books, standard guidebooks for pharmaceutical services at health centers, journals, published articles, and other sources. The results of the literature study will then be implemented during the counseling process for patients at the Kalideres District Health Center. The results of the counseling process will be recorded into the patient's medication record form. Based on the results of the Pharmacist Professional Work Practice at the Kalideres District Health Center which has been carried out by researchers, it can be concluded that there are 6 stages of implementing counseling at the puskesmas, including the pharmacist opening communication between the pharmacist and the patient/patient's family, writing the patient's identity, assessing the patient's understanding of drug use , providing explanations to patients/patients' families to resolve drug use problems and providing drug information and education to patients, conducting final verification to ensure understanding of patients/patients' families, and preparing reports on drug counseling activities."

"Suplemen makanan merupakan produk yang dimaksudkan untuk melengkapi kebutuhan zat gizi makanan, mengandung satu atau lebih vitamin, mineral, asam amino atau bahan lain (berasal dari tumbuhan atau bukan tumbuhan) yang mempunnyai nilai gizi dan atau efek fisiologis dalam jumlah terkonsentrasi. Suplemen makanan dapat berupa produk padat meliputi tablet, tablet hisap, tablet efervesen, tablet kunyah, serbuk, kapsul lunak, granula, pastiles, atau produk cair berupa tetes, sirup, larutan.”“Di zaman era globalisasi persaingan bisnis menjadi semakin ketat. Persaingan bisnis yang semakin ketat membuat perusahaan harus mampu untuk mengantisipasi persaingan agar dapat terus bertahan. Kondisi ini juga terjadi di industri farmasi, tidakdipungkiri dunia kesehatan di Indonesia semakin berkembang. Berbicara mengenai industri farmasi tidak terlepas dari kesehatan masyarakat di Indonesia. Kesehatan menjadi hal yang terpenting dalam kehidupan manusia. Seiring dengan perkembangan zaman, produk-produk kesehatan juga semakin dibutuhkan oleh masyarakat. Perusahaan harus dapat untuk membujuk konsumen supaya bersedia untuk membeli produk. ialah Keputusan pembelian adalah keputusan yang dibuat untuk membeli barang atau jasa dari suatu perusahaan (Prahastika dan Wahyuni, 2018)”Jumlah suplemen yang kian beragam menuntut Apotek untuk dapat terus mencari tahu mengenai evidence base pada setiap keputusan penggunaan suplemen tersebut yag diharapkan dapat membantu meningkatkan kualitas hidup pasie atupunmenjadi terapi obat komplementer. Sehingga perlu dilakukannya review efikasi, keamanan dan manfaat biaya dalam suplemen erta studi kasus pasien di apotek.

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Food supplement is a product intended to supplement the nutritional needs of food, containing one or more vitamins, minerals, amino acids or other ingredients (of plant or non-plant origin) that have nutritional value and/or physiological effects in concentrated amounts. Food supplements can be in the form of solid products including tablets, lozenges, effervescent tablets, chewable tablets, powders, soft capsules, granules, pastilles, or liquid products in the form of drops, syrups, solutions.

"In the era of globalization, business competition is becoming increasingly stringent. Business competition is getting tougher, companies must be able to anticipate competition in order to survive. This condition also occurs in the pharmaceutical industry, no

It is undeniable that the world of health in Indonesia is growing. Talking about the pharmaceutical industry is inseparable from public health in Indonesia. Health is the most important thing in human life. Along with the times, health products are also increasingly needed by the community. Companies must be able to persuade consumers to be willing to buy products. namely Purchase decisions are decisions made to buy goods or services from a company (Prahastika and Wahyuni, 2018)”

The number of supplements that are increasingly diverse requires pharmacies to be able to continue to find out about the evidence base for each decision to use these supplements which are expected to help improve the patient's quality of life or become complementary drug therapy. So it is necessary to review the efficacy, safety and cost benefits of supplements as well as case studies of patients in pharmacies."

"PBF harus memiliki sistem manajemen operasional yang baik sehingga segala kegiatannya berlangsung dengan efisien dan efektif. Manajemen operasional adalah suatu cara pengelolaan fungsi–fungsi kegiatan (fungsi–fungsi manajemen) yang terdapat dalam suatu perusahaan, untuk mencapai tujuan. PBF dituntut untuk melaksanakan berbagai fungsi kegiatan, antara lain fungsi kegiatan pembelian, untuk memperoleh harga beli barang yang efisien dan menjaga ketersediaan barang. Kemudian fungsi kegiatan pengelolaan barang di gudang untuk menjaga kondisi kualitas barang sesuai persyaratan Farmakope, tidak rusak dan tidak hilang.Selanjutnya fungsi kegiatan penjualan dan pelayanan, untuk memperoleh pertumbuhan penjualan dan jumlah pelanggan, serta untuk mempertahankan pelanggan yang loyal. Setelah itu fungsi kegiatan pengelolaan piutang, untuk menjaga likuiditas keuangan dan aliran kas yang sehat. Serta fungsi kegiatan pembukuan, untuk dapat menyajikan laporan yang tepat waktu, isi dan guna agar dapat mengambil keputusan dengan cepat dan tepat.PT. Kimia Farma Trading & Distribution Bekasi merupakan salah satu cabang dari PT. Kimia Farma Trading & Distribution (KFTD) yang bergerak di bidang jaringan distribusi. Distribusi adalah salah satu ujung tombak pelayanan dari KFTD, di mana kegiatan operasionalnya meliputi distribusi untuk produk-produk farmasi, suplemen, kosmetik, alat kesehatan, rehabilitasi medik, dan reagensia. KFTD cabang Bekasi sendiri merupakan Pedagang Besar Farmasi (PBF) cabang yang bertugas menjadi penyedia perbekalan farmasi yang dibutuhkan oleh berbagai sarana pelayanan kefarmasian yang bertempat di Kota Bekasi, Kabupaten Bekasi hingga Kerawang. PT. Kimia Farma Trading & Distribution Bekasi memiliki sistem manajemen operasional yang baik untuk menunjang kegiatan distribusi yang berlangsung efisien dan efektif. Sistem manajemen operasional dari KFTD Bekasi berpedoman pada prinsip Cara Distribusi Obat yang Baik (CDOB). Cara Distribusi Obat yang Baik (CDOB) adalah cara distribusi atau penyaluran obat dan atau bahan obat yang bertujuan memastikan mutu sepanjang jalur distribusi atau penyaluran sesuai persyaratan dan tujuan penggunaannya (BPOM, 2012).

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PBF must have a good operational management system so that all of its activities take place efficiently and effectively. Operational management is a way of managing activity functions (management functions) contained in a company, to achieve goals. PBF is required to carry out various activity functions, including the function of purchasing activities, to obtain efficient purchase prices for goods and maintain the availability of goods. Then the function of goods management activities in the warehouse is to maintain the condition of the quality of the goods according to the Pharmacopoeial requirements, not damaged and not lost.

Furthermore, the function of sales and service activities is to obtain sales growth and the number of customers, as well as to maintain loyal customers. After that, the function of accounts receivable management is to maintain financial liquidity and healthy cash flow. As well as the function of bookkeeping activities, to be able to present reports that are timely, content and useful in order to be able to make decisions quickly and accurately.

PT. Kimia Farma Trading & Distribution Bekasi is a branch of PT. Kimia Farma Trading & Distribution (KFTD) which is engaged in distribution networks. Distribution is one of the spearheads of KFTD's services, where its operational activities include distribution of pharmaceutical products, supplements, cosmetics, medical devices, medical rehabilitation, and reagents. KFTD Bekasi branch itself is a Pharmaceutical Wholesaler (PBF) branch whose job is to provide pharmaceutical supplies needed by various pharmaceutical service facilities located in Bekasi City, Bekasi Regency to Karawang. PT. Kimia Farma Trading & Distribution Bekasi has a good operational management system to support efficient and effective distribution activities. The operational management system of KFTD Bekasi is guided by the principles of Good Medicine Distribution (CDOB). Good Drug Distribution Method (CDOB) is a method of distribution or distribution of drugs and/or medicinal ingredients that aims to ensure quality along the distribution or distribution channel according to the requirements and intended use (BPOM, 2012)."