Peresepan Fitofarmaka pada Lima Rumah Sakit di Kota Medan
DOI:
https://doi.org/10.63004/hrji.v5i1.1653Kata Kunci:
fitofarmaka, formularium, peresepan, rumah sakit, Kota MedanAbstrak
Latar belakang: Pemanfaatan fitofarmaka di rumah sakit belum sepenuhnya sejalan dengan Formularium Fitofarmaka Nasional.
Tujuan: Menggambarkan pola peresepan dan hambatan penggunaan fitofarmaka di lima rumah sakit di Kota Medan.
Metode: Penelitian deskriptif observasional dengan rancangan retrospektif dan komponen kualitatif dilaksanakan pada Februari–Mei 2025. Data mencakup catatan penggunaan fitofarmaka Januari–Desember 2024, kuesioner, serta hasil wawancara dengan tenaga farmasi. Data kuantitatif dianalisis secara deskriptif, sedangkan data wawancara dikelompokkan secara tematik.
Hasil: Tiga dari lima rumah sakit (60%) menggunakan fitofarmaka. Dari 165 resep yang dapat diverifikasi berdasarkan rekapitulasi tahunan, 126 resep (76,4%) merupakan Vipalbumin Plus di RSU Bunda Thamrin dan 39 resep (23,6%) Diabetadex di RSU Haji Medan. RS Hermina menggunakan Stimuno dan Inlacin tanpa data jumlah yang lengkap, sedangkan RSUD Dr. Pirngadi dan RS Bhayangkara TK II Medan tidak menggunakan fitofarmaka. Hambatan mencakup formularium internal, kebijakan, pembiayaan, permintaan dokter, edukasi, serta pencatatan yang belum seragam.
Simpulan: Penggunaan fitofarmaka pada lima rumah sakit yang diteliti masih terbatas dan belum merata. Penguatan formularium internal, pembiayaan, edukasi dokter-apoteker, dan standardisasi dokumentasi diperlukan untuk mendukung penggunaan yang rasional dan terukur.
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Hak Cipta (c) 2026 Hasnita Pratiwi Togatorop, Desy Natalia Siahaan; Salmah Handayani Lubis
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