No Pharmacist,

NO Services !!!

Mahardian Rahmadi
What is Profession?
 What is Profession?
Orientasi Klien
Pelatihan sistem magang,berdasarkan standard
kompetensi Keahlian Tertentu
Sarana Pelatihan yang terbakukan dan diakui
Standard Prosedur, proses non akademik
Fasilitator yang Kompeten dan sangat
menguasai
Diakui oleh profesi lainnya
Diakui oleh negara
Memperoleh fee atas pekerjaan
Mendaftar kepada sistem
Lisensi berpraktek yang mempunyai kadaluarsa
Belajar terus menerus
 What is Professional
services?
Environmen Professional services
t
Efficacy O
Econo
Economic U mic
Effectiveness
T
Efficiency
C Huma-
Social Structure nity
Acceptability O

Optimality M

Professio E Clinical
Equity
nal
Legitimacy

System
Quality Indicators Outcome
Indicator
s
 What is Professional
services?
Tolok ukur pelayanan profesional :

Dapat dipertanggung jawabkan berdasar

pada ilmu, perundangan dan etika
profesi.

Kegiatan yang kebenarannya dapat

diukur
 What is Pharmacist?

Pharmacist: Who is responsible for the

provision of drug therapy for the purpose
of achieving definite outcomes that
improve a patients quality of life
 Works
Pharmacy (chained, independent)
! ! !

al
Industry (drug, food, supplement,
o n
cosmetic, traditional medicine, etc)
i

ss
Hospital (general, specialist)
of e
Education institution (college, SMF, D3)
r

P
Government (BPOM, Depkes, Ristek,
etc)
Researcher
Pharmacy
 Pharmacy
Pelayanannya kefarmasian meliputi:
1. Pelayanan resep atau dispensing of
prescriptions
2. Pemberian saran dan obat untuk mengurangi
gejala yang dikeluhkan pasien atau klien
(responding to symptoms);
3. Interaksi dengan penulis resep dan mampu
memahami kinerja alat uji atau alat bantu
untuk menegakkan diagnosis;
4. Melakukan pelatihan untuk mahasiswa farmasi
(Azzopardi,2000).
 Pharmacy
Hak masyarakat yang belum dipenuhi
oleh Farmasis yaitu advocacy Dari
perspektif konsumen, Apotek sebagai
sarana kesehatan, belum berfungsi
secara optimal, karena hanya sebagai
tempat pembelian obat tanpa adanya
komunikasi dan pemberian informasi
obat oleh Farmasis. (Kadarwati,1991;
Puspitasari,2001).
 Pharmacy
Penelitian lebih lanjut menunjukkan
bahwa alasan ketidak hadiran Farmasis
di Apotek disebabkan oleh beberapa
hal yaitu: adanya hambatan dari
Pemilik Sarana Apotek (PSA),
kurangnya pengetahuan tentang
problem terkait obat, dan tidak
adanya sanksi dari instansi berwenang
(Athijah,2002).
 Kondisi Objektif
Pelaksanaan Tugas
Farmasis
Di Indonesia, diperkirakan banyak kematian
pasien di RS akibat medication error, namun
kecenderungan bangsa Indonesia yg sangat
permisif & menganggap kematian lebih
sebagai takdir ketimbang melihatnya sbg
sesuatu yg hrs diselidiki utk perbaikan
kedepan,menyebabkan banyak medication
error tidak terdata.
 Kondisi Objektif
Pelaksanaan Tugas
Farmasis
DiIndonesia, banyak terjadi
kesalahan pembacaan R/
(mungkin akibat sulitnya tulisan
dokter & kurangnya kehadiran
farmasis di apotek) yg
diselesaikan di bawah tangan
atau berdamai di tempat.
Pharmacy Trends
Transition Pharmacy Role:

from to

Prescription Healthcare
Provider Solution
 PENYESUAIAN
PARADIGMA
Pharmaceutical Care
Product Oriented Patient Oriented Service Oriented
Druggist Patient Patient
Compliance Satisfaction
Dispenser Pharm. Care Professional
Manager Approach
Economic Pharmacoecono Cost
Objective mic Objective Effectiveness
Limited Public Seven Stars Unlimited Public
Image Pharmacist Image
Technical Skill Technical & Comprehensive
Managerial Skill Skill & Ability
 Pharmacy Trends
Increased emphasis on patient care services as
well as drug distribution
Increased emphasis on continuity of care (home-
office practice-hospital-long term care, etc.)
Increased emphasis on preventive care (use of
OTCs, alternative medicines, self-diagnostic kits,
diet, screening procedures, immunizations, etc.)
Increased use of automation for pharmacy
dispensing
Increased use of information technology
 Pharmacy Trends
(cont..)
Increased evidenced based use of alternative
and complimentary medicines
Increased collaborative practices with other
health professionals
Better documentation of the value of
pharmaceutical care
Greater use of pharmacist reimbursement
methods tied to patient care services and
patient outcomes
 Pharmacy Trends
(cont)
Reference to pharmacists as providers of
patient care. Pharmacists will have patient
care provider numbers.
Pharmaceutical education focused on
preparing pharmacists as patient care
providers (emphasis on pharmacotherapy
role)
Greater number of pharmacists obtain post-
graduate residency training
 Pharmacy Trends
(cont)
Greater use of technicians with pharmacists
providing oversight for drug distribution
systems
Pharmacists are becoming key players in
developing systems of care (automated
treatment protocols) and employed by the
pharmaceutical industry, pharmaceutical
benefits managers, third party payers and the
government to develop systems of care.
Biaya Obat dibandingkan dengan biaya kesehatan
Dinegara berkembang :
biaya obat mengambil porsi terbesar biaya kesehatan

: Biaya Obat, % dari biaya kesehatan

Germany Negara Maju
Italy
France (7 - 20%)
Spain
Denmark
UK
United States
Netherlands
Norway

Bulgaria Negara Transisi

Czech Rep.
Hungary (15 - 30%)
Croatia
Poland
Estonia
Slovenia
Lithuania

Mali
Egypt
China
Indonesia
Thailand
Tunisia Negara Berkembang
Jordan (24 - 66 %)
Argentina
South Africa

0 10 20 30 40 50 60 70
 Strategy ? (ISFI)
1. Sosialisasi No-No
- CDOB
- SK Menkes 1027
- Standar Kompetensi
- Pharmaceutical Care

2. Pelatihan: Tata Laksana

Pharmaceutical Care
4. Monitoring-Evaluasi pelaksanaan No-No :
oleh Dinas Kes, POM dan ISFI

5. Maping : profil Farmasis di Jawa Timur

6. Merubah sistem kefarmasian : konsep

jasa profesi, apoteker pendamping,
perijinan

7. UJI KOMPETENSI
 What can we do?
(ISMAFARSI)
Study?
Practicing?
Advocacy?
Link?
Others.?