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Abstract

Pharmacy waiting time is one of the quality indicators that affects patient satisfaction in hospitals. One of the various efforts to reduce drug waiting times is adding outpatient pharmacies. This study aims to see whether the addition of pharmacies based on guarantors can reduce drug waiting times for outpatients. This is an observational study with a cross-sectional design. The sample included 11,703 patients who received prescriptions at Mayapada Hospital Bogor outpatient with insurance and private coverage. Data were collected over four months, two months before and two months after the separation of pharmacies. Waiting time data were obtained from the hospital’s Health Information System (HIS). Univariate analysis showed that most patients visited the hospital during the noon shift (51.1%). Patients with private coverage dominated at 50.8% and non-compounding drugs dominated at 68.7%. There was a time difference of 1 minute and 22 seconds before, and 1 minute and 17 seconds after, the addition of the pharmacy for patients in the private coverage category with insurance. The Mann-Whitney test results get a p-value = <0.001, indicating a significant difference in waiting time between patients with personal coverage and insurance before and after the addition of the pharmacy. These results suggest that separating pharmacies by insurance type can be an effective strategy to reduce prescription waiting times. However, the two-month post-separation period is a limitation, as it may not fully reflect long-term outcomes. Further studies with a longer evaluation period are recommended for more optimal results.

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Bahasa Abstract

Waktu tunggu farmasi merupakan salah satu indikator mutu yang berpengaruh terhadap kepuasan pasien di rumah sakit. Salah satu upaya untuk mengurangi waktu tunggu obat adalah menambah apotek rawat jalan di rumah sakit. Penelitian ini bertujuan untuk melihat apakah penambahan apotek berdasarkan penjamin dapat menurunkan waktu tunggu obat pada pasien rawat jalan. Penelitian ini bersifat observasional dengan desain cross-sectional. Sampel terdiri dari 11.703 pasien rawat jalan di Mayapada Hospital Bogor yang menerima resep dengan jaminan pribadi dan asuransi. Pengambilan data dilakukan selama empat bulan, dua bulan sebelum dan dua bulan sesudah pemisahan apotek. Data waktu tunggu obat diperoleh dari Health Information System (HIS). Analisis univariat menunjukkan mayoritas pasien berkunjung ke rumah sakit pada shift siang (51,1%), dengan jaminan pribadi mendominasi sebanyak 50,8% dan obat non racikan mendominasi sebanyak 68,7%. Terdapat selisih waktu 1 menit 22 detik sebelum dan 1 menit 17 detik setelah penambahan apotek untuk pasien kategori jaminan pribadi dan asuransi. Uji Mann-Whitney mendapatkan nilai p-value = <0,001, menunjukkan bahwa terdapat perbedaan waktu tunggu yang signifikan antara pasien dengan jaminan pribadi dan asuransi sebelum dan sesudah penambahan apotek. Hasil ini menunjukan bahwa pemisahan apotek berdasarkan penjamin dapat dijadikan cara untuk menurunkan waktu tunggu obat di rumah sakit. Namun, waktu setelah pemisahan apotek hanya dua bulan menjadi keterbatasan, karena belum sepenuhnya mencerminkan dampak jangka panjang. Penelitian lanjutan dengan waktu yang lebih panjang disarankan untuk hasil yang lebih optimal.

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