Analisis Penerapan Unit Dose Drugs Dispensing Sistem (UDDDS) berdasarkan Teori Survey Quality (Servqual) di Instalasi Farmasi Rawat Inap Rumah Sakit “X”
DOI:
https://doi.org/10.61132/obat.v3i5.1812Keywords:
Assurance, hospital pharmacy, Service Quality, SERVQUAL, UDDDSAbstract
This study aims to analyze the implementation of the Unit Dose Drugs Dispensing Sistem (UDDDS) based on the SERVQUAL theory at the Inpatient Pharmacy Installation of RS “X”. The research method used a quantitative design with SERVQUAL questionnaires given to pharmacists and nurses, supplemented by in-depth interviews to explore perceptions of the UDDDS implementation. Data analysis was conducted using univariate, bivariate, and multivariate methods. The results of the study indicate that all SERVQUAL dimensions significantly influence the quality of UDDDS services. Based on multiple linear regression analysis, the dimension of Assurance had the most dominant influence on service quality, with a B value of 8.464 and a contribution of 35%. This was followed by Empathy (B = 7.475, 31%), Tangibles (B = 7.547, 28%), Responsiveness (B = 4.847, 20%), and Reliability (B = 3.475, 16%). These findings suggest that the Assurance dimension, which includes trust and confidence in healthcare professionals, plays a crucial role in improving service quality at the Inpatient Pharmacy Installation. Overall, the findings indicate a significant relationship between the implementation of UDDDS and improvements in hospital service quality, particularly in terms of timely medication administration, reduced medication returns, and increased healthcare worker satisfaction. The reduction in medication returns reflects the efficiency of the drug distribution sistem, while the increased satisfaction of healthcare workers shows that UDDDS contributes to better service quality. These findings emphasize the importance of strengthening the Assurance dimension through improving the competence, ethics, and professionalism of healthcare workers. Additionally, integrating UDDDS into the hospital's quality indicators is essential for establishing a sustainable quality culture. This will support the overall improvement of service quality at the hospital.
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References
Ahtiainen, H. K., Lindén-Lahti, C., Heininen, S., Holmström, A. R., & Schepel, L. (2025). Introducing Unit Dose Dispensing in a University Hospital – Effects on Medication Safety and Dispensing Time. Risk Management and Healthcare Policy, 18(March), 843–854. https://doi.org/10.2147/RMHP.S497454
Anggraini, S., & Amanda, Z. B. (2024). Prosiding Seminar Nasional Manajemen Analisis Kualitas Pelayanan Ramah di Kantin Bude Sahlan SDN Pejaten Barat 08 pagi Jakarta Selatan. 3(2), 1563–1570.
Arianto, N. (2018). Pengaruh kualitas pelayanan terhadap kepuasan dan loyalitas pengunjung dalam menggunakan jasa hotel Rizen Kedaton Bogor. Jurnal Pemasaran Kompetitif, 1(2), 83–101. https://doi.org/10.32493/jpkpk.v1i2.856
Garagiola, E., Foglia, E., Asperti, F., Antonacci, G., Jani, Y., Daniele, B., & Schettini, F. (2023). Automated drugs dispensing systems in hospital pharmacies and wards: A systematic literature review. Biomedical Journal of Scientific & Technical Research, 53(5), 45094–45103. https://doi.org/10.26717/bjstr.2023.53.008454
Hänninen, K., Ahtiainen, H. K., Suvikas-Peltonen, E. M., & Tötterman, A. M. (2023). Automated unit dose dispensing systems producing individually packaged and labelled drugs for inpatients: A systematic review. European Journal of Hospital Pharmacy, 30(3), 127–135. https://doi.org/10.1136/ejhpharm-2021-003002
Ilmi, M. H., Pujianti, N., & Sari, A. R. (2021). Literature review: Faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan rawat inap di rumah sakit. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 8(1), 1–5. https://doi.org/10.20527/jpkmi.v8i1.12328
Jessurun, J. G., Hunfeld, N. G. M., van Dijk, M., van den Bemt, P. M. L. A., & Polinder, S. (2022). Cost-effectiveness of central automated unit dose dispensing with barcode-assisted medication administration in a hospital setting. Research in Social and Administrative Pharmacy, 18(11), 3980–3987. https://doi.org/10.1016/j.sapharm.2022.07.006
Juriko, A. (2024). Metode Penelitian Kuantitatif, Kualitatif, dan Mixed Methode.
Karunia. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016 Tentang Standar Pelayanan Kefarmasian Di Rumah Sakit Dengan Rahmat Tuhan Yang Maha Esa Menteri Kesehatan Republik Indonesia, Menimbang, 4(June), 2016.
Kasmir. (2017). Customer Service Excellent: Teori dan Praktik. Raja Grafindo Persada.
Kotler, P., & Keller, K. L. (2016). Manajemen Pemasaran. In PT. Indeks.
Kurniasih, F. D., Amaia, L., & Anggraini, Y. (2016). Analisis mutu pelayanan farmasi di unit rawat jalan rumah sakit. Social Clinical Pharmacy Indonesia Journal, 31(5), 3–6.
Kusumahati, E., Anita, D., & Patrisia, M. (2021). Gambaran sistem distribusi unit dose dispensing (UDD) terhadap retur obat injeksi generik di. Jurnal Ilmiah Manuntung, 7(2), 236–239.
Larasati, N., & Wulandadari, C. A. (2019). Implementation of unit dose dispensing using management information system in pharmacy installation of Panti Rapih Hospital. Jurnal Manajemen Dan Pelayanan Farmasi (Journal of Management and Pharmacy Practice), 8(4), 153. https://doi.org/10.22146/jmpf.37402
Mulac, A., Hagesaether, E., & Granas, A. G. (2022). Medication dose calculation errors and other numeracy mishaps in hospitals: Analysis of the nature and enablers of incident reports. Journal of Advanced Nursing, 78(1), 224–238. https://doi.org/10.1111/jan.15072
Munawaroh, S. (2010). Dampak penerapan sistem unit dose dispensing (UDD) terhadap kepuasan rawat inap di Jogja International Hospital (JIH).
Nisa’, Z., Sugihantoro, H., Syahrir, A., & Wijaya, D. (2021). Tingkat kepuasan konsumen terhadap pelayanan kefarmasian di Apotek Ganesha Farma Kabupaten Lamongan. Journal of Islamic Pharmacy, 6(1), 52–65. https://doi.org/10.18860/jip.v6i1.11273
Nugroho, N. P. (2020). Perbandingan dispensing error di ruang perawatan dengan sistem unit dose dispensing (UDD) dan non unit dose dispensing (Non UDD) di RSM Ahmad Dahlan Kota Kediri. Medica Arteriana (Med-Art), 2(2), 71. https://doi.org/10.26714/medart.2.2.2020.71-79
Nwafuru, Salomo, K., Osaremwinda, M., Ukeredi, Rita, E., & Ezechukwu, Dorathy, O. (2023). Impact assessment of unit dose dispensing system among medical inpatients of a Nigerian federal university teaching hospital. Nigerian Journal of Clinical Pharmacy and Therapeutics, 2(1).
Ogaji, S. D., Owhondah, S. K., & Zite, Z. (2024). Prescription, dispensing, and rational medicine use in a Nigerian teaching hospital. Nigeria Journal of Medicine, 33(1), 31–38. https://doi.org/10.4103/NJM.NJM
Pemerintah Pusat. (2024). Peraturan Pemerintah (PP) Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. 226975, 656.
Peraturan Menteri Kesehatan Republik Indonesia. (2008). STANDAR PELAYANAN MINIMAL RUMAH SAKIT: Vol. د 49 (pp. 69–73). https://www.bertelsmann-stiftung.de/fileadmin/files/BSt/Publikationen/GrauePublikationen/MT_Globalization_Report_2018.pdf%0Ahttp://eprints.lse.ac.uk/43447/1/India_globalisation, society and inequalities(lsero).pdf%0Ahttps://www.quora.com/What-is-the
Peraturan Menteri Kesehatan Republik Indonesia. (2016). Standar Pelayanan Kefarmasian Rumah Sakit (Vol. 4, Issue June, p. 2016).
Peraturan Pemerintah Republik Indonesia. (2024). Peraturan Pei, J.Ksanaan Undang-Undang Nomor 17 Tahun 2023 Tentang Kesehatan. In Peraturan Presiden (Issue 226975).
Presiden RI. (2023). Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 Tentang Kesehatan. Undang-Undang, 187315, 1–300.
Rachmawati, R., & Adiana, S. (2023). Evaluasi kesesuaian penerapan sistem distribusi unit dose dispensing (UDD) berdasarkan standar prosedur operasional di ruang rawat inap rumah sakit (X) periode Juni – Agustus 2022. Indonesian Journal of Health Science, 3(2a), 180–184. https://doi.org/10.54957/ijhs.v3i2a.445
Rahayu, S., Amalia, T., Azzahra, F., & Haifa, A. I. (2024). Evaluasi pengembalian (retur) obat pada sistem unit dose dispensing (UDD) di instalasi farmasi rawat inap RS X. 8(12), 42–49.
RI, K. (2008). Menteri Kesehatan Republik Indonesia Nomor: 129/Menkes/SK/II/2008 Tentang Standar Pelayanan Minimal Rumah Sakit. 3(2), 54–67.
Robot, R. P., Sengkey, R., & Rindengan, Y. D. Y. (2018). Aplikasi manajemen rawat inap dan rawat jalan di rumah sakit. Jurnal Teknik Informatika, 13(4), 1–8.
Simamora, R. H., Purba, J. M., Bukit, E. K., & Nurbaiti, N. (2019). Penguatan peran perawat dalam pelaksanaan asuhan keperawatan melalui pelatihan layanan prima. JPPM (Jurnal Pengabdian Dan Pemberdayaan Masyarakat), 3(1), 25. https://doi.org/10.30595/jppm.v3i1.2940
Simbolon, J., & Sipayung, S. D. (2022). Analisis kualitas pengelolaan mutu pelayanan pendaftaran di instalasi rawat inap rumah sakit Santa Elisabeth Medan. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(4), 591–599. https://doi.org/10.55123/sehatmas.v1i4.937
Steindl-Schönhuber, T., Drechsel, T., Gittler, G., & Weidmann, A. E. (2025). Hospital pharmacy implementation of a unit dose dispensing system: A qualitative interview study to determine experiences, views, and attitudes of nursing staff. Exploratory Research in Clinical and Social Pharmacy, 17(January). https://doi.org/10.1016/j.rcsop.2025.100566
Sugyono. (2020). Metode Penelitian Kuantitatif, Kualitatif dan R&D.
Suprapto, S., & Karsa, P. S. (2021). Chapter · September 2021. 5(September), 832–838. https://doi.org/10.37028/lingcure.v5nS1.1467
Tjiptono, F., & Chandra, G. (2016). Service, Quality & Satisfaction.
Undang-undang, P. (2024). untuk 24. 226975.
Wijayanto, Y., Wahyono, D., & Genatrika, E. (2025). Implementasi dan efektivitas sistem unit dose dispensing dalam meningkatkan keselamatan di rumah sakit. 10(5), 4808–4821.
Winarso, F. A., Paselle, E., & Rande, S. (2020). Kualitas pelayanan kesehatan pada unit rawat inap Rumah Sakit TK.IV Kota Samarinda. Administrasi Negara, 8(1), 8943–8952.
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