Analysis of Medical Personnel Compliance Factors in Prescribing Based on the National Formulary
DOI:
https://doi.org/10.70062/globalmanagement.v3i1.518Keywords:
Drug Availability, Drug Prescribing, Medical Compliance, National Formulary, Rational Drug UseAbstract
Medical personnel compliance in prescribing drugs according to the National Formulary (ForNas) is essential to ensure rational therapy, improve service quality, and enhance efficiency in health financing at government health facilities. However, compliance remains a challenge at Johar Baru Regional General Hospital, Central Jakarta. This study aimed to analyze factors influencing medical personnel compliance with ForNas-based prescribing, including drug availability, management policies, and the knowledge, attitudes, norms, and perceptions of medical staff.A qualitative approach was used through in-depth interviews with medical personnel, heads of supporting service sections, and pharmacy unit leaders. The study also involved observation and review of hospital formulary documents, minimum service standards reports for 2024, and monitoring and evaluation reports on prescribing compliance for 2024 and January June 2025. Data were analyzed using thematic analysis supported by NVivo software.The findings indicate that compliance is influenced by medical personnel’s understanding of ForNas policies, clinical experience, and professional attitudes toward prescribing standards. Management factors such as supervision, technological support, and procurement systems also play important roles. Limited drug stocks and suboptimal control systems were identified as major obstacles.The hospital is recommended to strengthen compliance by updating clinical practice guidelines, developing a ForNas-based hospital formulary, improving management support, optimizing information technology systems, ensuring drug availability, and proposing additional ForNas drugs to the Ministry of Health.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T
Azahra, R. S., Rochjana, A. U. H., & Fakhriah, A. (2025). Evaluasi kesesuaian peresepan obat pada pasien BPJS rawat jalan poli penyakit dalam dengan formularium rumah sakit di Rumah Sakit Hermina Tangerang periode Januari–Desember 2024. Indonesian Journal of Health Science, 5(6), 1354–1359. https://doi.org/10.54957/ijhs.v5i6.1817
Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.
Cahyadinata, L., Saptaningsih, A. B., & Johanes, J. (2025). Pengaruh addendum formularium rumah sakit dan kepatuhan dokter dalam penulisan resep terhadap efisiensi persediaan farmasi dengan variabel intervening pengendalian persediaan farmasi. Jurnal Akuntansi, Ekonomi Dan Manajemen Bisnis, 5(1), 373–387. https://doi.org/10.55606/jaemb.v5i1.6721
Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA: The Journal of the American Medical Association, 260(12), 1743–1748. https://doi.org/10.1001/jama.260.12.1743
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (5th ed.). John Wiley & Sons.
Juran, J. M., & Godfrey, A. B. (1999). Juran’s quality handbook. McGraw-Hill Education.
Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/2197/2023 tentang formularium nasional. (2023). Kementerian Kesehatan Republik Indonesia.
Khangtragool, A., Nukompun, K., Wannasiri, P., Moraray, S., & Khangtragool, W. (2023). Evaluation of rational drug use based on World Health Organization indicators in a tertiary hospital, Thailand. Pharmaceutical Sciences Asia, 50(1). https://doi.org/10.29090/psa.2023.01.22.317
Komalasari, M., Syafi’i, I., & Totong, J. (2025). Evaluasi kesesuaian peresepan obat pasien kronis BPJS rawat jalan poliklinik penyakit dalam terhadap formularium nasional dan formularium rumah sakit di Rumah Sakit Umum Harapan Bunda Jakarta Timur periode Oktober–Desember 2024. Jurnal Ilmiah Farmasi Indonesia (JIFIN), 3(2), 52–58. https://doi.org/10.33221/jifin.v3i02.4180
Najib, S. Z., Yanti, J. H., & Arum, A. (2025). Evaluasi kesesuaian resep BPJS terhadap formularium rumah sakit pada pasien rawat inap di RSIA Hikmah Sawi Kabupaten Bangkalan. Indonesian Journal of Health Science, 5(1), 32–36. https://doi.org/10.54957/ijhs.v5i1.1327
Onatade, R., & Stephens, M. (2025). Hospital pharmacy. Pharmaceutical Press.
Peraturan Presiden Republik Indonesia Nomor 82 Tahun 2018 tentang jaminan kesehatan. (2018).
The rational use of drugs and WHO. (1985). Development Dialogue, (2), 1–4.
Undang-Undang Republik Indonesia Nomor 17 Tahun 2023 tentang kesehatan. (2023). https://peraturan.bpk.go.id/details/258028/uu-no-17-tahun-2023
Undang-Undang Republik Indonesia Nomor 40 Tahun 2004 tentang sistem jaminan sosial nasional. (2004).
World Health Organization. (2002). Promoting rational use of medicines: Core components. World Health Organization.
World Health Organization. (2004). Drug and therapeutics committees: A practical guide. World Health Organization.
World Health Organization. (2021). WHO model list of essential medicines: 22nd list, 2021. World Health Organization. https://www.who.int/publications/i/item/WHO-MHP-HPS-EML-2021.02
Zimbwe, K. B., Kizenga, O. S., Francis, E. N., Yona, Y. J., & Yahya, T. A. (2024). Medicine formulary writing for hospitals: A systematic review on development, approval, dissemination, and review. Pharmacy Education, 24(1), 186–199. https://doi.org/10.46542/pe.2024.241.186199
