Analysis of Characteristic of the Doctors Attitude toward the Decision of Writing the Prescription for the Patient of Post-Stomach Surgery who is the Health Insurace Meber at RA Kartini Hospital in Jepara

Abstract

The Decree of Minister of Health No. 1013/MenKes/SK/IX/2001 date 27-09-2001 decided the medicine for the Health Insurance member that was given in accordance with type and price of a medicine published by the Indonesia Health Insurance company and Included in a book of the List of the Medicine Price Ceiling. A prescription was written by a doctor who gave a service at RA Kartini Hospital. Based on the secondary data from RA Kartini Hospital in 2004, 373 patients of the Health Insurance ( 31,77 % ) were not satisfied to the service of medication by a doctor because the prescription was not appropriate with the List of the Medicine Price Ceiling. A procedure of writing a prescription had been socialized but the understanding factor of a doctor influenced a motivation to determine a type of a medicine. Samples were patiens of post-stomach surgery. Types of medicines were analgesic and antibiotic. This was survey method using descriptive analytic and croos sectional approach. Unit of analysis was an attitude of doctor who wrote a prescription. Number of samples was 20 doctors who surged a stomach and wrote a prescription for the patient of post-stomach surgery. Number of doctors who doctors who write prescription in accordance with the List of the Medicine Prince Ceiling are nine persons ( 41,52% ). Number of doctors who believe to the efficacy of medicine in accordance with the List of the Medicine Price Ceiling are two persons ( 10 % ). Number of doctors who agree with giving a bonus of sponsorship are 19 person ( 95 % ). Percetantage of patient's capability to buy medicines is 60 %. Number of doctors who agree if patients choose the offered medicine are 17 persons ( 85% ). Statistically, there is no significant relationship among variables. Therefore, in choosing and in writing a prescription, a doctor has to follow the rule of WHO ( 1997 ) and the Medical Ethic Code. The Indonesia Health Assurance Company should re-evaluate a policy of management for medicines in accordance with the list of the Medicine Price Ceiling. Sumber Utama : www.mikm.undip.ac.id