Analysis of Management Functions in an Efforts to Improve the Efficiency and Effectiveness of Management of Medicines and Expiry Medical Materials
JEL Classification: I10, I18, M11, M12, H83
Abstract
This study aims to analyze the application of management functions in the management of drugs and medical consumables (BMHP) to enhance efficiency and effectiveness at the Regional General Hospital (RSUD) of Nunukan Regency. The research focuses on the four key management functions: planning, organizing, actuating (implementation), and controlling (supervision), while also identifying the challenges and implications of BMHP logistics management for healthcare service quality. Using a qualitative research approach, data were collected through in-depth interviews, direct observation, and document analysis. Informants included hospital leaders, pharmacy installation heads, pharmacists, logistics staff, and patients. The results show that the planning function is carried out based on consumption methods and VEN (Vital, Essential, Non-Essential) and ABC analysis, but still lacks support from an integrated information system. The organizational structure exists, but its implementation is not yet optimal. The implementation function follows SOPs, although constrained by billing system issues and geographical challenges. Supervision is conducted both internally and externally, but regular monitoring is still limited. Key obstacles include budget constraints, payment delays, and logistics challenges due to the hospital's remote border location. Efficient and effective management has a direct impact on the quality of patient services, particularly in drug availability, service timeliness, and patient satisfaction. This research recommends improving logistics information systems, strengthening interdepartmental coordination, adjusting budgeting strategies, and increasing accountability to ensure high-quality pharmaceutical governance in regional public hospitals.
References
Abu Zwaida, T., Pham, C., & Beauregard, Y. (2021). Optimization of inventory management to prevent drug shortages in the hospital supply chain. Applied Sciences, 11(6), 2726. https://doi.org/10.3390/app11062726
Ahen, F., Buabeng, K. O., & Salo-Ahen, O. M. (2023). Market violence through destructive entrepreneurship: Assessing institutional responses to the proliferation of counterfeit traditional and alternative medicines in Ghana. Heliyon, 9(3).
Almaktoom, A. T., & Yusuf, N. (2025). Optimizing forecasting techniques for cost-effective procurement of controlled medications in Saudi Arabia’s healthcare system. International Journal of Pharmaceutical and Healthcare Marketing. https://doi.org/10.1108/IJPHM-12-2024-0143
Arikunto, S. (2010). Prosedur penelitian suatu pendekatan praktek. (No Title).
Beard, T. R., Ford, G. S., & Stern, M. (2025). A War on Low Prescription Prices: Regulating PBMs and the Effect on Drug Prices. Available at SSRN 5369166. https://dx.doi.org/10.2139/ssrn.5369166
Blum, R., & Kreitman, K. (2022). Factors affecting individual use of medicines. In Pharmaceuticals and health policy (pp. 122-185). Routledge.
Buldo, M. (2024). Scan-to-BIM for architectural heritage enhancement and preservation. Leading techniques and advanced automation processes.
Cahyani Pratiwi, Y., Darmawansyah, D., & Palutturi, S. (2024). Drug Management and Service Quality in Outpatient Pharmacies at the Haji Padjonga Daeng Ngalle Regional General Public Hospital in Takalar Regency, Indonesia.
Cahyani, H. F., Ulfa, A. M., & Angelina, C. F. (2020). Evaluasi Manajemen Pengelolaan Obat Di Dinas Kesehatan Kabupaten Mesuji Tahun 2019. Jurnal Dunia Kesmas, 9(2), 288-300.
Costa, D. S., Mercieca-Bebber, R., Rutherford, C., Tait, M. A., & King, M. T. (2021). How is quality of life defined and assessed in published research?. Quality of Life Research, 30(8), 2109-2121. https://doi.org/10.1007/s11136-021-02826-0
Dananjaya, C. R. G. (2023). Factors That Foster Collaboration Between Health Care Authorities and Community Health Workers in Rural Indonesia. Harvard Medical School.
Fagal, O. (2024). Optimizing Healthcare Facilities: a medical planning study.
Garg, A. (2023). Monitoring tools for setting up the hospital project: initial planning, building and equipment. Springer Nature.
Hanlon, C., Eshetu, T., Alemayehu, D., Fekadu, A., Semrau, M., Thornicroft, G., Kigozi, F., Marais, D. L., Petersen, I., & Alem, A. (. (2017). Health system governance to support scale up of mental health care in Ethiopia: A qualitative study. Systems. International Journal of Mental Health, 11(1), 1–16. https://doi.org/https://doi.org/10.1186/s13033-017-0144-4
Hidayat, T., Ibrahim, M. A., Sukri, S., & Yunus, M. (2024). Effectiveness of Fulfilling the Basic Needs of Communities in the Border Area in Nunukan District, North Kalimantan Province. Journal of Management and Administration Provision, 4(3), 293-300. https://doi.org/10.55885/jmap.v4i3.405
Imran, I., Yulihasri, Y., Almasdi, A., & Syavardie, Y. (2021). Dampak kualitas pelayanan terhadap kepuasan pasien puskesmas. Jurnal Penelitian Dan Pengembangan Sains Dan Humaniora, 5(3), 389-396.
Kalay, Y. E., & Schaumann, D. (2021, January). Dynamic building activities management in healthcare facilities: a simulation study in a catheterization lab. In Symposium on Simulation in Architecture+ Urban Design (SimAUD), 2021.
Mahmudi, M., Nurhidayat, S., & Najamuddin, Y. (2023). Optimalisasi manajemen persediaan obat dan bahan medis habis pakai di RSUD Sleman. Jurnal Abdimas Madani dan Lestari (JAMALI), 138-150.
Maniagasi, Y. G., Haning, T., Ahmad, B., & Nara, N. (2021). Analysis of Capacity Strengthening of Community Health Center in Improving Health Services in Jayapura Regency. Journal of Asian Multicultural Research for Social Sciences Study, 2(2), 41-52. https://doi.org/10.47616/jamrsss.v2i2.140
McCauley, L., Phillips, R. L., Meisnere, M., & Robinson, S. K. (2021). Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care (2021). Implementing High-Quality Primary Care, 1-428.
Monica, C. (2025). District laboratory practice in tropical countries.
Mourtzis, D., Angelopoulos, J., & Panopoulos, N. (2022). A Literature Review of the Challenges and Opportunities of the Transition from Industry 4.0 to Society 5.0. Energies, 15(17), 6276. https://doi.org/10.3390/en15176276
Oluwole, O., Emmanuel, E., Ogbuagu, O. O., Alemede, V., & Adefolaju, I. (2024). Pharmaceutical supply chain optimization through predictive analytics and value-based healthcare economics frameworks.
Palutturi, S., Wahyu, A., Indar, M. S., Moedjino, A. I., Birawida, A. B., Hidayanti, H., ... & Nam, E. W. (2022). Expert Needs of Healthy Public Health Centre Development in the Archipelago Area of South Sulawesi. significance, 14, 15. https://doi.org/10.18280/ijsdp.170129
Paul, P. O., Ogugua, J. O., & Eyo-Udo, N. L. (2024). Procurement in healthcare: Ensuring efficiency and compliance in medical supplies and equipment management. Journal of Healthcare Procurement and Supply Chain Management, 6(1), 19-34. https://doi.org/10.53771/ijstra.2024.7.1.0052
Rusydi, A. R., Palutturi, S., Noor, N. B., & Pasinringi, S. A. (2020). The comparison of good corporate governance on human resources performance in regional general hospital of Labuang Baji and Ibnu Sina hospital Makassar, South Sulawesi. Enfermería Clínica, 30, 482-486. https://doi.org/https://doi.org/10.1016/j.enfcli.2019.07.143
Sachdeva, R., Armstrong, A. K., Arnaout, R., Grosse-Wortmann, L., Han, B. K., Mertens, L., ... & Powell, A. J. (2024). Novel techniques in imaging congenital heart disease: JACC scientific statement. Journal of the American College of Cardiology, 83(1), 63-81.
Saltman, R. B., Durán, A., & Dubois, H. F. (2011). Governing public hospitals. Copenhagen: WHO.
Samuel, J. N., Booth, C. M., Eisenhauer, E., Brundage, M., Berry, S. R., & Gyawali, B. (2022). Association of quality-of-life outcomes in cancer drug trials with survival outcomes and drug class. JAMA oncology, 8(6), 879-886.
Scambler, G. (2023). Combining experiential knowledge with scholarship in charting the decline of the National Health Service in England. Frontiers in Sociology, 8, 1185487. https://doi.org/10.3389/fsoc.2023.1185487
Schleiff, M. J., Aitken, I., Alam, M. A., Damtew, Z. A., & Perry, H. B. (2021). Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education. Health Research Policy and Systems, 19(Suppl 3), 113.
Siregar, D. D. (2004). Manajemen aset: strategi penataan konsep pembangunan berkelanjutan secara nasional dalam konteks kepala daerah sebagai CEOs pada era globalisasi & otonomi daerah. Language, 43(836p), 26cm.
Suciati, S. (2006). Analisis perencanaan obat berdasarkan ABC indeks kritis di instalasi farmasi. Jurnal manajemen pelayanan kesehatan, 9(01).
Sugiyono. (2019). Metode Penelitian Kuantitatif Kualitatif dan R&D. Penerbit Alfabeta.
Sulaksonon, T. (2025). Strengthening Public Health Services through Local Initiatives: The Flying Doctor Service (Lantera) in North Kalimantan's Border Area. Journal of Government and Politics.
Suryanto Dasep. (2020). Analisis Pengaruh Efisiensi dan Efektivitas Penggunaan Modal Kerja Perusahaan terhadap Peningkatan Profitabilitas Perusahaan Manufaktur yang Terdaftar di Bursa Efek Indonesia (BEI). JUSIE (Jurnal Sosial Dan Ilmu Ekonomi), 5 (01), 22–35.
Tabish, S. A. (2024). Procurement Management in Health Care Systems. In Health Care Management: Principles and Practice (pp. 309-335). Singapore: Springer Nature Singapore. https://doi.org/10.1007/978-981-97-3879-3_15
Tjaija, A., Sabir, M., Usman, M. H., & Samad, M. A. (. (2021). Good hospital governance at the Indonesian hospital. International Journal of Criminology and Sociology, 10, 554–561. https://doi.org/https://doi.org/10.6000/1929-4409.2021.10.64
Usamah, U., Sirait, T., Sibarani, M., & Bahri, R. S. (2024). Strategic Planning in an Effort to Improve Service Quality at Wakatobi Regional General Hospital using Service Quality. Journal of World Science, 3(8), 982-992. https://doi.org/10.58344/jws.v3i8.701
Yanti, F., Nurina Sari, B., & Defiyanti, S. (2024). Implementasi Algoritma LSTM Pada Peramalan Stok Obat (Studi Kasus: Puskesmas Beber). Jurnal Mahasiswa Teknik Informatika, 8(4).
Copyright (c) 2025 Journal La Bisecoman

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



