Drug Supply Chain Reform and Corruption Prevention at Margono Soekarjo Hospital, Purwokerto- Indonesia

摘要

Drug procurement is a hotbed of corruption and collusion from several related parties. The phenomenon of collaborating crime in the procurement of drugs in this hospital is seen in the practice of collusion in the planning, procurement and use of drugs. There is a conflict of interest between several health workers (doctors, nurses, pharmacists, pharmacist analysts, procurement officials and pharmaceutical and management warehouse officers). Each actor has a personal interest. This large number of interests results in an incompatibility between the proposed planning and the procurement of medicines with hospital standards (stock opname exceeds 3 times the expenditure of drugs per month and the availability of drugs is still lacking for certain drugs). Further implications are the inefficiency of operational costs of providing drugs. The drug and equipment / consumable budget has a proportion of 35% of the total hospital budget and expenditure. This condition caused low customer satisfaction (at that time the community satisfaction index was only 61). The seriousness of hospital management to improve the governance of procurement of these drugs has yielded results. Designed a new system for drug-based application on line. This system is principled, those who plan are not involved in procurement. The party holding does not accept payment / does not make a transaction.