EVALUASI IMPLEMENTASI KEBIJAKAN KEWAJIBAN MENULISKAN RESEP OBAT GENERIK DI RUMAH SAKIT UMUM CILEGON TAHUN 2007

To anticipate the medicine price hikes, the Indonesian Ministry of Health (MoH), representating the goverment of Indonesia, through the decree of Permenkes RI no. 085/Menkes/Per/I/1989 regarding the obligation to write the medical prescription and the usage of generic medicine in all goverment health care units. This generic medicine socialization should be supported by all public components, as this program seems to encountered a big hurdle which can be seen from the social and economic aspects.Purposes: This study is designed to explore the description and factors related to the implementation of generic medicine prescription policy at the Cilegon District Hospital in the year of 2007.Method: The study used quantitative and qualitative method with primary data which collected directly by in-depth interview from the informants, and the secondary data which were gathered from documents exploration by collecting 379 generic medicine prescription papers from the out-patient clients.Result: Qualitatively, the study showed that generally the implementation of Permenkes RI No. 085/Menkes/Per/I/1989 has not performed as it should be. The average percentage of the generic medicine utilization by out-patient clients in Cilegon district hospital is only 52%. This result qualitatively showed that the Director of the Hospital, the Pharmacy and Therapy Committee, and the Pharmacy Installation have not performed as well as what is stated on the Permenkes RI No. 085/Menkes/Per/I/1989.Conclusion: There exist a requirement on increasing the generic medicine socialization that involved the medical practitioners and the community, a method that regulate the implementation of the policy which can be evaluated and revised, supervision toward the implementation, and also the application of reward and punishment mechanism.