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Analisis Biaya Penyakit Diabetes Melitus Sebagai Pertimbangan Perencanaan Pembiayaan Kesehatan: Cost Analysis of Diabetes Mellitus Disease as Considerations In Health Funding Planning Abror, Nurul Ambianti; Andayani, Tri Murti; Sulistiawaty, Endang
Jurnal Farmasi Galenika (Galenika Journal of Pharmacy) (e-Journal) Vol. 5 No. 1 (2019): (March 2019)
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.083 KB) | DOI: 10.22487/j24428744.2019.v5.i1.12071

Abstract

Disease cost analysis is an important element in the decision making process of chronic disease, because it can evaluate the cost of illness and illustrate diseases that require an increase in resources for the prevention or therapy. This study aims to determine the total cost of diabetes mellitus (DM), so it can be used as a health fund planning considerations related to the effectiveness and efficiency of medication costs for patients in Yogyakarta Regional Public Hospital. The method used is observational prevalence. The data were obtained retrospectively with patients primary diagnosed and secondary diagnosed of diabetes mellitus with or without complications in the period January to June 2014 in Yogyakarta Regional Public Hospital. The Financial perspective used is the hospitals perspective as health care providers to take into account the direct medical costs by using a bottom-up approach. Data analysis was performed using Kruskal-Wallis and Mann-Whitney Whitney to determine differences in the direct medical costs of outpatient diabetic patients in terms of age, the number and type of diabetes complications, as well as to determine the direct medical cost differences hospitalized diabetic patients in terms of age, the number of complications, type of diabetes, duration of hospitalization and inpatient classes.The results of the research showed that the patients who entered the inclusion criteria as much as 1.689 episodes of visits, which consisted of 1.531 episodes of outpatients visits and 158 episodes of inpatients visits. The total cost of DM based on hospital perspective Rp1.203.799.389,00 IDR within six months. There is a significant difference in direct medical costs in outpatients in terms of the number of factors of complications (p=0.004) and a significant differences direct medical costs inpatients in terms of the number of factors of complications, length of stay and inpatient class in hospitalization (p=0.000).
Development of Drug Plan and Control App Using ABC, VEN, and Combined Methods for Inventory Control Tandah, Muhamad Rinaldhi; Ambianti, Nurul; Putri, Yenita Kartika; Diana, Khusnul
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.451

Abstract

Drug Plan and Control (Drug PC) application is a web-based digital tool designed to support pharmaceutical management in healthcare facilities by assisting in the planning, monitoring, and control of drug inventories.  This study aimed to enhance the Drug PC (Plan and Control) application by integrating a drug categorization feature to improve pharmaceutical inventory control. Efficient inventory management is critical in healthcare, as poor control can lead to shortages, overstocking, and financial inefficiencies. The application was developed using PHP as the programming language and MySQL as the database management system. Drug categorization was performed using the ABC method, the VEN method, and a combination of both (ABC-VEN matrix). To evaluate the application's performance, Blackbox testing was conducted to assess the functionality of the user interface. In addition, manual calculations using Microsoft Excel were performed to validate and compare the application results with drug inventory data from two hospitals. Ethical approval was obtained from the Health Research Ethics Committee of the Faculty of Medicine, Tadulako University. The results demonstrated successful integration and 100% functionality accuracy of the new features. Categorization outputs aligned fully with manual data. Hospital 1 followed a typical ABC distribution (70:20:10%), while Hospital 2 showed deviations. VEN classification revealed a significantly higher proportion of Vital (V) drugs in Hospital 1 compared to Hospital 2 (p < 0.05). Combined ABC-VEN results showed CE (C + Essential) as the most common group. High-cost drugs (Category I) represented the majority of investment in both hospitals. In conclusion, the study shows that integrating categorization methods into digital tools like Drug PC can enhance drug inventory control, improve procurement planning, and optimize healthcare resource allocation.
Comparative Effectiveness of Antidiabetic Therapies on Clinical Outcomes in Type 2 Diabetes Mellitus Outpatients Tandah, Muhamad Rinaldhi; Diana, Khusnul; Hidayat, Chairunisah; Ambianti, Nurul
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.481

Abstract

This study used observational analysis with retrospective data collection. A total of 303 outpatients with were included in this study. The research instrument used was secondary from medical record data and examination results of Fasting Plasma Glucose (FPG) and 2-hour plasma glucose (2-h PG) values when the patient first visited and the fourth month after the first visit. The patients' therapy is regarded as effective if the FPG test results range from 80-130 mg/dL and the 2-h PG test value is <180 mg/dL in the fourth month. In patients aged >60 years, it is said to be effective if the results of the FPG examination are around ≤ 180 mg/dL and the 2-h PG examination value is ≤200 mg/dL. Data were analyzed using Kruskal-Wallis analysis. Oral antidiabetics metformin and glimepiride had differences in observed effectiveness (p=0.000) < 0.05 for FPG and 2-h PG examinations in outpatients with type 2 diabetes mellitus. The type of oral antidiabetic glimepiride had differences in observed effectiveness (p=0.002) < 0.05 in the FPG examination and (p=0.006) < 0.05 in the 2-h PG examination. The oral antidiabetic drug groups metformin and glimepiride had differences in observed therapeutic effectiveness in outpatients with T2DM, while the insulin group and the combination group did not have differences in therapeutic effectiveness in T2DM patients.
EDUKASI OBAT RUSAK DAN KEDALUARSA PADA MASYARAKAT DESA TOSALE, KECAMATAN BANAWA SELATAN, KABUPATEN DONGGALA diana, khusnul; Rinaldhi Tandah, Muhamad; Ambianti, Nurul; Fadhilah Zainal, Setiawati
JURNAL PENGABDIAN FARMASI DAN SAINS Vol. 1 No. 1 (2022): Oktober 2022
Publisher : Jurusan Farmasi FMIPA Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/jpsf.2022.v1.i1.16099

Abstract

Using damaged and expired drugs in the community can be a problem for health. Using medicines that have been damaged or drugs that have expired can be fatal, ranging from poisoning, and disability, to causing death. Many factors can cause damaged and expired drugs, both occurring in health facilities (such as pharmacies, hospitals, health centers, and distributors) or the storage of drug users in this case in the community. People as users of medicinal products sometimes do not know how the physical characteristics and signs of drugs are damaged and medicines that have expired. This community service activity was carried out in the Tosale Village area of ​​Donggala to assist the local community in knowing and recognizing drugs that were damaged or expired. This activity is carried out using lecture and discussion methods around recognizing the characteristics and signs of damaged and expired drugs, how to prevent the occurrence of damaged and expired drugs and how to store medicines to avoid damage. Evaluation of activities by giving short questions to participants about the material that has been given to identifying damaged and expired drugs. Active participants who answered correctly were given the appreciation in the form of mementos from the service team. This activity was completed by the target number of participants and the time given by the Tosale Village Head.
EDUKASI PENGELOLAAN OBAT RUSAK DAN KEDALUWARSA MENGGUNAKAN MEDIA LEAFLET DI DESA UENUNI, KECAMATAN PALOLO, KABUPATEN SIGI: Education on Management of Damaged and Expired Medicines Using Leaflet Media Diana, Khusnul; Ambianti, Nurul; Tandah, Muhamad Rinaldhi; Zainal, Setiawati Fadhilah
JURNAL PENGABDIAN FARMASI DAN SAINS Vol. 2 No. 1 (2023): Oktober 2023
Publisher : Jurusan Farmasi FMIPA Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/jpsf.2023.v2.i1.16660

Abstract

Masyarakat memperoleh obat dari apotek atau fasilitas kesehatan akan menyimpan obat-obatannya di rumah untuk berbagai keperluan termasuk penggunaan darurat dan penyakit akut atau kronis. Kebanyakan obat-obatan yang di simpan di rumah akhirnya tidak digunakan dan menjadi kedaluwarsa. Kurangnya pengetahuan dan informasi terkait cara mengelola obat rusak dan obat kedaluwarsa mengakibatkan masyarakat melakukan praktik pembuangan obat yang tidak digunakan langsung ke tempat sampah umum. Hal ini akan menyebabkan permasalahan yang cukup besar dilingkungan masyarakat. Kegiatan pengabdian kepada masyarakat dilakukan di Desa Unenui Kecamatan Palolo Kabupaten Sigi. Secara tipologi dan geologi desa ini terletak di pegunungan, sehingga akses sarana fasilitas kesehatan dan tenaga kesehatan masih terbatas. Pengabdian ini bertujuan untuk membantu masyarakat dalam memahami dan meningkatkan pengetahuan terkait pengelolaan obat rusak dan kedaluwarsa. Kegiatan ini dilakukan dengan metode edukasi melalui upaya pemberian informasi dan pembagian leaflet tentang definisi obat rusak dan kedaluwarsa, penyebab dan ciri-ciri obat rusak, cara pengecekkan obat kedaluwarsa, serta cara memusnahkan obat rusak dan kedaluwarsa. Evaluasi kegiatan dengan memberikan pertanyaan singkat kepada peserta tentang isi materi pada leaflet. Kegiatan ini selesai dilaksanakan sesuai dengan target jumlah peserta dan waktu yang diberikan oleh Kepala Desa Uenuni.
KEGAGALAN PENGENDALIAN DIABETES MELLITUS TIPE II DITINJAU DARI FAKTOR PREDISPOSISI Khusnul Diana; Amalia Purnamasari Zainal; Setaiawati Fadhilah Zainal; Muhammad Rinaldhi Tandah; Dhea Puspita; Nurul Ambianti
Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan Vol. 10 No. 2 (2024): Jurnal Ilmiah Manuntung: Sains Farmasi Dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51352/jim.v10i2.886

Abstract

Failure to control type II diabetes mellitus (DM) has a serious impact on the quality of life and health of DM patients. One of the factors that can influence the failure to control DM is predisposing factors. This study aims to determine predisposing factors including gender, education level, age, smoking, occupation, sports activities, long-suffering, knowledge, and behavior that influence failure to control type II DM. The research method used was descriptive analysis with cross-sectional data collection. This research used a purposive sampling technique and the patients used were 179 respondents. Data was collected using the Diabetes Knowledge Questionnaire (DKQ-24) questionnaire and the Self-Management Diabetes Mellitus (SMDM) questionnaire instrument. The data analysis used is bivariate and multivariate. The results of the bivariate analysis show that the variables that influence the failure to control Type II DM are the length of suffering (p = 0.000), behavior (p = 0.004), sports activities (p = 0.029), and work (p = 0.020). The results of the multivariate analysis of the dominant factors influencing failure to control type II DM are long-suffering with a value of OR = 6.956, behavior with a value of OR = 4.156, knowledge with a value of OR = 2.947, sports activities with a value of OR = 0.690, so it can be concluded that the variable long-suffering is The main factor in the failure to control type II DM because it can increase the risk of complications such as pancreatic cell damage and insulin resistance.