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All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jukema (Jurnal Kesehatan Masyarakat Aceh) Belitung Nursing Journal Proceedings of the International Conference on Applied Science and Health Jurnal Dunia Kesmas Journals of Ners Community J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Cahaya Mandalika Journal Of World Science Berita Kedokteran Masyarakat Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Nadjib, Mardiati
Unknown Affiliation
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Evaluasi Ekonomi Parsial antara Pemberian Terapi Rivaroxaban dan Terapi Kombinasi (Unfractionated Heparin + Warfarin) untuk Pengobatan Trombosis Vena Dalam pada Pasien Kanker di Rumah Sakit Kanker Dharmais Syari, Wirda; Nadjib, Mardiati; Ranuhardy, Dody
Jurnal Ekonomi Kesehatan Indonesia Vol. 5, No. 1
Publisher : UI Scholars Hub

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Based on previous studies, rivaroxaban therapy has several advantages compared to combination therapy (UFH+warfarin) for the treatment of deep vein thrombosis (DVT). However, the use of rivaroxaban in Dharmais Cancer Hospital is still low. This partial economic evaluation study aims to analyze cost and outcome of rivaroxaban therapy and combination therapy (UFH+warfarin) for DVT treatment in cancer patients at the Dharmais Cancer Hospital during 2016 – 2018. Data collection was done using cohort-retrospective and individual unit of analysis. Due to limited number of patient treated with rivaroxaban therapy within 3-6 months, we estimated the cost and outcome related to patients who were successfully treated in one month. The outcome was the intermediate outcome, i.e length of stay, recovery, and the occurrence of bleeding. The cost was calculated based on hospital perspective including drugs, laboratory tests, procedures, as well as the administrative and accommodation costs. The results showed that patients with rivaroxaban therapy were not admitted to inpatient care, 40% of patients were recovered from DVT, and none of the patients experienced bleeding. The average cost of rivaroxaban therapy to reach the expected outcome was Rp 8,824,791.00. The study also showed that patients with combination therapy (UFH+warfarin) had a hospital length of stay between 8 to 14 days, 46% of patients were recovered from DVT, and none of the patients experienced bleeding. The average cost of combination therapy (UFH+warfarin) to reach the expected outcome was Rp 13,201,698.00.
Determinan Cakupan Imunisasi Dasar Lengkap pada Penerima Program Keluarga Harapan Wulansari, Wulansari; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 4, No. 1
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Poverty is a multidimensional social problem and related to the problems of health, education and other social welfare. National Basic Immunization Coverage (IDL) reached 57.9%, with 32.9% was incomplete and 9.2% were not immunized, while national coverage indicators were at least 90%. This study aims to determine the determinants that affects basic complete immunization coverage for babies receiving the Family Hope Program (PKH). The study design used was cross sectional. The research was located in 34 provinces. The total population is 9,205 respondents using secondary data from the National Socio-Economic Survey (Susenas) in 2017. The research shows that the achievement of complete basic immunization is 97.34% and 2.66% is incomplete. The results shows that age and marital status are positively related and significantly influence the basic immunization coverage, while education and employment variables are significantly associated but negatively related to basic immunization coverage. PKH has provided opportunities and access to poor households in implementing a complete basic immunization program. So it is necessary to intensify the supervision of young mothers, divorced mothers and working mothers to boost knowledge, build awareness, maintain and strengthen related behav ioral changes, health and care to increase the coverage of basic immunization in infants.
Evaluasi Ekonomi Penggunaan Antibiotika Profilaksis Cefotaxime dan Ceftriaxone pada Pasien Operasi Seksio Sesarea di Rumah Sakit X Aisyah, Echa; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 3, No. 2
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A prophylactic antibiotic for patients with cesarean section surgery is highly recommended in the clinical guideline. The use of antibiotics is selected by using criteria safety and cost-effectiveness. This partial economic evaluation in the form of cost and outcome analysis was using alongside observational study method, prospective data were collected from April to May 2017 covering 60 patients with cesarean section surgery who received prophylaxis antibiotics, comparing cost-effectiveness between Cefotaxime and Ceftriaxone. The statistical test showed that there were no differences of characteristics in the 60 patients. The analysis based on the hospital perspective carried out in a public hospital in West Java. The Systematic Review showed that there was no difference in the efficacy of the drugs. This study confirmed that there was no difference in clinical outcome on surgical wound infections either in the patient who received Ceftriaxone prophylaxis or Cefotaxime. The greatest component of the cost was the operational cost (84.79%), followed by indirect cost (13.68%), investment cost (1.2%), and maintenance cost (0.32%). The analysis suggested the incremental cost was IDR342,535 in one episode of treatment. The hospital would save the cost of IDR317,529,945 a year by choosing Cefotaxime prophylactic antibiotics for patients with cesarean section surgery.
Pemanfaatan Dana Kapitasi oleh Puskesmas di Kota Lubuklinggau Tahun 2014-2016 Muhammad Yulianto, Muhammad Muhammad Yulianto; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 1
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Since the implementationof National Health Insurance (JKN), Health Centers received the payment from Social Security Agency for Health (BPJS) using capitation. In Lubuklinggau City, there has been problem inutilizing capitation and financing surplus (SiLPA) for approximately 23% per year. This research aimed to analyze the utilization of capitationin Lubuklinggau City 2014-2016. This qualitative study was implemented in SimpangPeriuk Health Center, Taba, Citra Medika and Swasti Saba which werethe lowest and highest SiLPA absorption, and data were collected retrospectively. The study revealedthat the capitation funds have achieved the target (69,5%) while spending for operational was still under utilized (12,4%). The planning for using capitation funds was not systematically implemented using appropriate steps : Planning, Organazing, Actuating, Controlling. Health centers assumed thatthe regulationto use the funds was too complicated to follow so they could not absorp the capitation appropriately. Monitoring assitance are needed to improve the absorption of capitation funds.
Analisis Pembiayaan Program Promotif dan Preventif Pemberantasan Demam Berdarah Dengue (DBD) Bersumber Pemerintah di Kota Semarang Tahun 2013-2015 Kamila, Nisa; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 1
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In 2010–2014, Semarang was involved as the big three city with high incidence rate of dengue in Central Java province. This study aimed to analyze the financing by the local government for Dengue preventive program in 2013-2015, as well as the resources gap. The health account approach was used to analyze spending by source, function, and provider. Total local government spending for dengue in 2013 were IDR 4.018.927.020,- increased by 101% in 2014 and increased by 218% in 2015. The largest expenditure for Dengue Preventive program is epidemiological surveillance and infectious disease control. There was no gap between available resources and requires program according to SPM. The study suggested to improve planning by focusing on the direct activities such as promotive and preventive
Analisis Pembiayaan Kesehatan Daerah Bersumber Publik: Studi Kasus di Dinas Kesehatan Kabupaten Bogor Tahun 2012, 2013 dan 2014 Handayani, Tuti; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 2
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This study aims to look at the picture of health expenditures in Bogor District Health Office to see the allotment according to the four dimensions of District Health Accounts (DHA) in 2014 to see the trend in 2012 and 2013. This study took data from a secondary data source realization of health spending that was then processed and presented according to the funding source, budget managers, service providers, and programs. The study used a descriptive research design with evaluative approach and was conducted in Bogor District Health Office. Analysis showed that the total health financing in Bogor District Health Department public sources in 2012 amounted to Rp 289.069.378.168 , - in 2013 the number increased to Rp 338 469 794 825 , - and in 2014 that number was dropped to Rp337.451.928.421 , - . The funding in 2012 and 2013 came from the state budget , district budget and provincial budget , whereas in 2014 from the state budget , district budget , provincial budget and other public funds . Judging from its designation , The most dominant spending, in 2012 , is health financing programs spent of 36.29 % , in 2013 also still dominant health financing program , its share reached 40.09 % , and in 2014 expenditure on health financing portion significantly decreased to only 23.69 %, with the largest health spending in 2014 was for program administration and management , that was 30.92 %.
Analisis Penerapan Activity-Based Costing Tindakan Debridemen Bedah pada Diagnosis Tunggal di Kamar Operasi RSKD Duren Sawit Tahun 2022 Zakaria, Reynaldi Fattah; Nadjib, Mardiati
Jurnal Ekonomi Kesehatan Indonesia Vol. 9, No. 1
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In 2022, RSKD Duren Sawit has officially held operating room services. The demand for more comprehensive operating room services increased rapidly. The temporary operating room rates were set by adapting the rates of other regional hospitals and the Governor of DKI Jakarta's regulations. There is a huge difference in costs between the hospital rates and the INA-CBGs claim rates, especially for surgical debridement performed in the operating room. One of the factors causing the difference is the undetermined cost for debridement based on the unit cost component. Knowing the unit-cost debridement in the operating room according to the cost per activity. The study design was a retrospective cohort. Debridement action activities were collected through direct observation and patient operation reports. Then perform unit cost calculations based on activity-based costing. The unit cost of debridement with spinal anesthesia is Rp2.841.511,00. The unit cost calculation results are lower than hospital rates for neck debridement and mediastinitis. However, for debridement by general surgery and oral surgery, the unit cost is higher.
Optimizing the Use of Online Systems in Health Care Facilities Aprilano, Wendy Damar; Nadjib, Mardiati
Journal of Indonesian Health Policy and Administration Vol. 9, No. 3
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The use of web-based information technology or online services can accelerate service delivery. Digitalisation of online health services is one of the growing issues, along with the increasing need for access to health services globally. However, there are things that must be considered in implementing an online health service system so the utilisation can be optimal. This study examines the factors that can support the optimisation of online service systems in health facilities so that innovation can continue to grow and provide benefits in the future. The authors conducted a literature review, with PRISMA guidelines according to the PEO (Population, Exposure, Outcome) method with a population focus on health facilities that use online health registration and service systems, both applications and web, and the success factors of using existing online systems when applied to users. A total of 607 articles were searched, and after selection, 22 articles fulfilled the inclusion criteria and research objectives. Analysis of each article illustrated that optimising online systems in healthcare should be fully integrated into clinical workflows and add value to patient care while offering easier processes and facilitating communication between healthcare services. User and provider engagement is also important in the development of online healthcare systems. It also needs to be supported by various parties, from the government to the healthcare provider level. Ultimately, optimising online systems in healthcare is very useful in effectively cutting down service delivery time to improve the quality of healthcare and health status in the future.
Implementasi Kebijakan Pengelolaan Limbah Medis Infeksius Pada Era Covid-19 : A Systematic Review Rachmat, Rachmayasti; Nadjib, Mardiati
Journals of Ners Community Vol 13 No 4 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i4.2088

Abstract

Masalah pengelolaan limbah medis infeksius pada masa COVID-19 memerlukan perhatian yang sangat serius. Banyaknya pasien tentunya sebanding dengan alat habis pakai yang digunakan tenaga kesehatan yang menangani pasien COVID 19. Sejak Maret 2020 hingga Juni 2021, pandemi virus corona (COVID-19) di Indonesia telah menghasilkan sebanyak 18.460 ton limbah medis kategori bahan berbahaya dan beracun (B3) yang menjadikan Indonesia sebagai negara kedua penghasil limbah medis terbanyak di dunia setelah Filipina. Hal ini tentunya sangat merugikan kesehatan lingkungan khusus nya di Indonesia sendiri. Peraturan perundang-undangan mengenai pengelolaan limbah medis infeksius telah dirancang oleh pemerintah. Penelitian ini bertujuan melihat bagaimana implementasi kebijakan pengelolaan limbah medis di beberapa rumah sakit berdasarkan kajian literatur. Sumber kajian ini menggunakan data sekunder termasuk internet, laporan penelitian, prosiding, dan artikel jurnal nasional, artikel jurnal internasional yang membahas tentang implementasi pengelolaan limbah medis di Rumah Sakit
Analysis Of Length Of Stay Decrease Of Sc Patients With Eracs Protocol Nurhayati, Intan; Nadjib, Mardiati
Journals of Ners Community Vol 13 No 4 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i4.2089

Abstract

A clinical pathway (CP) is a concept of integrated service planning, based on medical service standards, care standards, and evidence with measurable results, medical care that is sick at home. Summarize each step given to the patient based on other service standards for the worker. Specified period CP is a standard of care that begins with evaluation, diagnosis, information support, rehabilitation, and clinical audit. Enhanced Post-Surgery Recovery (ERACS) is a multimodal designed to provide immediate recovery for post-surgery patients by preserving preoperative organ function and reducing stress responses during surgery. Perioperative treatment protocol. The most important keys to this protocol are preoperative counseling, nutritional optimization, standard anesthetic and analgesic use, and early mobilization. Enhanced recovery after surgery (ERAS) is a philosophy of perioperative care that has been applied in other settings since the 1990s, but in obstetrics in the form of enhanced recovery (ERACS) after cesarean section surgery. The application of was recently discovered. The ERACS Protocol aims to increase patient satisfaction, shorten patient stay and reduce costs. The ERACS protocol includes pre-hospital, preoperative, intraoperative to postoperative perioperative preparation and involves an interdisciplinary team of anesthesiologists, surgeons, nurses and nutritionists
Co-Authors Aisyah, Echa Andalusia, Lucia Rizka Anindita, Rahma Aprilano, Wendy Damar Aprilia, Reka Asri C. Adisasmita Athiyah, Athiyah Budi Hidayat Dianasari, Widha Dody Ranuhardy, Dody Dumilah Ayuningtyas Farianti, Yuli Fatmasari, Afni Firdaus, D.Fitria Sari Francesca Chandra, Alexandra Hadyan, Muhammad Farras Halilintar, Via Dolorosa Hartini, Rina Hatma, Ratna Djuwita Hermadi Imam Subekti Imansyah, Fadlul Indriyati, Titi Jauhar, Afaf Jeremia, Andrew Kamila, Nisa Kurnia Sari Laeliyah, Siti Nurul Lumbangaol, Hanna Elisabet Mangunsong, Emmy Ridhawaty Marietta, Marthin Marsaban, Adhika Putra Megraini, Amila Muhammad Yulianto, Muhammad Muhammad Yulianto Mukhlisa, Mazda Novi Naftalin, Farida Nopita, Cici Lia Nurhayati, Intan Nurhidayati, Zygawindi Nurwahyuni, Atik Nusarita Intama, Christina Prastuti Soewondo Prima Astuti Handayani Rachmat, Rachmayasti Sayekti, Sekar Arum Handarbeni Sjaaf, Amal Chalik Soewarta Kosen Syah, Bahar Telly Purnamasari Wahyuningsih, Helmi Wirda Syari Woro Riyadina Wulansari Wulansari Yonathan, Rafika Stany Yunita Yunita Zakaria, Reynaldi Fattah