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All Journal Proceedings of the International Conference on Applied Science and Health Jurnal Ekonomi Kesehatan Indonesia
Sjaaf, Amal C
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Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health

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THE IMPLEMENTATION OF CODE STEMI PROGRAM TO AFFECT THE QUALITY OF HEALTHCARE IN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PATIENTS: A SYSTEMATIC LITERATURE REVIEW Ginanjar, Eka; Sjaaf, Amal C
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Backgrounds: The Clinical importance of coronary artery disease manifests as Acute Coronary Syndrome with the highest mortality is known as ST-Elevation Myocardial Infarction (STEMI). Delay in STEMI management not only affect mortality and complications, but also healthcare quality. The CODE STEMI program was developed to shorten the time and reduce delay in treatments for STEMI patients. This study aims to review the effect of CODE STEMI program implementation on clinical outcome and healthcare quality in STEMI patients. Methods: This study was a systematic review of literature that used meta-analysis (PRISMA) protocol. Data obtained from Electronic databases Google Scholar, PubMed, and MEDLINE that published over several years and we began on May 2019. Assessment of healthcare quality was based on Donabedian theory that consists of 7 main components, efficacy, effectiveness, efficiency, optimality, acceptability, legitimacy and equity. Analysis between studies was reported as descriptive narration. Results: The search found 15 studies, of which 4 studies as the final results that are suitable for this literature review through the keyword findings CODE STEMI, STEMI, and quality of healthcare. Studies in several countries over the globe reported a decrease of door-to-balloon/ diagnosis-to-wire time. Some studies reported reduced mortality, complications, and cost after implementation of CODE STEMI program, while others only found insignificant trends. Conclusions: Implementation of CODE STEMI protocol made a better Quality of Healthcare. However, it needs further study to review and evaluate the effect of CODE STEMI implementation, especially on the quality of healthcare in STEMI patients.
THE ANALYSIS OF DIABETES SELF-MANAGEMENT IMPLEMENTATION ON TYPE 2 DIABETES MELLITUS PATIENTS: A PROTOCOL FOR SYSTEMATIC REVIEW AND META-ANALYSIS Salsabila, Zhafirah; Sjaaf, Amal C
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 2
Publisher : UI Scholars Hub

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Diabetes is the fourth leading cause of death in the world. Ninety percent of the world's DM cases are dominated by type 2. International Diabetes Federation predicted the incidence and mortality rate of diabetes are increasing by 2045. Diabetes causes macrovascular complications that contribute to cardiovascular death, and microvascular which a risk factor for blindness, lower-extremity amputation, kidney failure, and death. One of the efforts to control complications from diabetes is done through diabetes self-management consists of education, medical nutrition therapy, pharmacological therapy, and physical exercise. The main purpose of implementing DSM is that patients can prevent or slow the onset of complications from diabetes itself. This study aims to summarize and systematically synthesize the clinical and non-clinical effectiveness and resume the cost-analysis of DSM implementation. Several electronic databases will be used: Medline via PubMed, and Embase. The complete evidence will be summarized and critically appraised using Cochrane guidelines and JBI Critical Appraisal Checklist for RCT and cohort studies. In terms of analysis, we will qualitative-quantitatively appraise and present the studies that meet our inclusion criteria. We are expected to summarize the quality and capture the valuable insights related to the study of effectiveness in implementing diabetes self-management of T2DM.
Co-Authors Eka Ginanjar Salsabila, Zhafirah