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All Journal Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Journal of Health and Medicine
Ashari, Irwan
Unknown Affiliation
Dentistry Medicine & Pharmacology Nursing Public Health Veterinary

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Gambaran dan Rasionalitas Penggunaan Antibiotik pada Pasien Community Acquired Pneumonia di RSIA Ananda: Studi Retrospektif 2024 Ashari, Irwan
Medical : Jurnal Kesehatan dan Kedokteran Vol 2 No 1 (2025): Juni 2025
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v2i1.333

Abstract

Community Acquired Pneumonia (CAP) remains a major cause of morbidity and mortality, both in children and adults. Empirical antibiotic therapy is the main intervention, but the rationality of its use is often not fully evaluated in primary and secondary care facilities such as RSIA. To determine the pattern and assess the rationality of antibiotic use in pediatric and adult CAP patients at RSIA Ananda. A retrospective descriptive study of medical records of pediatric and adult CAP patients diagnosed with CAP who were treated at RSIA Ananda during January-December 2024. The evaluation of rationality refers to national guidelines from IDAI (Indonesian Pediatrician Association), PAPDI (Indonesian Lung Doctors Association), and drug use indicators from WHO. Of the 134 patients (72 children, 62 adults), all received empirical antibiotic therapy. The antibiotics most commonly given to children were amoxicillin (40.3%) and cefixime (25%), while in adults ceftriaxone (66.1%) and azithromycin (38.7%). A combination of antibiotics was used in 31.8% of cases. The rationality of antibiotic use was assessed as appropriate in 69.4% of children and 74.2% of adults. The most frequent discrepancies found were in the selection of the type and duration of therapy. Although most antibiotic therapy in CAP patients was in accordance with guidelines, there is still room for improvement, especially in the combination, duration, and selection of antibiotics. Fulfillment of the implementation of cross-unit antibiotic management programs is very important.
ANALYSIS OF THE INACBG-S INPATIENT CLAIM ADMINISTRATION PROCESS BETWEEN GENERAL HOSPITALS AND SPECIAL HOSPITALS IN 2024 AS'AD, AS'ARI; LALU, SAPARUDDIN; AMIR, ARFENTY; ASHARI, IRWAN; RAZAK, KAISAR; ARNANDHA, ATRIA GITA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 9 No. 1 (2026): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/963ae928

Abstract

Background: The administrative claim process within the National Health Insurance (JKN) system managed by BPJS Kesehatan continues to experience policy dynamics that directly impact hospital claim submission mechanisms. This study aims to analyze the pending inpatient INA-CBGs claim administration process between General Hospitals (RSU) and Specialized Hospitals (RSK) during the period from July to December 2024. Methods: This study employed a quantitative approach with a cross-sectional design. Data were analyzed using the Chi-Square statistical test to determine differences in the causes of pending claims based on hospital type. Results: The findings revealed that in RSU, the dominant cause of claim pendings was related to coding rules (78%), followed by service standards (45.4%) and administrative completeness (22.8%). In RSK, although the distribution pattern differed, these three factors remained the primary contributors to claim pendings. The Chi-Square test showed no significant difference between RSU and RSK regarding service standards (p = 0.5); however, significant differences were found in coding rules and administrative completeness (p = 0.001). Conclusion: These findings indicate that hospital type influences specific aspects of the pending claim administration process. Therefore, there is a need to enhance the quality of coders in RSU through training on INA-CBGs coding guidelines, and to improve the quality of administrative personnel in RSK by recruiting staff who meet the standard educational qualifications for hospital administration.  
Co-Authors Amir, Arfenty ARNANDHA, ATRIA GITA AS'AD, AS'ARI LALU, SAPARUDDIN Razak, Kaisar