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All Journal Jurnal Surya Medika JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Journal SAGO Gizi dan Kesehatan
Priyatni, Nunung
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Cost-effectiveness Study in Type 2 Diabetes Mellitus in Asia: A Review Wiracana, I Made; Priyatni, Nunung; Virginia, Dita Maria
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 14, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.92720

Abstract

Background: Type 2 Diabetes Mellitus (DM) requires intensive treatment to prevent progression and complications. One of the intensive treatments is insulin therapy. The increase in insulin price and variation in insulin therapy results in differences in treatment costs. In Asia, commonly used types of insulin therapy are NPH insulin and glargine insulin. It is urgent to define the most cost-effective insulin therapy among type 2 DM patients because of the economic burden.Objectives: This study aims to assess the cost-effectiveness of these insulin types. We did a narrative review using literature discussing the cost-effectiveness of insulin for type 2 DM patients.Methods: This study employs a narrative review approach using the PRISMA-P 2015 structured approach to examine studies. This article's methodological quality was evaluated using the Drummond checklist. The terms "cost-effectiveness analysis," "diabetes mellitus type 2," and "insulin" were used in the literature search for this study.Results: We obtained five pieces of literature fulfilling inclusion and exclusion criteria. The results indicated that the age range of type 2 DM patients in this study is 57-62 years, with a majority being women. The most frequently occurring complication is cardiovascular complications. NPH insulin and glargine insulin were the most extensively studied insulins in the literature review.Conclusion: Based on the cost-effectiveness analysis, glargine insulin is more cost-effective than NPH insulin in Asia due to the rare occurrence of hypoglycemia which is a common side effect as a treatment outcomes.
Evaluasi Tingkat Pengetahuan, Sikap dan Tindakan Ibu Pemberdayaan dan Kesejahteraan Keluarga Terkait Penggunaan Antibiotika di Kecamatan Kubu Karangasem Bali: Evaluation of the Level of Knowledge, Attitudes, and Actions of Empowerment and Family Welfare Mothers Related to the Use of Antibiotics in the Kubu Sub-District Karangasem Bali Distya Pratiwi, Luh Anggi; Virginia, Dita Maria; Priyatni, Nunung
Jurnal Surya Medika (JSM) Vol. 10 No. 3 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i3.8984

Abstract

Antibiotika merupakan golongan obat yang paling banyak digunakan di dunia terkait dengan banyaknya kejadian infeksi bakteri. Kurangnya pengetahuan tentang penyakit dapat menyebabkan kesalahan pemilihan obat yang digunakan untuk terapi. Salah satu kurangnya pengetahuan masyarakat yaitu terkait dengan kerasionalan penggunaan antibiotika. Penelitian ini dilakukan untuk mengetahui pengaruh metode seminar terhadap pengetahuan, sikap dan tindakan ibu pemberdayaan dan kesejahteraan keluarga terkait antibiotika di Kecamatan Kubu Karangasem Bali. Penelitian ini merupakan penelitian Analytical Quasi Experimental dengan rancangan two group pre-post test. Pengambilan sampel dilakukan secara purposive sampling melibatkan 84 responden yang dibagi dengan 42 responden pada kelompok kontrol dan 42 responden pada kelompok perlakuan. Data untuk penelitian terkait peningkatan pengetahuan, sikap dan tindakan diperoleh melalui pengisian kuesioner pretest, posttest I, posttest II, dan posttest III. Uji hipotesis pada kelompok perlakuan ini dilakukan untuk membandingkan nilai pretest dengan posttest I, pretest dengan posttest II, pretest dengan posttest III dalam aspek pengetahuan, sikap dan tindakan pada semua dimensi yaitu pada kelompok kontrol aspek pengetahuan dengan nilai 0,726 (pre-post I), 0,558 (pre-post II), 0,533 (pre-post III). Aspek sikap 0,463 (pre-post I), 0407 (pre-post II), 0,543 (pre-post III). Aspek tindakan 0,789 (pre-post I), 0,408 (pre-post II), 0,496 (pre-post III). Hasil yang diperoleh yaitu p > 0,05 yang artinya tidak ada perbedaan yang bermakna pada kelompok kontrol. Sedangkan pada kelompok perlakuan memperoleh nilai pada aspek pengetahuan dan sikap 0,000 (pre-post I, pre-post II, pre-post III). Aspek tindakan 0,000 (pre-post I), 0,003 (pre-post II), 0,011 (pre-post III). Hasil tersebut memperoleh nilai p < 0,05 yang artinya adanya perbedaan bermakna. Kesimpulan dalam penelitian ini adalah adanya intervensi dengan metode seminar mengakibatkan adanya peningkatan terhadap pengetahuan, sikap dan tindakan responden terkait dengan antibiotika.
Evaluasi implementasi program rujuk balik (PRB) di Puskesmas Kota Semarang Karti, Indah Mayang; Priyatni, Nunung; Hendra, Phebe
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2968

Abstract

Background: The Referral Back Program (PRB) is a strategy of the Indonesian Health Insurance Agency (BPJS Kesehatan) to transfer the management of chronic disease patients from hospitals to community health centers in order to reduce referral burdens, improve efficiency, and maintain continuity of therapy. Its implementation still faces limitations in resources, suboptimal coordination, and low patient compliance, thus requiring a comprehensive evaluation to assess the program's effectiveness.Objective: This study aims to evaluate the implementation of the Referral Back Program (PRB) by reviewing the input, process, and output aspects of PRB implementation in community health centers in Semarang City in 2024.Method: This study is a descriptive qualitative study conducted in 10 pilot project community health centers in Semarang City in 2024. Data were collected through observation, in-depth interviews, and document studies. Respondents consisted of health center heads, health workers, PRB administrative staff, and PRB patients. Data analysis was performed using triangulation of sources, methods, and documents.Results: The implementation of PRB at the Semarang City Health Center in 2024 was not optimal. In terms of input, there was a shortage of health workers, uneven distribution of medicines, and manual administration. In terms of service implementation, guidelines were followed, but coordination between FPKTP and FPKTL was inconsistent and patient education was not structured. In terms of output, patient compliance was still low, program effectiveness was not optimal, and patient satisfaction was influenced by the availability of medicines and the smooth running of services.Conclusion: PRB at the Semarang City Health Center has not been effective due to limited resources, weak coordination, and low patient compliance. This condition shows a gap between policy and practice, so it is necessary to strengthen human resources, improve administration, increase coordination, and educate patients to support the success of PRB.
Co-Authors Distya Pratiwi, Luh Anggi Dita Maria Virginia Karti, Indah Mayang Mubasysyir Hasanbasri Nisa, Syifa Nisa Phebe Hendra, Phebe Setyaningrum, Vernika Evita Wiracana, I Made