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KAJIAN SINKRONISASI ANTARA PERENCANAAN DAN KEBUTUHAN ALAT KESEHATAN DI RUMAH SAKIT TINGKAT III TNI AL DI ERA JKN PERIODE 2020 Ningsih, Ita Trismiati; Delina Hasan; Prih Sarnianto
Fair Value: Jurnal Ilmiah Akuntansi dan Keuangan Vol. 4 No. 3 (2021): FairValue : Jurnal Ilmiah Akuntansi dan Keuangan
Publisher : Departement Of Accounting, Indonesian Cooperative Institute, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.735 KB) | DOI: 10.32670/fairvalue.v4i3.727

Abstract

Health equipment will be effective if it is adjusted to the needs of each hospital, with increasing servicedemands, incomplete medical devices can cause problems in service, and become complaints of patientswho come for treatment at the hospital, including JKN patients. within the Indonesian Navy. This studyaims to determine the synchronization between planning and the need for medical devices at the TNI ALLevel III Hospital in 2020. This study used a quantitative descriptive method with retrospective datacollection on medical devices at five Level III TNI AL Hospitals, namely the TNI AL Hospital Dr. .Komang Makes (Belawan, North Sumatra), Dr. Oepomo (Surabaya, East Java), Samuel J. Moeda(Kupang, East Nusa Tenggara), Marine Ewa Pangalila (Surabaya, East Java), Merauke (Merauke). Theanalysis shows that planning guidelines, sources of funds, coordination, planning preparation, planningmethods, planning documents, distribution are in accordance with Minister of Defense Regulation No. 11of 2014. Thus, it can be concluded that the condition of medical devices in five level III hospitals of theIndonesian Navy in 2020 is appropriate in terms of the Minister of Defense Regulation No. 11 of 2014,there is a synchronization between planning and the need for medical equipment in the JKN era, and theTNI AL Level III Hospital is ready to cooperate with BPJS Health.
Kajian Pola Penggunaan Antibiotik Profilaksis Hubungannya Dengan Angka Kejadian Infeksi Daerah Operasi (IDO) Pada Pasien Bedah Digestif Di Rumah Sakit Swasta Kiki Amelia; Ros Sumarny; Delina Hasan; Hafidh Komar
Jurnal Penelitian Sains Vol 21, No 1 (2019)
Publisher : Faculty of Mathtmatics and Natural Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.792 KB) | DOI: 10.56064/jps.v21i1.527

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Abstract: Prophylaxis antibiotics are given to prevent surgical site infection (SSI). This study aimed to examine the pattern of the use of prophylaxis antibiotics on the incidence and SSI risk factors. This study was an observational analytic study with a cross sectional design. SSI observation was directly observed in postoperative wounds, the first in the treatment room at the time of dressing change, the second observation was carried out in the surgical clinic at the time of repeated control. The total sample during the study period was 57. The results of this study showed the incidence of SSI in digestive surgery patients was 17.5% (10 out of 57 samples). The most widely used prophylaxis antibiotics ware the third generation cephalosporin group ceftriaxone (96,5%)
Analisis Efektivitas Biaya Kombinasi Risperidone-Clozapine Dengan Risperidone-Olanzapine Pada Pasien Skizofrenia Tiara Sani Ardiana; Delina Hasan; Ahmad Fuad Afdhal; Lahargo Kembaren
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 12 No 1 (2021): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v12i1.203

Abstract

Abstract Schizophrenia is a severe mental disorder characterized by significant distortions in thoughts and perceptions, accompanied by inappropriate emotions Antipsychotics are the mainstay of schizophrenia and require a long healing time and require high adherence to treatment. Most alternative antipsychotic therapies require pharmacoeconomic studies, particularly Cost Effectiveness Analysis which is useful in balancing patients’ expenditure by determining alternative treatments. The purpose of this study was to determine the effectiveness, eficiency and unit cost of the antipsychotic drug combination risperidone-clozapine dan risperidone-olanzapine. This research method used cross-sectional, analytical descriptive design and data collection is carried out prospectively from the medical record of schizophrenics, while detailed data on treatment costs are obtained from the financial section of inpatients at the hospital Dr. H. Marzoeki Mahdi Bogor from May to July 2019. The results of the study showed that the effectiveness of the largest antipsychotic combination therapy to increase the value of GAF was the combination of risperidone-olanzapine by 36 patients with an average difference in Initial GAF and Final GAF of 14.11, while the combination of risperidone-clozapine ie as many as 35 patients with an average difference in value Initial and Final GAF of 10.06. While the cost effectiveness based on the increase in final GAF value in the combination of risperidone-clozapine antipsychotic and risperidone-olanzapine antipsychotic combination in sequence is IDR.6,312,800. and IDR. 5,628,684. This value can be obtained from the calculation of the unit cost, the calculation of costs incurred in real where the cost is calculated for the service unit. It can be concluded that the risperidone-olanzapine antipsychotic combination is more cost effective than the risperidone-clozapine antipsychotic combination. Keywords: antipsychotics, effective and efficient, risperidone-clozapine combination, risperidone-olanzapine combination, schizophrenia.
Faktor-Faktor yang Berhubungan dengan Kejadian Infeksi Saluran Pernafasan Akut (ISPA) pada Balita Di Daerah Pesisir Kota Sibolga Tahun 2020 Rita Kristina Pasaribu; Heru Santosa; Shirly Kumala; Nurmaini Nurmaini; Delina Hasan
Syntax Idea Vol 3 No 6 (2021): Syntax Idea
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/syntax-idea.v3i6.1232

Abstract

ISPA (Acute Respiratory Tract Infection) is a transmitted respiratory tract disease caused by environmental and human factors. Balita (below five year-old children) is very vulnerable to it. It was caused by virus or bacteria. The symptoms are high fever, followed by pain in throat, difficult to swallow, flu, and coughing with or without phlegm transmitted through patients' droplet (Riskesdas,2018). Revealed that, nationally, the prevalence of ISPA in balita was 12.8%, 8. 7% in North Sumatera, and 57% in Sibolga. The objective of the research was to analyze some factors which were correlated with the incidence of ISPA in balita at the coastal area of Sibolga . The data were gathered by using questionnaires. The research used cross sectional design. The samples were 265 (Isaac and Michael tables). The data were analyzed by using univariate analysis, bivariate analysis, and multivariate analysis with multiple logistic regression tests. From the samples, it was found that 144 of them (54.3%) were affected by ISPA and 121 of them (45. 7%) were not. The result of univariate analysis showed that 141 respondents (53.2%) had good requirement for their floors, 146 of them (55.1%) for walls, 70 of them (26.4%) for air ventilation, 257 of them (97%) for room temperature, 225 of them (84.9%) for lighting, 233 of them (87.9%) for moisture, 181 of them (68. 3%) for population density. From the factor of children, it was found that there were 131 boys (49.4%), 188 of the balita (70.9%) were 6- 35 months old, 217 of them (81.9%) were not BBLR, 206 of them (77.7%) had bad nutrition, 160 of them (60.4%) got vitamin A, 139 of them (52.5%) got immunization completion, 177 of them (66.8%) were breastfed with ASI (breast milk), 202 of them (76. 2%) smoked, 40 of them (15.1 %) used wood as fuel, and 27 of them (10.2%) used mosquito coils The result of bivariate analysis showed that 8 (eight) independent variables which were correlated were smoking (p-value=0. 003), using mosquito coils (p-value=0.026), floors (p-value=0.033), walls (p-value=0.002), population density (p-value=0.001), nutritional status (pvalue=0.001), air ventilation (p-value=0.012), Vitamin A(p-value=0.024), and complete immunization (p-value=0.035). The result of multivariate analysis showed that the variables of smoking, condition of house walls, nutritional status, and immunization completion caused the incidence of ISPA in balita at the coastal area of Sibolga (75.8%). It is recommended that prevent ISPA by increasing nutritional status, ASI, visiting posyandu, and no smoking inside their houses.
POTENSI HIPOGLIKEMIA DAN HIPERGLIKEMIA PADA PASIEN DIABETES MELITUS TIPE 2 AKIBAT INTERAKSI OBAT Yardi Saibi; Delina Hasan; Bukhoriah Safitri; Vidia Arlaini Anwar
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 5 No 2 (2020): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (193.854 KB) | DOI: 10.36387/jiis.v5i2.468

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The potency of drug interaction is higher because of the presence of comorbidities and polypharmacy in type 2 diabetes mellitus patient. This study aimed to know the potency of drug interaction event in type 2 diabetes mellitus patient in one of hospital in Jakarta in 2016 which have potency to cause hypoglycemia and hyperglicemia. Data was collected from medical record of type 2 diabetes mellitus patient . The design of this research was cross- sectional. Data retrieval was conducted retrospectively. The sample size in this study was 151 Diabetes mellitus type 2 patients medical record who received antidiabetes and met the inclusion and exclusion criteria. Data analysis was done statistically using univariate analysis . Results showed that female dominated the patient as much as 74,83% with hypertension as the most common comorbidities as much as 28,48%. There were 186 drug interaction event potency with 83,8% of them could cause hypoglicemia while the rest could cause hyperglicemia. Drug interaction with the potency that can cause either hypoglycemia and hyperglycemia that can effect the failure to get the therapeutic goal still be frequent found in patient prescription. Drug interaction event should get appropriate attention from clinical pharmacist in hospital
COST EFFECTIVENESS ANALYSIS PENGGUNAAN OBAT ARV KOMBINASI SERTA PENGARUHNYA TERHADAP KUALITAS HIDUP PASIEN HIV - AIDS DI POLIKLINIK RAWAT JALAN RS. dr. H. MARZOEKI MAHDI BOGOR Euis Pujasari Hardjadipura; Delina Hasan; Erwanto Budi Winulyo
Jurnal Farmagazine Vol 5, No 3 (2018): Jurnal Farmagazine
Publisher : STF Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47653/farm.v5i3.111

Abstract

Penelitian ini bertujuan untuk mengetahui efektivitas obat dan efisiensi biaya terapi obat kombinasi ARV lini pertama. Desain penelitian menggunakancross-sectional untuk mengetahui Cost Effectiveness Analysisdari 2 kombinasi ARV, yaitu kombinasi A (Zidovudin + Lamivudin + Nevirapin), dan kombinasi B (Tenofovir + Lamivudin + Efavirenz).Pengambilan data dilakukan secara retrospektif dari data rekam medis dan kartu obat pasien yang memulai pengobatan ARV pada periode bulan Januari 2016 hingga Juni 2017, dilanjutkan dengan observasi secara prospektif pada bulan Mei-Oktober 2017. Sejumlah 180 pasien aktif berobat rawat jalan pada poliklinik rawat jalan RS. dr. H Marzoeki Mahdi Bogor dan 60 yang memenuhi kriteria inklusi digunakan sebagai subjek penelitian.Efektivitaspengobatan menggunakan parameter kenaikan CD4 dan penurunan jumlah infeksi oportunistik. Pengobatan dikatakan efektif apabila CD4 terkendali yaitu pasien yang memulai terapi dengan nilai CD4≤ 200 akan meningkat nilai CD4 nya menjadi > 200 dan yang memulai terapi dengan nilai CD4 ≤ 350 akan meningkat nilai CD4>350 setelah satu tahun pemberian ARV. Berdasarkan infeksi oportunistik, pengobatan dikatakan efektif jika jumlah infeksi oportunistik berkurang setelah pemberian ARV satu tahun. Berdasarkan CD4 terkendali, ARV kombinasi A (Zidovudin + Lamivudin + Nevirapin) paling cost effective dengan nilai unit cost Rp 24.413.824,-dari obat kombinasi B ( Tenofovir + Lamivudin + Efavirenz) dengan nilai Rp 33.773.298,- Berdasarkan penurunan jumlah IO, obat kombinasi A (Zidovudin + Lamivudin + Nevirapin) paling cost efektif dengan nilai unit cost Rp. 19.531.059,-dari obat kombinasi B (Tenofovir + Lamivudin + Efavirenz) dengan nilai Rp 21.330.504,-. Berdasarkan cost effectiveness analysis, kombinasi A (Zidovudin + Lamivudin + Nevirapin) paling berpengaruh baik dalam meningkatkan kualitas hidup pasien HIV-AIDS di Poliklinik Rawat Jalan RS .dr . H. Marzoeki Mahdi Bogor ditinjau dari 6 domain hasil modifikasi WHOQOL-HIV-BREF yaitu domain psikologis 88,3%, domain fisik 71,7%, domain hubungan sosial 61,7%, domain kemandirian 76,7%, domain lingkungan 86,7%, dan domain spiritual 91,7%, sedangkan ditinjau dari kualitas hidup secara umum memberikan kualitas hidup baik 70,0%. Kata kunci: HIV-AIDS, ARV, cost effectiveness Analysis, Unit cost, Kualitas hidup.
Analysis of effectiveness and efficiency of rota use integrated filling machine on filling results 2 ml vial Fenny Kristanti Panggabean; Delina Hasan; Iha Haryani Hatta
Jurnal Info Sains : Informatika dan Sains Vol. 14 No. 01 (2024): Informatika dan Sains , Edition March 2024
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study aims to analyze the effectiveness and efficiency the use of Rota Integrated Filling Machine (RIFM) on 2 ml vials at PT. X Jakarta. It is an aimed at providing in-depth insights into the optimization of RIFM usage in the context of filling 2 ml vials. Data analysis in this research includes calculating the OEE, Pareto diagram, cause-andeffect, descriptive analysis, machine depreciation calculation, and one-sample t-test. The study results are the OEE values are 32.35% (low effectiveness) in 2020, 32.68% (low effectiveness) in 2021, and 81.36% (high effectiveness) in 2022. The effectiveness of training for RIFM operators at PT. X Jakarta falls into the good category (> 76 – 100%), indicating that the provided training is effective, although some aspects may need modification. The most frequent (dominant) obstacles during theconsecutive injection production process, from highest to lowest, are filling (62hours), capping (35hours), washing (31hours), and other obstacles (21hours). The depreciation burden in 2022, using the straight-line method without residue is Rp 3,237,907,071; the sum-of-the-years-digits method is Rp 883,065,565; the double declining balance method is Rp 2,512,441,817; the unit of working hours method is Rp 1,607,960,385; and the unit of production output method is Rp 1,619,526,867. Estimating depreciation using the machine's economic life aims to guide further actions that the management should take in managing the company's assets that may affect the company's profit and loss statement.
Efikasi dan Keamanan Kombinasi Kapsul Pare-Primakuin sebagai Antimalaria pada Pasien Malaria Falsiparum Tanpa Komplikasi Di RSUD Manokwari: Efficacy and Safety Antimalarial Combination Pare Capsule-Primaquine In Malaria Falciparum without Complications In Manokwari Hospital Mitra Wynne Timburas; Delina Hasan; Syamsudin Abdillah
Jurnal Sains dan Kesehatan Vol. 2 No. 4 (2020): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v2i4.148

Abstract

Salah satu tantangan terbesar dalam upaya penanggulangan kejadian malaria yaitu penurunan efikasi terhadap obat-obatan malaria yang telah mengalami resistensi akibat penggunaan yang tidak terkontrol, adanya mutasi genertik yang secara alami terjadi pada parasit malaria serta adanya efek samping yang terhadap penggunaan terapi kombinasi artemisin. Tanaman Pare merupakan salah satu tanaman yang telah lama digunakan secara tradisional untuk mengobati malaria. Penelitian ini bertujuan untuk mengetahui efikasi kombinasi kapsul pare dan primakuin pada pasien malaria falsiparum tanpa komplikasi di RSUD Manokwari. Rancangan penelitian ini dilakukan secara acak dengan ketersamaran ganda. Sebanyak 25 subjek malaria falsiparum yang berhasil direkrut dan dipantau hingga H-42. Terdapat dua kasus tidak dapat diikuti pada H-42 karena tidak kontrol secara teratur dan bepergian dalam waktu lama. Tidak ditemukan ada yang gagal pengobatan dini maupun gagal pengobatan kasep. Proporsi kesembuhan sebesar 92% dengan waktu bebas parasit pada H-7. Efek samping yang ditemukan bersifat ringan dan mirip dengan gejala khas malaria yaitu sakit perut, diare dan sakit kepala.
The Analysis Of The Impact Of Price, Product, And Accessibility On Consumer Purchase Decisions In Online And Offline Services At Pharmacies In Bekasi City Taufit Julianto; Delina Hasan; Derriawan Derriawan
Jurnal Ekonomi Vol. 13 No. 04 (2024): Edition October -December 2024
Publisher : SEAN Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The advancement of technology and the increasing demand for convenience among consumers have prompted pharmacy business players to develop online-based services. This study aims to analyze the impact of price, product, and accessibility on purchasing decisions for medications in online and offline pharmacy services in the Bekasi City area. Using a quantitative approach, this study collected data through questionnaires distributed to 200 respondents, consisting of users of both online and offline pharmacy services. The analytical techniques used include Pearson correlation and Mann-Whitney U test. The results of the Pearson correlation test indicate that price has a moderate impact on consumer purchasing decisions with an r value of 0.562, product has a strong impact with an r value of 0.768, and accessibility has a moderate impact with an r value of 0.478. The Mann-Whitney U test shows no significant difference between price and accessibility in online and offline pharmacies, while a significant difference was found in product availability, with a p value of 0.0466. This study concludes that price and accessibility can influence consumer purchasing decisions, though with moderate impact, while the availability of a wider range of products, particularly in online pharmacies, has a greater influence on purchasing decisions.