Kusuma Arbianti
Department Of Dental Public Health, Faculty Of Dentistry, Universitas Islam Sultan Agung, Semarang, Indonesia

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PRESCRIPTION COST ANALYSIS IN PATIENTS WITH HYPERTENSION AND TYPE 2 DIABETES MELITUS AFTER THE IMPLEMENTATION OF INDONESIAN NATIONAL HEALTH INSURANCE Indriyati Hadi Sulistyaningrum; Arifin Santoso; Kusuma Arbianti; Garnes Mona Yulieta
Jurnal Farmasi Sains dan Praktis Vol 8 No 3 (September-December 2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/pharmacy.v8i3.5956

Abstract

Chronic disease is a long-term health condition that requires on-going medical attention, and is classified as a non-communicable disease. The long-term medical treatment for chronic diseases, such as type 2 diabetes mellitus and hypertension is considerably costly. This study aims to determine the real cost and pattern of drug prescribing as well as the factors affecting the real Prescription Cost for hypertension and type 2 diabetes mellitus after the implementation of Indonesian National Health Insurance (JKN) as seen from the practice of Independent Physicial in collaboration with BPJS Kesehatan (Healthcare and Social Security Agency). This is a non-experimental (observational) study. The data were collected using purposive sampling method with 147 medical prescriptions as the research samples for each type of disease from the patient's medical record. Data were analyzed descriptively to determine Prescription Costs and spearman's rho test was used to determine the factors that influence Prescription Costs. The study revealed that the average Prescription Cost for type 2 DM patients was Rp17,806,- and Rp12,946 for hypertensive patients. Factors that affected Prescription Cost were diagnosis (p= 0.026), type of medicine (p= 0.000) and drug items (p= 0.000). This study concludes that patients with diabetes mellitus were treated with the drug prescription pattern of a combination of metformin and glimepiride, while patients with hypertension were provided with amlodipine. The real Prescription Cost is influenced by several factors, including; the patient's diagnosis, the type of drug given and the number of drug items provided to patients.
Review of patient safety target implementation in the dental clinic, semarang City Aulia Nastiti Darajati; Kusuma Arbianti; Moh. Husnun Niam
Jurnal Medali Vol 5, No 1 (2023): Media Dental Intelektual March 2023
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.5.1.35-42

Abstract

Background: WHO (World Health Organization) reported in 2004 the prevalence of KTD (adverse event) was 3.2-16.6% from studies in various countries. To minimize adverse event (KTD), WHO realizes this through the sixth goal of patient safety. Indonesia has also implemented the sixth goals of patient safety by issuing 2 health ministerial regulations number 1691/MENKES/PER/8/2011 concerning hospital patient safety. In addition to hospitals, health facilities such as dental clinics. Method: The research design used in this study was an observational study with a case study approach with a total of 142 research subjects. The research subjects included dentists and assistants at every dental clinic in Semarang City. The study was conducted by filling out a questionnaire consisting of 6 sections covering 6 patient safety. The data obtained were analyzed quantitatively by presenting the answers for each dimension and drawing conclusionsResult: The results obtained all data related to the implementation of 6 patient safety goals by dentists and dental assistants at the Semarang City Clinic. At each point patient safety goals get different implementation resultsConclusion: The conclusion is the value of applying 6 patient safety goals in order of highest to lowest results, namely the reduction of the risk of infection is very good, the increase in drug safety that needs to be watched out for is very good, the accuracy of patient identification is very good, the increase in effective communication is very good, the certainty of the exact location is good and the risk reduction The patient fell quite well
HUBUNGAN PENGETAHUAN DOKTER GIGI TERHADAP PENGGUNAAN ALAT PERLINDUNGAN DIRI (APD) DI RUMAH SAKIT ISLAM GIGI DAN MULUT SULTAN AGUNG SEMARANG Kusuma Arbianti; Meiliana Hanirizqy
Odonto : Dental Journal Vol 6, No 1 (2019): July 2019
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.504 KB) | DOI: 10.30659/odj.6.0.1-7

Abstract

Background: A cross infection is the displacement of the infection agents between patients and health ofcers. Knowledge and behaviors of using personal protective equipment (PPE) are needed to prevent and control the infections. The aim of this study is to fnd out the behaviors of the dentists in using PPE at RSIGM Sultan Agung Semarang.Method: This research is descriptive study using cross sectional approach. There were 19 dentists as the respondents. It was using sampling technique. The data collection was done by providing questionnaire concerning the knowledge and observing the behaviors in using PPE. Statistical analysis used Spearman rho.Result: The Spearman rho test obtained the sig value 0,043 (P<0,05) with a correlation coefcient of 0,469. It can be concluded there is signifcant relationship between the dentist knowledge on the use of PPE at RSIGM Sultan Agung Semarang, with the strength of moderate relationships. Observation results of dentist behavior showed: 42.2% had a moderate category.Conclusion: Thus, it can be concluded that the knowledge is related to dentist behaviors in using PPE is in moderate category. Moreover, the dentist behaviors in using PPE can be influenced by several factors such as the lack of isolation awareness, the surveillance of Prevention and Control of Infection (PPI), the PPI education and training.
PENGARUH KONSENTRASI MADU TERHADAP PERUBAHAN WARNA GIGI PADA PROSES PEMUTIHAN GIGI SECARA IN VITRO Sigit Fitri Istanti; Endah Aryati E; Kusuma Arbianti
Odonto : Dental Journal Vol 1, No 2 (2014): December 2014
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (70.488 KB) | DOI: 10.30659/odj.1.2.25-28

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Background: Needs of dental cosmetic services increased due to people's desire to get a brighter and whiter smile. Hydrogen Peroxide (H2O2) is one of bleaching substance that most commonly used. Use of H2O2 in a high concentration can cause a negative impact on the oral cavity. Honey is a natural ingredient that can whiten teeth. This study aimed to determine the effect of concentration of honey on tooth colour changes of teeth whitening process. Method: This research was an experimental in vitro study using pretest-posttest design with teeth as a research sample. 24 premolars teeth as samples were soaked in various concentration of honey (25%, 35%, 50%, 75%). The colour of teeth were measured with a spectrophotometer before and after treatment. Teeth colour were analyzed by paired samples T-test. Result: Paired T-test showed p<0.05, which means that concentration of honey affected on tooth colour changes. One way ANOVA test results showed concentrations of honey significantly affect tooth discoloration (p <0,05). Post hoc test results showed significant difference On the concentration of 25% of the concentration of honey 50%, 75%, but on a concentration of 25% honey and 35% there is no significant difference. Conclusion: From these results, it can be concluded that the concentration of honey affected on tooth colour changes in an in vitro tooth whitening process.
HUBUNGAN ANTARA PENGETAHUAN DAN TINDAKAN DOKTER GIGI DALAM UPAYA PENCEGAHAN PENYAKIT MENULAR Annisa Meirani Hidayat; Kusuma Arbianti; Erdianto Setya Wardhana
Odonto : Dental Journal Vol 3, No 2 (2016): December 2016
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.151 KB) | DOI: 10.30659/odj.3.2.118-122

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Background: Infectious disease is a disease caused by a particular toxin.Infectious diseases that acquired from the hospital environment called nosocomial infections. Hepatitis B, tuberculosis, and HIV/AIDS is a commonly infectious disease that often found in dental practice. The risk for dentist to infected the infectious diseases are very high, due to direct contact with saliva. The awareness of infection control at the dentist is very important to prevent disease transmission.This aim of this research is to determine the relationship between the level of knowledge of the dentist with the precautions against infection diseases.Method: Cross-sectional analytic study with one group post-test only design was done in 25 dentists in the Dental Hospital Sultan Agung Semarang. The instrument for this research was used a questionnaire and a check list. Questionnaire was used to determine the level of knowledge, while the check list to determine the actions of the respondents. Data were analyzed with Pearson Correlation Test.Result: The questionnaire and the check list that was used is valid and reliable. The results showed 95.8% of respondents have a good knowledge, 4.2% are good enough knowledgeand 0% is lackingknowledge. All respondents have a good action in the prevention of infectious diseases. Pearson correlation test results showed p = 0.041, which means that there is a relationship between the level of knowledge of the dentists with the precautions against infectious diseases.Conclusion: It can be concluded that there is a relationship between the level of knowledge of the dentists with the precautions of infectious diseases, where the strength of the correlation is moderate.
DIFFERENTIAL DENSITY OF PERMANENT TEETH DEVELOPMENT USING PANORAMIC RADIOGRAPH WITH IMAGE-J ANALYSIS IN CHILDREN AGED 6-9 YEARS FEEDED EXCLUSIVELY BREAST MILK AND FORMULA MILK Moh. Yusuf; Kusuma Arbianti; Shella Indri Noviani; Ristiwi Suhertam
Odonto : Dental Journal Vol 9: Special Issue 1. April 2022
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.031 KB) | DOI: 10.30659/odj.9.0.109-114

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Background: Digital panaromic radiograph is used to assist dentist in taking complete pictures of the oral cavity. ImageJ is a software application that helps assess the enamel density of permanent teeth. The density of permanent teeth enamel is influenced by many factors, including the consumption of milk given since infancy. Exclusive breastfeeding has a more complete content and rich of benefit than formula milk. The aim of this study is to determine the enamel density of permanent teeth by using a panaromic radiograph technique with ImageJ application to children aged 6-9 years who were given exclusive breastfeeding and formula milk.Method: This is an analytic observational study using a retrospective cohort approach. The sampling technique used consecutive sampling and obtained 23 respondents with panaromic radiographs of children aged 6-9 years consisting of 10 children consuming formula milk and 13 children consumingexclusive breastfeeding. The enamel density was assessed using ImageJ application. The data was analyzed statistically using Man-Whitney comparative testResult: The results reveal that there was difference in the permanent teeth enamel density between children aged 6-9 years who consumed exclusive breastfeeding and formula milk which showed p value of 0,021.Conclusion: The conclusion of this study is that the type of milk has an effect on the enamel density of permanent teeth and children who consume exclusive breastfeed milk have a higher permanent teeth enamel density
TINJAUAN PENERAPAN NINE LIFE SAVING PATIENT SAFETY SOLUTIONS (STUDI KASUS DI RS PKU MUHAMMADIYAH BANTUL) Kusuma Arbianti; Aris Suparman; Qurrotul Aini
Odonto : Dental Journal Vol 2, No 2 (2015): December 2015
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.131 KB) | DOI: 10.30659/odj.2.2.28-35

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Background: Patient safety already a high priority in the health service aspect in the hospital and has become demands of the needs in the health services, as it will hopefully minimize the risk of unexpected occurrences. Reducing the conflict between health workers and patients, reducing the incidence of medical disputes, reducing the demands and legal proceedings and administrative charges of malpractice accusation are getting more and more against hospital. WHO Collaborating Centre for Patient Safety has published Nine Life Saving Patient Safety Solutions. The purpose of this research was to review and analyze the application of nine life saving patient safety solutions in RS PKU Muhammadiyah Bantul.Method: This case study was qualitative to review nine life saving safety patient solutions in RS PKU Muhammadiyah Bantul. The data has been collected with interview, observation, and analysis of documents in RS PKU Muhammadiyah Bantul. The research was held in RS PKU Muhammadiyah Bantul in October 2011. The object of this research is RS PKU Muhammadiyah Bantul. While the subject of this research is the chairman of the patient safety team, Assistant Manager of Pharmacy, Assistant Manager of ICU, Assistant Manager of surgery room, Assistant Manager of Emergency room, Assistant Manager of nursing, head of the ward hall Al Kahfi, head of the ward hall Al A€™raf, and the head of the ward hall Ar Rahman. Result: This study shows that the patient safety program in PKU Muhammadiyah Bantul was still initiated and built, whereas the implementation of nine life saving patient safety solutions program is not yet specific and detailed. However there are a few items from these items are already implemented and can become input in the implementation of the nine life saving patient safety solutions program.Summary: The implementation of nine life saving patient safety solutions program is not yet specific. However there are a few items from these items are already implemented and can become input in the implementation of the nine life saving patient safety solutions program.
PERBEDAAN INDEKS KEBUTUHAN PERAWATAN PERIODONTAL (CPITN) ANAK NORMAL DAN ANAK TUNARUNGU Nashriatul Mawaddah; Kusuma Arbianti; Niluh Ringga W
Odonto : Dental Journal Vol 4, No 1 (2017): July 2017
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.069 KB) | DOI: 10.30659/odj.4.1.44-49

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Background: Normal children had sensing capabilities to do oral health assessments. The inability to hear that was suffered by the deaf children caused obstacles to do oral health assessments. The dental and periodontal conditions were important for healthy life in general. The objective of this research was to know the difference Community Index Periodontal Treatment Needs (CPITN) between normal children in SD N 1 Tegaldowo Sragen with deaf children in SLB-B YPSLB Gemolong. Method: This research used observational method with Cross Sectional strategy. The subject of this research consist of 31 deaf children dan 83 normal children. Periodontal conditions from the two groups were measured by WHO probe. After the measurement, the CPITN index would be determined by looking at the highest score. The research was analyzed by using statistic non-parametric test from Mann-Whitney. Results: The result was 0.0003 (p<0.05), revealing there was a significant difference of CPITN index from normal children and deaf children. Conclusion: In conclusion, the highest periodontal status from normal children was gingival bleeding that meant they need to be given a conseling and demonstation about oral helath. The highest score from deaf children revealed the presence of subgingival and supragingival calculus that meant they needed to be given a counseling and demonstration including scaling treatment.
PRESCRIPTION COST ANALYSIS IN PATIENTS OF TYPE 2 DM AND HYPERTENSION JOINING CHRONIC DISEASE MANAGEMENT PROGRAM (PROLANIS) AT PUSKESMAS AFTER THE IMPLEMENTATION OF NATIONAL HEALTH INSURANCE Arifin Santoso; Indriyati Hadi Sulistyaningrum; Hesti Dwi Widaryanti; Kusuma Arbianti; Chilmia Nurul Fatiha; Elmiawati Latifah
Jurnal Farmasi Sains dan Praktis Vol 9 No 2 (May-August 2023)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/pharmacy.v9i2.5234

Abstract

To improve the status of public health and carry out social security programs in the health sector, the government started to implement the National Health Insurance. This program covers the participants’ medical care expenses using the capitation system applied in health centers as the First-Level Health Facilities. BPJS Kesehatan has allocated some budget in the form of a capitation rate to first-level health facilities for hypertension and type 2 diabetes mellitus patients after the implementation of National Health Insurance. This research was carried out in 4 health centers, namely Lamper Tengah Health Center, Mangkang Health Center, Mijen Health Center, and Karanganyar Health Center. The data were collected retrospectively from the medical records of 800 patients. The data were analyzed descriptively to determine the prescription cost and Spearman's rho test was used to find the factors that influence the prescription cost. It was revealed that the average prescription cost for type 2 DM patients was IDR 142,293, and for hypertensive patients was IDR 112,735. The prescribing pattern in patients covered by Prolanis program for type 2 DM patients is a combination of glimepiride, metformin with a drug price of IDR 20,670. Factors that have an influence on prescription costs are diagnosis p= 0.033, type of drug (p= 0.000) and drug item (p= 0.000). This study concludes that the factors to influence the drug costs of Prolanis patients at the health centers of Semarang City were the patient's diagnosis, the type of drug given, and the number of drug items given.
Evaluation of Organizational Culture As a Step To Improve Patient Safety at RSIGMP Sultan Agung Semarang Gesti Bening Aulia; Kusuma Arbianti; Nira Ardlina
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.43

Abstract

This study assessed and evaluated organizational culture to improve RSIGMP Sultan Agung Semarang patient safety. This observational analytic study used a cross-sectional model. Data were collected by distributing questionnaires of the Organizational Culture Assessment Instrument (OCAI) to all RSIGMP Sultan Agung Semarang staff, with a total of 54 people. The questionnaire was previously tested for validity and reliability. It consisted of 24 statements from 10 dimensions of organizational culture (dominant characteristics, organizational leadership, management of employees, organizational glue, strategic emphasis, and criteria for success). The study results showed that the dominant type of culture at RSIGMP Sultan Agung Semarang was clan culture.