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All Journal JURNAL ILKES (Jurnal Ilmu Kesehatan) Jurnal Farmagazine
Ahmad Fuad Afdhal
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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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.
Analisis Efektivitas-Biaya Tindakan Kolesistektomi Metodelaparoskopidan Kolesistektomi Terbuka Pada Rs Swasta Tipe B Di Jakarta Pusat Tahun 2013 -2017 Diana Hayati; Ahmad Fuad Afdhal; Dian Ratih L
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.v5i3.109

Abstract

Kolelitiasis adalah penyakit yang dapat ditemukan di dalam kandung empedu atau di dalam ductus koledokus atau pada kedua-duanya. Dalam pelayanan kesehatan , tidak hanya outcome klinisyang diutamakan tetapi juga faktor pembiayaan. Untuk menentukan biaya yang efektif dan efisien diperlukan analisis farmakoekonomi. Salah satu tindakan yang memerlukan analisis efektifitas biaya adalah kolesistektomi yaitu tindakan pengangkatan batu empedu. Tujuan dari penelitian ini adalah untuk membandingkan efektif-biaya kolesistektomi metode laparoskopi dengan kolesistektomi terbuka (open surgery). Penelitian ini merupakan studi potong lintang, retrospektif dengan menggunakan data rekam medis penderita kolelithiasis di RS Swasta Kelas B di Daerah Jakarta Pusat tahun 2013-2017. Jumlah sampel 72 pasien yang terdiri dari 36 sampel kolesistektomi laparoskopi, dan 36 sampel kolesistektomi terbuka. Analisa farmakoekonomi belum pernah dilakukan di RS Swasta kelas B di daerah Jakarta Pusat. Parameter yang digunakan dalam penelitian ini adalah biaya pengobatan langsung yang meliputi biaya total, biaya pemeriksaan, biaya ruang perawatan, obat-obatan, dan alat kesehatan, sedangkan indikator efektivitasnya menggunakan lama hari rawat inap. Hasil menunjukkan bahwa rata-rata biaya langsung kolesistektomi laparoskopi dibanding metode terbuka lebih besar. Rasio efektifitas biaya kolesistektomi laparoskopi perharilebih besar dibanding metode terbuka.Perhitungan rasio efektivitas biaya tambahan (ICER) menunjukkan bahwa kolesistektomi laparoskopi memiliki biaya lebih rendah dibandingkan dengan kolesistektomi terbuka. Dapat disimpulkan bahwa kolesistektomi laparoskopi lebih efektif-biaya daripada kolesistektomi terbuka. Kata Kunci: Kolesistektomi, Kolesistektomi Laparoskopi, Kolesistektomi Terbuka, Cost Effective Ratio
Co-Authors Delina Hasan Dian Ratih L Hayati, Diana Lahargo Kembaren Tiara Sani Ardiana