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Fakultas Farmasi, Universitas Padjadjaran
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Efektivitas Biaya Konseling Apoteker Pada Pasien Program Pengelolaan Penyakit Kronis Diabetes Melitus Tipe 2 Fajriansyah, Fajriansyah; Lestari, Keri; Puspitasari, Irma Melyani; Iskandarsyah, Aulia
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol 18 No 1 (2026): Jurnal Farmasi Indonesia
Publisher : Pengurus Pusat Ikatan Apoteker Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfionline.v18i1.800

Abstract

Type 2 Diabetes Mellitus (T2DM) imposes a substantial economic burden on healthcare systems. Evidence indicates that pharmacist involvement in medication management can improve glycemic control, adherence, quality of life, and reduce drug-related problems. However, the cost-effectiveness of pharmacist participation within the Prolanis program remains unclear. This study aimed to evaluate the cost-effectiveness of pharmacist counseling in managing T2DM under the Prolanis scheme compared with standard care. A cluster randomized clinical trial was conducted from 2017 to 2018 across four primary health centers in Makassar City. Eligible patients were allocated to an intervention group receiving structured pharmacist counseling or a control group receiving standard Prolanis services. Economic evaluation was performed from the payer and healthcare provider perspectives. A total of 220 patients met the inclusion criteria (109 intervention, 111 control). In the control group, the Average Cost-Effectiveness Ratio (ACER) based on direct medical costs was IDR –1.852.391,24 per 1% HbA1c reduction and IDR –9.725.054 per 1-point MMAS-8 improvement. Under capitation costs, ACERs were IDR –14.285,71 and IDR –75,000. In the intervention group, ACERs for direct medical costs were IDR 1.632.355,45 per 1% HbA1c reduction and IDR 1.300.783,25 per MMAS-8 point increase; for capitation costs, ACERs were IDR 11.764,71 and IDR 9.375. Cost-effectiveness mapping showed the intervention group in Quadrant II, indicating improved effectiveness with acceptable incremental costs. These findings support the economic value of integrating pharmacist counseling into Prolanis T2DM management.
Co-Authors Abdurahman Ridho ADIRA RAHMAWATY Adit Taufik Ahmad Muhtadi Ajeng Diantini, Ajeng Albertus Budi Sulistya Anas Subarnas Andi Wijaya ANISA MARIETA Anna Meiliana Anna Meiliana Arifin, Arief Riadi Arsenila Dewi Pramanti Asti Y. Rindarwati Aulia, Gina Auliya A. Suwantika Babikian, Haig Barliana, Melisa I. BERLIAN HANUTAMI N.P. Bryan J. Siagian Budi Setiabudiawan Catharina A. P. Utami Chandra Agung Purnama Cissy Bana Kartasasmita Cynthia Retna Sartika Destiani, Dika P. Desyandri Desyandri Dika P. Destiani DILA TRIARINI, DILA Dradjad - Priambodo Dwi Lestari Sulistyaningsih Eli Halimah, Eli Erizal Sugiono Erizal Sugiono, Erizal Fadila Nur Annisa Fadlilah, Aida Roja Fajriansyah Fajriansyah FATHYA ULFA Ferdy Ferdian Fitriah Nurhayani Florencia, Carla Furqani, Winda H. Ganis Fitria Fauziyyah Geofanny Facicilia Ghassani, Salma K. Gina Aulia Herdaningsih, Sulastri Herdaningsih, Sulastri Iceu Dimas Kulsum Ida Paulina Sormin Ida Paulina Sormin Iis Rukmawati Iis Rumawati Imam Adi Wicaksono Indriyanti Rafi Sukmawati Insani, Widya N. Irma M. Puspitasari Irma M. Puspitasari Irma M. Puspitasari, Irma M. Irma Melyani Puspitasari Irma Rahayu Latarissa Irmansyah Irmansyah Iskandarsyah, Aulia Ismail, Efriadi Jutti Levita Khaerani, Fitri Azlia Khoirunnisa, Izzatul Kristin Talia Marbun Kusnendar, Ahmad Nada Lisna Nur Imani Magdarita Riwu Maharani, Devita Salsa Marsya Nilam Kirana Mas Rizky Anggun Adipurna Syamsunarno Meilani Jayanti Melisa Fuji Faujiah Dwi Putri Melisa I Barliana Melisa I. Barliana Melisa Intan Barliana MICHELLE FERDINAND Miswar Fattah Mulyana Mulyana Mulyanto, Sangkan Mutakin Mutakin Nabilah Azka Nihlah Nabilah Nadhif Nabilah Nadhif Nimas T. I. Tarina Norisca A. Putriana Nuning Nurcayani Nyai Ayu Sylfia Stannia Puspitasari Helmi Oktavelia, Wanda Pradana, Eky Septian Prayudi Santoso Putri Kholilah Maulida Putri, Adinda Naswa Putri, Norisca A. Putri, Norisca A. Putriana, Norisca A. Ramadhan, Iqbal Sujida Rano K. Sinuraya Rima Haifa Rina Triana Rindarwati, Asti Y. Rini Hendriadi Rizky Abdulah Rizky H. Rambe Salma K. Ghassani Setiawan Setiawan Siagian, Bryan J. Sinuraya, Rano K. Siti Saidah Siti Saidah Soemita, Nanang Sumalim, Yelsen Taofik Rusdiana Taufik, Adit TIANA MILANDA Triatmaja, Dendy Vani Rahmasari Wahyu P. Sari Wida Mulyaningsih Widya N. Insani Winda H. Furqani Yova Amijaya Fitri Yovita Hartantri Yussy Afriani Dewi YUSUF, RAMAYANI Zaerani, Rani Zelika Mega Ramadhania Zulfahmidah, Zulfahmidah Zulfan Zazuli