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All Journal Jurnal Kebijakan Kesehatan Indonesia Dentika Dental Journal Majalah Kedokteran Gigi Indonesia ODONTO Dental Journal Insisiva Dental Journal : Majalah Kedokteran Gigi Insisiva Dental Journal (Majalah Kedokteran Gigi) Public Health of Indonesia Padjadjaran Journal of Dentistry Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Kesehatan Vokasional Open Access Jakarta Journal of Health Sciences (OAJJHS) Jurnal Teknologi Kesehatan Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Praeparandi : Jurnal Farmasi dan Sains Odonto dental journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Julita Hendrartini
Departemen Ilmu Kesehatan Gigi Pencegahan Dan Ilmu Kesehatan Gigi Masyarakat, Fakultas Kedokteran Gigi, Universitas Gadjah Mada, Yogyakarta
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Polypharmacy and oral health-related quality of life in older adults: a systematic review Lelyana, Shelly; Agustina, Dewi; Hendrartini, Julita; Pramono, Dibyo
Padjadjaran Journal of Dentistry Vol 37, No 1 (2025): March 2025
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol37no1.58618

Abstract

Introduction:: Patient-centered care requires medical personnel to address not only physical illnesses but also the psychosocial well-being of patients. older adultsOlder adults often have medically complex conditions, including one or more chronic diseases, requiring the use of multiple medications (polypharmacy). Polypharmacy is a common problem among older adults, with a reported prevalence of 30% to 80%. Many prescribed medications can lead to xerostomia and hyposalivation, which negatively impact the quality of life , including Oral Health-Related Quality of Life (OHRQoL). This systematic review aims to determine the impact of polypharmacy on OHRQoL in older adults and explore strategies to optimize OHRQoL in this population. Method: The dataset of articles concerning polypharmacy and OHRQoL in older adults was compiled from Google Scholar, PubMed, Semantic, and OpenAlex. The search encompassed publication from 2019 to 2024. Five articles were selected for in-depth analyses, and variations in methodologies used by the researchers in these selected studies were identified and considered. Results: Patients with polypharmacy hyposalivation exhibited significantly higher scores of the Summated Xerostomia Inventory questionnaire (SXI-PL) (8.60 ± 2.56) and the Oral Health Impact Profile-14 (OHIP-14sp) (16.0 ± 15.8). A statistically significant association was found between hyposalivation and both SXI-PL and OHIP-14sp scores (p < 0.05). Elderly individuals on continuous medication demonstrated increased odds of self-reported xerostomia (OR: 2.3; 95% CI: 1.19-4.67; P = 0.009). Conclusion: This study demonstrates an association between polypharmacy and decreased oral health-related quality of life (OHRQoL) in older adults.
Analisis Case Mix Index FKRTL Kerja Sama BPJS Kesehatan di Provinsi Banten Tahun 2019 - 2022 Prihastutik, Yuli; Hendrartini, Julita
Jurnal Kebijakan Kesehatan Indonesia Vol 14, No 2 (2025): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.103784

Abstract

Dalam rangka menjaga suistanibilitas JKN utamanya kecukupan dana JKN terhadap pembiayaan kesehatan bagi peserta JKN, maka kenaikan pembiayaan pelayanan kesehatan dengan sistem INA CBG yang terus meningkat dari tahun ke tahun tersebut harus dilakukan evaluasi dan monitoring secara berkala oleh seluruh ekosistem yang terlibat dalam JKN salah satunya adalah Rumah Sakit dan BPJS Kesehatan. Evaluasi tersebut salah satunya dapat dilakukan dengan Case Mix Index. Hasil analisa Case Mix Indeks tersebut sebagai evaluasi yang penting artinya bukan hanya bagi rumah sakit namun juga BPJS Kesehatan. Adapun hasil analisa Case Mix Indeks di Provinsi Banten Tahun 2019 – 2022 didapatkan hasil yaitu terdapat perbedaan signifikan antara kelas RS dimana RS dengan tingkatan lebih tinggi memiliki nilai CMI yang lebih tinggi dari pada kelas dibawahnya. Nilai CMI rawat jalan di provinsi Banten tahun 2019 - 2022 dipengaruhi signifikan oleh proporsi kunjungan pasien lanjut usia, segmen kepesertaan PBI , segmen kepesertaan Non PBI hak perawatan kelas tiga dan proporsi kunjungan pasien hak perawatan kelas satu. Sedangkan Nilai CMI rawat inap di provinsi Banten tahun 2019 - 2022 dipengaruhi signifikan oleh proporsi kunjungan pasien lanjut usia
Outpatient service tariff determination based on unit cost analysis mixed with community ability and willingness to pay Yuniantika; Hendrartini, Julita; Budiarto, Arif
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.6584

Abstract

Purpose: The study aims to calculate the rational outpatient tariff based on unit cost analysis, ability and willingness to pay. Method: The research is an observational study with a qualitative approach. Secondary data are obtained retrospectively to calculate unit costs and tariffs. Primary data is collected through questionnaires to see the ability and willingness to pay (WTP). Result: The calculation using the step-down method obtained the unit cost for general practice IDR 79,337, dental care IDR 151,635, psychologist consultation IDR 115,283, and fitness center IDR 236,555. The respondent's ATP value is IDR 138,808, with an average examination fee of IDR 56,093. When coupled with an improvement in service and facility quality, 58.1% of respondents agreed to a 10% rate increase. With a 20% rate increase, the willingness to pay decreases to 40.6%. In the bivariate analysis using the chi-square test, the variables significantly affecting WTP are patient perceptions of the suitability of service costs (p = 0.000). In contrast, age, gender, occupation, education, income, number of family members, and insurance ownership do not significantly influence WTP. Conclusion: The service rate is lower than the unit cost calculation. By looking at the ability and willingness to pay, it is possible to evaluate the tariff.
UTILIZATION OF JKN DENTAL PROSTHETIC SERVICES AT FIRST LEVEL DENTAL HEALTH FACILITIES IN BALI Lily, Gusti Ayu Yohanna; Siswomihardjo, Widowati; Hendrartini, Julita; Dipoyono, Haryo Mustiko; Wedagama, Dewa Made
Odonto : Dental Journal Vol 8, No 2 (2021): December 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.787 KB) | DOI: 10.30659/odj.8.2.126-130

Abstract

ABSTRACTBackground: The utilization of dental prosthesis services in Indonesia is rare, compared to other dental and oral health services. The use of prosthesis services in Bali is still relatively low compared to other parts of Western Indonesia. Based on data from BPJS Kesehatan Denpasar Branch Office, the demand for dental prostheses services by participants in the three working areas of BPJS Kesehatan Denpasar Branch Office is still low. Method: This research was conducted using quantitative research. The population were all participants providers of FKTP BPJS Kesehatan Badung Regency, and samples were taken through purposive sampling. Quantitative data were analyzed using binary logistic regression.Result: The results that the predisposing factors for JKN program participants (income, knowledge of dental prostheses, knowledge of JKN dental prosthesis services, perceptions of service quality, and perceptions of cost); enabling factor (access), and the need factor (the perception of pain when losing a tooth) contributions have a significant positive effect on the utilization rate of JKN dental prostheses. The predisposing factors (age and education) and enabling factor (social support) do not have a significant effect on the utilization rate of JKN dental prostheses. Conclusion: The results that the predisposing factors for JKN program participants contributions have a significant positive effect on the utilization rate of JKN dental prostheses.
UTILIZATION OF JKN DENTAL PROSTHETIC SERVICES AT FIRST LEVEL DENTAL HEALTH FACILITIES IN BALI Lily, Gusti Ayu Yohanna; Siswomihardjo, Widowati; Hendrartini, Julita; Dipoyono, Haryo Mustiko; Wedagama, Dewa Made
Odonto : Dental Journal Vol 8, No 2 (2021): December 2021
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.8.2.126-130

Abstract

ABSTRACTBackground: The utilization of dental prosthesis services in Indonesia is rare, compared to other dental and oral health services. The use of prosthesis services in Bali is still relatively low compared to other parts of Western Indonesia. Based on data from BPJS Kesehatan Denpasar Branch Office, the demand for dental prostheses services by participants in the three working areas of BPJS Kesehatan Denpasar Branch Office is still low. Method: This research was conducted using quantitative research. The population were all participants providers of FKTP BPJS Kesehatan Badung Regency, and samples were taken through purposive sampling. Quantitative data were analyzed using binary logistic regression.Result: The results that the predisposing factors for JKN program participants (income, knowledge of dental prostheses, knowledge of JKN dental prosthesis services, perceptions of service quality, and perceptions of cost); enabling factor (access), and the need factor (the perception of pain when losing a tooth) contributions have a significant positive effect on the utilization rate of JKN dental prostheses. The predisposing factors (age and education) and enabling factor (social support) do not have a significant effect on the utilization rate of JKN dental prostheses. Conclusion: The results that the predisposing factors for JKN program participants contributions have a significant positive effect on the utilization rate of JKN dental prostheses.
Co-Authors Agustinus Winarno Al Supartinah Al Supartinah Al. Supartinah Santoso Andi Sulaimana Andreasta Meliala Arif Budiarto Arih Diyaning Intiasari Arih Diyaning Intiasari Arih Diyaning Intiasari Arih Diyaning Intiasari Aris Iwansyah Bambang Udji Djoko Rianto Benidiktus Tulung Prayoga Carla Raymondalexas Marchira Damaris Pura Tanya Dewa Made Wedagama Dewi Agustina Dian Permata Sari Dibyo Pramono Dibyo Pramono Diyah Fatmasari Dwi Budi Santoso Dwi Handono Sulistyo Dwi Handono Sulistyo Endra Dwi Mulyanto Esfandyari, Eldo Fadhillah, Sri Firdaus Hafidz As Shidieq Gesti Bening Aulia Ghea Tri Khusnul Khotimah Gusti Ayu Yohanna Lily Haryo Mustiko Dipoyono, Haryo Mustiko Heribertus Dedy Kusuma Yulianto Irianto, Sugeng Kusuma Arbianti Laksono Trisnantoro Laksono Trisnantoro Lelyana, Shelly Lestari, I Gusti Agung Ayu Pradipta Lisdrianto Hanindriyo Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lukito Edi Nugroho M.Arief Budiarto Margareta Rinastiti Mas’ud Mas’ud Muhamad Faozi Kurniawan Mustaqim Hariyadi Niken Widyanti Sriyono Novitasari Ratna Astuti Pasaribu, Karl Frizts Prihastutik, Yuli Putri Listiani Quroti A&#039;yun Quroti A&#039;yun Quroti A’yun Quroti A’yun Quroti A’yun Ranik Diastuti Ratna Astuti, Novitasari Rosa Amalia Selviasari, Chyca Sholahuddin Sanjaya Sri Widiati, Sri Sri Wusono Sundari, Retno Tresno Supartinah Santoso Suri Herlina Pratiwi Tjahjono Kuntjoro Widowati Siswomihardjo Widyanti Sriyono, Niken Yuniantika