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Journal : INJURITY: Journal of Interdisciplinary Studies

ANALYSIS OF HEMODIALYSIS SERVICE UTILIZATION BY JKN PARTICIPANTS IN THE SPECIAL REGION OF YOGYAKARTA: AN ANALYSIS OF BPJS KESEHATAN CLAIM DATA IN 2023 Indra, Intan Corina; Pujiyanto, Pujiyanto; Kemala, Fahdrian
INJURITY: Journal of Interdisciplinary Studies Vol. 4 No. 1 (2025): INJURITY: Journal of Interdisciplinary Studies.
Publisher : Pusat Publikasi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58631/injurity.v4i1.1389

Abstract

Chronic kidney disease (CKD) has become a serious global health problem with significant socio-economic implications. This study aims to analyze the determinants of the utilization of hemodialysis services for National Health Insurance (JKN) participants in the Special Region of Yogyakarta (DIY) in 2023. The study employs a cross-sectional design to analyze secondary data from the BPJS Kesehatan claim database in 2020, focusing on JKN participants receiving dialysis services at Advanced Referral Health Facilities (FKRTL). Data extraction is followed by analysis using STATA software, which includes univariate and bivariate analyses, multicollinearity and overdispersion tests, model comparison via Akaike Information Criterion (AIC), and multivariate analysis through Poisson regression and Binomial Negative methods. A total of 3,220 participants (0.089%) were enrolled in the study. The highest distribution of participants was in Sleman Regency (36.49%), followed by Bantul (29.53%), and Yogya City (25.96%). From the results of the binomial regression analysis, it was found that the age factor had a significant negative influence (p=0.000) with a coefficient of -0.0046 and an IRR of 0.9954, which means that every increase in age by one year will decrease the frequency of visits by 0.46%. The prevalence of diabetes (3.1%) and hypertension (10.2%) which exceed the national average indicates a high risk factor for CKD in this region is high. The age factor and location of health facilities in SLEMAN Regency significantly affected the frequency, while the segment group, gender, and nursing class rights did not show significant influence.
THE MANAGEMENT OF COMPLEMENTARY THERAPIES TO STABILIZE GLUCOSE LEVELS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS Putri, Moudy Muhaiminurrohima; Pujiyanto, Pujiyanto
INJURITY: Journal of Interdisciplinary Studies Vol. 4 No. 1 (2025): INJURITY: Journal of Interdisciplinary Studies.
Publisher : Pusat Publikasi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58631/injurity.v4i1.1392

Abstract

Diabetes Mellitus (DM) is a chronic disease and a global public health challenge. The aim of this study is to review the most commonly used complementary therapies to control glycemic in patients with type 2 DM. The research contributes to the field of diabetes management by systematically reviewing and evaluating complementary therapies that are frequently employed for diabetes management. The literature searches are structured through online databases including Pubmed, Cochrane, and Science Direct. The population in this study was individuals with uncomplicated type 2 diabetes mellitus who were >18 years of age, the interventions were complementary and alternative therapies, the study types were RCT and Quasi Experimental, and the result was controlled lipid levels. A total of 12 articles were obtained that met the inclusion criteria. The results of the literature review through PRISMA showed that the majority of the articles were published in English and English. The majority of articles were randomized controlled trials (RCTs) that evaluated the efficacy of complementary therapies in reducing blood glucose, insulin resistance, and oxidative status in type 2 diabetic patients. In addition, this review can highlight gaps in the current literature, paving the way for future research initiatives aimed at exploring the effectiveness, safety, and mechanisms of action of various complementary approaches in diabetes management, thereby facilitating informed decision-making in patient care.