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All Journal Jurnal Kesehatan Andalas Community Medicine and Education Journal
Vyola Regina
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Humanities Education Health Professions Languange, Linguistic, Communication & Media Public Health

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Hubungan Kadar Limfosit Total dengan Prognosis Penyakit pada Penderita Sirosis Hati di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang Tahun 2011 Vyola Regina; Arnelis Arnelis; Zulkarnain Edward
Jurnal Kesehatan Andalas Vol 2, No 2 (2013)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v2i2.131

Abstract

AbstrakSirosis hati adalah stadium akhir dari penyakit hati kronik berupa proses fibrosis difus yang ditandai dengan perubahan arsitektur normal hati menjadi bentuk nodulus abnormal. Pada penderita sirosis hati ini sering terjadi penyakit infeksi akibat adanya imunosupresi. Hitung kadar limfosit total dapat digunakan untuk menentukan status imunitas penderita sirosis hati. Tujuan penelitian ini adalah mengetahui kadar limfosit total penderita sirosis hati. Jenis penelitian ini adalah deskriptif analitik. Populasi penelitian adalah penderita sebagai sirosis hati yang dirawat di Bagian Penyakit Dalam RSUP Dr. M. Djamil Padang pada tahun 2011. Sampel diambil dari populasi yang memenuhi kriteria inklusi dan eksklusi. Data diolah menggunakan uji Chi-square. Dari hasil penelitian didapatkan bahwa sebanyak 83,1% penderita sirosis hati memiliki kadar limfosit total yang rendah. Terdapat hubungan kadar limfosit total dengan berat ringannya penyakit sirosis hati dengan p<0,05. Sebanyak 49,2% infeksi ditemukan pada penderita sirosis hati. Kematian pada penderita sirosis hati akibat penyakit infeksi ditemukan 52,9%.Kata kunci: kadar limfosit total, sirosis hatiAbstractLiver Cirrhosis is the end stage of chronic liver disease in the form of a diffuse fibrotic process characterized by changes in the normal architecture of the liver to abnormal nodules. In patients with liver cirrhosis is common infections due to immunosuppression. The total lymphocyte count can be used to determine the immune status of patients with liver cirrhosis. The purpose of this study was to determine total lymphocyte count of liver cirrhosis patients. This research design is descriptive analytic. The population is the liver cirrhosis patients as treated in the Internal Medicine Dr. M. Djamil Padang in 2011. Samples were taken from the population that meet the inclusion and exclusion criteria. The data processed by Chi-square test.The results of this study indicated that as many as 83,1% of cirrhosis patients have a low total lymphocyte count. There is a relationship of total lymphocyte levels with severity of liver cirrhosis with a value of p<0,05. The infections found 49.2% of cirrhosis patients. Mortality in cirrhosis patients due to infection was found 52,9%Keywords:total lymphocyte count, liver cirrhosi
Reconstruction of Caesarean Section Service Rates for National Health Insurance Patients Regina, Vyola; Yurniwati; Adila Kasni Astiena
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.515

Abstract

RSIA Permata Bunda as a JKN provider is paid according to the INA-CBG rate by BPJS Kesehatan, the amount of which does not match the costs incurred by the hospital so that there is a negative difference between the hospital section caesarea (SC) rate and the INA-CBG rate which reached 2 billion in 2021. The aim of this study was to reconstruct the SC service rate for JKN patients so that efficiency occurs. This study was an explanatory sequential mixed method design, preceded by quantitative research with unit cost calculation using the activity based costing (ABC) method and the average fee for service rate for hospital SC services and then qualitative research for interviews with informants. The unit cost calculated using the ABC method is lower than hospital package rates, fee for service rates but higher than INA-CBG rates for SC severity level I services in treatment classes I, II and III which causes losses for the hospital. Efficiency efforts that can be carried out by hospitals are through tariff reconstruction by adjusting LOS (length of stay), optimizing drug use and supporting examinations according to clinical pathways and changing the calculation of medical services from fee for service to a package system.
Co-Authors Arnelis Arnelis Astiena, Adila Kasni Yurniwati Zulkarnain Edward