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All Journal Proceedings of the International Conference on Applied Science and Health JIK- JURNAL ILMU KESEHATAN Jurnal Respirologi Indonesia Aspirasi : Jurnal Masalah-masalah Sosial Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Hasbullah Thabrany
Departemen Administrasi Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia
Religion Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Cost Effectiveness Analysis Between Hemodialysis and Peritoneal Dialysis Novelia, Elsa; Nugraha, Ryan Rachmad; Thabrany, Hasbullah
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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The number of patients with End Stage Renal Disease (ESRD) in Indonesia is growing. Increasing prevalence of hypertension and diabetes mellitus contributes to higher prevalence of ESRD. The majority of patients (94%) with ESRD are undertaking hemodialysis (HD) at public and private hospitals. However, continuous ambulatory Peritoneal Dialysis (PD) has been prescribed to small portion of patients with ESRD. The aim of this study was to examine the cost effectiveness between HD and PD on ESRD patients. This study compared 78 HD patients at Hospital X in Bogor and 10 PD patients at Hospital Y in Jakarta. Patient’s quality of life (QoL) was measured using SF 36 questionnaires. The costs were measured by direct medical costs using CBGs prices, direct non-medical costs (transportation, food for patient and family), and indirect medical costs (opportunity costs). The study found that the HD cost per year per patient was IDR 133.4 million and the comparative cost for PD was IDR 81.7 million. The study found lower QoL of HD patients (46.2%) compared to QoL of PD patients (90%). In addition, PD patients had significant better quality of physical activities, emotional states, social function, and sanity. The study found the incremental costs for to HD to reach similar emotional states was IDR 2.0 million compared to PD and IDR 1.8 million for extra physical role gained. It is concluded that PD was more cost-effective than HD in achieving a certain level of quality of life among patients with ESRD in two hospitals in Indonesia.
KAJIAN ATAS RISIKO KELOMPOK USIA DAN KLAIM RUMAH SAKIT (RS) COVID-19 DI INDONESIA, 2020 – 2021 Maulana, Andhika Nurwin; Faizin, Ruli E Al; Komaryani, Kalsum; Purwaningrum, Farah; Thabrany, Hasbullah
Jurnal Ekonomi Kesehatan Indonesia Vol. 7, No. 2
Publisher : UI Scholars Hub

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This study measures the risk of age group and its correlation with severity level, length-of-stay (LOS), cost of treatment, and discharge of inpatient status. By ‘age group’ we refer to children, productive, and elderly. Since mid-2020 government of Indonesia opted for a micro lockdown in several areas to reduce pandemic transmission nevertheless ensure economic recovery. However, people will have a higher risk if they conduct economic activities, moreover if they were to take public transport to their workplace. We also measure several differences between the implementation of technical guidance of 4th and 5th had a more significant differences in LOS and inpatient’s hospital’s claim. This paper uses data from Ministry of Health (MoH) namely of around 207 thousand inpatient people of COVID-19 across all provinces in Indonesia from March 2020 to January 2021. This preliminary research result where children were the highest proportion recovered compared to working age group discharged status, and elderly age had the lowest proportion of recovered discharged status. While elderly was the highest died discharged status compared to working age group, and children had the lowest died discharged status. Result for regression almost all the independent variables were significant having impact to claims of COVID-19 claim.
The Political Aspects of the Establishment of the Planning and Budgeting Policy for The Directorate of Occupational and Sports Health of the Ministry of Health Ramadhan, Ben Fauzi; Thabrany, Hasbullah; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 2, No. 1
Publisher : UI Scholars Hub

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The process to establish a planning and budgeting policy in the Directorate for Occupational and Sports Health is very dynamic and it fluctuates according to the goals and priorities of the policy. This research aims to ascertain how far the political aspects influences the establishment process. This research was a qualitative research accomllished through in-depth interviews with related parties. The framework used the planning and budgeting systems model and process/cycle. Results of this research indicated that politics played a major role in the policy establishment process in conflicts, cooperation, and negotiations when setting the size and allocation of the budget and the targets aimed. The main points in the process are the priorities of the program, the fiscal capacity of the nation, and the results of the previous year’s evaluation. We recommend that the human resources of the directorate are equipped abilities to advocate the importance of the occupational and sports health program.
ALK and PD-L1 Expression in Non-Small Cell Lung Cancer through Immunohistochemical Assays in Indonesia Syahruddin, Elisna; Sayekti, Mutia A.; Yuliyanti, Sayekti; Thabrany, Hasbullah; Nurmadani, Labbaika
Jurnal Respirologi Indonesia Vol 45 No 3 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i3.794

Abstract

Background: Advanced therapies for non-small cell lung carcinoma (NSCLC), such as targeted therapy and immunotherapy, are available; however, their use depends on biomolecular testing. In the Indonesian context, EGFR testing is covered by the national health insurance (JKN). According to the Indonesian Clinical Guideline for Lung Cancer, if the EGFR test is negative, further testing, including ALK and PD-L1 immunohistochemistry, is required. Nevertheless, the JKN does not currently cover ALK and PD-L1 IHC tests, which restricts access to the appropriate therapies. This study aims to determine the positivity rates of ALK and PD-L1 IHC tests. Method: This study employs a cross-sectional approach to analyze 2,553 ALK and PD-L1 IHC tests conducted from 2019 to 2023, sourced from four major provinces in Indonesia Results: The positivity of ALK IHC tests is 8% with a median age of 52 years. The positivity rate for PD-L1 IHC in all patients is 49%, while based on the tumour proportion score (TPS), TPS ≥50% is 17% and TPS 1-49% is 32%. ALK positivity correlates with age and female gender (P<0.001 and P=0.006). Conversely, PD-L1 positivity was significantly associated with cancer type (P=0.008). Conclusion: ALK positivity in NSCLC in Indonesia is relatively high (8%), with a relatively young median age of 52 years and is predominantly found in females. PD-L1 positivity does not significantly differ by gender and age, but positively correlates with adenocarcinoma cancer type.
Berbagai Faktor yang Berhubungan dengan Beban Biaya Obat Pasien Rawat Inap Program Askeskin, di Cirebon Tahun 2005 Susilawati, Lucya Agung; Thabrany, Hasbullah
Kesmas Vol. 1, No. 3
Publisher : UI Scholars Hub

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Askeskin membayar klaim pengobatan rumah sakit untuk penduduk miskin dengan tarif yang ditetapkan. Namun, resep obat tidak terdaftar yang tidak boleh dibebankan pada pasien justru menjadi beban rumah sakit. Inisiatif pimpinan RSUD Gunung Jati menyediakan dana pendamping menjadi beban secara finansial. Pada tahun 2005, rujukan pasien rawat inap kelas III, meningkat 153% dan beban pasien luar kota meningkat 331%. Tujuan penelitian ini mengetahui faktor faktor yang mempengaruhi beban RS menutupi biaya perawatan, khususnya obat non DPHO yang tidak dapat diklaim ke Askes. Penelitian menggunakan sumber data catatan medik, catatan klaim dan studi kualitatif wawancara mendalam. Ditemukan bahwa pasien luar yang dirawat di SMF bedah menghabiskan dana dua kali lebih besar daripada pasien yang berasal dari Cirebon dan dirawat di SMF non Bedah. Lama pasien dirawat berbanding lurus dengan besar biaya yang menjadi beban rumah sakit. Penelitian ini juga menemukan visi dan persepsi institusi terkait tentang tanggung jawab pemda yang tidak-sinkron. Hal ini menyebabkan dana pelayanan kesehatan pasien miskin di RSUD Gunung Jati tidak tersedia. Disarankan untuk membentuk forum bersama antara pemda terkait di wilayah III Cirebon guna menangani tanggung jawab pendanaan kesehatan masyarakat miskin dan mekanismenya. Juga diperlukan sosialisasi efektif tentang obat DPHO kepada dokter di rumah sakit. Askes—the health insurance corporation—pay hospitals according to predetermined prices, but the hospital must finance the costs of those non-covered drugs and medical supplies prescription because of prohibition of charging the poor. In Gunung Jati Hospital, funding for the poor from local governments which is the responsibility of local governments is not available. The hospital should finance the gap which in turn putting high financial burden to the hospital. Askeskin removes financial barriers to access inpatient care producing an increase of 153% of the third class hospital inpatient from the level of 2004. The objective of this study is to know the factors related to the high financial burden to the hospital in order to finance non covered drugs and medical supplies. The study used survey method complemented by in depth interview in the qualitative part of the study. This study concludes that the average costs of non-covered services are more than twice more expensive among patients coming from out of Cirebon and hospitalized in surgical wards. In addition, length of stay positively correlated with higher burden to the hospital. Inconsistencies and misunderstanding among policy makers regarding vision and mission of caring the poor resulting to no allocation of fund to the hospital. The researchers suggest that a forum is established to delineate local government responsibility and funding for non-covered services to complement the national program of Askeskin. In addition, effective communication to physicians to prescribe from formularium would reduce the financial burden of the hospital.
Praktik Dokter Terkait Perilaku Merokok Pasien Pujianto, Pujianto; Thabrany, Hasbullah; Hidayat, Budi; Ong, Michael; Fitriah, Fitriah
Kesmas Vol. 4, No. 3
Publisher : UI Scholars Hub

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Kini Indonesia berada pada awal tahap kedua epidemi tembakau dengan prevalensi perokok pada penduduk berumur di atas 10 tahun mencapai 23,7%. Dalam memerangi epidemi tembakau, dokter memegang peran kunci membantu pasien berhenti merokok. Untuk mengetahui praktik dokter terkait perilaku merokok pasiennya telah dilakukan survei di Jakarta dengan sampel 96 dokter yang dipilih secara acak. Hasil survei menunjukkan hanya 1 dari 50 dokter yang merokok setiap hari (2,1%). Pengetahuan dan sikap dokter tentang merokok pada umumnya sangat baik, yaitu 93,8% mengetahui dampak negatif perokok pasif, 84,4% mengetahui bahwa rokok dengan kadar tar/nikotin rendah tetap membahayakan, 93,8% setuju menjadikan dokter sebagai role model perilaku tidak merokok, dan 95,8% setuju dengan kondisi bebas asap rokok di rumah sakit. Namun, dokter yang tidak selalu menanyakan kebiasaan merokok pasien cukup tinggi (66,7%) dan dokter yang tidak selalu memberikan nasehat kepada pasien untuk berhenti merokok (38%). Analisis regresi logistik menemukan bahwa dokter yang bekerja di bagian jantung dan paru berpeluang 28,4 kali lebih besar untuk menanyakan kebiasaan merokok pasien daripada dokter yang bekerja di bagian penyakit dalam. Penulis menyarankan agar dilaksanakan pendidikan dokter berkelanjutan tentang bahaya merokok dan pengendalian merokok. Indonesia is in the second phase of tobacco epidemic shown by 23,7% of people age 10+ years are smoking. In tobacco control programs, physicians play significant roles. To know how Indonesian physicians behave in facing smoking habits, a survey to 96 practicing physicians in three clinical departments has been undertaken in Jakarta. The survey identified that only one in 50 (2,1%) physicians smoke daily. As high as 93.8% physicians know about negative impact of passive smokers, 84.4% know that low tar/nicotine has significant impact on health, 93.8% agree that physicians should be one of the role model to smoking cessation, and 95.8% agree on free smoke environment in all hospital premises. However, 66.7% physicians did not regularly asking smoking behavior of their patients and 38% did not advice patients to stop smoking. Logistic regression produce 28.4 times higher probability of physicians in Lung and Heart Clinic to ask smoking behavior of their patients as compared to physicians in Internal Medicines. The authors suggest to introduce a special continuing medical education on smoking and smoking cessation of practicing physicians.
Model Spesifikasi Dinamis Permintaan Rokok: Rasionalkah Perokok Indonesia? Hidayat, Budi; Thabrany, Hasbullah
Kesmas Vol. 3, No. 3
Publisher : UI Scholars Hub

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Studi ini mengestimasi model spesifikasi dinamis permintaan (demand) rokok di Indonesia. Tujuannya adalah untuk menguji hipotesis kecanduan rasional perokok, dan menghitung elastisitas harga rokok jangka pendek dan jangka panjang. Analisis diaplikasikan pada data agregat individu yang dibentuk dari tiga tahapan survei panel IFLS selama tahun 1993-2000. Studi ini menjajagi sejumlah teknik ekonometrik dan memilih teknik tercocok atas dasar serangkaian uji statistik. Hasilnya menunjukkan bahwa rokok terbukti sebagai produk yang menimbulkan kecanduan (koefisien konsumsi masa lampau positif dan signifikan pada 1%). Sedangkan koefisien negatif dan signifikan untuk konsumsi rokok masa depan menunjukan sifat kecanduan miopik, artinya para perokok bersifat tidak rasional. Studi ini juga menunjukkan permintaan rokok lebih sensitif terhadap perubahan harga untuk jangka panjang ketimbang untuk jangka pendek. Temuan bahwa perokok memiliki sifat kecanduan miopik mengharuskan pengambil kebijakan mendisain ulang strategi promosi kesehatan masyarakat tentang larangan merokok di Indonesia. Berbagi implikasi kebijakan temuan studi disajikan pula pada bagian akhir tulisan ini. This study estimates a dynamic model specification of demand for cigarette in Indonesia. The objectives are to test the rational addiction hypothesis of cigarettes demand, and to calculate price elasticity of cigarettes in the short-run and long-term. The data for this analysis were aggregate individual data from three-wave a panel surveys of the IFLS (Indonesian Family Life Survey) from 1993-2000. This study explores several econometric approaches, and selects the best fit of several statistical measures. The results indicate that cigarette indeed an addictive good (the lags consumption coefficients are a positive with p-value
Status Merokok Keluarga dan Persepsi Siswa Terhadap Penerapan Kawasan Tanpa Rokok di SMAN Negeri 5 Padang Wardiah, Rizalia; Thabrany, Hasbullah
JIK-JURNAL ILMU KESEHATAN Vol 6, No 1 (2022): JIK-April Volume 6 Nomor 1 Tahun 2022
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v6i1.502

Abstract

Kawasan tanpa rokok atau lebih sering disebut dengan istilah KTR, merupakan upaya pemerintah dan pemegang kepentingan dalam menurunkan angka prevalensi perokok di Indonesia yang semakin meningkat tiap tahunnya. Kebijakan KTR ini dilandasi UU Nomor 36 Tahun 2009 Pasal 115 tentang kesehatan.Penerapan KTR di lingkungan sekolah didukung dengan Permendikbud Nomor 64 Tahun 2015 tentang Kawasan Tanpa Rokok di Lingkungan Sekolah, yang mempunyai tujuan dasar untuk melindungi para generasi muda yang sedang menempuh pendidikan di sekolah dari paparan asap rokok yang berbahaya dan secara tidak langsung diharapkan menurunkan angka perokok pada pelajar. Penelitian ini merupakan penelitian kuantitatif survai analitik dengan pendekatan rancangan studi crosssectional. Sampel yang menjadi subyek penelitian ini adalah sebanyak 143 responden. Pengumpulan data dilakukan melalui wawancara. Hasil penelitian menyatakan bahwa, status merokok orang tua tidak ada hubungan (pvalue=0,617). Anggota keluarga merokok tidak ada hubungan (p value =1,000) dengan persepsi siswa terhadap penerapan Kawasan tanpa rokok (KTR).
Co-Authors Aryana Satrya Budi Hidayat Dumilah Ayuningtyas Dwiaji, Ary Elisna Syahruddin Ery setiawan Faizin, Ruli E Al Fitriah Fitriah Hartono, Risky Kusuma Heniwati, Heniwati Komaryani, Kalsum Laborahima, Zahrina Lucya Agung Susilawati Maulana, Andhika Nurwin Michael Ong Novelia, Elsa Nugraha, Ryan Rachmad Nurmadani, Labbaika Pujianto Pujianto Pujiyanto Pujiyanto Purnamasari, Ayu Tyas Purwaningrum, Farah Ramadhan, Ben Fauzi Renny Nurhasana Sarnianto, Prih Sayekti, Mutia A. Situmorang, Chazali Sucahya, Purwa K tania, firda Teguh Dartanto Trisnawati, Lea Meirina Ulya, Fikrotul Wahyu Pudji Nugraheni Yuliyanti, Citra Yuliyanti, Sayekti