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Evaluasi Penggunaan dan Biaya Obat Antihipertensi pada Pasien Hipertensi Rawat Inap di IRNA-B Rumah Sakit Umum Pusat X Periode Juli-Desember 2010 YUSI ANGGRIANI; AGUS PURWANGGANA; AHMAD SUBHAN; RIA PUSPITA WARDHANI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 10 No 2 (2012): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

The appropriate use of antihypertensive have important role for the successful of hypertension therapy. The study aims were to evaluate the use of antihypertensive medicines and cost of hypertension therapy in General, Askes and Jamkesmas inpatient at IRNA-B ward in X hospital from July to December 2010 period. Design of the study were descriptive analytical and retrospectively. Inpatients with primary hypertension and concomitant disease (hypertensive heart disease with and without congestive heart failure and hypertensive renal disease with renal failure) at IRNA-B ward in X Hospital were included to the study. The results showed that the appropriateness of the selection of antihypertensive was 87.0%. Non-formulary antihypertensive medicines were 39.3%. The lowest of medicines cost of hypertension therapy was shown in Askes inpatient. There were differences in the cost of hypertension therapy among Askes with General inpatient and Askes with Jamkesmas inpatient. There was no diference drug cost therapy between General and Jamkesmas inpatient.
Profil Pengobatan Pasien Rawat Jalan Diabetes Melitus Tipe 2 setelah Pelaksanaan JKN MITA RESTINIA; YUSI ANGGRIANI; TRI KUSUMAENI; ARIES MERYTA
JURNAL ILMU KEFARMASIAN INDONESIA Vol 13 No 1 (2015): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

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Abstract

In 2014, health insurance entirely colected together into Badan Penyelenggara Jaminan Sosial (BPJS) became Jaminan Kesehatan Nasional (JKN). But there is different payment method that is ASKES used Fee for Services (FFS) method and BPJS use INA-CBGs method. Diabetes mellitus is a chronic disease that patients with that diagnosed should use drug continuously. Therefore, research with conducted by time series longitudinal retrospective method that aimed to observe impact of JKN about drug treatment profile among outpatients of type 2 DM in X Hospital Jakarta. Total of samples collected were 84 patients, 31 (36.90%) of male and 53 (63.10%) of female. Most patients (29.76%) were 66-70 years old. There were 38 patients with 10 times of visite, 27 patients with 11 times of visite, 19 patients with 12 times of visit. Based on drug treatment profile, after JKN has launched, decreasing of total of drug use, number of visit increased to 42 visits, kinds of drug appropriate with DPHO decreased until 79%, kinds of drug appropriate with national formularium rised 97%, generic drugs also increased 54% and non generic drug decreased 47%. Based on descriptive analysis, when JKN has launched, there were impact toward drug treatment profile.
Profile Evaluation of Medication, Cost Comparison, and Clinical Outcome of Human and Analog Insulin Treatment to Type-2 Diabetes Mellitus Outpatient at Medistra Hospital Year 2012-2013 Elisabeth Ninung Yuliarti; Yusi Anggriani; Dian Ratih Laksmitawati; Prasasta Sutedjo
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 14 No 2 (2020): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v14i2.2007

Abstract

The data collection was conducted retrospectively, taking samples of 121 outpatients, of which 83 outpatients were evaluated for their clinical outcome. The medication profile data were collected from the medicine administration at the Hospital Pharmacy Installation. The clinical outcome data, such as fasting plasma glucose (FPG), two-hour postprandial plasma glucose (2HPP), and Hemoglobin A1c (HbA1c), were garnered from the patients’ medical records. The cost data were collected from the outpatients’ payment receipts provided by the Hospital’s Financial Department. Kolmogorov Smirnov normality test was applied in this research. The research result suggests that after Mann Whitney Test, the human and analogue insulin were not significantly different seen from the clinical outcome result showing FPG (p=0.676), 2HPP (p=0.175), HbA1c (p=0.0445) and from the cost result (p=0.795). Furthermore, the research also shows that the average cost of 30-day medication of single human insulin was Rp3,190,997.43, while the one of analogue insulin was Rp3,188,832.35. In conclusion, the research finds out that if seen from the cost (p=0.795), the human and the analogue insulin were not significantly different.   
Cost Analysis from the Patient's Perspective and Economic Difficulties in Hemodialysis Patients at Fatmawati RSUP Jakarta Mawaddati Rahmi; Yusi Anggriani
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 4, No 3 (2021): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i3.2514

Abstract

Chronic kidney disease is a global health problem with an increasing prevalence and incidence of kidney failure, has a poor prognosis and high costs. One way to overcome this high financing problem is of course by doing early treatment and for that, it is necessary to identify the risk factors of the disease. The purpose of this study was to examine the costs from the patient's perspective and the economic hardship experienced by the patient's family. The study used a case control method with a ratio of 1:1, where primary data were obtained through direct interviews with patients and/or their families. Based on the analysis, the average transportation cost required for one time hemodialysis is around Rp.12,000 - Rp.178,750, depending on vehicle type and vehicle mileage. Only 54 out of 100 hemodialysis patients need a companion with an average monthly cost of Rp.2,055,556. The cost of lost productivity per month in the study ranged fromRp.691,964 - Rp.1,942,308, depending on the patient's income. However, only 13% of patients experienced economic difficulties in the form of difficulty paying bills and daily needs. Other economic difficulties such as asking for help to selling assets were experienced by 25% of patients, and this was related to the length of time they underwent hemodialysis.
ANALISA KESESUAIAN PERESEPAN OBAT PASIEN BPJS KESEHATAN DENGAN FORMULARIUM NASIONAL DI PUSKESMAS KABUPATEN TANGERANG TAHUN 2016 Trisna Lestari; Yusi Anggriani; Dian Ratih Laksmitawati
Jurnal Farmagazine Vol 6, No 2 (2019): Jurnal Farmagazine
Publisher : STF Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47653/farm.v6i2.144

Abstract

lJaminan kesehatan adalah jaminan berupa perlindungan kesehatan agar peserta memperoleh manfaat pemeliharaan kesehatan dan perlindungan dalam memenuhi kebutuhan dasar kesehatan yang diberikan kepada setiap orang yang telah membayar iuran atau iurannya dibayar oleh pemerintah. Salah satu tempat pelayanan kesehatan tingkat pertama melalui sistem jaminan kesehatan adalah Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS). Pemenuhan kebutuhan pasien berupa jenis obat yang harus tersedia pada peresepan dan pemesanan perlu disusun suatu daftar (formularium) dari semua obat yang ada di stok atau sudah tersedia. Dalam penggunaan obat di Puskesmas untuk pasien BPJS Kesehatan berpedoman pada standar terapi yang dikeluarkan oleh kementrian kesehatan yaitu formularium nasional (fornas) agar penggunaan obat pada pasien lebih rasional. Tujuan penelitian ini adalah untuk mengetahui kesesuaian peresepan obat pasien BPJS Kesehatan dengan Formularium Nasional berdasarkan kelas terapi dan kesesuaian ketersediaan item obat formularium nasional dengan daftar item obat formularium nasional di Puskesmas Kabupaten Tangerang Tahun 2016. Metode yang digunakan dalam penelitian ini adalah metode kualitatif non eksperimental yang bersifat deskriptif. Hasil penelitian Kesesuaian peresepan Obat dengan Formularium Nasional Berdasarkan Kelas Terapi dari 10 besar tertinggi sudah mencapai 100%, pada kesesuaian total peresepean yang di resepkan di puskesmas kabupaten Tangerang baru mencapai > 80%. Sedangkan rata-rata proprosi item obat formularium nasional dengan daftar item obat formularium nasional maish sangat rendah >50%. Kesimpulan penelitian ini adalah peresepan obat pasien BPJS Kesehatan dengan Formularium Nasional berdasarkan kelas terapi di puskesmas kabupaten Tangerang tahun 2016 sudah sesuai sedangkan ketersediaan item obat formularium nasional dengan daftar item obat formularium nasional masih belum sesuai. Kata kunci : BPJS Kesehatan, Peresepan, Formularium nasional
Home Care Improves Knowledge, Attitude, Practice and Blood Pressure Control in Hypertensive Patients: Exploring the Expanded Role of Community Pharmacists Hesty Utami Ramadaniati; Yusi Anggriani; Sahat Saragi; Ricky Chaerul Yazid
Jurnal Sains Farmasi & Klinis Vol 7, No 3 (2020): J Sains Farm Klin 7(3), Desember 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.693 KB) | DOI: 10.25077/jsfk.7.3.236-243.2020

Abstract

Hypertension remains a leading cause of morbidity and mortality.This study aimed to evaluate the impact of community pharmacists-provided home care on knowledge, attitude, practice (KAP) and blood pressure (BP) control of hypertensive patients. A quasi-experimental study was conducted in two pharmacies in Banten involving hypertensive patients regularly refilling prescriptions. Patients in Pharmacy A were assigned in the intervention group (IG), whilst those in Pharmacy B in the control group (CG). IG received home care in addition to standard care. Questionnaires to assess KAP were distributed at the initiation and end of the study. BP was measured monthly. A total of 110 patients (60 in IG vs 50 in CG) were enrolled. At baseline there was no significant difference in demographic and clinical characteristics. Post-intervention, proportion of patients with ‘good’ knowledge was considerably higher in IG (100%) vs 2.0% in CG, IG demonstrated ‘very ideal’ attitude compared to ‘less ideal’ in CG, IG performed ‘good’ practice as opposed to ‘fair’ practice in CG. The decrease of systolic BP in IG was significantly greater (14.8 mmHg) vs 1.8 mmHg in CG. In conclusion, expanded role of community pharmacists in providing home care improves KAP and BP control in hypertensive patients.
Survei Rumah Tangga terhadap Profil Obat pada Responden dengan Jaminan Kesehatan Nasional di Jakarta Timur Mita Restinia; Yusi Anggriani; Sondang Khairani; Rulliani Bianca Wijaya
Jurnal Sains Farmasi & Klinis Vol 7, No 2 (2020): J Sains Farm Klin 7(2), Agustus 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (607 KB) | DOI: 10.25077/jsfk.7.2.158-163.2020

Abstract

Household surveys are one of the methods to obtain accurate information on medicine utilization in society. The study was carried out to identify the access of medicine and medicine utilization profile. A survey using convenient sampling method was conducted in 30 households with national health insurance (JKN) diagnosed with chronic diseases in East Jakarta. Each family was observed once a week for 8 weeks to analyse their diseases, medication used, and medicine access. About 19 (63.3%) respondents enrolled in this study were male. The mean ± SD of age was 55.87±12.486 years old. About 23(76.7%) respondent had access of medicine through hospital and 7(23.3%) by pharmacy directly. The most common chronic diseases identified were cardiovascular and endocrine disorder. Cardiovascular, alimentary tract and metabolism, and nervous system were medications most commonly used. Most of respondents used about 1-3 kind of medications in a month. About 101 kind of drugs used, 74 kinds of drug among of them were generic and 27 were non generic. About 12 (40%) respondents used vitamin and 8 (26.67%) used supplement. This study highlights respondent access of medicine through hospital and cardiovascular medicines were the most commonly used.
Clinical Outcomes Penggunaan Antibiotik pada Pasien Infeksi Kaki Diabetik Yusi Anggriani; Mita Restinia; Venessya Cikita Mitakda; Rochsismandoko Rochsismandoko; Tri Kusumaeni
Jurnal Sains Farmasi & Klinis Vol 1, No 2 (2015): J Sains Farm Klin 1(2), Mei 2015
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.411 KB) | DOI: 10.29208/jsfk.2015.1.2.27

Abstract

An amputation and antibiotic resistant bacteria on diabetic foot infection (DFI) are still big issue. The research aimed to evaluate clinical outcomes of antibiotic use among patients of DFI in internal medicine ward at Hospital X. An observation of prospective longitudinal methode was conducted during 3 months. Patients were selected based on diagnosis of DFI that had length of stay ≥ 3 days. Total samples were 30 patients, 16(53.3%) women and 14(46.7%) men. Only 5(16.67%) patients who did culture and sensitivity. One of them with no pathogen bacteria. The most frequently antibiotic use was ampicillin-sulbactam. Based on clinical outcomes, 11(36,7%) improve, 15(50%) worse, and others were passed away. Based on statistic, there were no influence among clinical outcomes with gender, age, BMI and duration of diabetes. Therefore based on the research, antibiotics use were still not effective to achieve desired outcomes.
Evaluasi Penggunaan Insulin pada Pasien Diabetes Melitus Tipe 2 Rawat Jalan di Rumah Sakit X di Jakarta Periode 2016-2017 Yusi Anggriani; Alfina Rianti; Annisa Nadya Pratiwi; Wulan Puspitasari
Jurnal Sains Farmasi & Klinis Vol 7, No 1 (2020): J Sains Farm Klin 7(1), April 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (788.399 KB) | DOI: 10.25077/jsfk.7.1.52-59.2020

Abstract

Type 2 Diabetes Mellitus (DMT2) is a metabolic disease with the characteristics of hyperglycemia that occurs due to abnormal insulin secretion. One of the treatments of DM is insulin therapy. Based on its provenance, insulin consists of human insulin and analogue insulin. This study was conducted to identify profiles of insulin used in DMT2 patients at RSUP X hospital in Jakarta. This was an observational study conducted retrospectively on data from 2016 to 2017. The total sample numbers of DMT2 outpatients using insulin were 218 in 2016, and 225 in 2017. Data on insulin therapy regimens were obtained from medical records and drug use reports. The results obtained from this study indicated that the type of insulin that was widely used by DMT2 outpatients was analogue insulin with a percentage of 99%. The human insulin was rarely used in outpatients. The highest use of analogue insulin was analog premixed insulin (35%).
Karakteristik Sosiodemografi dan Health Related Quality of Life Pasien Rawat Jalan Diabetes Mellitus Tipe 2 pada Era JKN Mita Restinia; Yusi Anggriani; Aries Meryta; Tri Kusumaeni
Jurnal Sains Farmasi & Klinis Vol 3, No 1 (2016): J Sains Farm Klin 3(1), November 2016
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (313.903 KB) | DOI: 10.29208/jsfk.2016.3.1.105

Abstract

The aim of  study was carried out to determine differences of health related qualitiy of life (HRQoL) with sociodemographic characteristic in type 2 diabetes mellitus outpatiens at one of government hospital in Jakarta. It was a cross-sectional study conducted  from February  to April 2015. Total of samples were 83 patients. Male 31(37.4%) and female 52(62.6%). HRQoL associated with level education  was difference significantly (P<0.05).  Based on score of domain quality of life, female had higher score (69.82 ± 3.14) of frequency of symptoms domain than male (67.32 ± 4.50) (P<0.05). The oldest patients had the highest score (P<0.05) in domain of satisfaction. In contrast, the oldest patients had the the most decrease score (64.14 ± 4.03) in domain of frequency of symptoms (P<0.05). Patients of senior high school had lower score (60.17 ± 24.65) in domain of treatmant satisfaction than patients of  diploma/bachelor (78.78 ± 21.98). Score of domain of frequency of symptoms was higher on patients employed  than none (P<0.05). The household income did not influence all domain (P>0.05). Furthermore, diabetes duration affected both domain of satisfaction (P=0.005) and frequency of symptoms (P=0.00). In conclusion, only education level of characteristic sociodemographic had difference significantly to HRQoL among type 2 diabetes mellitus outpatients..
Co-Authors Abillah, Syamsudin Ade Rosanti AGUS PURWANGGANA Agusdini Banun Agusdini Banun Saptaningsih Ahmad Subhan AHMAD SUBHAN Ahriansyah, Andi Alfina Rianti Alfina Rianti Andalucia, Rizka Annisa Nadya Pratiwi Annisa, Rifka ARIES MERYTA Aries Meryta Arif Rahmandani Aris Aris Aritonang, MGS Arman Astrid Kartika Sari Ath-Thobari, Jarir Atmiroseva Atmiroseva Banun, Agusdini Briliana Sabirin Candra Junaedi Chaerul Y, Ricky Chandra Widianti Cipto Darmodjati Kumolo Citra Jaya Debi Susanti Desweri Muhareni Dewiyana Andari K Dian Khairunisa Dian Ratih Laksmitawati Dosi Ahmad Yani Dosi Ahmad Yani Dwi Puspita Sari, Dwi Puspita Eduward Gunawan Edwina Dharmawati Elisabeth Ninung Yuliarti Elisna Syahruddin Elsa Maulidya Erfan Chandra Nugraha Erna Kristin Evy Yunihastuti Fadhlia Majidiah Faradiba Faradiba Faridah Syamsiah Fitri Nurhayati Fitriana, Irna Fredrick D. Purba Fredrick Dermawan Purba Fredrik Dermawan Purba Hanafy, Dudy Arman Hardi, Devita Harissa, Nola Herayanti Hermawan Herty Nur Tanty Herty Nur Tanty Hesty Utami Hesty Utami Hesty Utami R Hesty Utami R Hesty Utami R Hesty Utami R Hesty Utami Ramadaniat Hidayat Hidayat ida yuliasari Ilham Maulana Irmin Irmin Irna Fitriana Jayati, Turpuk Mannaria Juju Jumiati L, Dian Ratih Leny Ramadhan M. Kenli Kendi Tampoliu Maria Sukmawati Lesilolo Maria Sukmawati Lesilolo Maura Linda Sitanggang Mawaddati Rahmi Mayasari, Yeshi Melinda, Venni MGS Aritonang MGS. Aritonang Mita Restinia Muhammad Reza Mulatsari, Esti Nanang Erlana Nanang Erlana Neneng Sri Purwaningsih Nurita Andayani NURLAYLI NURLAYLI Nurlela Nurlela Okpri Meila Petrus Kabul Togarma Pontoan, Jenny Prasasta Sutedjo Pratiwi, Annisa Nadya Prih Sarnianto Prih Sarnianto Prih Sarnianto Prih Sarnianto Prih Sarnianto R, Hesty Utami Ramadaniati, Hesty Utami Rasta Naya Pratita Reise Manninda Retnaningrum, Dyah RIA PUSPITA WARDHANI Rianti, Alfina Ricky Chaerul Yazid Rifka Annisa Rina Rosdiana Rochsismandoko Rochsismandoko Rosanti, Ade Rosdaniati Rosdaniati Rosiana, Rosiana Rulliani Bianca Wijaya S.Farm., M.Farm., Apt, Sondang Khairani Sabirin, Briliana Sahat Saragi Sahat Saragih Sari, Ratna Permana Sarnianto, Prih Sarnianto, Prih Sarwono Waspadji Septa, Tendry Setianti Haryani Setyawati Permata Siti Aisyah Siti Aisyah Suratni Suratni Suratni Suratni Tanty, Herty Nur Tarsinah Tarsinah Tarsinah, Tarsinah Tri Kusumaeni TRI KUSUMAENI Tri Kusumaeni Tri Kusumaeni Tri Kusumaeni Tri Kusumaeni, Hesty Utami R. Tri Murtini Trisna Lestari Umar Santosa Utami R, Hesty Venessya Cikita Mitakda Widya Wulan Ayu Puspitaningrum Wijaya, Rulliani Bianca William Nathanial Tj Wilson Wilson Wulan Puspitasari Wulan Puspitasari Y, Ricky Chaerul Yacob Ruru Yani, Dosi Ahmad Yati Sumiati Yati Sumiyati Yava Rony, Devi Yulia Trisna Yulia Trisna, Yulia Yuliani YULIANI Yulwa Juwita