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Cost Analysis of Indonesia Case Based Groups (INA-CBGs) Tariff for Stroke Patients Ingenida Hadning; Fitriannisa Fathurrohmah; Muhammad Ridwan; Bangunawati Rahajeng; Pinasti Utami; Indriastuti Cahyaningsih
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 10, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

The INA-CBG’s (Indonesia Case Based Groups) package rate implementation for National Health Insurance Program member since 1st January 2014 suffering from stroke has forced all hospitals in Indonesia to do a quality control and efficient service cost. Stroke, one of the catastrophic diseases often accompanied with some of its comorbid factors, requires high treatment cost. Thus, a cost analysis study is needed to prevent hospital loss. This study was aimed at determining the suitability of cost between the real cost of stroke therapy and the Indonesian Case-Based Groups (INA-CBG) rate according to the Ministry of Health Decree number 69 of 2013. This study was an observational study with a cross-sectional design. Data collection was done retrospectively. Study subjects were all that hospitalized strokes of patients who were members of the National Health Insurance and also met the inclusion and exclusion criteria registered between January to June 2014. The study data were in real direct medical costs analyzed for its suitability with the INA-CBG's rate. Descriptive statistical tests and t-tests were used to analyze the data. The results showed that the average real cost of the first-class hospitalization was higher than INA-CBG's rate for cerebral infarction and for unspecified stroke, with insignificant discrepancies. The average real cost of second class hospitalization was lower than INA-CBG's rate for cerebral infarction, otherwise the average cost was higher than INA-CBG's rate for unspecified stroke, with insignificant discrepancies. The average real cost of third class hospitalization was lower than INA-CBG's rate for cerebral infarction and for unspecified stroke, with significant discrepancies. Most of the average costs were higher than the INA-CBG rate. Thus, the hospital is not capable of managing a stroke of cost-based treatment on INA-CBGs. The hospital has suffered losses. INA-CBG's rate of stroke treatment needs to be evaluated.

OUT-IN PROTOCOVID: UNDERSTANDING AND IMPLEMENTATION OF COVID-19 HEALTH PROTOCOL IN COMMUNITY Sabtanti Harimurti; Pinasti Utami; Nurul Maziyyah; Puguh Novi Arsito
Jurnal Pengabdian Pada Masyarakat MEMBANGUN NEGERI Vol 6 No 1 (2022): Jurnal Pengabdian Kepada Masyarakat Membangun Negeri
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35326/pkm.v6i1.1691

The Covid-19 pandemic has been on its anniversary and it is not yet seen when it will end. Vaccination and health promotion have been carried out by the government. However, it seems that it has not been able to reduce or even stop the pandemic. An alternative way that is considered effective to prevent the transmission of the Covid-19 virus is to comply with health protocols. One of the health protocols that are considered very helpful in preventing the transmission of Covid-19 is the readiness of preparing personal equipment (Starter Kits), especially when outside of the house. In this paper, will be reported an analysis of community readiness regarding their readiness to prepare a Starter kit for foreign students at Khon Kaen Universiti (KKU) and also ordinary people in the Karangtalun, Wukirsari, Imogiri, Yogyakarta area. The evaluation was carried out by asking several questions about whether when leaving the house they spare a mask, hand sanitizer, own eating utensils, drinking bottles, and also their worship tools. Questions are given online or offline using a G-form or question sheet when socializing the Covid-19 pandemic. The results of the evaluation on the readiness of bringing the starter kits from all participants, totaling 44 people, 53.57% of people answered "yes", 25 % of people answered "sometimes", and 21.43% of people answered "no". Based on these results, it can be concluded that most people are aware of the importance of preparing a starter kit while outside the house to prevent the transmission of the Covid 19 virus.

Evaluasi Pelaksanaan Peraturan Penetapan Standar Jasa Profesi Apoteker di Daerah Istimewa Yogyakarta Ingenida Hadning; Bangunawati Rahajeng; Pinasti Utami; Siti Martini Khairiati; Noviya Wardhani; Nuariska Laila Ramadhani; Nanang Munif Yasin
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 12, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.61125

The small salary received by pharmacists is one of the reasons for the low attendance of pharmacists in pharmacies. The regional management of the Yogyakarta Special Region of Indonesian Pharmacist Association (PD IAI DIY) has issued a Decree (SK) on Professional Service Standards for Pharmacists in DIY in 2017 so that it can be used as a reference for pharmacists in Yogyakarta who practice in pharmacies. This study aims to determine the implementation of the decree on pharmacists in DIY. Research variables are basic services, additional income and other facilities. The research instrument is a questionnaire. The sampling method used is accidental sampling. To calculate the number of samples used the Slovin formula. With a confidence level of 90%, the minimum sample size is 222 respondents. However, in this study, 268 pharmacists who practice in pharmacies finally obtained respondents. Respondents came from five districts/cities in DIY. Data were collected from August 2019 to February 2020. The research instrument used an e-questionnaire on a google form which was distributed through social media for members of IAI DIY and also distributed directly to several pharmacies in DIY. The data obtained were analyzed through descriptive statistical tests. The results showed that only 11 respondents met all the criteria in the SK. In the category of pharmacists who hold SIA, only seven respondents met all the criteria in the SK, namely three respondents from Sleman, two respondents from Yogyakarta City, and two respondents from Bantul. In the non-SIA pharmacist category, only four respondents met all the criteria in the SK, namely one respondent from Sleman, two respondents from Yogyakarta City, and one respondent from Gunung Kidul. It can be concluded that the SK PD IAI DIY regarding professional service standards has not been fully implemented by DIY pharmacists.

Pengaruh Konseling Farmasis Terhadap Kualitas Hidup Dan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Gedong Tengen Periode Maret-Mei 2014 Handaka Ekaningputra Septiar; Pinasti Utami
Jurnal Farmasi Sains dan Praktis Vol 1 No 1 (2015)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/pharmacy.v1i1.66

Diabetes mellitus (DM) merupakan penyakit yang dapat mempengaruhi bagian tubuh lain dan menyebabkan komplikasi yang serius bahkan sewaktu-waktu bisa mematikan apabila pengelolaannya tidak tepat. Konseling kepada pasien diabetes akan membantu penderita untuk dapat merawat dirinya sendiri sehingga komplikasi dapat diminimalkan. Penelitian ini bertujuan untuk mengetahui pengaruh konseling farmasis terhadap kualitas hidup dan kadar glukosa darah pasien Diabetes Mellitus tipe 2 sebelum dan sesudah diberikan konseling. Penelitian ini termasuk penelitian quasi experimental design dengan serta menggunakan kuesioner Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ). Sampel yang digunakan 25 pasien dengan teknik consecutive sampling. Data yang diperoleh dianalisis menggunakan uji statistik t-test. Penelitian menunjukkan bahwa pemberian konseling oleh farmasis selama 1 bulan menyebabkan peningkatan skor kualitas hidup yaitu sebelum konseling 215,24 ± 16,42 dan sesudah konseling 221,72 ± 15,33 dengan p value < 0,05 yaitu 0,00 yang artinya terdapat perbedaan bermakna. Hasil rata-rata kadar glukosa sewaktu sebelum konseling 229,32 mg/dL dan sesudah konseling 207,48 mg/dL dengan p value < 0,05 yaitu 0,00 yang artinya terdapat perbedaan bermakna. Kesimpulan penelitian ini adalah konseling yang dilakukan oleh seorang farmasis dapat meningkatkan kualitas hidup dan meningkatkan terkontrolnya glukosa darah sewaktu pada pasien DM tipe 2 di Puskesmas Gedong Tengen.

IDENTIFIKASI DRUG RELATED PROBLEMS (DRPs) PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DI RUMAH SAKIT PERIODE JANUARI-JUNI 2015 Pinasti Utami; Indriastuti Cahyaningsih; Resita Meilafika Setiawardani
Jurnal Farmasi Sains dan Praktis Vol 4 No 1 (2018)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/pharmacy.v4i1.2437

Congestive heart failure (CHF) di Indonesia diperkirakan akan meningkat hingga 23,3 juta kematian di tahun 2030. Pasien CHF biasanya diikuti penyakit penyerta lainnya sehingga kemungkinan polifarmasi dalam penggunaan obat bisa terjadi. Polifarmasi yang tinggi erat kaitannya dengan drug related problems (DRPs) yang akan mempengaruhi morbiditas dan mortalitas. Untuk itu penelitian ini bertujuan untuk mengetahui angka kejadian DRPs pada terapi pasien rawat inap CHF di RS PKU Muhammadiyah Gamping. Penelitian ini merupakan penelitian non eksperimental secara deskriptif. Pengambilan data pasien CHF di RS PKU Muhammadiyah Gamping dilakukan secara retrospektif mulai dari September 2015-April 2016 melalui data rekam medis pasien. Sampel terdiri dari 35 pasien dengan diagnosis utama CHF yang memenuhi kriteria inklusi. Analisis DRP dilakukan berdasarkan jenis DRP ditemukan dan menggunakan acuan utama yaitu Pharmaceutical Care Network Europe (PCNE) 2006, ACCF/AHA Guideline for The Management of Chronic of Cardiology Foundation/ American Heart Association Task Force on Practice tahun 2013 dan Pharmacotherapy: A Pathophysiologic Approach, 9th Edition. Hasil penelitian menunjukkan bahwa pada 35 pasien ditemukan sebanyak 44 kejadian yang terdiri dari drug choice problem sebanyak 5 kejadian (11,36%), drug use problem sebanyak 4 kejadian (9,1%) serta drug interaction sebanyak 35 kejadian (79,54%) sedangkan adverse drug reaction (ADR) dan dosing problem tidak ada kejadian

PENGARUH EDUKASI HOME PHARMACY CARE TERHADAP KUALITAS HIDUP PASIEN HIPERTENSI DI PUSKESMAS Pinasti Utami; Bangunawati Rahajeng; Cindy Soraya
Jurnal Farmasi Sains dan Praktis Vol 5 No 1 (2019)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/pharmacy.v5i1.2625

Hipertensi merupakan salah satu dari sepuluh penyakit degeneratif yang dapat menyebabkan kualitas hidup pasien menurun. Pengendalian hipertensi melalui peran farmasis sebagai care giver dalam kegiatan home pharmacy care dapat menurunkan morbiditas. Tujuan penelitian ini dilakukan untuk mengkaji pengaruh edukasi home pharmacy care terhadap kualitas hidup pasien hipertensi di Puskesmas Gamping II. Penelitian jenis quasy eksperimental dengan desain pre post with control group design. Responden dalam penelitian ini adalah pasien hipertensi di Puskesmas Gamping II yang berjumlah 28 orang yang diambil secara simple random sampling kemudian dibagi 2 yaitu kelompok kontrol dan intervensi. Pada kelompok intervensi diberikan pre test kemudian diedukasi Home Pharmacy Care sebanyak 4 kali. Data perubahan tekanan darah menggunakan tensimeter dan data perubahan penilaian kualitas hidup menggunakan kuisioner SF–36. Analisis data dilakukan dengan uji student t-test. Hasil penelitian menunjukkan bahwa pasien hipertensi yang diberikan pelayanan home pharmacy care di Puskesmas Gamping II mengalami penurunan tekanan darah baik sistolik maupun diastolik secara signifikan (p<0,05) sedangkan untuk kualitas hidup responden menunjukkan peningkatan yang signifikan (p<0,05). Disimpulkan bahwa penerapan edukasi home pharmacy care pada pasien hipertensi di Puskesmas Gamping II dapat menurunkan tekanan darah dan secara statistik dapat meningkatkan kualitas hidup.

Optimalisasi Digital Marketing Untuk Peningkatan Omzet Apotek di Era Pandemi Ingenida Hadning; MT Ghozali; Pramitha Esha Nirmala Dewi; Aji Winanta; Andy Eko Wibowo; Pinasti Utami; Mega Octavia; Abdul Samad; Fanny Rohimatul Azizah Putri
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2022: 4. Kapasitas Daya Saing Usaha Mikro, Kecil, dan Menengah (UMKM) dan Badan Usaha Milik Desa (BU
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ppm.54.946

Salah satu sektor yang terdampak selama pandemi Covid-19 adalah sektor ekonomi. Tak terkecuali apotek yang mengalami penurunan omzet yang signifikan. Salah satu solusi yang dapat dilakukan adalah penerapan digital marketing. Sayangnya, masih banyak apoteker yang memiliki kemampuan yang terbatas dalam digital marketing. Pengabdian masyarakat ini bertujuan untuk memberikan pelatihan digital marketing bagi para apoteker yang berpraktek di apotek. Diharapan melalui kegiatan ini omzet apotek menjadi meningkat. Pengabdi bersama kolaborator, Indonesian Young Pharmacist Group (IYPG) DIY, melakukan pengabdian masyarakat dengan mitra adalah apoteker Apotek Amanah, Apotek Ahza dan Apotek Kita. Kegiatan ini dilaksanakan pada tanggal 19 Maret 2022. Kegiatan dibagi menajdi 3 tahap, yaitu: 1). Pelatihan secara tatap muka menghadirkan pakar; 2). Penugasan melalui studi kasus nyata selama pelatihan; 3). Melaksanakan pretes dan posttes terhadap peserta. Kegiatan ini dihadiri oleh 19 orang apoteker. Sebagian besar peserta adalah pemilik sarana apotek dan apoteker pengelola apotek (60%), dengan usia rata-rata 42 tahun. Melalui pretest, diperoleh hasil tingkat pemahaman peserta terhadap materi yang akan diberikan adalah Rendah (63%). Sedangkan berdasarkan hasil posttest terlihat peningkatan tingkat pemahaman peserta yaitu Baik (100%). Hasil ini ditunjukkan dari skor peserta yang menjawab benar atas pertanyaan yang diberikan dimana terjadi peningkatan rerata skor peserta dari skor pretest 36,84 menjadi 100,00 pada skor posttest. Hasil ini menunjukkan bahwa penyampain materi dan pelatihan yang diberikan berdampak positif terhadap peningkatan pemahaman peserta. Kegiatan ini mendapat apresiasi sangat baik oleh pihak mitra dan peserta, mereka puas dan menilai bahwa kegiatan ini sangat bermanfaat.

Insurance, Policy, Knowledge Level and Epidemiology As Factors Affecting Demand And Supply of Pharmaceutical Product Cahaya, Noor; Pramestutie, Hananditia Rachma; Hati, Anita Kumala; Untari, Eka Kartika; Utami, Pinasti
Pharmaceutical Journal of Indonesia Vol. 7 No. 2 (2022)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2022.007.02.2

Fulfillment of drug availability is always a challenge from year to year and is determined by supply and demand issues for pharmaceutical drugs. Good management of drugs and pharmaceutical supplies is important in health services. This is related to the quality of health services and the efficiency and effectiveness of the budget. This review study aims to examine the factors that influence drug supply and demand simultaneously with a different perspective from other studies, namely, the focus is to simultaneously discuss the effects of health insurance financing schemes, registration regulations for pharmaceutical products and imports of pharmaceutical products, the level of pharmacist knowledge, changes in disease patterns, disasters, and wars on drug supply and demand. The research design that was used in this study is a narrative review. The data sources that were used are PubMed, Science Direct, Scopus, and Google Scholar. The inclusion criteria in this study are all research related to the demand for pharmaceutical supplies and drugsthat will be reviewed in the study, either in the form of original research, reviews, or reports. The results obtained articles consisting of 8 articles related to health insurance financing, 6 articles related to registration regulation of pharmaceutical products and import of pharmaceutical products, 5 articles related to pharmacist knowledge level, 3 articles related to changes in disease patterns, and 3 articles related to disasters and wars. Based on the 25 articles that were used as data in this study, it was found that the factors that influence the supply and demand of pharmaceutical supplies are health insurance financing, regulation of registration drug processes and imports of pharmaceutical products, level of knowledge of pharmacists as pharmaceutical service providers, changes in disease patterns, disasters, politics, and war.

The RELATIONSHIP OF COMMON COLD KNOWLEDGE LEVEL WITH COMMON COLD SELFMEDICATION BEHAVIOR IN NON-HEALTH FACULTY STUDENTS AT MUHAMMADIYAH UNIVERSITY, YOGYAKARTA Utami, Pinasti
Pharmaceutical Journal of Indonesia Vol. 8 No. 2 (2023)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2023.008.02.3

According to the 2016 National Health Survey, 72.44 percent of people self-medicate, and according to the Bantul District Health Office's 2019 Health Profile, acute nasopharyngitis (common cold) was among the top 10 disorders with 84,142 patients. Self-medication must be accompanied by sound knowledge in order for treatment to be effective and sensible. The goal of this study was to see if there's a link between having a good understanding of the common cold and self-medication for the common cold in non-health faculty students at the University of Muhammadiyah Yogyakarta. The common cold knowledge level questionnaire and the common cold self-medication behavior questionnaire were used in this study. The Spearman rank correlation test was used to analyze the data. According to the findings of this study, respondents' degree of knowledge on self-medication for the common cold is known, with 84.5 percent of respondents falling into the category of good knowledge and 15.5 percent falling into the category of sufficient knowledge. 82.3 percent of respondents are in the good conduct category, 12.5 percent are in the moderate behavior area, and 5.4 percent are in the poor behavior category when it comes to common cold self-medication activity. The correlation test revealed a significant correlation value (p-value 0.005) and a correlation coefficient of 0.141 between knowledge level and self-medication behavior. Based on the findings, it can be inferred that there is a link between common cold knowledge and self-medication behavior in non-health faculty students at the University of Muhammadiyah Yogyakarta.

Insurance, Policy, Knowledge Level and Epidemiology As Factors Affecting Demand And Supply of Pharmaceutical Product Cahaya, Noor; Pramestutie, Hananditia Rachma; Hati, Anita Kumala; Untari, Eka Kartika; Utami, Pinasti
Pharmaceutical Journal of Indonesia Vol. 7 No. 2 (2022)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2022.007.02.2

Fulfillment of drug availability is always a challenge from year to year and is determined by supply and demand issues for pharmaceutical drugs. Good management of drugs and pharmaceutical supplies is important in health services. This is related to the quality of health services and the efficiency and effectiveness of the budget. This review study aims to examine the factors that influence drug supply and demand simultaneously with a different perspective from other studies, namely, the focus is to simultaneously discuss the effects of health insurance financing schemes, registration regulations for pharmaceutical products and imports of pharmaceutical products, the level of pharmacist knowledge, changes in disease patterns, disasters, and wars on drug supply and demand. The research design that was used in this study is a narrative review. The data sources that were used are PubMed, Science Direct, Scopus, and Google Scholar. The inclusion criteria in this study are all research related to the demand for pharmaceutical supplies and drugsthat will be reviewed in the study, either in the form of original research, reviews, or reports. The results obtained articles consisting of 8 articles related to health insurance financing, 6 articles related to registration regulation of pharmaceutical products and import of pharmaceutical products, 5 articles related to pharmacist knowledge level, 3 articles related to changes in disease patterns, and 3 articles related to disasters and wars. Based on the 25 articles that were used as data in this study, it was found that the factors that influence the supply and demand of pharmaceutical supplies are health insurance financing, regulation of registration drug processes and imports of pharmaceutical products, level of knowledge of pharmacists as pharmaceutical service providers, changes in disease patterns, disasters, politics, and war.

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