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Determinants of cost discrepancies in inpatients with acute decompensated heart failure Arisandi, Jeffri; Lorensia, Amelia; Rahem, Abdul
Heart Science Journal Vol. 6 No. 1 (2025): Challenges in Managing Acute Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.01.13

Abstract

BACKGROUND: Acute decompensated heart failure (ADHF) is a prevalent and complex condition that significantly burdens healthcare systems, requiring intensive care and leading to high treatment costs. OBJECTIVES: This study aims to identify factors influencing cost discrepancies in hospitalized ADHF patients. METHODS: This retrospective study was conducted at Universitas Brawijaya Hospital from July to August 2024. Data were collected from 86 ADHF patients who were hospitalized between January 2021 and December 2023. Information regarding the patients' clinical conditions, comorbidities, and medical procedures was extracted from their case histories. Statistical analyses included t-tests and Mann-Whitney tests. RESULTS: In this study of 86 individuals with ADHF, 58.1% were over 65 years old, 31.4% were between 45 and 64 years old, and 10.5% were between 18 and 44 years old. By classification of care, 58.1% were admitted for Class 1 care, 30.2% for Class 2, and 11.6% for Class 3. Our findings indicated that the costs of treatment for patients with moderate and severe diseases were higher as compared to those of mild severity. Patients who had a length of stay over 7 days had higher costs than the ones whose length of stay was 1 to 3 days. Furthermore, Class 2 care was associated with higher costs than Class 3 care. The analysis also revealed that an increase in the number of comorbidities and medical procedures corresponded with higher treatment costs. CONCLUSION: This study identified factors that increase the cost of treatment for patients with ADHF.
PENGARUH EFEKTIVITAS PENGGUNAAN SISTEM INFORMASI TUBERKULOSIS (SITB) TERHADAP KETERSEDIAAN LOGISTIK PADA PUSKESMAS DI KABUPATEN JEMBER Suhaemi, Iim; Iim Suhaemi, Iim; Rahem, Abdul; Nita, Yunita
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 10 No 2 (2025): Jurnal Ilmiah Ibnu Sina
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/jiis.v10i2.2576

Abstract

The Tuberculosis Information System (SITB) is a strategic platform for optimizing TB logistics management in primary health facilities, but its use is still not optimal. This study aims to analyze the effectiveness of SITB usage and its impact on the availability of TB logistics in community health centers in Jember Regency. This study used a cross-sectional design involving 30 community health centers from July to December 2024. Variables examined included technology, management, and organizational components affecting SITB system impact. The effectiveness of SITB was evaluated using the HOT (Human-Organization-Technology) - Fit model, the relationship between components is analyzed using the Spearman rank test. The results show, despite SITB implementation since 2020, logistics availability remained inequitable is still empthy beyond the standard in primary healthcare (> 4%), but Non- antituberculosis logistic have overstocked with an average availability of more than 5 months in quarterly periode (> 150%). Correlation analysis revealed that information quality and user satisfaction significantly influenced system impact (p < 0,05). In conclusion, SITB implementation has not ensured equitable TB logistics availability across community health centers in Jember Regency, where in the used of SITB, information quality and user satisfaction are key factors influencing system impact.
PENYULUHAN NARKOBA DAN DAMPAKNYA TERHADAPPENINGKATAN PENGETAHUAN, SIKAP DAN PERILAKU PADASISWA SMK Rahem, Abdul; Umi Athiyah; Wahyu Utami; I Nyoman Wijaya; Hanni Prihhastuti Puspitasari; Anila Impian Sukorini; Mufarrihah, Mufarrihah; Ana Yuda; Yuni Priyandani; Catur Dian Setiawan; Andi Hermansyah
Jurnal Bakti untuk Negeri Vol 5 No 02 (2025): Jurnal Bakti Untuk Negeri
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/hjny3615

Abstract

Drug abuse among the younger generation is increasing over time and greatly affects the future life of the nation and the state. Factors that influence drug abuse include personality, family, economic conditions, environment, and social interactions, which at first often arise due to a lack of knowledge about the dangers of drugs. The effects of drug abuse include physical, psychological, social, and security impacts. Because misunderstanding or low levels of knowledge is one of the factors in drug abuse, counseling/health education is important to be carried out for the younger generation in Bojonegoro Regency, as one of the areas prone to drug abuse among high school students. Counseling was provided to 238 students of grades 10 and 11 at SMK Negeri Dender,Bojonegoro Regency. The success of the counseling was evaluated using pre-and post-tests. The evaluation results were statistically tested to determine differences before and after counseling in students’knowledge, attitudes, and behaviors related to drug abuse. The analysis showed p-values for knowledge=0.000,for attitude=0.044,and for behavior=0.000. All values were<0.05,which means that there were significant differences in knowledge, attitudes, and behaviors before and after the counseling. In conclusion, the counseling improved students’knowledge, attitudes, and behaviors regarding the dangers of drugs and their abuse.
Profil Kepuasan Pasien terhadap Pelayanan Resep menggunakan SERVQUAL, Importance-Performance Analysis, dan Customer Satisfaction Index Berliana, Shefilla Mangestiti; Yuda, Ana; Rahem, Abdul; Zairina, Elida; Hermansyah, Andi; Nugraheni, Gesnita; Sulistyarini, Arie; Athiyah, Umi
MPI (Media Pharmaceutica Indonesiana) Vol. 8 No. 1 (2026): JUNE
Publisher : Fakultas Farmasi, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24123/mpi.v8i1.8399

Abstract

Kepuasan pasien merupakan indikator penting mutu pelayanan kefarmasian, khususnya pada pelayanan resep se- bagai titik interaksi langsung antara apoteker dan pasien. Penelitian ini bertujuan menggambarkan profil kepuasan pasien terhadap pelayanan resep pada konteks apotek pendidikan berdasarkan lima dimensi SERVQUAL, yaitu tangibles, reliability, responsiveness, assurance, dan empathy, serta mengidentifikasi kesenjangan harapan-kinerja dan prioritas perbaikan layanan. Desain penelitian adalah observasional analitik dengan pendekatan cross-sectional. Pengumpulan data dilakukan pada Oktober- November 2024 terhadap 100 pasien yang menerima pelayanan resep dan memenuhi kriteria inklusi. Sampel dipilih dengan accidental sampling. Instrumen berupa kuesioner Likert 1-5 yang mengukur harapan (importance) dan kinerja (performance). Analisis data dilakukan menggunakan statistik deskriptif, analisis gap, Importance-Performance Analysis (IPA), dan Customer Satisfaction Index (CSI). Mayoritas responden adalah perempuan (66%), berusia 21-30 tahun (37%), berpendidikan SMA/SMK sederajat (58%), dan mahasiswa (57%). Rata-rata skor harapan sebesar 4,73 dan skor kinerja 4,52. Seluruh dimensi menunjuk- kan gap negatif, dengan gap terbesar pada reliability (-0,39) dan terkecil pada tangibles (-0,08). Nilai CSI keseluruhan 91,43% atau kategori sangat puas. Namun, beberapa indikator klinis seperti penjelasan cara penyimpanan obat (-1,18), efek samping obat (-0,83), dan waktu diskusi terapi (-0,36) masih menunjukkan kesenjangan yang bermakna secara praktis. Pasien secara umum sangat puas terhadap pelayanan resep, tetapi hasil gap dan IPA menunjukkan bahwa mutu layanan belum sepenuhnya memenuhi harapan pasien pada aspek informasi klinis dan komunikasi terapi. Perbaikan perlu diarahkan pada standardisasi konseling obat, penguatan peran apoteker, dan pengaturan waktu diskusi agar pelayanan resep tidak hanya dinilai memuaskan, tetapi juga mendukung keamanan penggunaan obat. Patient satisfaction is an important indicator of the quality of pharmaceutical services, particularly prescription services, where direct interaction between pharmacists and patients occurs. This study aimed to describe patient satisfaction with prescription services in a teaching pharmacy context based on the five SERVQUAL dimensions: tangibles, reliability, responsiveness, assurance, and empathy, and to identify expectation-performance gaps and service improvement priorities. This study used an analytical observational design with a cross-sectional approach. Data were collected from October to November 2024 among 100 patients receiving prescription services who met the inclusion criteria. Samples were obtained using accidental sampling. The instrument was a 1-5 Likert-scale questionnaire measuring expectations (importance) and performance. Data were analyzed using descriptive statistics, gap analysis, Importance-Performance Analysis (IPA), and the Customer Satisfaction Index (CSI). Most respondents were female (66%), aged 21-30 years (37%), had a senior high school/vocational school education (58%), and were students (57%). The overall mean expectation score was 4.73 and the mean performance score was 4.52. All SERVQUAL dimensions showed negative gaps, with the largest gap in reliability (-0.39) and the smallest in tangibles (-0.08). The overall CSI was 91.43%, indicating a very satisfied category. However, clinically important indicators such as drug storage instructions (-1.18), explanations of adverse effects (-0.83), and time for therapy discussion (-0.36) showed meaningful practical gaps. Patients were generally very satisfied with prescription services; however, the gap analysis and IPA findings indicate that service quality had not fully met patient expectations, particularly in clinical information and therapeutic communication. Improvement should focus on standardizing medication counseling, strengthening pharmacists roles, and allocating adequate discussion time so that prescrip- tion services are not only perceived as satisfactory but also support medication safety.
Transformasi Digital Pariwisata Halal Berkelanjutan di Perdesaan: Perspektif Trickle-Down terhadap Pengembangan Strategis Rahem, Abdul; Soleh, Mochammad; Prayoga, Adistiar; Ekowati, Juni; Naufal, Adam Mochammad; Hanif, Muhammad Ihsan; Jannah, Qonita Miftahul; Putri, Fauzha Amalya Purnama; Nafi'a, Ilma Arrafi; Nurrohmah, Zidni ‘Ilmatun; Jupriadi, Lalu; Bayani, Faizul; Yaqin, Ainul; Mochammad Naufal, Adam
TRI DHARMA MANDIRI: Dissemination and Downstreaming of Research to the Community (Journal of Community Engagement) Vol 6 No 1 (2026)
Publisher : SMONAGENES Research Center, Univeritas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jtridharma.2026.006.01.48

Abstract

Program pengabdian kepada masyarakat ini bertujuan mengembangkan potensi agroeduwisata halal berbasis madu trigona melalui pemberdayaan pelaku usaha mikro dan kecil setempat. Program ini mengatasi hambatan berupa keterbatasan kapasitas kelembagaan, pemanfaatan sumber daya alam yang belum optimal, serta rendahnya literasi digital pelaku usaha. Intervensi yang dilakukan meliputi pelatihan Sistem Jaminan Produk Halal, pemasaran digital, penyusunan rencana konten, serta pendampingan intensif sertifikasi halal dan Nomor Induk Berusaha. Hasil analisis menggunakan uji t berpasangan menunjukkan peningkatan pengetahuan peserta yang signifikan secara statistik dengan nilai p < 0,0001 dan ukuran efek kategori besar (dz = 0,83). Hal ini membuktikan efektivitas program dalam meningkatkan kompetensi sumber daya manusia secara nyata. Selain meningkatkan daya saing pelaku usaha mikro dan kecil, kegiatan ini mengimplementasikan Trickle-Down Theory melalui pengembangan sektor strategis untuk menciptakan ekonomi inklusif. Program ini juga berkontribusi pada pencapaian Sustainable Development Goals, khususnya pada aspek kesehatan, pertumbuhan ekonomi, komunitas berkelanjutan, dan kemitraan multipihak. Secara keseluruhan, integrasi pemberdayaan masyarakat dan penguatan ekosistem halal ini menjadi model pembangunan perdesaan yang berkelanjutan.
Co-Authors Abdul Jabbar, Davano Al Raffi Adhitama, Lisa Ainul Yaqin Amelia Lorensia Ana Yuda Andi Hermansyah Arie Sulistyarini Arisandi, Jeffri Ayu Purbiastuti, Putri Bambang Subakti Zulkarnain Bayani, Faizul Berliana, Shefilla Mangestiti Bharti Rosyadi, Devia Bobby Presley, Bobby Brata, Cecilia Budiatin, Aniek Setiya Chrismawan Ardianto Cokro, Fonny Davindra Widiantoro, Arya Dian Maria Pia, Dian Maria Dwi Agung Nugroho Eko Setiawan Elida Zairina Fahmi U, Mohammad Farida Ifadotunnikmah Faris Alfaruqi, Salman Fayza Zahra, Nabilla Gesnita Nugraheni Gusti Noorrizka Veronika Ahmad Halim, Steven Victoria Hanif, Muhammad Ihsan Hanni Prihhastuti Puspitasari Hermansyah, Andi I NYOMAN WIJAYA Iim Suhaemi, Iim Jannah, Qonita Miftahul Juni Ekowati Jupriadi, Lalu Khandy, Evanda Ratna Thalia khusnul khotimah Kristianto, Franciscus C. Kumalasari, Nunik Dewi Kunnu, Hasbi Lestiono Lestiono, Lestiono Lisa Aditama, Lisa Liza Pristianty Mahanggi, Oktarina Maharani, Arina Mahardian Rahmadi Mayla Kristia, Erfika Metasartika, Valentina Metasartika, Valentina Mochammad Naufal, Adam Mufarrihah, Mufarrihah Muhammad Reza Pahlevi Nafi'a, Ilma Arrafi Naufal, Adam Mochammad Ningsih, Linda Fidya Nurrohmah, Zidni ‘Ilmatun Nurul Qiyaam, Nurul Pambagyanik, Apridita Anggun Prayoga, Adistiar Putri, Fauzha Amalya Purnama Putri, Virginia Johanes Rhima Diastya Amalia Riza Alfian Salma Falihah, Anisah Setiadi, Adji Prayitno SETIAWAN, Catur Dian Shakira Putri Sanjaya, Naila Soleh, Mochammad Suhaemi, Iim Sukorini, Anila Impian Sumarno . Suradnyana, I Gede M. Tazkiyya Adillia, Firma Thalia Khandy, Evanda Ratna Toetik Aryani Umi Athiyah Wahyu Utami Wahyu Utami Wahyu Utami, Wahyu Wardhani, Dewanti Wibowo, Yosi Irawati Yuni Priyandani Yunita Nita