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Analisis Kinerja Instalasi Farmasi RSU Universitas Muhammadiyah Malang dengan Pendekatan Balanced Scorecard Hidayati, Ika Ratna
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.2022.007.02.9

The Pharmacy Installation of the University of Muhammadiyah Malang Hospital has never conducted a performance measurement so it is not known how far the management has succeeded in achieving the organization's vision and goals. In addition, performance measurement is also needed to support the hospital accreditation process. This study was conducted to analyze the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital with a balanced scorecard approach from growth and learning perspective, internal business perspective and costumer perspective. This research was conducted in a non-experimental descriptive for growth and learning perspectives with research variables employee satisfaction, work spirit, and retention rate of IFRSU UMM employees. In the internal business perspective, the research was conducted observationally and analyzed descriptively with the research variables, dispensing time, level of drug availability, and drug information services. From the customer perspective was conducted in a non-experimental, quantitative analytical descriptive with research variables customer satisfaction and customer growth. The data was collected with retrospective and prospective methods. This research used both qualitative and quantitative data. Qualitative data was obtained by interview. Quantitative data was obtained by questionnaires and direct observation. The results of performance research on the growth and learning perspective of employee satisfaction indicators are satisfaction with a total value of 2,724, the indicator of work spirit is high with an average total score of 3.14 and the indicator of the retention rate of IFRSU UMM employees is at a normal value with an average turnover percentage of 7.88%. The results of the performance study on the internal business perspective showed that the dispensing time indicators for regular prescriptions is 22 minutes and 32 minutes for compound prescriptions. Percentage of drug availability is 100% and the results of the evaluation study of drug information services indicators have been implemented 100%, but there are information components that are not conveyed such as dosage, side effects, duration of use, and drug storage methods. The performance customer perspective of customer satisfaction indicators with the Servqual method obtained a negative gap value indicating customers are not satisfied. Analysis using the IPA method obtained the average percentage level of conformity showed was 93,00% where the results were in accordance with the Decree of the Minister of Health of the Republic of Indonesia Number 129 of 2008 concerning Hospital MSS. Analysis of customer growth indicators showed that the percentage results in 2019 were 101,39% and in 2020 it was 100,35%, exceeding the range of good criteria. It can be concluded the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital is quite good, but it is necessary to optimize and improvement.

Related Factors of Antiretroviral Adherence in HIV/AIDS Patients at one of the Community Health Centers in Malang City: Faktor yang Mempengaruhi Kepatuhan Pengobatan Antiretroviral pada Pasien HIV/AIDS di Salah Satu Puskesmas di Kota Malang Putra, Dimas Setyadi; Puspitasari, Irma Melyani; Alfian, Sofa Dewi; Sari, Aisha Maulidya; Hidayati, Ika Ratna; Atmadani, Rizka Novia
Pharmaceutical Journal of Indonesia Vol. 9 No. 1 (2023)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2023.009.01.7

Introduction: HIV or Human Immunodeficiency Virus has become a serious global problem due to increased yearly infections. People living with HIV/AIDS (PLHIV) must take antiretrovirals (ARV) to improve their quality of life, so adherence is the main focus of therapy. Objective: This study aims to determine the factors that influence of adherence to ARV treatment in PLWHA at one of the Community Health Centers in Malang City. Methods: This study used a descriptive cross-sectional analysis method by collecting data using the Adherence to Refills and Medication Scale (ARMS) questionnaire during the February-March 2021 period at one of the Community Health Centers in Malang City and the data was analyzed using multivariate regression to determine the factors that influence adherence to ARV treatment. Results: This study involved 85 PLHIV patients. A total of 59 people (69.4%) were included in the compliant category on antiretroviral treatment. Multivariate analysis showed that men were 4 times more likely to be disobedient (p=0.022; OR = 4.922; 95% Cl = 1.261 – 19.208), while respondents with school education were less likely to be disobedient p=0.007 ; OR = 0.118; 95% Cl = 0.025 – 0.558). As for age, marital status, and employment status did not have a significant effect on adherence to ARV treatment. Conclusion: Gender is the most dominant factor in influencing adherence where male patients are 4 times more likely to be non-adherent compared to female patients.

ANALISIS COST OF ILLNESS PADA PASIEN DIABETES MELLITUS DENGAN TERAPI GLIMEPIRIDE-METFORMIN RAWAT JALAN PESERTA BPJS DI PUSKESMAS KETAPANG II KOTA SAMPIT Apriliana, Nur Ghina; Pristianty, Liza; Hidayati, Ika Ratna
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.2023.008.02.5

Background : Diabetes mellitus is a chronic disease that affects the costs incurred by patients during illness. The financing issued for the treatment of diabetes mellitus diseases can be measured using Cost of Illness analysis.Research Objectives : To find out the total cost of treatment of diabetes mellitus patients BPJS participants with Glymepiride-Metformin therapy for one year.Method : This study used a non-probability sampling technique with an accidental sampling method. This research conducted at Ketapang II Health Center with sample total 45 people. The instrument used a structured interview which was previously tested for validity. Data were analyzed using Microsoft Excel.Result and Conclusion : The estimate total cost of treatment of diabetes mellitus with outpatient glimepiride-metformin therapy of Indonesia Health Insurance participants at Ketapang II Health Center in Sampit city for one year is Rp.623.760 - Rp.4.475.520. The direct medical cost per patient is Rp.143.760 - Rp.2.787.120. Non-medical direct cost is Rp.0 - Rp.188.400. Indirect cost is Rp.480.000 - Rp.1.500.000. High cost are more expensive but the frequency of visits and patient compliance are orderly so that the therapeutic effect achieved is good, while the low cost is cheaper but the frequency of patient visits and patient compliance are not orderly so that the therapeutic effect achieved is less good and not maximal.

Pengaruh Edukasi Terhadap Pengetahuan Santri Mengenai Swamedikasi Obat Diare dengan Media Slide di Lembaga Tinggi Pesantren Luhur Kota Malang Yahya, Khairunnisa; Hidayati, Ika Ratna; Yunita, Sendi Lia
Pharmaceutical Journal of Indonesia Vol. 7 No. 1 (2021)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2021.007.01.8

Swamedikasi merupakan suatu upaya seseorang dalam mengobati penyakit yang dialami dengan cara pemilihan serta penggunaan obat tanpa resep dokter. Dalam praktek swamedikasi diperlukan pengetahuan yang memadai agar tepat dalam melakukan praktek swamedikasi. Dijelaskan dalam penelitian lainnya bahwa edukasi dengan media elektronik berupa slide PowerPoint lebih efektif dibandingkan dengan media cetak berupa leaflet, sehingga penelitian ini pemberian edukasinya menggunakan media slide PowerPoint. Tujuan penelitian ini yaitu mengidentifikasi tingkat pengetahuan sebelum dan sesudah diberikan edukasi dan mengetahui pengaruh edukasi terhadap pengetahuan santri mengenai swamedikasi obat diare dengan media slide PowerPoint di Lembaga Tinggi Pesantren Luhur Kota Malang.Peneitian ini menggunakan penelitian pra-eksperimental, dengan rancangan penelitian one group pretest posttest. Teknik pengambilan sampel dilakukan secara non probability sampling dengan teknik purposive sampling. Hasil sampel yang diperoleh dengan menggunaan rumus slovin yaitu sebanyak 68 responden.Tingkat pengetahuan responden sebelum diberikan edukasi bervariasi dengan persentase terbanyak memiliki tingkat pengetahuan yang â€œBAIKâ€ yaitu 89,71%, kemudian â€œCUKUPâ€ sebanyak 7,35% dan â€œKURANG BAIKâ€ sebanyak 2,94%. Kemudian hasil tingkat pengetahuan responden sesudah diberikan edukasi yaitu 100% â€œBAIKâ€. Berdasarkan perbandingan skor pretest dan posttest yang diperoleh hasil tingkat pengetahuan responden meningkat setelah diberikan edukasi. Analisis data yang digunakan ialah Uji Wilcoxon dengan bantuan SPSS 25. Hasil analisis Uji Wilcoxon diperoleh Asymp. Sig. (p) 0,000 yang berarti nilai pretest dan nilai posttest berbeda atau tidak sama maka H1 diterima. Selain itu hasil Zhitung yang diperoleh -6,049 < -1,96 maka H1 diterimaÂ yang berarti edukasi mengenai swamedikasi obat diare berpengaruh terhadap tingkat pengetahuan santri/santriwati Lembaga Tinggi Pesantren Luhur.

Analisis Kinerja Instalasi Farmasi RSU Universitas Muhammadiyah Malang dengan Pendekatan Balanced Scorecard Hidayati, Ika Ratna
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.2022.007.02.9

The Pharmacy Installation of the University of Muhammadiyah Malang Hospital has never conducted a performance measurement so it is not known how far the management has succeeded in achieving the organization's vision and goals. In addition, performance measurement is also needed to support the hospital accreditation process. This study was conducted to analyze the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital with a balanced scorecard approach from growth and learning perspective, internal business perspective and costumer perspective. This research was conducted in a non-experimental descriptive for growth and learning perspectives with research variables employee satisfaction, work spirit, and retention rate of IFRSU UMM employees. In the internal business perspective, the research was conducted observationally and analyzed descriptively with the research variables, dispensing time, level of drug availability, and drug information services. From the customer perspective was conducted in a non-experimental, quantitative analytical descriptive with research variables customer satisfaction and customer growth. The data was collected with retrospective and prospective methods. This research used both qualitative and quantitative data. Qualitative data was obtained by interview. Quantitative data was obtained by questionnaires and direct observation. The results of performance research on the growth and learning perspective of employee satisfaction indicators are satisfaction with a total value of 2,724, the indicator of work spirit is high with an average total score of 3.14 and the indicator of the retention rate of IFRSU UMM employees is at a normal value with an average turnover percentage of 7.88%. The results of the performance study on the internal business perspective showed that the dispensing time indicators for regular prescriptions is 22 minutes and 32 minutes for compound prescriptions. Percentage of drug availability is 100% and the results of the evaluation study of drug information services indicators have been implemented 100%, but there are information components that are not conveyed such as dosage, side effects, duration of use, and drug storage methods. The performance customer perspective of customer satisfaction indicators with the Servqual method obtained a negative gap value indicating customers are not satisfied. Analysis using the IPA method obtained the average percentage level of conformity showed was 93,00% where the results were in accordance with the Decree of the Minister of Health of the Republic of Indonesia Number 129 of 2008 concerning Hospital MSS. Analysis of customer growth indicators showed that the percentage results in 2019 were 101,39% and in 2020 it was 100,35%, exceeding the range of good criteria. It can be concluded the performance of the Pharmacy Installation of the University of Muhammadiyah Malang Hospital is quite good, but it is necessary to optimize and improvement.

Related Factors of Antiretroviral Adherence in HIV/AIDS Patients at one of the Community Health Centers in Malang City: Faktor yang Mempengaruhi Kepatuhan Pengobatan Antiretroviral pada Pasien HIV/AIDS di Salah Satu Puskesmas di Kota Malang Putra, Dimas Setyadi; Puspitasari, Irma Melyani; Alfian, Sofa Dewi; Sari, Aisha Maulidya; Hidayati, Ika Ratna; Atmadani, Rizka Novia
Pharmaceutical Journal of Indonesia Vol. 9 No. 1 (2023)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2023.009.01.7

Introduction: HIV or Human Immunodeficiency Virus has become a serious global problem due to increased yearly infections. People living with HIV/AIDS (PLHIV) must take antiretrovirals (ARV) to improve their quality of life, so adherence is the main focus of therapy. Objective: This study aims to determine the factors that influence of adherence to ARV treatment in PLWHA at one of the Community Health Centers in Malang City. Methods: This study used a descriptive cross-sectional analysis method by collecting data using the Adherence to Refills and Medication Scale (ARMS) questionnaire during the February-March 2021 period at one of the Community Health Centers in Malang City and the data was analyzed using multivariate regression to determine the factors that influence adherence to ARV treatment. Results: This study involved 85 PLHIV patients. A total of 59 people (69.4%) were included in the compliant category on antiretroviral treatment. Multivariate analysis showed that men were 4 times more likely to be disobedient (p=0.022; OR = 4.922; 95% Cl = 1.261 – 19.208), while respondents with school education were less likely to be disobedient p=0.007 ; OR = 0.118; 95% Cl = 0.025 – 0.558). As for age, marital status, and employment status did not have a significant effect on adherence to ARV treatment. Conclusion: Gender is the most dominant factor in influencing adherence where male patients are 4 times more likely to be non-adherent compared to female patients.

Level of anxiety and internal tryout evaluation of the national objective structured clinical examinations (OSCE) results for pharmacy students Astuti, Engrid Juni; Hidayati, Ika Ratna
Farmasains : Jurnal Farmasi dan Ilmu Kesehatan Vol. 7 No. 2 (2022)
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/farmasains.v7i2.35340

OSCE (Objective Structured Clinical Examination) for pharmacist profession students is currently one of the measuring tools for success in competency exams to test victory in learning the Pharmacist Profession, in addition to the MCQ (Cognitive Based Test) method which is carried out in the form of CBT (Computer Based-Test). The Pharmacist Profession Study Program at the University of Muhammadiyah Malang (UMM) currently has professional pharmacist students and conducted a national tryout test for batch 2 students. In contrast, these students have never received training for the OSCE exam before. This study was conducted to evaluate the internal tryout on the results of the national OSCE score for Pharmacist students at the University of Muhammadiyah Malang” in batch 3 compared to batch 2, which had not done an internal tryout. In addition, an anxiety test was conducted on students taking the OSCE exam to get the degree of anxiety students taking the exam. From the study results, the anxiety level of the 2nd and 3rd batch students when facing the national OSCE exam was moderately anxious. Implementing the internal tryout had significant effects on the passing rate of the 3rd batch of students in the national OSCE exam.

Hubungan Pengetahuan dan Sikap Wanita Usia Subur terhadap Pemakaian Alat Kontrasepsi Hormonal Suntik di Puskesmas Kecamatan Lowokwaru, Malang Musyayadah, Zahrotul; Hidayati, Ika Ratna; Atmadani, Rizka Novia
Muhammadiyah Journal of Midwifery Vol 2, No 2 (2021): Muhammadiyah Journal of Midwifery (MYJM)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/myjm.2.2.58-68

Latar belakang: Keluarga Berencana (KB) adalah upaya untuk mengatur kelahiran anak, jarak dan usia ideal melahirkan, mengatur kehamilan melalui promosi, perlindungan, dan bantuan sesuai dengan hak reproduksi untuk mewujudkan keluarga yang berkualitas. Terjadi penurunan penggunaan berbagai alat kontrasepsi di seluruh Indonesia pada tahun 2020, yaitu mengalami penurunan hingga 10% yang dikarenakan kekhawatiran masyarakat untuk mendatangi fasilitas kesehatan pada masa pandemi Covid-19. Penurunan penggunaan kontrasepsi menyebabkan meningkatnya jumlah kehamilan tidak direncanakan sebanyak 15% pada tahun 2021 sehingga perlu ditingkatkan dalam penggunaan kontrasepsi untuk mencapai tujuan program KB. Di Indonesia metode yang paling banyak dipakai adalah metode kontrasepsi jenis suntik. Tujuan: mengetahui hubungan antara pengetahuan dan sikap Wanita Usia Subur (WUS) terhadap pemakaian alat kontrasepsi hormonal suntik. Metode: Metode Penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross-sectional. Teknik sampling yang digunakan yaitu accidental sampling, sehingga didapatkan hasil sejumlah 48 responden. Analisis data yang digunakan yaitu dengan uji Chi-square. Hasil: responden yang memiliki pengetahuan yang baik 52%, pengetahuan cukup 44% dan pengetahuan kurang 4%. Responden memiliki sikap positif 58% dan sikap negatif 42%. Pemakaian KB suntik sebanyak 70,8%. Hasil nilai signifikansi uji Chi-square diperoleh nilai p-value untuk pengetahuan 0,602 dan sikap yaitu 0,915. Simpulan: pengetahuan responden kategori baik sebanyak 52%, sikap positif responden sebanyak 28% dan pemakaian KB suntik sebanyak 70,8%. Hasil nilai signifikansi uji Chi-square diperoleh nilai p-value untuk pengetahuan 0,602 dan sikap yaitu 0,915, sehingga dapat disimpulkan tidak terdapat hubungan pengetahuan dan sikap terhadap pemakaian alat kontrasepsi hormonal suntik di Puskesmas Kecamatan Lowokwaru.

Pengaruh Iklan Obat Batuk pada Media Elektronik Terhadap Pemilihan Obat Swamedikasi Siti Mujiati; Ika Ratna Hidayati; Rizka Novia Atmadani
Jurnal Ilmiah Kesehatan Sandi Husada Vol 11 No 1 (2022): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v11i1.695

Introduction: Information about medicines obtained by the public in self-medication can be obtained through advertising. Drug advertisements must contain information that is objective, complete, and not misleading as stipulated in the Regulation of Kepala Badan POM. Objective: this research is to know the effect of cough medicine advertisements in electronic media on self-medication selection in the community. Method: This study used a cross-sectional method and was conducted in society using an accidental sampling technique. The instrument used in this research is a questionnaire and the analysis technique in this study is using t-test and simple linear regression test. Result: Cough medicine advertisements in electronic media have an influence of 30.5% on the selection of self-medication drugs in Dusun Sambi Desa Sambi Kecamatan Ringinrejo Kabupaten Kediri, while 69.5% is influenced by other factors with the linear equation Y= 2.027 + 0.357x. Conclusion: There is an effect of cough medicine advertisements advertised in electronic media on the selection of self-medication

Determinants of knowledge regarding self-medication among professional students of the apothecary Atmadani, Rizka Novia; Hidayati, Ika Ratna; Arum, Dinar Famora
Jurnal Ilmiah Kesehatan Sandi Husada Vol 13 No 2 (2024): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v13i2.1209

Background: Self-medication or the use of over-the-counter drugs by the general public, including among professional students, is becoming an increasingly common practice. However, this practice can carry risks if done without adequate knowledge, especially for pharmacist students who will later play a role in providing education related to drug use. Objective: This study aims to identify factors that affect the level of knowledge of pharmacist program students regarding self-medication. Methods: This study was a cross-sectional survey using an online questionnaire, and the recorded data were analyzed using Logistic regression models. In total, 100 (66.7%) of 150 students practised self-medication at least once recently. Results: We observe that female students were more likely to have a higher level of knowledge about self-medication than male studentsâ€”aOR = 4.52, 95 % CI = 1.41-14.42. Meanwhile, students living alone were less likely to have a higher level of self-medication knowledge than those staying with somebody else â€”aOR = 0.47, 95 % CI = 0.23-0.97. Conclusion: The effect of students who practised self-medication on a higher level of knowledge about self-medication was significant among students who live with somebody elseâ€”aOR =2.85, CI = 1.01-8.01 but not among students who live alone. There are more attempts to educate the students about self-medication and the possible risks of doing self-medication. We suggest a similar study can be observed among students during their bachelor study or in their Professional Program.

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