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Rasio Efektivitas Biaya Obat Antimalaria Kombinasi Artesunat Amodiakuin dan Kombinasi Sulfadoksin Pirimethamin Dalam Terapi Malaria Falsiparum di Sumba DELINA HASAN; ASCOBAT GANI; PURWANTYASTUTI PURWANTYASTUTI; INGE SUTANTO
JURNAL ILMU KEFARMASIAN INDONESIA Vol 11 No 1 (2013): JIFI
Publisher : Fakultas Farmasi Universitas Pancasila

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1236.836 KB)

Abstract

Malaria cases continue to increase in Indonesia, and one of the causes is many malaria parasites resistant to antimalarial drugs such as chloroquine and sulfadoxine pyrimethamine. Antimalarial drug combination recommended by the WHO yet widely available. This study aimed to explore alternative antimalarial drugs through examination of drug-effectiveness and cost-effectiveness analysis of antimalarial drug combination artesunate amodiaquine and sulfadoxine pyrimethamine. To assess the effectix eness or antimalarial drug combinations, as many asl64 patients with who meet inclusion and exclusion criteria were divided into 2 groups with 82 patients respectively. First group was given artesunate amodiaquine while the second group was given sulfadoxine pyrimethamine, and observed for 14 to 28 days. Responses to treatment according to the WHO protocol to include clinical response and parasitological response. The cost effectiveness was assessed through the pharmacoeconomic evaluation method. The results showed that fever clearence time and parasites clearence time by the artesunate amodiaquine combination was faster than by sulfadoxine pyrimethamine combination, and the cost effectiveness ratio of artesunate amodiaquine combination was lower than of sulfadoxine pyrimethamine. In conclusion, the antimalarial drug artesunate amodiaquine combination was more effective and more eflicient than the sulfadoxin pyrimethamine combination, and its cost effectiveness ratio was lower than the sulfadoxine pyrimethamine combination (p=0.05).
HUBUNGAN TOTAL TES DENGAN RASIO POSITIF (POSITIVITY RATE) COVID-19 Jalin Paluhutan Sitompul; Ascobat Gani
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 6 No. 1 (2022): April 2022
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v6i1.2395

Abstract

The Corona Virus That Causes COVID-19 Has Infected More Than 917,015 People In Indonesia And Continues To Increase, Especially Since The Signs Of The Pandemic Subside Have Not Yet Come To Light. In Addition To Vaccination For The Community To Create Herd Immunity, To Accelerate The Completion Of COVID-19 Cases In Indonesia, The Application Of The 3T (Testing, Tracing, Treatment) System Is Still One Solution In Overcoming The COVID-19 Pandemic. The Correct Application Of The 3T System Will Get Valid Data On The Number Of People Diagnosed With COVID-19 And Can Determine The Areas With A Lot Of Covid-19 Diagnoses. This Study Aims To Obtain Analytical Results That Confirm The Relationship Between The Number Of People Tested And A Decrease In The Positive Ratio Of COVID-19. The Method Used Is The Ordinary Least-Square (OLS) Panel Data Method Where This Method Is A Two-Dimensional Regression To Determine The Relationship Between The Dependent Variable And The Independent Variable. The Results Obtained Can Explain The Close Relationship Between The Number Of People Tested And The Positive Ratio, Where From The Estimation Results The Pooledols Value Gets A P-Value <0.005 Or 2.76e-6, The Test Regression Coefficient Shows A Value Of -0.03493 And An R-Square Value Of 0.4306 Which Means That There Is A Negative Relationship Between The Number Of People Tested With A Positive Ratio And The Influence Of The Relationship Between The Two Variables Is Sufficient But Not Too Strong. From The Results, It Was Found That The More Number Of Tests Carried Out Will Be Able To Reduce The Exposure Of People Affected By COVID-19   Keywords:(Positivityrate),COVID-19,Total Tes
Nurse Index Satisfaction at Hospital with Nurse Profession, Training, Nurse Assessment and Ethic Implementation in Pandemic Situation Erick Prawira Suhardhi; Ascobat Gani
Biomedical Journal of Indonesia Vol. 7 No. 3 (2021): Vol 7, No 3, 2021
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i3.538

Abstract

Introduction. Pandemic Covid-19 situation in Indonesia since March 2021, make hospitals to have adaption with condition. Therefore, there is un satisfaction for nurse profession, training, nurse assessment and ethical in emergency, this is known by pre survei in emergency. This research was aimed to study about nurse satisfaction in pandemic area, and see pandemic effect to nurse satisfaction, topic research is satisfaction for nurse profesion, training, nurse assesment and ethical nurse. Methods. Research method for this research is descriptive quantitative, where research use fact, situation and variable happen when the research on going. instrument used in this research is quisoner, sample used is nurse which work in Hospital X, Tangerang district with total sample 151 nurses. Results. Nurse satisfaction preview in hospitals X, Tangerang district is more than 90% nurses satisfied with profession of nurses, training more than, nurse assessment and ethical of nurse. Conclusion. All the nurse satisfied with their profession, training, assesment and ethical implementation, there is improvement room to reduce blame culture in nurse division and implement just culture in nurse division.
Literature Review : The Effect of Service Quality on Patient Satisfaction During the Covid-19 Pandemic Based on SRVQUAL Scale Riki Yedija Lumban Tobing; Ascobat Gani; Dian Agnesa Sembiring
Jurnal Ilmiah Kesehatan (JIKA) Vol. 4 No. 3 (2022): Volume 4 Nomor 3 Desember 2022
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v4i3.393

Abstract

The Covid-19 pandemic has forced hospital management need to take quick action in overcoming the crisis while maintaining and improving the relationships with the customers in order to remain satisfied with the quality of service in hospitals. The study’s goal was to use SRVQUAL Scale to describe the impact of service quality on patient satisfaction during the Covid-19 (reliability, tangibles, empathy, assurance, responsiveness). This paper  was a literature review sourced from Pubmed and ProQuest articles with keywords ("quality of service" or "service quality" or "quality of health services") AND ("patient satisfaction" OR "patient perspective" OR "patient experience") AND ("covid" OR "pandemic"). Six publications were found to meet the inclusion criteria following a review utilizing the PRISMA flow chart. The findings shown that in the Covid-19 pandemic era, all aspects of service quality (reliability, tangibles, empathy, assurance, responsiveness) have positve and significant impact on patient satisfaction. The study’s findings can helphospital management understand the issues that must be taken into account in order for patients to continue to be happy with the standard of care provided by hospitals, particularly during Covid-19 pandemic.
SYSTEMATIC SYSTEMATIC REVIEW : PERENCANAAN STRATEGIS RUMAH SAKIT DI ERA PANDEMI VUCA (VOLATILE, UNCERTAIN, COMPLEX, AMBIGUE) CORONA VIRUS DISEASE 2019 (COVID-19) fransisren fransisren; Ascobat Gani
Jurnal Kesehatan Al-Irsyad Vol. 14 No. 2 (2021): Vol. 14, No. 2 Edisi September 2021
Publisher : UPT PPM Sekolah Tinggi Ilmu Kesehatan Al Irsyad Al Islamiyyah Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.83 KB) | DOI: 10.36760/jka.v14i2.308

Abstract

Latar Belakang: Di Era Pandemi COVID-19, Rumah Sakit (RS) dihadapkan pada kondisi Volatile, Uncertainty, Complexity, dan Ambiguity (VUCA). Sampai dengan tanggal 26 Mei 2021, secara global WHO tercatat angka kematian 2,1%, dan di Indonesia tercatat angka kematian 2,8%. Tujuan: mengevaluasi perencanaan strategis RS dan memberikan solusi dalam menghadapi disrupsi. Metode: Studi menggunakan metode PRISMA. Jurnal dikumpulkan dari jurnal berbahasa inggris terbatas pada perencanaan strategis rumah sakit di era pandemi COVID-19 (Proquest, Google Scholar, dan ScienceDirect). Hasil: Pencarian awal menghasilkan 145 artikel. 24 artikel dieksklusi karena tahun penerbitan tidak relevan, 55 artikel karena judul tidak relevan, dan 57 artikel karena abstrak tidak relevan. Dari 8 artikel yang tersisa, terdapat 6 artikel tambahan yang ditemukan dengan tahap pencarian manual. Sebanyak 14 artikel dimasukkan dalam studi untuk dikaji. Kesimpulan: Diperlukan perencanaan strategis yang tangkas dengan tata kelola korporat, tata kelola klinik, dan penerapan organisasi yang memiliki keandalan tinggi sehingga rumah sakit siap menghadapi kondisi yang tidak dapat diprediksi seperti di era pandemic COVID-19.
Kesediaan Vaksinasi dan Kesediaan Bayar Vaksinasi Booster Covid 19 : Literature Review: Willingness to Vacinate dan Willingness to Pay Vaksinasi Booster Covid19 : Literature Review Ias Tarina Puspitasari; Ascobat Gani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 5: MAY 2023 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i5.3355

Abstract

Latar Belakang : Capaian vaksinasi booster masih belum mencapai cakupan yang optimal. Cakupan vaksinasi booster (dosis 3) di Indonesia masih terbilang cukup rendah yaitu sekitar 29.83%. Pelaksanaan program vaksinasi booster memberikan banyak tantangan. Di antaranya yang sangat penting menyangkut pertanyaan apakah masyarakat mau menerima dan mau membeli vaksin tersebut apabila diperlukan. Tujuan : Penelitian ini bertujuan untuk mengidentifikasi faktor penting yang mempengaruhi kesediaan masyarakat untuk menerima dan membayar vaksinasi booster Covid19. Metode: Tinjauan sistematik menggunakan panduan PRISMA (Preferred Reporting Items for Systematic Review or Meta-Analysis). Pencarian data menggunakan search engine yaitu Pubmed, ScienceDirect, Embase dan Scopus mulai tahun 2021 sampai dengan tahun 2022. Penulis menggunakan kriteria inklusi dan eksklusi untuk mengidentifikasi studi yang akan direviu. Ditemukan 22 studi yang memenuhi kriteria inklusi. Hasil: Sebagian besar studi menunjukkan hasil bahwa responden bersedia untuk menerima vaksinasi booster (> 60%) dan satu studi yang menunjukkan hasil yang rendah yaitu < 50%. Beberapa studi menunjukkan kesediaan responden untuk membayar vaksinasi booster, yaitu <RM50, Mean 109 – 189 CNY, 0-300 CNY, dan <100 - ≥500 CNY. Kesediaan untuk menerima dan membayar vaksinasi booster dipengaruhi oleh faktor sosio-demografi, faktor persepsi individu dan faktor eksternal berupa kebijakan dari pemerintah maupun saran dari tenaga kesehatan. Kesimpulan: Temuan studi dapat memberikan informasi bagi pembuat kebijakan untuk merancang program vaksinasi dan skema keuangan yang lebih baik di masa depan. Dukungan keuangan tetap diperlukan untuk sebagian masyarakat yang kurang mampu dari sisi ekonomi.
Determinan Sosial Ekonomi Praktik Swamedikasi di Indonesia: Analisis Data Susenas 2019 : Determinants of Socio-Economic Practices of Self-medication in Indonesia: 2019 Susenas Data Analysis Dian Pratiwi Andini; Ascobat Gani
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 7: JULY 2023 -Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i7.3362

Abstract

Latar Belakang: Swamedikasi adalah upaya mandiri yang dilakukan seseorang untuk mengobati dirinya sendiri saat mengalami keluhan penyakit. Tren swamedikasi meningkat di Indonesia. Tujuan: Sebuah model dibangun untuk mengetahui determinan praktik swamedikasi di Indonesia. Metode: Penelitian menggunakan data Susenas 2019 dengan 258.633 Orang sebagai sampel penelitian. Analisis regresi logistik dilakukan untuk mengetahui variabel sosial ekonomi yang signifikan terhadap praktik swamedikasi. Hasil: Perilaku swamedikasi dilakukan oleh 73.49% orang dengan variabel determinan yang berhubungan secara signifikan antara lain usia 15-25 tahun (OR: 1,254; 95% CI: 1,209 – 1,301), usia 26-65 tahun (OR: 1,254; 95% CI: 1,161 – 1,230), jenis kelamin (OR: 1,059; 95% CI: 1,035 – 1,085), tingkat pendidikan (OR: 0,885; 95% CI: 0,866 – 0,904), status perkawinan (OR: 0,948; 95% CI: 0,927 – 0,970), status bekerja (OR: 1,151; 95% CI: 1,128 – 1,175), status merokok (OR:1,352; 95% CI: 1,316 – 1,387), status kepemilikan jaminan kesehatan (OR:1.487; 95% CI: 1,456 – 1,519), status lokasi tempat tinggal (OR: 1,032; 95% CI: 1,012 – 1,050), akses teknologi informasi (OR: 1. 074; 95% CI: 1,031 – 1,079) dan status ekonomi. Kesimpulan: Usia, jenis kelamin, status pendidikan, status perkawinan, status merokok, lokasi tempat tinggal, status bekerja, status kepemilikan asuransi kesehatan, status akses teknologi informasi dan status ekonomi berpengaruh signifikan terhadap keputusan individu melakukan praktik swamedikasi. Determinan tidak memiliki jaminan kesehatan menjadi faktor yang paling mempengaruhi praktik swamedikasi.
Evaluasi Penyimpanan dan Distribusi Obat dengan Pendekatan Siklus Manajemen Logistik di Instalasi Farmasi RS. Hermina Jatinegara Tahun 2022 Naomi Aulia S Adjie; Ascobat Gani
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.598 KB) | DOI: 10.36418/syntax-literate.v7i12.10630

Abstract

The process of storing and distributing drugs is part of the logistics management cycle. Improper storage of the drug can result in damage or loss of the drug in the hospital therefore the drug must be properly stored so that it is stored and then distributed to the patient. For the distribution of drugs, the safety and accuracy of drugs provided by pharmacy facilities, the accuracy of the patient, the accuracy of the schedule, the date, time, mode of administration, the personal accuracy of the drug giver to the patient and medicine. This study aims to examine the storage and distribution of drugs using a logistics management cycle approach at the pharmaceutical facility of Hermina Jatinegara hospital. The research methodology is descriptive and qualitative through in-depth interviews with informants with interview guides. As a result, it was found that the Pharmaceutical Installation of Hermina Jatinegara Hospital in implementing the procedures for storing and distributing drugs in warehouses was mostly in accordance with the provisions in the hospital pharmaceutical service standards based on the Regulation of the Minister of Health No. 72 of 2016. Drug distribution uses a decentralized method, so that all medicines and medical devices are served separately from the Pharmaceutical Installation.
Factors Causing Incomplete Filling of Medical Resumes of Inpatients in Hospitals: Literature Review Hendro Hendro; Ascobat Gani
Daengku: Journal of Humanities and Social Sciences Innovation Vol. 3 No. 6 (2023)
Publisher : PT Mattawang Mediatama Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35877/454RI.daengku2133

Abstract

The medical resume or summary of the patient's history must be filled out completely, containing important information about the disease, examination and treatment provided with a standard of 100% completeness. Incomplete resumes will disrupt process continuity and patient safety. The aim of this research is to analyze the factors that cause incomplete filling out of medical resumes for inpatients in hospitals based on the management elements consisting of 5M, namely Man, Money, Method, Material, and Machine. The research method used is a literature review. Search articles using databases Google Scholar with selection according to inclusion and exclusion criteria. The number of literature found was 8 journals. The results obtained in this research are from the elements man limited number of human resources, high workload, time constraints, lack of understanding by officers regarding the importance of filling out resumes, and no training for officers. Element money, there are no constraints on funding sources. Element method namely lack of socialization of SOPs, SOPs do not yet exist, there is no system reward and punishment, SOP is not detailed enough, there is no evaluation of resume completeness. Element material, that is, the resume filling items are less simple. Element machine, namely inadequate facilities and infrastructure and slow distribution of files. The solutions taken to overcome this are calculating the amount of workload, implementing a disciplined attitude, providing training, preparing a special budget, creating and socializing SOPs, providing reward and punishment. redesigning resume forms, completing facilities and infrastructure in the medical records unit.
Socio economic factors of child basic immunization: Case of West Java Province Patrisia Helena Saraswati; Ascobat Gani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 9 No. 1 (2020): April 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91111

Abstract

Indonesia has committed to eradicating infectious diseases by launching an Expanded Program on Immunization (EPI) in 1977 with a focus on 6 diseases: tuberculosis, diphtheria, tetanus, pertussis, measles, and polio. According to the Basic Health Survey (RISKESDAS) 2018, the rate of basic immunization coverage for children in Indonesia was still below 60% and coverage between provinces varies. West Java was among the province with low child basic immunization coverage. The current study is designed to examine the socio-economic factors that influence child basic immunization using logistic regression. Socioeconomic data were extracted from the National Socioeconomic Survey (Susenas) 2017 and Village Potential (Podes) Survey 2018. The study finds that income, maternal education, location of residence, insurance ownership, availability of health facilities and health workers increase the likelihood of children getting immunized.