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TINJAUAN COST-EFFECTIVENESS ANALYSIS PENGGUNAAN INSULIN SECARA ASEPTIC DISPENSING DI RAWAT INAP RSUD TEBET: TINJAUAN COST-EFFECTIVENESS ANALYSIS PENGGUNAAN INSULIN SECARA ASEPTIC DISPENSING DI RAWAT INAP RSUD TEBET Muzakar, Cholid
Berkala Ilmiah Mahasiswa Farmasi Indonesia Vol. 11 No. 1 (2024): Berkala Ilmiah Mahasiswa Farmasi Indonesia (BIMFI)
Publisher : Ikatan Senat Mahasiswa Farmasi Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48177/bimfi.v11i1.119

Abstract

Diabetes mellitus is a chronic disease that requires continuous medical care. Diabetes mellitus is defined as a disease or chronic metabolic disorder with multiple etiologies. It is characterized by high blood sugar levels accompanied by impaired carbohydrate, lipid, and protein metabolisms as a result of insulin insufficiency. The prevalence of people with diabetes mellitus increases constantly every year. Insulin is one of the therapeutic options formed by PERKENI and PAPDI to treat hyperglycemic patients, both outpatients and inpatients. The purpose of this study is to find the cost-efficiency by sharing the insulin dispensed following rules of aseptic dispensing for inpatients at Tebet General Hospital. The method of the study was an observational study with a descriptive design. Data were obtained from the pharmacy installation of sterile medication mixing forms for inpatients who used shared insulin from January to September 2023. 81% of 121 hospitalized patients who were diagnosed with diabetes mellitus used insulin as the therapy. The cost-effectiveness review stated that the use of shared insulin which was dispensed aseptically could save insulin dispensing costs with an average savings 33% or Rp.1,435,943,- per month. It concludes that the use of shared insulin which is dispensed aseptically for inpatient care can save patient care costs and insulin dispensing costs at the pharmacy installation of the hospital. Keywords: cost-efficiency, Diabetes Mellitus, inpatient, shared insulin, aseptic dispensing,
KARAKTERISTIK DEMOGRAFIS DAN KLINIS PASIEN HEPATITIS C DI RSUD TIPE C DI JAKARTA SELATAN: STUDI KOHORT BERBASIS DATA KLINIK Muzakar, Cholid; Mustika P, Jeni; Priyatno, Teguh; Ari D, Ade
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 9 No. 5 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v9i5.9105

Abstract

This study aims to analyze the demographic and clinical characteristics of Hepatitis C patients at a Type C Regional General Hospital in South Jakarta from 2021 to 2024. The data were extracted from medical records registered in the Hepatitis Information System (SIHEPI) of the Ministry of Health of the Republic of Indonesia. A cross-sectional design was used, with a total of 152 patients included. Results indicate that the majority of patients were aged 41–50 years (56.58%), and most were male (78.95%). Additionally, 32.24% of patients had HIV coinfections, while 51.97% had cirrhosis. The most common treatment regimen was a combination of sofosbuvir and daclatasvir, with 94.08% of patients completing the treatment. Among those who completed the treatment, 70.63% achieved a sustained virological response (SVR). This study provides an in-depth understanding of the local epidemiology of Hepatitis C in resource-limited settings, highlighting the need for enhanced screening and public health education to reduce coinfections and improve treatment outcomes. Penelitian ini bertujuan untuk menganalisis karakteristik demografis dan klinis pasien Hepatitis C di RSUD Tipe C, Jakarta Selatan, periode 2021–2024. Data diambil dari rekam medis yang tercatat dalam Sistem Informasi Hepatitis dan PISP (SIHEPI) Kementerian Kesehatan RI. Penelitian ini menggunakan desain cross-sectional dengan total 152 pasien. Hasil menunjukkan bahwa mayoritas pasien berusia 41-50 tahun (56,58%) dan berjenis kelamin laki-laki (78,95%). Sebanyak 32,24% pasien memiliki koinfeksi dengan HIV, dan 51,97% mengalami sirosis. Rejimen terapi yang paling umum adalah kombinasi sofosbuvir dan daclatasvir, dengan 94,08% pasien menyelesaikan terapi. Dari mereka yang menyelesaikan terapi, 70,63% dinyatakan sembuh (SVR). Penelitian ini memberikan gambaran epidemiologi lokal Hepatitis C di fasilitas kesehatan dengan keterbatasan sumber daya, sekaligus mengidentifikasi perlunya peningkatan skrining dan penyuluhan kesehatan untuk menurunkan angka kejadian koinfeksi dan meningkatkan keberhasilan pengobatan.