Putri, Linda Wahyuni
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Literature Review: Cost Effectiveness Analysis Xpert MTB/RIF dibandingkan dengan Sputum Smear Microscopy untuk Diagnosis Tuberkulosis di Indonesia Putri, Linda Wahyuni; Hartono, Budi
Indonesian of Health Information Management Journal (INOHIM) Vol 11, No 2 (2023): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v11i2.517

Abstract

Abstract Indonesia is the third most TB-prevalent country in the world after India and China. Sputum Smear Microscopy (SSM) is the most commonly used Tuberculosis test in developing countries due to its relatively low unit cost per test but low sensitivity. The World Health Organization recommends using Xpert MTB/RIF as a TB test because it has higher sensitivity and specificity and a shorter time to obtain results. This paper evaluates the cost-effectiveness analysis of Xpert MTB/RIF and Sputum Smear Microscopy in Indonesia. The search for scientific articles was conducted by keyword search through Google Scholar, PubMed, and Elsevier. The keywords used were related to "Cost-Effectiveness Analysis", "Xpert MTB/RIF and Sputum Smear Microscopy", and "Cost Effectiveness Analysis Xpert MTB/RIF and Sputum Smear". Articles identified through database searches were 1,040 articles with a research period of 2016 - 2023. They have obtained nine articles that have the most relevant topics. The results of the analysis of the nine articles show that when viewed from the overall costs required for TB suspect / TB-positive patients to obtain a cure, including the cost of follow-up tests, costs incurred due to treatment, and costs due to treatment in the hospital, Xpert MTB/RIF is considered more cost-effective than SSM. As one of the ten most dangerous infectious diseases in the world, it is hoped that the government's health insurance efforts related to TB case management can reduce the spread and mortality rate of TB in Indonesia.Keywords: Cost-Effectiveness Analysis, Tuberculosis, Sputum Smear Microscopy, Xpert MTB/RIF Abstrak Indonesia menempati posisi ketiga sebagai negara dengan prevalensi TB terbanyak di dunia setelah India dan China.Sputum Smear Microscopy (SSM) merupakan tes Tuberkulosis yang paling sering digunakan di negara berkembang karena unit cost per tes yang relatif murah, tetapi memiliki sensitivitas yang rendah. World Health Organization merekomendasikan penggunaan Xpert MTB/RIF sebagai tes TB karena memiliki sensitivitas dan spesifisitas yang lebih tinggi serta waktu perolehan hasil yang lebih singkat. Karya tulis ini bertujuan untuk mengevaluasi cost effectiveness analysis terhadap pemeriksaan Xpert MTB/RIF dan Sputum Smear Microscopy di Indonesia. Pencarian artikel ilmiah dilakukan dengan pencarian kata kunci melalui Google Scholar, PubMed, dan Elsevier. Kata kunci yang digunakan berhubungan dengan “Cost Effectiveness Analysis”, “Xpert MTB/RIF dan Sputum Smear Microscopy”, “Cost Effectiveness Analysis Xpert MTB/RIF and Sputum Smear”. Artikel yang teridentifikasi melalui pencarian database sebanyak 1.040 artikel dengan rentang waktu penelitian 2016 – 2023. Diperoleh 9 artikel yang memiliki topik yang paling relevan. Hasil analisis terhadap 9 artikel menunjukkan bahwa jika ditinjau dari keseluruhan biaya yang diperlukan pasien suspect TB/TB positif untuk memperoleh kesembuhan diantaranya seperti: biaya test lanjutan; biaya yang ditimbulkan karena perawatan; dan biaya akibat pengobatan di rumah sakit, maka Xpert MTB/RIF dinilai lebih cost effective dibandingkan SSM. Sebagai salah satu penyakit yang masuk ke dalam sepuluh penyakit menular berbahaya di dunia, diharapkan upaya jaminan kesehatan dari pemerintah terkait penanggulangan kasus TB dapat menekan angka penyebaran dan kematian akibat TB di Indonesia.Kata Kunci: Cost Effectiveness Analysis, Tuberkulosis, Sputum Smear Microscopy, Xpert MTB/RIF 
Analisis Faktor-Faktor yang Memengaruhi Kepuasan Pasien Disabilitas Fisik di Unit Fisioterapi RSI Jakarta Pondok Kopi Putri, Linda Wahyuni; Purnamawati, Dewi; Permatasari, Tria Astika Endah; Ernyasih, Ernyasih; Sepriyanti, Yuke
Indonesian of Health Information Management Journal (INOHIM) Vol 13, No 2 (2025): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v13i2.667

Abstract

Abstract Patient satisfaction is one indicator of a hospital's success in providing optimal services. As many as 33% of patients with physical disabilities stated that they were not satisfied with the comfort in the waiting room of the physiotherapy unit and as many as 20% admitted that the physiotherapist was not responsive to patient questions. This study was conducted to analyze the factors that affect the satisfaction of patients with physical disabilities in the physiotherapy of RSI Jakarta Pondok Kopi. This study used a cross-sectional approach and purposive sampling technique with a total sample of 120 patients with physical disabilities who received health services at the physiotherapy unit of RSI Jakarta Pondok Kopi. Self-reported questionnaires are used to collect demographic characteristic data. The patient perception questionnaire on physiotherapist skills was developed referring to the Physiotherapist Competency Standard. Patient satisfaction was measured using the Bahasa Indonesia version of the questionnaire from Measuring Patient Satisfaction with Physical Therapy Care (MRPS/MedRisk). The majority of patients with physical disabilities are ≥ 65 years old (50.83%), female (63.3%), high school education background (49.17%), unemployed (80.8%), have insurance (97.5), and have low income (75%). There is no relationship between age, gender, education, occupation, income, and insurance to the satisfaction of patients with physical disabilities. There was a relationship between patients' perception of physiotherapist skills (p = 0.011; OR: 5,045; 95%CI : 1,450-17,561) with satisfaction of patients with physical disabilities after being controlled by education and income. The factor that affects the satisfaction of patients with physical disabilities is the patient's perception of the physiotherapist's skills after being controlled by education and income. Keyword: satisfaction factors, patient satisfaction, physical disability, physiotherapy Abstrak Kepuasan pasien merupakan salah satu indikator kesuksesan rumah sakit dalam memberikan layanan yang optimal. Sebanyak 33% pasien disabilitas fisik menyatakan kurang puas terhadap kenyamanan di ruang tunggu unit fisioterapi serta sebanyak 20% mengaku terapis tidak responsif terhadap pertanyaan pasien. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kepuasan pasien disabilitas fisik di unit fisioterapi RSI Jakarta Pondok Kopi. Penelitian ini menggunakan pendekatan cross-sectional, teknik sampling yang digunakan yaitu purposive sampling dengan total sampel 120 pasien disabilitas fisik yang memperoleh layanan kesehatan di unit fisioterapi RSI Jakarta Pondok Kopi. Kuesioner yang dilaporkan sendiri digunakan untuk mengumpulkan data karakteristik demografi. Kuesioner persepsi pasien terhadap keterampilan fisioterapis dikembangkan sendiri dengan merujuk pada Standar Kompetensi Fisioterapis. Kepuasan pasien diukur menggunakan kuesioner versi Bahasa Indonesia dari Measuring Patient Satisfaction with Physical Therapy Care (MRPS/MedRisk). Mayoritas pasien disabilitas fisik berusia ≥ 65 tahun (50,8%), berjenis kelamin perempuan (63,3%), latar belakang pendidikan SLTA (49,2%), tidak bekerja (80,8%), memiliki asuransi (97,5), dan memiliki pendapatan yang rendah (75,0%). Tidak ada hubungan antara usia, jenis kelamin, pendidikan, pekerjaan, pendapatan, dan asuransi terhadap kepuasan pasien disabilitas fisik. Ada hubungan antara persepsi pasien terhadap keterampilan fisioterapis (p = 0,01; OR: 5,05; 95%CI : 1,45-17,56) dengan kepuasan pasien disabilitas fisik setelah dikontrol oleh pendidikan dan pendapatan. Faktor yang memengaruhi kepuasan pasien disabilitas fisik adalah persepsi pasien terhadap keterampilan fisioterapis setelah dikontrol oleh pendidikan dan pendapatan. Kata Kunci: faktor-faktor kepuasan, kepuasan pasien, disabilitas fisik, fisioterapi