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Contact Name
Alfarid Kurnialandi
Contact Email
ches.umpwt@gmail.com
Phone
+6281319051403
Journal Mail Official
ches@ump.ac.id
Editorial Address
Center for Health Economic Studies, Universitas Muhammadiyah Purwokerto Jl. KH. Ahmad Dahlan, PO BOX 202, Purwokerto 53182 Kembaran, Banyumas, Jawa Tengah, Indonesia
Location
Kab. banyumas,
Jawa tengah
INDONESIA
Journal of Health Economic and Policy Research (JHEPR)
ISSN : -     EISSN : 30255198     DOI : https://doi.org/10.30595/jhepr.v1i1
Journal of Health Economic and Policy Research (JHEPR) is a biannual journal published two times a year in January and July by the Center for Health Economics Studies (CHES) Universitas Muhammadiyah Purwokerto (UMP). The journal publishes articles in English. This journal includes multiple focus and scope: - Pharmacy and Pharmaceutical Sciences - Medicine - Economics, Health Economics, and Pharmacoeconomics - Health Policy and Systems - Public Health - Epidemiology and Pharmacoepidemiology - Social, Behavioral, and Administrative Pharmacy.
Articles 5 Documents
Effect of Combination Therapy of Multiple Antihypertensive Drugs with Diuretics on Kidney Function in Congestive Heart Failure Patients Rahmi Yosmar; Surya Dharma; Annisa Nurbuana Putri
Journal of Health Economic and Policy Research (JHEPR) Vol. 1 No. 1 (2023): Journal of Health Economic and Policy Research
Publisher : Center for Health Economic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/jhepr.v1i1.63

Abstract

Congestive heart failure is the inability of the heart to pump adequate blood that can cause kidney problems. Congestive heart failure causes fluid buildup or edema. This can be overcome by administering diuretics that act on the kidneys by removing fluid retention. This study aims to determine patients' sociodemographic and clinical characteristics and evaluate kidney function in patients receiving antihypertensive combination therapy with diuretics. Method: This research is observational, with a cohort study design and a retrospective approach. Result: The number of samples that met the criteria were 52 patients with sociodemographic characteristics, which were dominated by women as much as 61.5%, aged over 65 years 44.2%, high school education level 55.8%, and worked as IRT (Housewife) 48.1 %. While the clinical characteristics of patients based on length of stay were the most three days 36.5%, and 40-47 kg body weight 19.2%. Of the 52 patients receiving antihypertensive combination therapy with diuretics, 25% (13 people) had normal kidney function, 40% (21 people) had mild kidney impairment, and 35% (18 people) had moderate kidney impairment. Conclusion: based on statistical analysis, antihypertensive drugs with diuretics had no significant effect on kidney function.
Cost-Effectiveness Analysis of the Combination of Metformin-Insulin Glargine and Metformin-Glimepiride in Type 2 Diabetes Mellitus Patients in Rupit Hospital Najmiatul Fitria; Leliani Fitri Anggraini; Yelly Oktavia Sari
Journal of Health Economic and Policy Research (JHEPR) Vol. 1 No. 1 (2023): Journal of Health Economic and Policy Research
Publisher : Center for Health Economic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/jhepr.v1i1.65

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease requiring lifelong care and much money. A combination of antidiabetic drugs aims to increase effectiveness in lowering blood sugar levels. The combination of two drugs consists of a first-line drug class plus another class of drugs with a different mechanism of action. This study aimed to determine the cost-effectiveness of the combination therapy of metformin-insulin glargine and metformin-glimepiride, expressed by the value of the Cost Effectiveness Incremental Ratio (ICER). Method: This research was a descriptive study, and data collection was carried out retrospectively using patient medical record data. This study used a healthcare provider perspective. Of the 406 population, only 102 samples met the inclusion criteria. Result: Fifty-seven records (55.88%) used the metformin-glimepiride combination, and the other forty-five (44.12%) used metformin-insulin glargine. The ICER value of random blood sugar during (RBG) was IDR 21,748.89 for every 1 mg/dL decrease in RBG. The ICER value of fasting blood sugar (FBG) was IDR 38,824.46 for every 1 mg/dL decrease in FBG. Meanwhile, the ICER of HbA1c value was IDR 43,257.46 for every 1% decrease in HbA1c. Conclusion: The three ICER values were in the northeast quadrant (quadrant I), where the metformin-insulin glargine therapy group had the better blood sugar value. Still, the costs required were also higher than the metformin-glimepiride group.
Hypertension and Cholesterol among Late Adults in Indonesia: A Cross-Sectional Population-Based Survey Uzma Eliyanti; Ihsan Hanif
Journal of Health Economic and Policy Research (JHEPR) Vol. 1 No. 1 (2023): Journal of Health Economic and Policy Research
Publisher : Center for Health Economic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/jhepr.v1i1.70

Abstract

The global prevalence of hypertension is relatively high. In 2012, the death rate due to cardiovascular disease reached 17 million per year, with 45% of the contributors being hypertension. In 2015, globally, cholesterol cases accounted for 4.5% of ischemia of heart disease and 2% of strokes. Until 2017 and 2020, cholesterol disease was mainly experienced by adults aged 20 years or more, with a percentage of 10% of the population. Objective: The purpose of this study was to determine the relationship between hypertension and cholesterol. Methodology: The design study used data from the 5th batch of the Indonesia Family Life Survey (IFLS-5) organized by the Rand Corporation. IFLS-5 was conducted in 2014-2015, with 16,204 households and 50,148 individuals interviewed. Stratified random sampling to select respondents from the province to the place of residence. This study used a cross-sectional study design with inclusion and exclusion criteria from a total of 11,062 respondents. Results: Respondents with late-adult criteria in Indonesia were 50.17% women aged 51.98 (± 9.51), 84.04% married, 22.22% high school graduates, 70.14% Javanese, and 59.88% urban residents. The prevalence of cholesterol in late adults in Indonesia was 8.26% (95% CI: 0.08 – 0.09). The prevalence of hypertension in late adulthood in Indonesia was 20.91% (95% CI: 0.20 – 0.22). The results showed that cholesterol (OR = 4.06, 95% CI 3.53 – 4.67, p = <0.001) was statistically significant with hypertension. Conclusion: The prevalence of hypertension and cholesterol among late adults in Indonesia shows that hypertension and cholesterol are statistically significant and there was a relationship between people suffering from hypertension and having potential cholesterol disease.
Perception Towards Illness/Treatment and Satisfaction Towards Healthcare Services in the Advanced Level Referral Health Facilities Ryan Astaruddin; Dwi Endarti; Tri Murti Andayani; Tuangrat Phodha
Journal of Health Economic and Policy Research (JHEPR) Vol. 1 No. 1 (2023): Journal of Health Economic and Policy Research
Publisher : Center for Health Economic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/jhepr.v1i1.77

Abstract

Since it was enacted in 2014, it has been reported that the number of JKN participants has increased every year. This increase was influenced by perceptions of illness, perceptions of treatment, and service satisfaction. This study aims to describe perception towards illness/treatment and satisfaction towards satisfaction of health services in the advanced level referral health facility (FKRTL) among national health insurance (JKN) participants and determine the relationship between sociodemographic characteristics and the perceptions and satisfaction. Method: This research is an analytic observational study with a survey data collection using a cross-sectional approach. The study used a convenience sampling technique with a minimum sample size of 400 respondents. The survey was conducted online to cover respondents from all areas of Indonesia. Result: The study showed that 220 respondents (55%) had positive perceptions of illness, 213 respondents (53.2%) had positive perceptions of treatment, meanwhile 217 respondents (54.2%) %) had a satisfied perception of health services. There was a significant relationship between income level and the perception of illness (p=0.048). Conclusion: Most of the respondents have a positive perception of illness and medicine. In addition, some respondents were satisfied with the health services at the advanced-level referral health facility. The income level variable has a significant relationship with the perception of pain.
Perception Towards Illness and Health Care System among Chronic Kidney Patients with Hemodialysis Nurul Adzkia Ghearizky; Tri Murti Andayani; Dwi Endarti; Vo Quang Trung
Journal of Health Economic and Policy Research (JHEPR) Vol. 1 No. 1 (2023): Journal of Health Economic and Policy Research
Publisher : Center for Health Economic Studies

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/jhepr.v1i1.78

Abstract

Chronic kidney disease is still a problem faced by the world of health in Indonesia. The high prevalence of chronic kidney disease has increased every year. The high number of cases of chronic kidney disease causes higher efforts to seek treatment for chronic kidney disease which is influenced by perceptions of disease and perceptions of the health service system. This study aims to determine the illness perception and perception of the service system in chronic kidney patients with hemodialysis at one of the district hospitals in Yogyakarta Province (hospital X). Method: The research method was analytic observational with a cross-sectional approach which was carried out at the hemodialysis polyclinic at hospital X in January-February 2023. The sampling technique used Convenience sampling. Data collection was carried out by direct interviews with respondents using a questionnaire. Data were analyzed using the Kolmogorov-Smirnov test and the Chi-Square test. Result and discussion: The research results obtained a total of 102 respondents. The percentage of respondents with a good illness perception was 66.67% and a good perception of the health service system was 90.19%. Based on the results of the study, it can be concluded that perceptions of disease and perceptions of the health service system for chronic kidney patients with hemodialysis at Hospital X tend to be good. Conclusion: The results of statistical tests showed that there was no relationship between gender, age, duration of chronic kidney disease, education level, and family income on perceptions of disease and perceptions of the health service system at Hospital X, Special Region of Yogyakarta.

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