Lukman Prayitno - Academia.edu (original) (raw)
Papers by Lukman Prayitno
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Patients with chronic kidney disease (CKD) tend to have low immunity so they are easi... more BACKGROUND: Patients with chronic kidney disease (CKD) tend to have low immunity so they are easily infected. Treatment using meropenem is relatively safe but must be based on antibiotic sensitivity testing to prevent resistance. AIM: The aim of the study was to determine the bacterial profile and its sensitivity to the antibiotic meropenem in patients with end-stage chronic renal failure. METHODS: This was a quantitative, descriptive, and cross-sectional research. Data derived from medical records of selected hospitals. The sample was based on inclusion and exclusion criteria with ICD10 N18.0 and N18.5 codes in January–December 2016. Data are processed with descriptive statistics. RESULTS: There were 39 CKD patient at Hospital X and 29 respondents at Hospital Y that received meropenem. There were only 14 CKD patients at hospital X and 22 CKD patients at hospital Y with culture tests and results. There were nine samples in Hospital X and 29 samples in Hospital Y that showed bacteria...
Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022), 2023
Journal of Health Management
Introduction: Antibiotic use needs to be monitored. Its irrational use causes resistance. Researc... more Introduction: Antibiotic use needs to be monitored. Its irrational use causes resistance. Research aims to determine trends in antibiotic use. Methods: Observational research with retrospective data collection. Cross-sectional research design. Data about the availability of antibiotics from 2014 to 2017 in hospitals, health offices and PHCs in the city of Manado. Results: Trends of antibiotics used in PHC and health office in 2014–2017 were betalactam, macrolide, sulfamethoxazole-trimethoprim, and quinolone groups. Trends in secondary hospital were betalactam, sulfamethoxazole-trimethoprim, and quinolone groups. Trends in tertiary hospital are betalactam, quinolones, and other groups. Conclusion: Based on the data of five major antibiotics use in Manado City, there was a change in the pattern of antibiotic use, and this pattern tended to increase.
Asia Pacific Journal of Public Health
Puslitbang Humaniora dan Manajemen Kesehatan, 2019
Buletin Penelitian Sistem Kesehatan, 2020
Responsiveness of the health system in in-patient services is closely related to patient's re... more Responsiveness of the health system in in-patient services is closely related to patient's reasonable expectations of non-clinical aspects for inpatient care. A comfortable patient can straight influence level of responsiveness. This study aimed to determine level of in-patient responsiveness and significance of respondent characteristics on eight responsiveness domains. It was a further analysis of the Responsiveness Survey of 2017. A Cross-Sectional design with a quantitative approach and has performed in 34 provinces in Indonesia. Most mean responsiveness scores were in range of good scores. Moreover, Lowest score was quality basic amenities domain, while highest score was confidentiality domain. Level of in-patient responsiveness was good category (8,05). Each characteristic has significantly correlated with one or more responsiveness domains. We can increase in-patient responsiveness value that less than 8,0 through improving three responsiveness domains, i.e., dignity, acc...
Media Kesehatan Masyarakat Indonesia, 2020
Sistem pencatatan sipil dan statistik hayati yang baik menjadi dasar untuk perencanaan, monitorin... more Sistem pencatatan sipil dan statistik hayati yang baik menjadi dasar untuk perencanaan, monitoring dan evaluasi program pembangunan. Para pengambil keputusan dan kebijakan sangat tergantung pada data statistik yang tepat waktu, lengkap dan metode yang dapat diandalkan. Oleh karena itu, perlu dilakukan rapid assesment yang bertujuan untuk melakukan evaluasi cepat terhadap kekuatan dan kelemahan sistem pencatatan kelahiran, kematian dan penyebab kematian yang ada saat ini. Penelitian kualitatif dengan metode diskusi dan konfirmasi informasi. Kuesioner rapid assessment berasal dari WHO yang berisi 25 pertanyaan. Tempat penelitian dipilih secara purposive yaitu Kabupaten Padang Pariaman, Kota Makassar, Kabupaten Kudus. Penelitian berlangsung pada bulan Agustus 2019. Total score rapid assessment Kabupaten Padang Pariaman, Kota Makassar dan Kabupaten Kudus berturut-turut adalah 42,67%, 49,33%, 57,33%. Total score di 3 daerah penelitian berada dalam 1 rentang nilai yang sama yaitu 34–64%. ...
Buletin Penelitian Kesehatan, 2020
Benefits of Fornas are guidance in determining drug use, increasing rational drug use, quality co... more Benefits of Fornas are guidance in determining drug use, increasing rational drug use, quality control and treatment costs and optimizing services. The use of antibiotics is regulated according to the category of health service facilities. Therefore it is necessary to evaluate the suitability between the availability of antibiotic drugs and national formulary. The study design was cross sectional. This type of research is quantitative followed by qualitative data collection. Quantitative data in the form of secondary data on the availability of antibiotics for the period 2014-2017 at the North Sulawesi Provincial Health Office, Manado City Health Office, and 2 Health Centers in Manado City. The average percentage of suitability of antibiotics with the national formulary from 2014 to 2017 at level 1 health facilities was 61.77% in the Provincial Health Office, 61.59% in the City Health Office, 50.14% in the Puskesmas Bahu, 56.85% in the Tikala Health Center. The low percentage of con...
Journal of Health Management, 2020
On 31 January 2020, World announced COVID-19 as an Emergency Public Health of International Conce... more On 31 January 2020, World announced COVID-19 as an Emergency Public Health of International Concern. The number of patients in Indonesia continues to grow. Anti-viral in the COVID-19 Drug Information Laboratory in Indonesia are Lopinavir/Ritonavir, Favipiravir, Remdemsivir, Oseltamivir, Chloroquine Phosphate and Hydroxychloroquine Phosphate. Therefore, it is necessary to know the basis and management of its use. An online systematic search was performed on articles published until 30 March 2020. We use search keywords that are tailored to the purpose of writing. All six antivirals were used for the treatment of RNA virus. Chloroquine, Hydroxychloroquine and Remdesivir effectively control the SARS-CoV2 virus invitro. Lopinavir/Ritonavir, Hydroxychloroquine and Oseltamivir have been used clinically for the treatment of SARS-CoV2 virus. In 2020, there are 42 clinical trials of six antivirals. Guidance of the antivirus are from China, Belgium and Indonesia. Its differences are based on ...
Medico-legal Update, 2022
Introduction: Heart disease is a community health problem. It is expensive to care and cure and l... more Introduction: Heart disease is a community health problem. It is expensive to care and cure and leading cause of death in Indonesia. The research aimed to analyze relationship and magnitude of the risk of exposure of heart disease in urban and rural communities according to age and sex factors. Methods: It was quantitative research with cross sectional design. Data came from Indonesia Basic Health Research at 2018 with all household as population. Sample were individuals aged ≥ 15 years. It used chi square and estimate risk analysis. Results: Heart disease was higher in urban areas, especially 54,6% women were more exposed to heart disease than 45,4% men. Also elderly group was the highest (65,8%) than other group. There were 66.7% elderly men and 65.0% women risk to exposed heart disease than other groups. There was a significant relationship between gender, age and region with heart disease cases. The exposure risk of heart disease for men in urban areas were 1.4 times greater than rural. The urban elderly group were 1.9 times greater than rural. The urban elderly men group were 2 times greater than rural. The urban elderly women group were 1.8 times larger than rural. Conclusion: Heart disease in urban areas was higher than rural areas. Women had more risk of heart disease. Elderly women group had highest risk than other age groups.
Proceedings of the 4th International Symposium on Health Research (ISHR 2019), 2020
The goal of the Association of Southeast Asian Nations (ASEAN) Economic Cooperation is directed a... more The goal of the Association of Southeast Asian Nations (ASEAN) Economic Cooperation is directed at the economic integration of the member states in to a single highly competitive and equitable production base market in the global economy. Therefore, free trade agreement related to the services sector, including nursing will eliminate the barriers for service suppliers across the member states while maintaining adhering autonomy of their national rules and regulations. This study will illustrate the nursing situation in Indonesia in terms of the anticipation regarding quality and quantity levels and global opportunities. We describe the distribution of the current local nursing workforce, current regulations and other factors which may influence their competitiveness. The qualitative methods were used to analyse jurisdictional policy review in legislation and relevant literature, then an in-depth interview and Focus Group Discussion with stakeholders and professional organization was carried out. Finally, triangulation of sources and methods of the collected information was performed supplemented the quantitative description needed of the nursing workforce. In anticipated quality and quantity, the Indonesian nurses were able to meet the demands necessary for the domestic nursing standards and service distribution. We anticipate that the strengthening of existing regulations related to foreign nursing workers and improvement of nursing quality, were not an issue. The surplus of the nurses in Indonesia provide both the government and Indonesian nurses with an economic opportunity to cover the skill shortages in the other ASEAN members. Indonesian nurses are skilled which makes them competitive at the regional and global level. The government should further improve by strengthening relevant legislation; harmonizing the curriculum and nursing education to a world class standard. Ministry of Health Rep of Indonesia and National Nurses Professional Organization should be designing a road map to internationalized strategy to promote the nursing workforce. Existing regulations need to be strengthened in relation to the acceptance of foreign nurse admissions. In order to remain competitive, the training and curriculum needs to be improved to ensure the nursing competence is aligned with international or regional standards.
Responsiveness of the health system in in-patient services is closely related to patient's re... more Responsiveness of the health system in in-patient services is closely related to patient's reasonable expectations of nonclinical aspects for inpatient care. A comfortable patient can straight infl uence level of responsiveness. This study aimed to determine level of in-patient responsiveness and signifi cance of respondent characteristics on eight responsiveness domains. It was a further analysis of the Responsiveness Survey of 2017. A Cross-Sectional design with a quantitative approach and has performed in 34 provinces in Indonesia. Most mean responsiveness scores were in range of good scores. Moreover, Lowest score was quality basic amenities domain, while highest score was confi dentiality domain. Level of in-patient responsiveness was good category (8,05). Each characteristic has signifi cantly correlated with one or more responsiveness domains. We can increase in-patient responsiveness value that less than 8,0 through improving three responsiveness domains, i.e., dignity, ...
Buletin Penelitian Sistem Kesehatan, Jul 13, 2018
Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menun... more Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menunjang layanan perawatan medik pada era jaminan kesehatan nasional. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasien rawat jalan pada era jaminan kesehatan nasional. Penelitian ini merupakan review dari 5 penelitian yang diambil dari google scholar dengan topik yang terkait dengan mutu pelayanan farmasi dan kepuasan pasien khususnya pasien rawat jalan dengan tujuan untuk melihat hubungan kedua topik tersebut. Hasil penelitian menunjukkan kepuasan pasien rawat jalan terhadap pelayanan kefarmasian dapat diukur dari 5 aspek yaitu tangible (bukti langsung/ fi sik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), empathy (keramahan/ kepedulian). Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada waktu layanan obat (reliability) serta dua hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada jaminan (assurance). Penelitian ini menyimpulkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat ditempuh dengan cara membuat sistem kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan. Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan (assurance) dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep yang masuk dalam tanggungan BPJS dan menjamin ketersediaan obat.
Jurnal Kefarmasian Indonesia
The implementation of the ASEAN Economic Community (AEC) as an Indonesian Government’s strategic ... more The implementation of the ASEAN Economic Community (AEC) as an Indonesian Government’s strategic step has an impact on economic globalization. The study on pharmaceutical products and medical devices free trade was done using qualitative and quantitative methods. The data were collected from a round table discussion about "Free Trade in Health Goods and Services in ASEAN" which involved the Ministry of Health (MoH), Ministry of Trade (MoT), and National Agency for Drug and Food Control (NADFC). The discussion aimed to obtain information on the readiness to meet the AEC blueprint. Secondary data on export and import of pharmaceutical products and medical devices were obtained from the MoT. The results of the study show that between 2013 and 2017 there were 70-72 product items exported to 9 ASEAN countries with a value much greater than the import. The tariff measure (TM) requirements included the Most Favored Nation (MFN) assessment and regulation of the trade remedy proced...
Buletin Penelitian Sistem Kesehatan
Pharmacy costs are one of the components that absorb the largest costs from the hospital's he... more Pharmacy costs are one of the components that absorb the largest costs from the hospital's health budget. At present, there is still little information and data on the percentage of pharmaceutical costs to the costs of medical devices and non-medical devices. It is very useful in making financial planning. It can illustrate of pharmaceutical financing against other operational costs in hospitals, as financial planning, as scientific evidence for improving drug policy. This research was an analysis on the Indonesia Health Financing Survey data in the referral health care Facilities (FKRTL) in 2016. Data from 84 hospitals in 3 regions. The details were 9 class A hospitals, 37 class B hospitals, 38 class C hospitals. The analysis used a descriptive statistical approach. Pharmacy costs in 3 types of hospitals were 169.07 Billion, 23.66 Billion, 10.79 Billion. The percentage of the proportion of pharmaceutical costs to the cost of non-medical equipment in 3 types of hospitals is 1073...
Buletin Penelitian Kesehatan
Introduction: The prevalence of chronic kidney disease (CKD) is quite high. The use of meropenem ... more Introduction: The prevalence of chronic kidney disease (CKD) is quite high. The use of meropenem needs attention. Meropenem is an expensive third generation antibiotic. It increase the cost of treatment If it uses irrationally. There is also a danger of resistance that impact to the difficulty of treatment. Therefore a study was conducted on "Cost Effectiveness Analysis between the Use of Meropenem with and without Antibiotic Sensitivity Test Results in CKD Patients in Hospitals". Methode: research methode is cross sectional. The hospital was chosen directly from two city : Manado and Semarang. The data was secondary data that meet with inclusion and exclusion criteria fram patient's medical record and medical expenses in 2016. Data collection tools were forms. Results: Cases of CKD that fulfilled were 29 from Hospital X, 11 cases with sensitivity and 18 cases without sensitivity testing. In Hospital Y there were 20 cases, 17 cases with sensitivity test and 3 cases wit...
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: Patients with chronic kidney disease (CKD) tend to have low immunity so they are easi... more BACKGROUND: Patients with chronic kidney disease (CKD) tend to have low immunity so they are easily infected. Treatment using meropenem is relatively safe but must be based on antibiotic sensitivity testing to prevent resistance. AIM: The aim of the study was to determine the bacterial profile and its sensitivity to the antibiotic meropenem in patients with end-stage chronic renal failure. METHODS: This was a quantitative, descriptive, and cross-sectional research. Data derived from medical records of selected hospitals. The sample was based on inclusion and exclusion criteria with ICD10 N18.0 and N18.5 codes in January–December 2016. Data are processed with descriptive statistics. RESULTS: There were 39 CKD patient at Hospital X and 29 respondents at Hospital Y that received meropenem. There were only 14 CKD patients at hospital X and 22 CKD patients at hospital Y with culture tests and results. There were nine samples in Hospital X and 29 samples in Hospital Y that showed bacteria...
Proceedings of the 1st International Conference for Health Research – BRIN (ICHR 2022), 2023
Journal of Health Management
Introduction: Antibiotic use needs to be monitored. Its irrational use causes resistance. Researc... more Introduction: Antibiotic use needs to be monitored. Its irrational use causes resistance. Research aims to determine trends in antibiotic use. Methods: Observational research with retrospective data collection. Cross-sectional research design. Data about the availability of antibiotics from 2014 to 2017 in hospitals, health offices and PHCs in the city of Manado. Results: Trends of antibiotics used in PHC and health office in 2014–2017 were betalactam, macrolide, sulfamethoxazole-trimethoprim, and quinolone groups. Trends in secondary hospital were betalactam, sulfamethoxazole-trimethoprim, and quinolone groups. Trends in tertiary hospital are betalactam, quinolones, and other groups. Conclusion: Based on the data of five major antibiotics use in Manado City, there was a change in the pattern of antibiotic use, and this pattern tended to increase.
Asia Pacific Journal of Public Health
Puslitbang Humaniora dan Manajemen Kesehatan, 2019
Buletin Penelitian Sistem Kesehatan, 2020
Responsiveness of the health system in in-patient services is closely related to patient's re... more Responsiveness of the health system in in-patient services is closely related to patient's reasonable expectations of non-clinical aspects for inpatient care. A comfortable patient can straight influence level of responsiveness. This study aimed to determine level of in-patient responsiveness and significance of respondent characteristics on eight responsiveness domains. It was a further analysis of the Responsiveness Survey of 2017. A Cross-Sectional design with a quantitative approach and has performed in 34 provinces in Indonesia. Most mean responsiveness scores were in range of good scores. Moreover, Lowest score was quality basic amenities domain, while highest score was confidentiality domain. Level of in-patient responsiveness was good category (8,05). Each characteristic has significantly correlated with one or more responsiveness domains. We can increase in-patient responsiveness value that less than 8,0 through improving three responsiveness domains, i.e., dignity, acc...
Media Kesehatan Masyarakat Indonesia, 2020
Sistem pencatatan sipil dan statistik hayati yang baik menjadi dasar untuk perencanaan, monitorin... more Sistem pencatatan sipil dan statistik hayati yang baik menjadi dasar untuk perencanaan, monitoring dan evaluasi program pembangunan. Para pengambil keputusan dan kebijakan sangat tergantung pada data statistik yang tepat waktu, lengkap dan metode yang dapat diandalkan. Oleh karena itu, perlu dilakukan rapid assesment yang bertujuan untuk melakukan evaluasi cepat terhadap kekuatan dan kelemahan sistem pencatatan kelahiran, kematian dan penyebab kematian yang ada saat ini. Penelitian kualitatif dengan metode diskusi dan konfirmasi informasi. Kuesioner rapid assessment berasal dari WHO yang berisi 25 pertanyaan. Tempat penelitian dipilih secara purposive yaitu Kabupaten Padang Pariaman, Kota Makassar, Kabupaten Kudus. Penelitian berlangsung pada bulan Agustus 2019. Total score rapid assessment Kabupaten Padang Pariaman, Kota Makassar dan Kabupaten Kudus berturut-turut adalah 42,67%, 49,33%, 57,33%. Total score di 3 daerah penelitian berada dalam 1 rentang nilai yang sama yaitu 34–64%. ...
Buletin Penelitian Kesehatan, 2020
Benefits of Fornas are guidance in determining drug use, increasing rational drug use, quality co... more Benefits of Fornas are guidance in determining drug use, increasing rational drug use, quality control and treatment costs and optimizing services. The use of antibiotics is regulated according to the category of health service facilities. Therefore it is necessary to evaluate the suitability between the availability of antibiotic drugs and national formulary. The study design was cross sectional. This type of research is quantitative followed by qualitative data collection. Quantitative data in the form of secondary data on the availability of antibiotics for the period 2014-2017 at the North Sulawesi Provincial Health Office, Manado City Health Office, and 2 Health Centers in Manado City. The average percentage of suitability of antibiotics with the national formulary from 2014 to 2017 at level 1 health facilities was 61.77% in the Provincial Health Office, 61.59% in the City Health Office, 50.14% in the Puskesmas Bahu, 56.85% in the Tikala Health Center. The low percentage of con...
Journal of Health Management, 2020
On 31 January 2020, World announced COVID-19 as an Emergency Public Health of International Conce... more On 31 January 2020, World announced COVID-19 as an Emergency Public Health of International Concern. The number of patients in Indonesia continues to grow. Anti-viral in the COVID-19 Drug Information Laboratory in Indonesia are Lopinavir/Ritonavir, Favipiravir, Remdemsivir, Oseltamivir, Chloroquine Phosphate and Hydroxychloroquine Phosphate. Therefore, it is necessary to know the basis and management of its use. An online systematic search was performed on articles published until 30 March 2020. We use search keywords that are tailored to the purpose of writing. All six antivirals were used for the treatment of RNA virus. Chloroquine, Hydroxychloroquine and Remdesivir effectively control the SARS-CoV2 virus invitro. Lopinavir/Ritonavir, Hydroxychloroquine and Oseltamivir have been used clinically for the treatment of SARS-CoV2 virus. In 2020, there are 42 clinical trials of six antivirals. Guidance of the antivirus are from China, Belgium and Indonesia. Its differences are based on ...
Medico-legal Update, 2022
Introduction: Heart disease is a community health problem. It is expensive to care and cure and l... more Introduction: Heart disease is a community health problem. It is expensive to care and cure and leading cause of death in Indonesia. The research aimed to analyze relationship and magnitude of the risk of exposure of heart disease in urban and rural communities according to age and sex factors. Methods: It was quantitative research with cross sectional design. Data came from Indonesia Basic Health Research at 2018 with all household as population. Sample were individuals aged ≥ 15 years. It used chi square and estimate risk analysis. Results: Heart disease was higher in urban areas, especially 54,6% women were more exposed to heart disease than 45,4% men. Also elderly group was the highest (65,8%) than other group. There were 66.7% elderly men and 65.0% women risk to exposed heart disease than other groups. There was a significant relationship between gender, age and region with heart disease cases. The exposure risk of heart disease for men in urban areas were 1.4 times greater than rural. The urban elderly group were 1.9 times greater than rural. The urban elderly men group were 2 times greater than rural. The urban elderly women group were 1.8 times larger than rural. Conclusion: Heart disease in urban areas was higher than rural areas. Women had more risk of heart disease. Elderly women group had highest risk than other age groups.
Proceedings of the 4th International Symposium on Health Research (ISHR 2019), 2020
The goal of the Association of Southeast Asian Nations (ASEAN) Economic Cooperation is directed a... more The goal of the Association of Southeast Asian Nations (ASEAN) Economic Cooperation is directed at the economic integration of the member states in to a single highly competitive and equitable production base market in the global economy. Therefore, free trade agreement related to the services sector, including nursing will eliminate the barriers for service suppliers across the member states while maintaining adhering autonomy of their national rules and regulations. This study will illustrate the nursing situation in Indonesia in terms of the anticipation regarding quality and quantity levels and global opportunities. We describe the distribution of the current local nursing workforce, current regulations and other factors which may influence their competitiveness. The qualitative methods were used to analyse jurisdictional policy review in legislation and relevant literature, then an in-depth interview and Focus Group Discussion with stakeholders and professional organization was carried out. Finally, triangulation of sources and methods of the collected information was performed supplemented the quantitative description needed of the nursing workforce. In anticipated quality and quantity, the Indonesian nurses were able to meet the demands necessary for the domestic nursing standards and service distribution. We anticipate that the strengthening of existing regulations related to foreign nursing workers and improvement of nursing quality, were not an issue. The surplus of the nurses in Indonesia provide both the government and Indonesian nurses with an economic opportunity to cover the skill shortages in the other ASEAN members. Indonesian nurses are skilled which makes them competitive at the regional and global level. The government should further improve by strengthening relevant legislation; harmonizing the curriculum and nursing education to a world class standard. Ministry of Health Rep of Indonesia and National Nurses Professional Organization should be designing a road map to internationalized strategy to promote the nursing workforce. Existing regulations need to be strengthened in relation to the acceptance of foreign nurse admissions. In order to remain competitive, the training and curriculum needs to be improved to ensure the nursing competence is aligned with international or regional standards.
Responsiveness of the health system in in-patient services is closely related to patient's re... more Responsiveness of the health system in in-patient services is closely related to patient's reasonable expectations of nonclinical aspects for inpatient care. A comfortable patient can straight infl uence level of responsiveness. This study aimed to determine level of in-patient responsiveness and signifi cance of respondent characteristics on eight responsiveness domains. It was a further analysis of the Responsiveness Survey of 2017. A Cross-Sectional design with a quantitative approach and has performed in 34 provinces in Indonesia. Most mean responsiveness scores were in range of good scores. Moreover, Lowest score was quality basic amenities domain, while highest score was confi dentiality domain. Level of in-patient responsiveness was good category (8,05). Each characteristic has signifi cantly correlated with one or more responsiveness domains. We can increase in-patient responsiveness value that less than 8,0 through improving three responsiveness domains, i.e., dignity, ...
Buletin Penelitian Sistem Kesehatan, Jul 13, 2018
Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menun... more Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menunjang layanan perawatan medik pada era jaminan kesehatan nasional. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasien rawat jalan pada era jaminan kesehatan nasional. Penelitian ini merupakan review dari 5 penelitian yang diambil dari google scholar dengan topik yang terkait dengan mutu pelayanan farmasi dan kepuasan pasien khususnya pasien rawat jalan dengan tujuan untuk melihat hubungan kedua topik tersebut. Hasil penelitian menunjukkan kepuasan pasien rawat jalan terhadap pelayanan kefarmasian dapat diukur dari 5 aspek yaitu tangible (bukti langsung/ fi sik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), empathy (keramahan/ kepedulian). Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada waktu layanan obat (reliability) serta dua hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada jaminan (assurance). Penelitian ini menyimpulkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat ditempuh dengan cara membuat sistem kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan. Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan (assurance) dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep yang masuk dalam tanggungan BPJS dan menjamin ketersediaan obat.
Jurnal Kefarmasian Indonesia
The implementation of the ASEAN Economic Community (AEC) as an Indonesian Government’s strategic ... more The implementation of the ASEAN Economic Community (AEC) as an Indonesian Government’s strategic step has an impact on economic globalization. The study on pharmaceutical products and medical devices free trade was done using qualitative and quantitative methods. The data were collected from a round table discussion about "Free Trade in Health Goods and Services in ASEAN" which involved the Ministry of Health (MoH), Ministry of Trade (MoT), and National Agency for Drug and Food Control (NADFC). The discussion aimed to obtain information on the readiness to meet the AEC blueprint. Secondary data on export and import of pharmaceutical products and medical devices were obtained from the MoT. The results of the study show that between 2013 and 2017 there were 70-72 product items exported to 9 ASEAN countries with a value much greater than the import. The tariff measure (TM) requirements included the Most Favored Nation (MFN) assessment and regulation of the trade remedy proced...
Buletin Penelitian Sistem Kesehatan
Pharmacy costs are one of the components that absorb the largest costs from the hospital's he... more Pharmacy costs are one of the components that absorb the largest costs from the hospital's health budget. At present, there is still little information and data on the percentage of pharmaceutical costs to the costs of medical devices and non-medical devices. It is very useful in making financial planning. It can illustrate of pharmaceutical financing against other operational costs in hospitals, as financial planning, as scientific evidence for improving drug policy. This research was an analysis on the Indonesia Health Financing Survey data in the referral health care Facilities (FKRTL) in 2016. Data from 84 hospitals in 3 regions. The details were 9 class A hospitals, 37 class B hospitals, 38 class C hospitals. The analysis used a descriptive statistical approach. Pharmacy costs in 3 types of hospitals were 169.07 Billion, 23.66 Billion, 10.79 Billion. The percentage of the proportion of pharmaceutical costs to the cost of non-medical equipment in 3 types of hospitals is 1073...
Buletin Penelitian Kesehatan
Introduction: The prevalence of chronic kidney disease (CKD) is quite high. The use of meropenem ... more Introduction: The prevalence of chronic kidney disease (CKD) is quite high. The use of meropenem needs attention. Meropenem is an expensive third generation antibiotic. It increase the cost of treatment If it uses irrationally. There is also a danger of resistance that impact to the difficulty of treatment. Therefore a study was conducted on "Cost Effectiveness Analysis between the Use of Meropenem with and without Antibiotic Sensitivity Test Results in CKD Patients in Hospitals". Methode: research methode is cross sectional. The hospital was chosen directly from two city : Manado and Semarang. The data was secondary data that meet with inclusion and exclusion criteria fram patient's medical record and medical expenses in 2016. Data collection tools were forms. Results: Cases of CKD that fulfilled were 29 from Hospital X, 11 cases with sensitivity and 18 cases without sensitivity testing. In Hospital Y there were 20 cases, 17 cases with sensitivity test and 3 cases wit...