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All Journal INDONESIAN JOURNAL OF PHARMACY JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) JFM (Jurnal Farmasi Malahayati) Jurnal Kefarmasian Indonesia
Akhmad, Atika Dalili
Jurusan Sains, Program Studi Farmasi, Institut Teknologi Sumatera, Lampung, Indonesia
Environmental Science Health Professions Medicine & Pharmacology Public Health

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TINGKAT KEPUASAN KONSUMEN APOTEK TERHADAP PELAYANAN KEFARMASIAN DI APOTEK KECAMATAN SUKARAME TINGKAT KEPUASAN KONSUMEN APOTEK TERHADAP PELAYANAN KEFARMASIAN DI APOTEK KECAMATAN SUKARAME Atika Dalili Akhmad; Dirga Dirga; Sudewi Mukaromah K; Nur Adliani; Sukrasno Sukrasno
Jurnal Farmasi Malahayati Vol 2, No 1 (2019): Jurnal Farmasi Malahayati
Publisher : Jurnal Farmasi Malahayati (JFM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.268 KB) | DOI: 10.33024/jfm.v2i1.1547

Abstract

Health is the main assets in life, one of health care providers is a community pharmacies. Community Pharmacies provide pharmaceutical services and pharmaceutical supplies for the community. The quality of pharmaceutical services should be developed to meet the needs of the community as an effort to improve the welfare of the community. This research method is analytic descriptive with cross sectional survey desaign. This study aims to measure the level of patient satisfaction as the evaluation indicator of the quality pharmaceutical services in community pharmacies. The level of patient satisfaction was measured using a questionnaire with Service Quality (Servqual) model including five dimensions: tangible, reliability, responsiveness, assurance, and empathy. This questionnaire was given to 167 patients in Sukarame District. The questionnaire data were analyzed using Chi-square analysis. The results showed 58.08% of patients were not satisfied with the service given by the community pharmacy. Empathy Dimension (drug information) has the highest satisfaction level (87,83%), whereas reliability dimension having lowest satisfaction level (83,16%). The bivariate test of patient characteristics showed no significant relationship between age (p = 0,310), sex (p = 0,064), education (0.239), occupation (p = 0,439), but monthly income (p = 0,000) and number of patient visits (p = 0,000) had a significant relationship to patient satisfaction.
PENGARUH PEMBERIAN BISKUIT BEKATUL (RICE BRAND) TERHADAP INDEKS MASA TUBUH PENDERITA OBSESITAS Dirga Dirga; Atika Dalili Akhmad; Sudewi Mukaromah K; Nur Adliani; Sukrasno Sukrasno
Jurnal Farmasi Malahayati Vol 2, No 1 (2019): Jurnal Farmasi Malahayati
Publisher : Jurnal Farmasi Malahayati (JFM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.246 KB) | DOI: 10.33024/jfm.v2i1.1548

Abstract

The prevalence of an obesity patient in Indonesia for adult (more than 18 years old) is increasing every year. It is strongly suggested to ameliorate the eating habits and increase the physic activities as the best way to transmute the risky prime factor for the cause of degenerative disease. The utilizing of Rice Bran as a traditional medicine can be also made used as an ingredient of food. Rice Bran can be modified as a simple and instant food in a form of an appealing biscuit which has a good taste and high nutrition. The aim of this Rice bran biscuit research is to find out the optimal formulation of rice bran biscuit which is appropriate to the national standard of biscuit production, and it is also expected to bring affection towards the weight dropping for the obesity patient. The utilized method in this research is a quasi experimental research. The sample used in this study is obese people who meet the criteria of inclusion, They are divided into two groups; a. control group. b. experimental group. The results showed that the best biscuits physical chemical parameters have characteristic fat content 9.58%, ash content 3.16%, crude fiber 6.02%, broken power 12.57 N, color 4.82 (neutral), taste 4.43 (somewhat dislike), flavour 1.90 (somewhat dislike). While the best biscuits organoleptic parameters have characteristic fat content 7.88%, ash content 4.26%, crude fiber 3.89%, broken power 4.44 N, color 5.80 (rather like), taste 3.88 (rather like), flavour 2.44 (somewhat dislike). While on testing Effect of biscuits bekatul on IMT on obese patients found that there are differences of IMT obese patients before and after consuming rice bran biscuit for 1 month in the form of decreased BMI average 0.63 kg / m2 with value p = 0.001 (p <0.05 ).
Evaluasi Penggunaan Antibiotik pada Pasien Rawat Inap di Bangsal Penyakit Dalam RSUD. Dr. H. Abdul Moeloek Provinsi Lampung Dirga Dirga; Sudewi Mukaromah Khairunnisa; Atika Dalili Akhmad; Irfanianta Arif Setyawan; Anton Pratama
Jurnal Kefarmasian Indonesia VOLUME 11, NOMOR 1, FEBRUARI 2021
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v11i1.3570

Abstract

The high prevalence of infectious disease in Indonesia causes increased use of antibiotics. It has serious consequences since it can cause germicidal resistance rapidly increased, significant morbidity and mortality, as well as high additional medical costs per year. This study aims to evaluate the appropriateness of antibiotic use inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province. This research was observational (non-experimental) with a descriptive evaluative research design. The data were obtained from the retrospective tracing of medical records that collected by a purposive sampling technique on July-December 2017. A total of 163 inclusion samples are analyzed qualitatively and quantitatively. The qualitative analysis uses standard guidelines for the use of antibiotics and quantitative analysis uses the anatomical therapeutic chemical (ATC)/Defined Daily Dose (DDD) method. The results showed that out of 168 medical records, 19 types of antibiotics were used with a 118.57 DDD value of 100 patient days. The most widely prescribed was ceftriaxone (49.09%). The highest number of infections was diabetic ulcers with an incidence of 42 cases (25%). Out of 168 evaluated cases, 166 cases (98.8%) were appropriate indication, 168 cases (100%) were appropriate patients, 150 cases (89,29%) were appropriate medication, and 89 cases (52,97%) were appropriate dosage. These results indicated that the use of antibiotics inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province were rational but it was necessary to consider selectivity regarding the choice of antibiotic use for infected patients.
PERSEPSI APOTEKER DAN PASIEN TERHADAP PENERAPAN SISTEM PEMBAYARAN JKN PADA APOTEK Satibi Satibi; Dewa Ayu Putu Satrya Dewi; Atika Dalili Akhmad; Novita Kaswindiarti; Dyah Ayu Puspandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 6, No 3
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.349

Abstract

Pelayanan kesehatan pada era JKN diselenggarakan oleh semua Fasilitas Kesehatan (faskes) yang bekerja  sama dengan BPJS Kesehatan. Pelayanan kesehatan dapat dilakukan berdasarkan perjanjian kerjasama antara BPJS dan faskes, bagi faskes yang tidak mempunyai sarana kefarmasian dapat menjalin kerja sama dengan apotek dalam hal pelayanan kefarmasian. Metode pembayaran untuk jasa pelayanan kesehatan pada era JKN menggunakan sistem kapitasi dan pembayaran langsung oleh BPJS kepada faskes. Namun masalah yang sering timbul dan menjadi pertanyaan dalam program JKN adalah mutu pelayanan, masyarakat masih ragu dengan mutu pelayanan yang diberikan oleh faskes. Tujuan penelitian ini untuk mengetahui bagaimana sistem kapitasi JKN dilihat dari sudut pandang Apoteker untuk mengetahui persepsi apoteker dan pasien terkait dengan sistem kapitasi JKN di Apotek PRB, Apotek Jejaring, dan Apotek Klinik Pratama. Metode yang digunakan dalam penelitian ini adalah deskriptif analitik menggunakan kuesioner yang berisi pernyataan tentang persepsi apoteker terhadap  profit, klaim biaya, perjanjian  kerjasama, dan pelayanan, sedangkan pada   pasien  tentang kualitas, jumlah, dan ketersediaan obat dan pembayaran obat. Data statistik dianalisis menggunakan analisis dengan Kruskal Wallis test dan uji post hoc Mann Whitney dengan melihat nilai signifikansi (p). Hasil penelitian di Apotek PRB, Apotek Jejaring dan Apotek Klinik Pratama, yaitu terdapat perbedaan persepsi apoteker pada indikator profit (p = 0,003) dan indikator pelayanan (p = 0,001), namun tidak terdapat perbedaan persepsi apoteker pada indikator klaim biaya (p = 0,0546) dan  indikator perjanjian kerjasama (p = 0,606). Selanjutnya, untuk persepsi pasien rawat jalan yaitu  terdapat perbedaan persepsi pasien pada indikator kualitas dan ketersediaan obat (p = 0,000), tetapi tidak terdapat perbedaan persepsi pasien rawat jalan pada indikator jumlah (p= 0,667) dan indikator pembayaran (p = 0,057). Berdasarkan biaya obat, yaitu terdapat perbedaan biaya obat (p = 0,000) pada apotek PRB, Apotek Jejaring, dan Apotek Klinik Pratama.
ANALISIS PERSEPSI DAN FAKTOR YANG MEMPENGARUHI PERSEPSI TERHADAP PENERAPAN SISTEM PEMBIAYAAN JKN PADA FASILITAS KESEHATAN PENUNJANG DI D. I. YOGYAKARTA. Atika Dalili Akhmad; Satibi Satibi; Diah Ayu Puspandari
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 5, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.219

Abstract

Perubahan model pembayaran dari model fee for service menjadi kapitasi dan sistem pembayaran langsung di fasilitas kesehatan penunjang masih menimbulkan masalah mutu pelayanan. Akibatnya masyarakat masih ragu dengan mutu pelayanan yang diberikan. Penelitian ini bertujuan untuk melihat sistem pembayaran JKN dilihat dari sudut pandang pasien di Apotek Program Rujuk Balik (PRB), apotek jejaring, dan apotek klinik pratama. Metode penelitian ini adalah deskriptif analitik dengan desain survey cross sectional. Data diambil secara kuantitatif menggunakan kuesioner dan data kualitatif melalui wawancara. Kuesioner yang terdiri dari indikator kualitas, jumlah, ketersediaan, dan pembayaran obat diberikan kepada 205 pasien rawat jalan bulan Agustus sampai September 2015 di 18 spotek di D.I Yogyakarta. Data dianalisis menggunakan uji statistik terkomputerisasi untuk mengetahui perbedaan persepsi pasien dan mengetahui hubungan sosio-demografi serta jenis kepesertaan terhadap persepsi pasien. Hasil analisis didapatkan bahwa terdapat perbedaan persepsi pasien pada indikator kualitas (p = 0,000) dan indikator ketersediaan (p = 0,000), namun tidak terdapat perbedaan persepsi pasien pada indikator jumlah (p= 0,667) dan indikatorpembayaran (p = 0,057). Terdapat pengaruh karateristik pasien terhadap persepsi pasien berdasarkan jenis apotek ( p = 0,006) dan usia (p = 0,019), namun tidak terdapat pengaruh sosio-demografi pasien: jenis kelamin, pendidikan, pekerjaan, dan penghasilan perbulan terhadap persepsi, dengan nilai p berturut-turut sebagai berikut: 0,937; 0,233; 0,605; 0,945, begitu juga dengan jenis kepesertaan pasien (p = 0,050) yang tidak berpengaruh terhadap persepsi.Kata kunci: sistem pembiayaan, pelayanan, persepsi, pasien
Formulasi Sediaan Masker Gel Peel-off Limbah Kulit Pisang Ambon (Musa paradisiaca var.sapientum) sebagai Antioksidan Sudewi Mukaromah Khoirunnisa; Dirga Dirga; Irfanianta Arif Setyawan; Atika Dalili Akhmad
Jurnal Farmasi Malahayati Vol 5, No 1 (2022)
Publisher : Jurnal Farmasi Malahayati (JFM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jfm.v5i1.6350

Abstract

Provinsi Lampung merupakan penghasil pisang terbesar dengan jumlah sebanyak 1,48 juta ton atau 21,59 % dari total produksi pisang nasional. Jenis pisang yang banyak dikonsumsi masyarakat adalah pisang ambon (Musa paradisiaca var.sapientum.), namun pemanfaatan pisang sebagai bahan obat, kosmetik maupun pangan masih terbatas pada buahnya dan pengolahan bagian lainnya yang berupa limbah seperti kulit buah masih sedikit. Kulit pisang dilaporkan memiliki khasiat sebagai antioksidan, antikolesterol, antinyeri, antidiare, anti hipertensi, dan antihiperglikemi. Melihat besarnya potensi dari kulit pisang, maka diperlukan studi untuk memanfaatkan kulit pisang ambon sebagai sediaan masker gel peel-off yang stabil, berefek, dan aman. Pengujian aktivitas antioksidan dilakukan dengan metode Diphenylhydrazylpicryl (DPPH). Formulasi masker gel dibuat dengan basis Polyvinyl Alcohol (PVA) dengan konsentrasi 10%. Evaluasi sediaan masker gel meliputi pengamatan perubahan konsistensi, warna, bau, pH, dan viskositas selama 28 hari pada suhu penyimpanan yang berbeda, yaitu pada suhu 4◦C dan 27◦C. Hasil dari penelitian ini menunjukkan bahwa ekstrak etanol kulit pisang ambon memiliki IC50 sebesar 13,542 ppm. Dari hasil uji fisik menunjukkan bahwa formula 2 memiliki syarat yang paling baik sebagai sediaan masker. Hasil evaluasi aktivitas antioksidan, ketiga formula masker memiliki aktivitas antioksidan yang baik (IC50<50), namun formula yang disimpan dalam suhu 4◦C memiliki aktivitas antioksidan yang lebih baik.
Quality of Life of Patient with Hypertension in Primary Health Care in Bandar Lampung Sudewi Mukaromah Khoirunnisa; Atika Dalili Akhmad
Indonesian Journal of Pharmacy Vol 30 No 4, 2019
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14499/indonesianjpharm30iss4pp309

Abstract

The high prevalence of hypertension in Indonesia, encourages studies related to how the quality of life of patients with hypertension. The purpose of this study was to measure quality of life, identify and explain factors related to the quality of life of patients with hypertension.The study design was descriptive correlation using a cross sectional study approach. The study subjects were all outpatient hypertensive patients several health centers in Bandar Lampung. The instrument used in this study was the Indonesian SF-36. The data collected included the patient's demographic characteristics including gender, age, education, occupation, and marital status, and the fields related to the health history of the study subjects included the duration of hypertension, complications, and the number of antihypertensive drugs consumed. Data were analyzed using bivariate analysis to see the relationship between two variables with the level of significance used was 5% (α = 0.05) with the value of the confidence interval set was 95%. Multivariate analysis was conducted to study the relationship of several independent variables with one or several dependent variables.The results of univariate analysis showed that age, marital status, duration of illness, complications, and the number of drugs consumed had an effect on the quality of life of hypertensive patients (p <0.05). The results of multivariate analysis showed that the factors of age, marital status, and duration of hypertension are factors that influence the physical domain, while the factors of gender, marital status, duration of hypertension, complications, and the number of drugs are influential factors in the mental domain mental.
Co-Authors Anton Pratama Dewa Ayu Putu Satrya Dewi Dirga Dirga Dyah Ayu Puspandari Irfanianta Arif Setyawan Irfanianta Arif Setyawan Novita Kaswindiarti Nur Adliani Satibi Satibi Satibi Satibi Sudewi Mukaromah K Sudewi Mukaromah Khairunnisa Sudewi Mukaromah Khoirunnisa Sukrasno Sukrasno