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CDK 194, Vol.39, No.6
Jakarta : Kalbe Farma, 2012
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Maj. Kedokteran Indonesia (MKI), Vol.55, No.3, Maret. 2005: hal. 223-225
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Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Naldo Sofian
MJKI No.10, Tahun XL
Jakarta : Medika Media Mandiri, 2014
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Soroy Lardo
MJKI No.4, Tahun XL
Jakarta : Medika Media Mandiri, 2014
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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CDK 194, Vol.39, No.6
Jakarta : Kalbe Farma, 2012
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Isnani Dewi Saefina; Pembimbing: Adang Bachtiar; Penguji: Anhari Achadi, Pratiwi Andayani
S-9613
Depok : FKM UI, 2018
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Adhanuddin; {embimbing: R. Sutiawan; Penguji: Yovsyah, Donald Sibarani
Abstrak:
Antibiotik merupakan obat yang paling banyak digunakan dan sekitar 40-62%antibiotik digunakan secara tidak tepat antara lain untuk penyakit-penyakit yang sebenarnya tidak memerlukan antibiotik. Penggunaan antibiotik yang tidak tepatakan berdampak terjadinya resistensi bakteri terhadap antibiotik, morbiditas dan mortalitas dan juga berdampak negatif terhadap ekonomi dan sosial. Salah satu kebijakan untuk mengatasi permasalahan tersebut adalah dengan pemantauanpenggunaan antibiotik dengan menggunakan indikator peresepan berdasarkanindikator penggunaan obat yang telah dikembangkan oleh WHO. Di Indonesia,pemantauan penggunaan antibiotik di puskesmas dilakukan terhadap ISPA nonpneumonia dan diare non spesifik. Penelitian ini dilakukan untuk membuat modelsistem informasi yang dapat mendukung manajemen puskesmas dalam memantaupenggunaan antibiotik secara terus menerus.Penelitian dilakukan menggunakan desain penelitian kualitatif denganmenerapkan pendekatan model prototyping dalam membangun model sisteminformasi. Penelitian ini menghasilkan rancangan basis data dan desain prototypedari sistem informasi pemantauan penggunaan antibiotik bagian farmasi puskesmas. Sistem Informasi Pemantauan Penggunaan Antibiotik Puskesmas dapat diimplementasikan secara bertahap disesuaikan dengan kondisi dan kemampuan puskesmas. Pada tahap pertama dapat dikembangkan pada ruang obatdengan resep sebagai sumber data dan proses evaluasi dilakukan dengan menganalisis dokumen rekam medis jika indikator penggunaan antibiotik dipuskesmas telah melebihi standar yang telah ditetapkan.
Kata kunci: Antibiotik, Informasi, Pemantauan, Puskesmas, Sistem
Antibiotics are the drugs most widely used and about 40-62% of antibiotics areused inappropriately, among others, to diseases that actually do not requireantibiotics. Improper use of antibiotics will affect the occurrence of bacterialresistance to antibiotics, morbidity and mortality as well as a negative impact oneconomic and social high. One of the policies to address the problem ofinappropriate antibiotic use is the monitoring of the use of antibiotics by usingindicators based on indicators of the use of prescription drugs that have beendeveloped by WHO. In Indonesia, monitoring of antibiotic use in health centerscommitted against non-pneumonia ARI and non-specific diarrhea.This study was done to make the design of information systems in health centersmonitoring the use of antibiotics that can be used to facilitate the health centermanagement in evaluating the use of antibiotics.The study was conducted using a qualitative research design to prototypingapproach to build a model of the information system model. This study resulted inthe design of databases and the design prototype of information systemmonitoring antibiotic use in health center pharmacy. Antibiotic Usage MonitoringInformation System Health Center can be implemented gradually adapted to theconditions and the ability of health centers. In the first stage can be developed onthe prescription drug space as a source of data and evaluation process carried outby analyzing the document in the medical record if the indicator antibiotic use inhealth centers has exceeded the established standards.
Key words: Antibiotic, Information, Monitoring, Primary Health Centre, System
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Kata kunci: Antibiotik, Informasi, Pemantauan, Puskesmas, Sistem
Antibiotics are the drugs most widely used and about 40-62% of antibiotics areused inappropriately, among others, to diseases that actually do not requireantibiotics. Improper use of antibiotics will affect the occurrence of bacterialresistance to antibiotics, morbidity and mortality as well as a negative impact oneconomic and social high. One of the policies to address the problem ofinappropriate antibiotic use is the monitoring of the use of antibiotics by usingindicators based on indicators of the use of prescription drugs that have beendeveloped by WHO. In Indonesia, monitoring of antibiotic use in health centerscommitted against non-pneumonia ARI and non-specific diarrhea.This study was done to make the design of information systems in health centersmonitoring the use of antibiotics that can be used to facilitate the health centermanagement in evaluating the use of antibiotics.The study was conducted using a qualitative research design to prototypingapproach to build a model of the information system model. This study resulted inthe design of databases and the design prototype of information systemmonitoring antibiotic use in health center pharmacy. Antibiotic Usage MonitoringInformation System Health Center can be implemented gradually adapted to theconditions and the ability of health centers. In the first stage can be developed onthe prescription drug space as a source of data and evaluation process carried outby analyzing the document in the medical record if the indicator antibiotic use inhealth centers has exceeded the established standards.
Key words: Antibiotic, Information, Monitoring, Primary Health Centre, System
S-8341
Depok : FKM UI, 2014
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Muhammad Fachmi Adi Pratama; Pembimbing: Ede Surya Darmawan; Penguji: Anhari Achadi, Helen Andriani, Ganda Tampubolon, Roberia
Abstrak:
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Penatagunaan antibiotik merupakan salah satu strategi penting dalam mengurangi resistensi antimikroba. Penelitian ini bertujuan untuk mengevaluasi penerapan kebijakan penggunaan antibiotik di RSUD Tarakan Jakarta berdasarkan Peraturan Menteri Kesehatan Nomor 28 Tahun 2021. Studi ini menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus. Data diperoleh melalui wawancara mendalam dengan berbagai pemangku kepentingan di rumah sakit, observasi, dan telaah dokumen terkait. Hasil penelitian menunjukkan bahwa implementasi kebijakan penggunaan antibiotik di RSUD Tarakan Jakarta masih menghadapi beberapa tantangan. Meskipun struktur dan proses kebijakan telah diimplementasikan, kepatuhan terhadap pedoman penggunaan antibiotik masih perlu ditingkatkan. Faktor-faktor seperti kurangnya koordinasi antara dokter dan apoteker, serta kebutuhan untuk meningkatkan wewenang apoteker dalam memberikan rekomendasi terkait pemakaian antibiotik, menjadi kendala utama dalam penerapan kebijakan ini. Penelitian ini menyimpulkan bahwa meskipun penerapan kebijakan penggunaan antibiotik di RSUD Tarakan Jakarta sudah berjalan, masih diperlukan upaya peningkatan dalam hal koordinasi antar profesi kesehatan dan optimalisasi insentif. Rekomendasi dari penelitian ini adalah meningkatkan pelatihan dan sosialisasi mengenai kebijakan penggunaan antibiotik, memperkuat peran apoteker klinis, dan memperbaiki sistem insentif bagi tenaga medis.
Antibiotic stewardship is an important strategy in reducing antimicrobial resistance. This study aims to evaluate the implementation of antibiotic use policies at the Tarakan Hospital, Jakarta, based on Minister of Health Regulation Number 28 of 2021. This study uses a qualitative descriptive method with a case study approach. Data was obtained through in-depth interviews with various stakeholders in the hospital, observations, and review of related documents. The results of the research show that the implementation of the antibiotic use policy at the Tarakan Hospital, Jakarta, still faces several challenges. Although policy structures and processes have been implemented, compliance with antibiotic use guidelines still needs to be improved. Factors such as a lack of coordination between doctors and pharmacists, as well as the need to increase the authority of pharmacists in providing recommendations regarding antibiotic use, are the main obstacles in implementing this policy. This research concludes that although the implementation of the antibiotic use policy at the Tarakan District Hospital in Jakarta is already underway, efforts are still needed to improve coordination between health professions and optimizing incentives. Recommendations from this research are to increase training and outreach regarding antibiotic use policies, strengthen the role of clinical pharmacists, and improve the incentive system for medical personnel.
T-7125
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sari Pediatri, Vol.10, No.1, Juni 2008, hal. 34-41
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Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Dirgahayuni Sari Agustina; Pembimbing: Puput Oktamianti; Penguji: Ascobat Gani, Prastuti Soewondo, Anis Karuniawati; Irma Yunita
Abstrak:
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Peresepan antibiotik yang tinggi disertai kurangnya evaluasi penggunaan antibiotik di fasilitas pelayanan kesehatan primer berpotensi terhadap penggunaan antibiotik yang tidak tepat. Evaluasi antibiotik dapat dilakukan dengan melihat pola konsumsi antibiotik di fasilitas pelayanan kesehatan tersebut. WHO telah menetapkan target minimal 60% konsumsi antibiotik berasal dari kelompok access. Tujuan penelitian adalah untuk menganalisis konsumsi antibiotik di puskesmas di Provinsi DKI Jakarta berdasarkan klasifikasi antibiotik AWaRe (Access, Watch, dan Reserve) WHO. Penelitian ini merupakan penelitian non eksperimental dengan pendekatan kuantitatif dan kualitatif. Penelitian dilakukan terhadap 44 puskesmas di Provinsi DKI Jakarta. Hasil penelitian menujukkan terjadi peningkatan nilai konsumsi antibiotik di tahun 2022 dibandingkatn tahun 2019. Total konsumsi antibiotik tahun 2022 adalah 1,827 DDD per 1.000 pasien per hari, dengan proporsi sebesar 76,91% berasal dari kelompok access; 10,14% kelompok watch; tidak ada kelompok reserve, dan 12,95% merupakan antibiotik yang tidak diklasifikasikan dalam WHO AwaRe (unclassified). Semua jenis SDM kesehatan puskesmas memiliki peran dalam penggunaan antibiotik, namun belum semuanya mengetahui tentang klasifikasi antibiotik AWaRe WHO. Dukungan pelayanan laboratorium klinik, pelayanan informasi obat diperlukan dalam peresepan antibiotik di puskesmas. Selain itu, pelaksanaan manajemen logistik obat serta pemantauan dan evaluasi juga berperan dalam penggunaan antibiotik di puskesmas. Sementara itu, pengetahuan pasien juga dapat memengaruhi penggunaan antibiotik. Hasil penelitian ini merekomendasikan adanya upaya peningkatan penggunaan antiobiotik yang rasional melalui peningkatan pemahaman SDM kesehatan dan pasien serta pelaksanaan pemantauan dan evaluasi penggunaan antibiotik yang lebih menyeluruh di puskesmas disertai umpan balik.
High antibiotic prescribing combined with a lack of evaluation of antibiotic use in primary healthcare facilities has the potential to lead to inappropriate use of antibiotics. The WHO sets a target of at least 60% antibiotic consumption from the access group in primary healthcare facilities for antibiotic evaluation. This study aimed to analyze antibiotic consumption in community health centers in DKI Jakarta province based on the WHO AWaRe (Access, Watch, and Reserve) classification. The study is non-experimental research with a quantitative and qualitative approach. The study was conducted at 44 community health centers in DKI Jakarta province. The findings indicate that antibiotic consumption will increase in 2022 compared to 2019. Total antibiotic consumption in 2022 is 1,827 DDD per 1,000 patients per day, with a proportion of 76.91% from access group, 10.14% from watch group, no antibiotic in reserve; and 12.95% from antibiotics not classified in WHO AwaRe (unclassified). Every healthcare worker at community health centers has a responsibility regarding the use of antibiotics; however, not all of them are up-to-date on the WHO's AWaRe classification of antibiotics. Community health centers require support in the form of clinical laboratory testing and drug information services to prescribe antibiotics effectively. Furthermore, the effective execution of drug logistics management, as well as the process of monitoring and evaluation, contributes to the use of antibiotics in community health centers. Moreover, the level of understanding possessed by patients may have an impact on the use of antibiotics. The study's findings indicate that improving the comprehension of healthcare worker and patients can lead to a more judicious use of antibiotics. Furthermore, it is imperative to establish a more extensive system for monitoring and evaluating the utilization of antibiotics in community health centers, along with providing feedback.
T-7109
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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