Analisis Efektivitas Biaya Penggunaan Obat Antihipertensi pada Pasien Rawat Inap BPJS RSUD Prambanan Yogyakarta Tahun 2022

Authors

  • Nurul Istiqomah Universitas Duta Bangsa Surakarta
  • Kusumaningtyas S.A Universitas Duta Bangsa Surakarta
  • Kharisma Jayak P Universitas Duta Bangsa Surakarta

DOI:

https://doi.org/10.57213/jrikuf.v2i4.430

Keywords:

ACER, antihypertensive, cost effectiveness, Hypertension, ICER

Abstract

Hypertension is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg in two measurements with an interval of five minutes in a state of sufficient rest/calm. The aim of this study was to determine and compare the cost-effectiveness of antihypertensive drug combination therapy in BPJS inpatient hypertension patients at Prambanan Regional Hospital, Yogyakarta. This research was conducted non-experimentally using a descriptive research design of retrospective health phenomena based on a hospital perspective. The data used is secondary data (in the form of medical record data, financial data) and the research design used is cross-sectional. Inclusion criteria are hypertensive patients ≥18 years old with a primary diagnosis of stage II hypertension with or without comorbidities with BPJS payment. Cost effectiveness was carried out using the ACER and ICER methods. The results of the study showed that the most effective combination of antihypertensives was a combination of ACEI with diuretics. The direct medical costs for the combination of CCB and ACEI are IDR 1,229,906. The use of a combination of ACEI with diuretics is the most cost-effective with an ACER value of IDR. 14,313 and an ICER value of  IDR. 10,070.

References

Azra, A. (2006). Paradigma baru pendidikan nasional: Rekonstruksi dan demokratisasi. Jakarta: Kompas.

Dipiro, J. T., Wells, B. G., Schwinghammer, T. L., & DiPiro, C. V. (2015b). Pharmacotherapy: A pathophysiologic approach (9th ed.). New York, NY: McGraw-Hill Education.

Dinkes DIY. (2022). Profil kesehatan D.I. Yogyakarta tahun 2021. Dinas Kesehatan DIY.

Handayani, K. R., Maulana, P. A., Hazun, I. S., Khairunnisa, K., Putri, N. R., & Susilawati, S. (2023a). Faktor-faktor yang mempengaruhi kejadian hipertensi pada lansia di Desa Sei Rotan Kecamatan Percut Sei Tuan. Jurnal Ilmiah Universitas Batanghari Jambi, 23(1), 460. https://doi.org/10.33087/jiubj.v23i1.2931

Handayani, K. R., Maulana, P. A., Hazun, I. S., Khairunnisa, K., Putri, N. R., & Susilawati, S. (2023b). Faktor-faktor yang mempengaruhi kejadian hipertensi pada lansia di Desa Sei Rotan Kecamatan Percut Sei Tuan. Jurnal Ilmiah Universitas Batanghari Jambi, 23(1), 460. https://doi.org/10.33087/jiubj.v23i1.2931

JNC 7. (2003). The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure.

Laporan Riskesdas 2018 Nasional. (n.d.). Riset kesehatan dasar laporan nasional 2018.

Marhabatsar, N. S., & Sijid, S. T. A. (2021). Review: Penyakit hipertensi pada sistem kardiovaskular. Jurnal Majority, 6(1), 72–78.

Moran, A. E., Odden, M. C., Thanataveerat, A., Tzong, K. Y., Rasmussen, P. W., Guzman, D., Williams, L., Bibbins-Domingo, K., Coxson, P. G., & Goldman, L. (2015). Cost-effectiveness of hypertension therapy according to 2014 guidelines. New England Journal of Medicine, 372(5), 447–455. https://doi.org/10.1056/nejmsa1406751

Purnomo, E. A., Sukmadriyani, Y., Handayani, K. R., & Maulana, P. A. (2024). Metode penelitian kuantitatif kualitatif dan R&D.

Suryani, A., Adha, D., Wijaya, S., Bogor, H., Letjend, J., Adjie, I., & Barang, S. (n.d.). Pengaruh senam jantung terhadap perubahan tekanan darah. Jurnal Ilmiah Wijaya, 14. www.jurnalwijaya.com

Sylvestris, A. (2017). Hipertensi dan retinopati hipertensi. Saintika Medika, 10(1), 1. https://doi.org/10.22219/sm.v10i1.4142

Tabrizi, J. S., Sadeghi-Bazargani, H., Farahbakhsh, M., Nikniaz, L., & Nikniaz, Z. (2016). Prevalence and associated factors of prehypertension and hypertension in Iranian population: The lifestyle promotion project (LPP). PLoS ONE, 11(10), 1–15. https://doi.org/10.1371/journal.pone.0165264

Yulanda, G. (2017). Penatalaksanaan hipertensi primer. Jurnal Majority, 6(1), 25–33.

Published

2024-10-07

How to Cite

Nurul Istiqomah, Kusumaningtyas S.A, & Kharisma Jayak P. (2024). Analisis Efektivitas Biaya Penggunaan Obat Antihipertensi pada Pasien Rawat Inap BPJS RSUD Prambanan Yogyakarta Tahun 2022. Jurnal Riset Ilmu Kesehatan Umum Dan Farmasi (JRIKUF), 2(4), 68–79. https://doi.org/10.57213/jrikuf.v2i4.430

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