HEALTH SEEKING BEHAVIOR DI KALANGAN MASYARAKAT URBAN DI KOTA YOGYAKARTA

Abstract : Research presented in this article investigated health seeking behavior among peoplein an urban area of Yogyakarta City Indonesia. The research was a cross-sectional surveyinvolved adults in Yogyakarta City who were selected using a cluster random samplingtechnique. Sample size was 640 respondents. Data were collected using a pre-testedquestionnaire during March to May 2010. Data were analyzed using descriptive statistics, Chisquare tests, and Logistic regression. A total of 559 questionnaires were completed, resulted in90% of response rate. Mostly respondents stated that they had one to three medical complaintswithin a month (51% of 559). The most popular health seeking behavioris a combination betweenself-care and consultation to health care providers (41%). Other options are self-care (36%),consultation to public health care centre (16%), and consultation to private health care (5%).Among the socio-demographic and economic characteristics, marital status is the only factorthat significantly correlated with health seeking behavior. Based on the results it can berecommended that programs for improving health behavior should consider self-care, includingno medication and self medication with modern and herbal/traditional medicines. The role offamily members (e.g. spouse) should also be considered as an important factor of health relatedbehavior.Keywords : Health seeking behavio

EVALUASI PENGGUNAAN ANTIBIOTIKA DENGAN METODE DDD (DEFINED DAILY DOSE) PADA PASIEN ANAK RAWAT INAP DI SEBUAH RUMAH SAKIT PEMERINTAH DI YOGYAKARTA PERIODE JANUARI – JUNI 2013

Antibotika  banyak  diresepkan  pada  pasien  anak.  Penggunaan  antibiotika  yang berlebihan  berkontribusi  pada  resistensi.  Penelitian  ini  bertujuan  mengevaluasi penggunaan  antibiotika  pada  pasien  anak  rawat  inap  di  sebuah  rumah  sakit pemerintah di Yogyakarta menggunakan metode DDD (Defined Daily Dose). Jenis dan  rancangan  penelitian  adalah  deskriptif  cross-sectional,dengan  data retrospektif. Data penggunaan antibiotika diperoleh dari 249 rekam medik periode rawat Januari  –  Juni 2013 yang dipilih  dengan  metode  simple  random sampling. Data  yang  diambil  meliputi  profil  pasien,  diagnosis,  dan  peresepan  antibiotika.Kuantitas penggunaan antibiotika dihitung dengan rumus DDD 100  patient-days. Data  dianalisis  secara deskriptif.Hasil penelitian menemukan  28 jenis antibiotika yang  diresepkan,  dengan  total  nilai  DDD  100  patient-days  sebesar  41,99.  Nilai DDD  tertinggi  yaitu  ampisilin  (10,33)  dan  merupakan  antibiotika  yang  paling sering diresepkan (13,9%).Dapat dikatakan bahwa  pemilihan antibiotika di rumah sakit tersebut masih belum selektif.Kata kunci : antibiotika, metode DDD (Defined Daily Dose), pasien ana

Edukasi Manfaat Tanaman Obat dan Pengolahannya dengan Metode CBIA di Desa Bulusulur, Kabupaten Wonogiri, Jawa Tengah

The community service program reported in this paper aims to educate people about benefits of herbs and how to process herb raw materials for medication. This community service program was conducted in December 2016. The program involved 25 leaders of housewife communities (Kader PKK) in Bulusulur Village, Wonogiri, Central Java. The education was conducted using the CBIA (Cara Belajar Ibu Aktif) method. The CBIA supports the participants to be active during the education process. Results of the active learning through the CBIA method showed participants knowledge as folows: (1) participants were able to mention that herbal medicines are safe, have no side effects, can be easily obtained around their house; (2) they commonly used herbal for medication more than 4 times per month, obtained from their garden or local market; (3) they were able to mention the benefits of herbs commonly used; for example, temu lawak for stomachache, kunyit for pre-menstrual pain. However, they were not able to differentiate categories of herbal medicines which were produced by herbal manufacturers, such as Jamu, Obat Herbal Terstandar, and Fitofarmaka. Their knowledge about benefits of herbs was limited to those which were available in their garden. They also appreciated the demonstration of producing Bir Jawa and Sambiloto cookies

Peran Apoteker dalam Pengelolaan Penyakit Degeneratif di Dusun Mergan Sendangmulyo, Sleman, D.I. Yogyakarya

Findings of the preliminary survey showed a high proportion of geriatric people in Dusun Mergan, Sendangmulyo, Sleman, which leads to high risk of cardiovascular and other degenerative diseases. This community service program aimed to identify the health status of Mergan’s people through health screening and to help them to maintain their health. This program was conducted in collaboration between the Faculty members and students of Pharmacy Faculty of Universitas Sanata Dharma Yogyakarta (USD). There were two consecutive periods; the first was in 7th of May and the second was in 22nd of October 2018. Health education, health screening, and health examination were conducted in each period. There were 93 people involved in the first period and 64 people in the second; however, only 32 persons who completely attended the two meeting periods. The program resulted data of 60.7% Mergan’s people with a risk of dyslipidemia, and 59.0% with hyperglycemic. There was no significant difference between the first and the second periods of examination of glucose level, cholesterol, and uric acid. Therefore, it is urgent to educate people in Mergan Village to promote and maintain a healthy lifestyle in order to decrease morbidity of degenerative disease in the community

Users’ Views Regarding Electronic Prescribing Implementation: A Qualitative Case Study in A Private Hospital of Magelang City, Indonesia

The use of the Internet and digital system in a hospital named the Hospital Information System (HIS) has grown rapidly and remarkably, including in Indonesia. One of the HIS components is electronic prescribing (e-prescribing). Although the Indonesian government has mandated HIS in hospitals since 2011, successful implementation is not without challenges. Therefore, this study aimed to explore users' views regarding e-prescribing implementation through a case study in a private hospital in Magelang City, Indonesia. This study applied a qualitative approach. Participants were e-prescribing users who were selected purposively. Data were gathered using interviews. The Capability, Opportunity, Motivation, and Behavior (COM-B) model was used to structure the interview guideline. Data were transcribed verbatim and analyzed using a thematic approach. Twenty participants were interviewed. Five themes emerged through the interviews: self-reflection, perceived advantages, policy, capacity building, and quality assurance. The themes express optimism in implementing e-prescribing. Users are central to e-prescribing system acceptance, as is explained in the self-reflection and perceived advantages themes. Furthermore, top management plays a pivotal role in improving the capacity and ensuring system implementation quality. This study’s findings imply that the user, system, and organization play crucial roles in enhancing health care service quality through e-prescribing

THE CHALLENGES OF HOSPITAL INFORMATION SYSTEM IMPLEMENTATION: A CASE STUDY OF A PUBLIC HOSPITAL IN INDONESIA

The Indonesian government has mandated using the Hospital Information System (HIS) since 2013. Until now, not all hospitals in Indonesia have implemented HIS, however. Some barriers have prevented them from applying HIS. This study explores the opportunities and barriers regarding implementing the Hospital Information System (HIS) in Indonesia through a public hospital case study. This study applied a qualitative approach. The approach used interviews to gather data using a pre-tested interview guideline. The guideline used several constructs to structure the questions, i.e., predisposing, enabling, reinforcing, barrier, and projected behavior. Participants were different types of HIS users in the studied hospital, i.e., physician, nurse, pharmacist, administrators, laboratory personnel, and Information Technology (IT) personnel. Data were transcribed verbatim and analyzed thematically. The interviews involved twenty-one participants. Nine themes describe HIS implementation challenges in this case study, i.e., familiarity, flexibility, empowerment, discipline, facilities, data sharing, quality assurance, pragmatism, and capacity building. Pragmatism could be a barrier, while the other values would be opportunities. These challenges are promising in guiding HIS implementation success. The values found in this study convince that HIS implementation in Indonesia is promising. Those challenges are required to be taken into account to  implement  HIS successfully

EVALUASI DRUG RELATED PROBLEMS PADA PASIEN GERIATRI DENGAN HIPERTENSI DISERTAI VERTIGO DI RS PANTI RINI YOGYAKARTA AGUSTUS 2013

Abstract : This study aimed to evaluate Drug Related Problems (DRPs) among hypertensive geriatricpatients with vertigo co morbid at Panti Rini Hospital Yogyakarta. This is a non-experimental researchdescriptive evaluative design using a retrospective medical record data. Collected data including patient'sidentity; initial, final, and complication diagnosis; cardiovascular system drugs and antivertigo,laboratory data. The inclusion criteria were ? 60 years with an initial diagnosis of hypertension withvertigo co morbid, used a diuretic drug, and had creatinine test result. Data were analyzed case by caseusing selected literatur. There were 20 cases found. Result of the study showed that 100% of patients usedantihypertensive as the cardiovascular system drugs and 80% patients used antivertigo as nervous systemdrugs. There were 18 cases of DRPs found related to the use of antihypertensive and antivertigo. 1 case ofdosage too low, 8 cases of adverse drug reaction, and 9 cases of dosege too high.Keywords : hypertension with vertigo co morbid, geriatrics, Drug Related Problem

PENGETAHUAN MENGENAI ANTIBIOTIKA DI KALANGAN MAHASISWA ILMU ILMU KESEHATAN UNIVERSITAS GADJAH MADA YOGYAKARTA

Abstract: Inappropriate use of antibiotics, both prescribed and non-prescribed, is a globalpublic health problem. In Indonesia, there is an increase of self-medication with antibiotics in thecommunity in the last decade. Health practitioners are the main source of information and adviceon self-medication with antibiotics in the community. Therefore, it is important to investigateknowledge of antibiotics among students of health sciences because they are candidates forfuture health practitioners. This study is an observational cross-sectional survey using avalidated questionnaire. Respondents were 150 students of health sciences faculties at GadjahMada University Yogyakarta who were selected using a non-random convenience samplingtechnique. Of the 150 respondents, 79%(119) were familiar with antibiotics. Only these data (n=119) were subsequently analysed. Overall, they had appropriate knowledge about efficacy ofantibiotics for bacterial infections and risks of antibiotic use, i.e. allergic reactions and antibioticresistance. However, their knowledge about efficacy of antibiotics for viral infections and the useof antibiotics immediately for fever were not appropriate. In general, 34% of respondents hadhigh level of knowledge about antibiotics, 54% in the moderate level and 12% in the low level.Keywords: knowledge of antibiotics, health sciences student

THE USE OF INTERNET AND SOCIAL MEDIA FOR DRUG INFORMATION SERVICES IN PHARMACIES IN YOGYAKARTA PROVINCE: A STUDY OF ASTHMA CARE

Industrial revolution 4.0 is the process of digitizing the industry that leds health services in the era of application of Information and Communication Technology (ICT) called e-health. The application of ICT in Pharmacy is known as e-pharmacy. The role of pharmacists in Drug Information Services by utilizing ICTs has an effect on e-health literacy which ultimately supports the success of patient therapy. This is very important for patients with chronic diseases who are receiving treatment for a long time, one of which is asthma patients. Therefore, this study aims to explore pharmacist perceptions regarding the use of the internet and social media for drug information services, with a case study of services in asthma patients. This research is descriptive with a qualitative approach. Data is collected by interviews using an interview guide that has been validated in a professional judgment. Interviews were conducted with pharmacist participants who provided pharmacy services to asthma patients, who were selected purposively in March to July 2019. Data from interviews were transcribed verbatim, then a thematic analysis was performed. Ethical clearance has been obtained under number 945/ C.16/ FK/ 2019. The results of the study mention the use of the internet and social media indicate the potential capabilities of pharmacists in health services and also the challenges of transformation to the role of pharmacists in the e-pharmacy era. This study also mentions the urgency of establishing regulations regarding e-pharmacy that is driven by the violation from the internet and social media use. Improvement of ICT infrastructure in the pharmacy field as well as the pharmacist's contribution on the provision of drug information for chronic diseases, including asthma, are urgently required

The Effect of Celebrity Endorsement, Electronic Word of Mouth, and Customer Satisfaction to Purchasing Decision

This study aims to determine the effect of celebrity endorsement, electronic word of mouth and customer satisfaction on consumer purchasing decisions. The population in this study were Miting Lobster visitors in Jakarta, the number of samples used in the questionnaire was 140 respondents. Data collection methods using survey methods, the research instrument is a questionnaire. The data analysis method uses Partial Least Square. This research proves that there is a significant influence between celebrity endorsement on purchasing decisions, there is no influence between the electronic word of mouth with purchasing decisions and there is a significant influence between customer satisfaction with purchasing decisions. Keywords: Miting Lobster, Celebrity Endorsement, Electronic Word Of Mouth, Customer Satisfaction, Purchasing Decision DOI: 10.7176/JMCR/67-04 Publication date: April 30th 202