Tunggul Adi Purwonugroho
Pharmacy Department, Faculty of Medicine and Health Sciences, Universitas Jenderal Soedirman

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Cost Analysis of Cancer Side Effects Therapy in Cancer Patients in Rumah Sakit Prof. Dr. Margono Soekarjo Purwokerto Pradana, Febrian; Purwonugroho, Tunggul Adi; Ekowati, Heny
Indonesian Journal of Cancer Chemoprevention Vol 3, No 3 (2012)
Publisher : Indonesian Research Gateway

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Abstract

Cancer  is  the  leading  cause  of  death  in  Indonesia.  Generally,  cancer  therapy  use chemotherapy,  radiation,  surgery  or  combination  of  those.  Various  side  effects  caused  by cancer  therapy  make  the  use  of  additional  drugs.  This  leads  to  an  increase  in  total  cost incurred  to  cancer  patients.  The  purpose  of  this  study  was  to  describe  the  treatment  of cancer  therapy’s side effects  as  well  as  the  average  cost  of  side  effects  treatment,  and  its percentage  in  the  total  cost  of  cancer  patients  in  Rumah  Sakit  Margono  Soekarjo.  This research was a descriptive study with retrospective data  by total sampling method obtained from  patients’  medical  and  receipts  records  of  five  most  common  cancers  (breast, nasopharynx,  Non  Hodgkins  Lhympoma  (NHL),  ovarian,  and  cervix)  during  January-December 2010. The average cost of  patient’s side effects treatment was calculated by the average  cost  of  side  effects  compared  to  the  average  total  direct  costs  incurred  to  cancer patients.  The  samples  was  obtained  from  the  population  of  2261  patients  who  met  the inclusion criteria, that are 73 patients consist of 62 female patients and 11 male patients. The most  common  side  effects  of  cancer  therapy  were  nausea  and  vomiting  (59.80%),  nausea-vomiting,  anemia,  and  pain  (16.44%),  and  nausea-vomiting  and  anemia  (15.07%).  The  most used therapy was vitamin B complex followed by histamine-2 inhibitor. The average cost of side effects for breast cancer was Rp 1,715,373 (8.73%), nasopharynx was Rp 1,149,049 (6.98 %);  NHL  was  Rp  360,778  (1.97  %);  ovary  was  Rp  911,118  (3.61  %)  and  cervical  was  Rp 1,416,027 (8.87 %). The results indicated  that the hospital needs  to pay  more attention  on nausea-vomiting effect of chemotherapy, and also cervical cancer side effects therapy as the most costly.Keywords: Cost Analysis, Cancer, Side Effects, Prof. Dr. Margono Soekarjo Hospital
Pengembangan Instrumen Pengukuran Kepuasan Pasien atas Layanan Pharmaceutical Care PURWONUGROHO, TUNGGUL ADI; UTAMI, VITIS VINI FERA RATNA; NURYANTI, NURYANTI
JURNAL ILMU KEFARMASIAN INDONESIA Vol 13 No 1 (2015): JIFI
Publisher : Fakultas Farmasi Universitas Indonesia

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Abstract

 Salah satu cara untuk menilai kualitas pharmaceutical care adalah dengan mengukur kepuasan pasien. Pengembangan dan validasi instrumen kepuasan pasien terkait dengan pharmaceutical care penting dilakukan untuk tersedianya instrumen yang komprehensif, valid dan reliabel sehingga penelitian untuk mengukur kepuasan pasien terhadap pharmaceutical care dapat dikembangkan. Kuesioner dibangun berdasarkan studi literatur dan diskusi mendalam dengan stakeholders. Selanjutnya, dilakukan uji readability terhadap responden/ pasien, untuk kemudian diuji ulang validitas isinya oleh panel akademisi dan praktisi.Validasi kemudian dilakukan dengan jumlah responden yang lebih besar dengan metode cross-sectional analysis. Hasil isian kuesioner digunakan untuk analisis faktor, uji validitas dan uji reliabilitas kuesioner. Hasil focus group discussion antara peneliti dengan praktisi apoteker didapatkan 13 faktor yang mempengaruhi kepuasan pasien terhadap pelayanan kefarmasian di apotek. Validitas kuesioner selanjutnya diuji pada 30 responden. Pada analisis faktor, tidak diperoleh dimensi yang dapat mengelompokkan pernyataan/ faktor yang ada. Uji validasi dengan menggunakan Pearson correlation dan uji reliabilitas dengan menggunakan nilai Cronbach’s Alpha terhadap masing-masing 13 pernyataan pada kuesioner harapan dan kenyataan diperoleh pernyataan yang valid dan reliabel pada semua pernyataan, kecuali satu pernyataan pada bagian harapan. Penelitian lebih lanjut dengan jumlah responden yang lebih banyak diperlukan untuk memvalidasi ulang kuesioner ini.
Cost Analysis of Cancer Side Effects Therapy in Cancer Patients in Rumah Sakit Prof. Dr. Margono Soekarjo Purwokerto Pradana, Febrian; Purwonugroho, Tunggul Adi; Ekowati, Heny
Indonesian Journal of Cancer Chemoprevention Vol 3, No 3 (2012)
Publisher : Indonesian Society for Cancer Chemoprevention

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.605 KB) | DOI: 10.14499/indonesianjcanchemoprev3iss3pp419-425

Abstract

Cancer is the leading cause of death in Indonesia. Generally, cancer therapy use chemotherapy, radiation, surgery or combination of those. Various side effects caused by cancer therapy make the use of additional drugs. This leads to an increase in total cost incurred to cancer patients. The purpose of this study was to describe the treatment of cancer therapy’s side effects as well as the average cost of side effects treatment, and its percentage in the total cost of cancer patients in Rumah Sakit Margono Soekarjo. This research was a descriptive study with retrospective data by total sampling method obtained from patients’ medical and receipts records of five most common cancers (breast, nasopharynx, Non Hodgkins Lhympoma (NHL), ovarian, and cervix) during January-December 2010. The average cost of patient’s side effects treatment was calculated by the average cost of side effects compared to the average total direct costs incurred to cancer patients. The samples was obtained from the population of 2261 patients who met the inclusion criteria, that are 73 patients consist of 62 female patients and 11 male patients. The most common side effects of cancer therapy were nausea and vomiting (59.80%), nausea-vomiting, anemia, and pain (16.44%), and nausea-vomiting and anemia (15.07%). The most used therapy was vitamin B complex followed by histamine-2 inhibitor. The average cost of side effects for breast cancer was Rp 1,715,373 (8.73%), nasopharynx was Rp 1,149,049 (6.98 %); NHL was Rp 360,778 (1.97 %); ovary was Rp 911,118 (3.61 %) and cervical was Rp 1,416,027 (8.87 %). The results indicated that the hospital needs to pay more attention on nausea-vomiting effect of chemotherapy, and also cervical cancer side effects therapy as the most costly.Keywords: Cost Analysis, Cancer, Side Effects, Prof. Dr. Margono Soekarjo Hospital