Comparison of antihypertensive drug utilization in community health centre and type B teaching hospital

Sitorus, Tromphin and Simatupang, Abraham (2023) Comparison of antihypertensive drug utilization in community health centre and type B teaching hospital. Indonesian Journal of Pharmaceutical and Clinical Research, 6 (1). pp. 25-30. ISSN 2620-3731

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Abstract

Hipertensi masih merupakan masalah kesehatan global karena prevalensinya yang terus meningkat sebagai akibat masalah kompleks, diantaranya yaitu penggunaan obat. Indonesia telah memiliki sistem kesehatan terintegrasi yang dikenal sebagai Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Penelitian retrospektif cross sectional ini membandingkan penggunaan antihipertensi di Puskesmas Rawabuntu dan Rumah Sakit Umum (RSU) Universitas Kristen Indonesia (UKI) (termasuk kategori rumah sakit pendidikan tipe B) dengan merekrut data yang diperlukan dari rekam medik pasien hipertensi (n=192) periode Januari 2021 sampai Desember 2021. Karakteristik pasien dianalisis secara deskriptif. Kerasionalan penggunaan antihipertensi dianalisis berdasarkan guidelines yang disetujui oleh Perhimpunan Dokter Hipertensi Indonesia. Umumnya pasien pada kedua kelompok tersebut adalah perempuan (Puskesmas Rawabuntu: 52,1% dan RSU UKI: 60,4%). Hasil penelitian menunjukkan, dalam kriteria tepat indikasi, tepat pasien, dan tepat dosis baik di puskesmas maupun di rumah sakit memiliki capaian yang sempurna (100%). Sedangkan, dalam kriteria tepat obat, berturut turut sebanyak 66,7% dan 85,4% pasien mendapatkan obat yang tepat di Puskesmas Rawabuntu dan di RSU UKI. Penggunaan antihipertensi yang rasional secara signifikan lebih rendah di Puskesmas Rawabuntu dibandingkan dengan rumah sakit UKI (p<0,05). Keyword: hipertensi, obat antihipertensi, puskesmas, rumah sakit pendidikan. / Antihypertensive medicine is one of the many complex factors contributing to the sustained rise in hypertension prevalence, which remains a global health concern. The Social Security Agency on Health, or Badan Penyelenggara Jaminan Social (BPJS) Kesehatan, in Indonesia is an integrated healthcare system that provides universal healthcare to its citizens. This retrospective cross-sectional study examined the use of antihypertensive medications covered by BPJS between January and December 2021 at the Rawabuntu Primary Health Centre and the Universitas Kristen Indonesia (UKI) type B public hospital. The necessary data was extracted from the medical files of 192 hypertensive patients. The patients' characteristics were analysed descriptively. The rationality of antihypertensive medication use was evaluated in accordance with Association of Indonesian Hypertension Physicians-approved guidelines. The majority of patients in both categories were female (52.1 percent at the Rawabuntu Primary Health Centre and 60 percent at the teaching facility). In both healthcare facilities, the correct indication, patient, and dosage were administered 100 percent of the time, according to this study. While only 66.7% and 85.4% of patients at the Rawabuntu Primary Health Centre and UKI hospital received the correct drug category, respectively. The rational use of antihypertensive medications was substantially lower at the Primary Health Centre than it was at the UKI Hospital (p = 0.001). Keyword: hypertension, antihypertensive drugs, primary health centres, type B teaching hospital

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