PENGARUH PEMBERIAN UMPAN BALIK TEKANAN DARAH KEPADA DOKTER TERHADAP INTENSIFIKASI DAN LUARAN TERAPI PASIEN ASKES HIPERTENSI Kajian Farmakoepidemiologi

• Main Authors: , RITA SUHADI, , Prof. dr. Iwan Dwiprahasto, MD.MMedSc.PhD.
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2013
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/124012/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=64130
• Institution: Universitas Gadjah Mada

Appropriate blood pressure (BP) control reduced cardiovascular (CVD) event. Therapy intensification (TI) improved BP control. TI was found relatively rare in clinical practice and became the barrier in BP control. A non-randomized and multicenter study in 4 hospitals was done with the aims to evaluate the effect of BP feedback intervention to physicians on the cost-effectiveness of the therapy, the increase of TI score, the improvement of BP control, and the acceptability of the intervention program by the physicians. The study consisted 2 periods, the first period was cohort for 6 months and the second period was the nonrandomized study with control for 8 months follow-up. Subjects of adults, outpatients, with �Askes� insurance, high BP/with antihypertensive medicine, and �4visits in 2 nd period were included but the subjects in hemodialysis were excluded. Physicians in intervention group received 4 times feedback in month 1, 2, 4, and 6 in the 2 nd period. The TI score was calculated with standard-based method and cost effectiveness was determined with scatter plot analysis and Incremental Cost Effectiveness Ratio. Subjects� profile of intervention (I) vs. non-intervention (NI) groups were: 385 vs. 271 subjects