Medicine and Health Sciences Commons^™

Comparison Of Intraperitoneal And Intraductal Routes In The Growth Of N-Methyl-N-Nitrosourea-Induced Breast Cancer In Sprague Dawley Rats: A Systematic Review 2014–2024, Adilla Soraya Prameswari, Ruendhita Azzahra Sari Sompokan, Annisa Annisa, Rachma Greta Perdana Putri, Dewi Yuniasih, Muhamad Danian, Muhammad Tri Yoga Tianotak

Folia Medica Indonesiana

Breast cancer is one of the[-6pc]AU: Please provide affiliations for your paper. leading causes of death for women worldwide, characterized by malignant tumors in the mammary epithelium. Breast cancer modelling using Sprague Dawley animals induced by N-Methyl-N-Nitrosourea (MNU) compounds is commonly used through various administration routes. The intraperitoneal route is the conventional route and the intraductal route is a new route capable of directly targeting the mammary ducts. Both routes affect the speed and characteristics of breast cancer cells in experimental animals. This systematic review using PubMed and Scopus databases from 2014-2024 aims to compare the effects of intraperitoneal and …

A Novel Mathematical Model Of Hiv Transmission Incorporating The Effects Of Treatment And Pre-Exposure Prophylaxis: Sensitivity Analysis And Numerical Simulations, Erick Manuel Delgado Moya

Mathematical Modelling and Numerical Simulation with Applications

Human immunodeficiency virus (HIV) continues to be a public health problem in many countries of the world, and Pre-exposure prophylaxis (PrEP) is a preventive method for HIV, which has shown great efficacy and is in use worldwide. This work presents a new mathematical model for HIV transmission incorporating PrEP use and evaluates the impact of PrEP along with its increasing use in a population. The construction of the model takes into account three forms of diagnosis: diagnosis of individuals in risky sexual contact, diagnosis after risky contact (diagnosis in the undiagnosed infected compartment), and diagnosis associated with attempting to enter …

Prevalence Of Psychological Distress Among Parents Of Children With Autism In Al-Diwaneyah Province/Iraq, Noor Abdulmahdi Alrabeeah, Abdulzahra Al-Khafaji

Al-Qadisiyah Medical Journal

Background: Families suffer from a lot of psychological pressure in accepting their child’s illness, especially if the disorders are affecting their mental and psychological development, such as autistic spectrum disorder. Aim: The study aimed to evaluate the extent of psychological distress among parents of children with autistic disorder and its association with the socio-demographic characteristics of their children with autism.Material and Method: A descriptive analytical study conducted during the period from January 15, 2023, to December 1, 2023, on a sample of voluntary participants consisting of 120 parents in Al-Diwaniyah Teaching Hospital. Data were collected through the use of a …

Serum Level Of Il-4 And Il-13 And Their Association With Disease Pathogenesis In Patients With Eczema, Shurooq Salim Murad, Heyam Qaid Mohammad

Al-Qadisiyah Medical Journal

Background: As the most common chronic skin illness with a genetic foundation, eczema is an inflammatory skin condition driven by cytokines. People with AD suffer from a significant burden that affects their physical, mental, social, and financial well-being.  The cytokines are important in eczema disease. Interleukins regulate immunity. Lack impairs immunity or causes autoimmune disorders. Objectives: This study is aiming to investigate whether inflammatory cytokine (IL-4, IL-13) levels in the blood correlate with eczema disorder. Methods: This case-control study is based on 60 patients who have been diagnosed with eczema disorder with a 60-person apparently healthy control group. 4 ml …

Comprehensive Study Of Pediatric Migraine Based On Patient Data Of Demographic, Characteristic, And Treatment Outcomes, Shaima’A Dakhel Abdulhassan, Safa’A Dakhel Abdulhassan

Al-Qadisiyah Medical Journal

Introduction: Migraine is a common neurological disorder in pediatric consultations. It is often disabling and influencing negatively the quality of life of pediatric migraine patients (PMPs). Aim: This study aimed to characterize the demographic profile of 98 PMPs from outpatient and private clinics in Al-Diwaniyah City, Iraq. This study describes demographic distribution, migraine characteristics, associated symptoms, familial history, trigger factors, and treatment outcomes of PMPs. Patients and Methods: The dataset had the following variables: age, sex, duration and severity of the migraines, frequency of attacks, associated symptoms, family history, trigger factor, types of treatments, and follow-up duration. Descriptive statistics were …

The Role Of Il-13 Serum Levels With Its Genetic Polymorphism In The Risk Of Developing Chronic Rhinosinusitis, Baneen Mohammed Ali Hussein, Ibrahim Abdulmajeed Mustafa

Al-Qadisiyah Medical Journal

Background: Chronic rhinosinusitis (CRS) represents a prolonged inflammatory condition of both nasal cavity and paranasal sinuses which extends more than 12 weeks without any sign of improvement. This condition affects work attendance along with productivity levels and quality of life detrimentally. Objective: To find out whether IL-13 rs1800925 C/T-1055 genetic polymorphism and its serum levels have a risk value for CRS disease. Methods: Three groups have been used as the basis for a case-control study. Thirty patients with a history of chronic rhinosinusitis with nasal polyp; thirty patients with a history of chronic rhinosinusitis without nasal polyp; and thirty healthy …

Intratympanic Steroids In Ménière's Disease: Impact On Vertigo, Hearing, And Quality Of Life, Osama Awaad Ali, Mohammed Saeed Abd Ali

Al-Qadisiyah Medical Journal

Background: Ménière’s disease (MD) is an audiovestibular debilitating condition characterized by episodic vertigo, variable degrees of hearing loss, tinnitus, and aural fullness. Objective: To evaluate the efficacy of intratympanic steroid therapy in combination with standard treatment compared to standard therapy alone on managing signs of MD. Patients and methods: Eighty patients diagnosed with MD were randomly allocated into one of the treatment groups. Patients of group A received standard therapy (betahistine, low-salt diet, and diuretics), while patients of group B received standard therapy in addition to intratympanic steroid injections (dexamethasone 4 mg/mL). Vertigo severity (Dizziness Handicap Inventory (DHI) score), hearing …

Health Risk Assessment (Hra) In Home-Based Ironing Businesses: Risk Identification, Intervention, And Evaluation In Johar Baru District, Central Jakarta, Heru Alfares, Irawadi Darmaputra, Marsen Isbayuputra, Muhammad Ilyas

Occupational and Environmental Medicine Journal of Indonesia

Background Home-based ironing businesses in Johar Baru District, Central Jakarta, are part of the informal sector, vulnerable to health risks due to suboptimal working conditions. This study aims to identify, assess, and control health risks through a Health Risk Assessment (HRA) approach.

Methods Research methods include direct observation, interviews, environmental measurements, health screenings, and ergonomic surveys using the BRIEF (Baseline Risk Identification of Ergonomic Factor) instrument.

Results The results indicate that the temperature in the ironing area reaches 33°C, exceeding the comfort standard, and that 80% of workers have dark yellow urine, indicating a high risk of dehydration. Risk assessment …

Returning To Work On Chef With Graves’ Disease: A Case Report, Izzatul Abadiyah, Dewi Sumaryani Soemarko

Occupational and Environmental Medicine Journal of Indonesia

Background Graves’ disease has adverse effects on quality of life, because of somatic psychiatric symptoms and an inability to work. Chefs face many occupational hazards that can aggravate certain medical conditions, worsen the disease, and pose safety risks at work. This case report aims to assess the returning-to-work evaluation and program for a chef with Graves’ disease.

Case Description A forty-seven-year-old Indonesian male who was diagnosed with Graves’ disease from characteristic clinical features and biochemical abnormalities was admitted to the hospital with shortness of breath. TSH concentration was 0.001mU/L, FT4 concentration was 2.85 ng/dL, hemoglobin level was 10.6 g/dL, and …

Burden Of Musculoskeletal Disorders, Associated Risk Factors And Perceptions On Prevention Among Airport Baggage Handlers, Ashish A. Trivedi Md, Alice Lai, Mahmud Tasim, Nik Tuah

Occupational and Environmental Medicine Journal of Indonesia

Background Airport baggage handlers are involved in manual handling of heavy loads, predisposing them to the risk of developing work-related musculoskeletal disorders (MSDs). This study aimed to determine the burden of self-reported MSDs and their associated factors among airport baggage handlers in Brunei Darussalam.

Methods In this cross-sectional study, we used a self-administered questionnaire to collect demographic and work profile data. We also incorporated the Nordic Musculoskeletal Questionnaire to assess body-part MSD symptoms over a 12-month period. Baggage handlers’ perceptions of the likelihood of specific work tasks related to MSDs and of preventative measures were also sought.  The data were …

Comparative Analysis Of Groundwater Quality Based On Chemical Parameters Around Final Disposal Sites Using Open Dumping And Sanitary Landfill Methods, Shiesil Rizqia Amadia, Mika Vernicia Humairo

Preventia: The Indonesian Journal of Public Health

The main environmental issue at landfill sites is the seepage of leachate into the ground, which contaminates surrounding aquifers. Communities residing within one kilometer of landfill sites are at high risk of environmental pollution. This study aimed to analyze differences in groundwater quality around landfills applying open dumping and sanitary landfill methods, and to compare groundwater quality at safe and unsafe distances from these sites. The research was conducted around the Cipayung landfill in Depok (open dumping) and the Talangagung landfill in Kepanjen (sanitary landfill). The study adopted an analytical observational approach using a cross-sectional design. The independent variables included …

Analysis Of Demand And Supply Of Radiotherapy Services At Dr.M.Djamil General Hospital Padang, Viola Shinta Dewi, Catur Suharinto, Zarni Zamzahar, Yulhaini Yulhaini

Preventia: The Indonesian Journal of Public Health

Around 10 million cases of cancer are discovered in the world per year, and it will continue to increase. Half of cancer cases require radiotherapy as treatment therapy. Dr. M. Djamil General Hospital, Padang, in 2021, has only 1 Cobalt radiotherapy. This study aimed to analyze the demand and supply of radiotherapy services at Dr. M. Djamil General Hospital, Padang. This descriptive study was conducted at Dr. M. Djamil General Hospital, Padang from May to December 2022. Data were analyzed using univariate analysis to describe the variables studied. This study reported that 241 patients were registered and received radiotherapy services. …

The Role Of Climate And Population Density In The Spread Of Dengue Fever: A Spatial Analysis Of Padang City 2022–2024, Nailul Hikmi, Aria Gusti

Preventia: The Indonesian Journal of Public Health

In 2023, Padang city had a dengue fever incidence rate of 46.5 per 100,000 population, an increase compared to the previous year. Climate change, with the transition from the dry to the rainy season, contributed to a surge in dengue fever cases. This study aims to determine the relationship between environmental factors and the incidence of dengue fever in Padang City from 2022 to 2024. This study uses an ecological study design with a sample of all dengue fever cases recorded by the Padang City Health Office. Climate data was obtained from the Indonesian Agency for Meteorological, Climatological, and Geophysical …

From Medical Check-Ups To Risk-Based Health Governance: Reframing Fitness-For-Work And Preventive Health In Modern Health Systems, Kasyunnil Kamal, Iqbal Mochtar

Occupational and Environmental Medicine Journal of Indonesia

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Analysis And Numerical Investigation Of A Breast Cancer Treatment Model Incorporating Ketogenic Diet And Immune Boosters Via Optimal Control Theory, Kunnisai Muniroh, Ummu Habibah, Wuryansari Muharini Kusumawinahyu, Nur’Izzati Hamdan

Mathematical Modelling and Numerical Simulation with Applications

This paper develops a mathematical model to investigate breast cancer dynamics by incorporating tumor–immune interactions, ketogenic diet effects, and medical treatment. The model is formulated as a system of nonlinear ordinary differential equations and analyzed within an optimal control framework. Time-dependent control variables are introduced to represent treatment strategies aimed at minimizing tumor progression while reducing therapeutic costs. The model’s well-posedness is established through positivity and boundedness analysis. The necessary conditions for optimality are derived using Pontryagin’s Minimum Principle, resulting in a coupled system of state and adjoint equations. Numerical solutions are obtained using the fourth-order Runge–Kutta method combined with …

Hepatitis B Surface Antigen And Liver Function Tests As Prediction Markers For Patients Infected With The Hepatitis B Virus., Maitham N. Madhi, Wissam Salih Abood

Al-Qadisiyah Medical Journal

Background: The infection with the hepatitis B virus represents a significant global health challenge with serious complexities like the failure of the liver and hepatocellular carcinoma. It results in an estimated mortality of 1.12 million cases in 2022. Aim of Study: This study aimed to use hepatitis B surface antigen and liver function tests as prediction markers for patients infected with the hepatitis B virus and compare them with viral load in Wasit Province, Iraq. Materials and Methods: This study involved 75 patients, both male and female, who made up the study population. Hepatitis B virus (HBV)-positive patients' samples were …

The Validity Of Il12 And Mirna-140-5p As Potential Biomarkers Of Asthma, Hawraa Khalid Abdul Hussien, Manal Mohammed Kadham

Al-Qadisiyah Medical Journal

Background: Asthma is a chronic respiratory disorder characterized by airway inflammation, hyperresponsiveness, and variable airflow limitation. It affects millions worldwide and results from complex interactions between genetic, environmental, and immunological factors. Aim: To evaluate serum IL-12 levels and miRNA-140-5p expression in asthma patients compared to healthy controls and to explore their potential as diagnostic and follow-up biomarkers. Methods: The study included 60 patients diagnosed with asthma and 40 apparently healthy controls. Venous blood samples (5 mL) were collected under aseptic conditions from each participant. Serum IL-12 concentrations were measured using ELISA, and miRNA-140-5p expression was quantified by RT-qPCR following standard …

Impact Of Renal Dysfunction On In-Hospital Outcomes In Patients With Acute Coronary Syndrome, Kareem M Khalaf Al-Sharea, Falah A Bdulhasan Deli, Haidar Ali Musa

Al-Qadisiyah Medical Journal

Background: The outcome is poor in patients with acute myocardial infarction (MI) who have renal dysfunction in long-term follow-up. Less is known about the outcome of acute MI in the short term. Objectives: We aimed to evaluate the outcome of patients with acute coronary syndrome (ACS) across varying degrees of renal dysfunction. Materials and methods: Seventy patients presenting with ACS, including ST-segment elevation MI (STEMI), non-ST-segment elevation MI (NSTEMI), and unstable angina (UA), were enrolled in this prospective observational study. Sociodemographic and clinical characteristics and in-hospital outcomes were compared for patients according to glomerular filtration rate (GFR). Results: Patients with …

Evaluation Of Impact Of Some Epidemiologic Factors On The Bronchiolitis Caused By Respiratory Syncytial Virus (Rsv) In Infants And Young Children Under 5 Years Old In Al- Diwaniyah Province, Rajaa Abd Hamaadi Chaloob, Wissam Salih Abood

Al-Qadisiyah Medical Journal

Background:. The biggest viral cause of bronchiolitis and one of the major agents behind respiratory-tract infections globally is the Human Respiratory Syncytial Virus (HRSV). RSV is transmitted through airborne droplets or close contact with contaminated objects. Objective: The purpose of this research is to detect major risk factors associated with susceptibility to and severity of bronchiolitis in infants and young children under the age of five caused by respiratory syncytial virus (RSV).  study design to detect antibodies Immunoglobulin M (IgM) for human RSV in serum samples by using specific enzyme-linked immunosorbent assay (ELISA) kits as a diagnostic test Methods: This …

Uji Kelayakan Teknis Dan Performa Auvest: Rompi Pendingin Otomatis Berbasis Wearable Thermoelectric Cooler Untuk Mitigasi Risiko Heat Stress, Muchammad Adam Wildan, Amelia Avril Rayhana, Nadia Hanifan Nabila, Bian Shabri Putri Irwanto

National Journal of Occupational Health and Safety

Heat stress is a serious threat to construction workers that can reduce productivity and even threaten lives. Existing cooling vest innovations still have limitations, such as weight, manual systems, and the risk of leakage. This study aims to analyze the effectiveness of the Automatic Vest (AUVEST), an automatic cooling vest based on Wearable Thermoelectric Cooler and the Internet of Things (IoT), in preventing the risk of heat stress. The method used is experimental with trials on one construction worker in indoor and outdoor environments. AUVEST is equipped with temperature sensors (DS18B20, TMP102) and humidity (DHT11), whose data is processed by …

Global Preferences And Determinant Variables Of Caesarean Delivery Among Pregnant Women: A Systematic Review And Meta-Analysis, Mitiku Tefera, Lijalem Jemberu, Eyob Getachew, Getnet Alemu Andarge, Kedir Seid, Gebeyehu Lakew, Amlaku Nigusie Yirsaw, Eyob Ketema Bogale

Sultan Qaboos University Medical Journal

A caesarean section (CS) is a lifesaving procedure. With rising rates, women’s delivery choices have become a global concern. This review assesses global CS preference and determinants. A search of 6 databases was conducted (PubMed, Medline, EMBASE, CINAHL, Google Scholar and Maternity and Infant Care) in accordance with PRISMA guidelines, including papers published between 2013 and 2024. Egger’s test and funnel plot assessed publication bias, while the I2 statistic and Cochrane Q-test evaluated heterogeneity. Subgroup analysis considered sample size, publication year and economic condition. Initially, 73 articles were identified, of which 13 were deemed suitable, with a total sample size …

Green Tea (Camellia Sinensis) And Cognitive Health: A Systematic Review Of Mechanisms, Clinical Evidence, And Neuroprotective Potential, Elisha Rosalyn Rosdah, Eka Febri Zulissetiana, Irfannuddin Irfannuddin

Folia Medica Indonesiana

Cognitive decline, often a precursor to neurodegenerative diseases like Alzheimer's, is a growing global health challenge. Green tea (Camellia sinensis), rich in bioactive compounds such as epigallocatechin-3-gallate (EGCG) and L-theanine, has demonstrated promise in supporting cognitive function and reducing cognitive decline. This systematic review evaluated the recent evidence on the effects of green tea on cognition and its underlying mechanisms. The authors conducted a comprehensive search of PubMed, SpringerLink, and ScienceDirect for open-access articles published between January 2020 and April 2025. This systematic review included studies examining the impact of green tea on cognitive function in humans and …

Antioxidant Activity Comparison Of Peperomia Pellucida And Piper Crocatum Leaf Extracts Using The Dpph Method (In Vitro), Dyah Ayu Kinasih, Arifa Mustika, Marijam Purwanta, Nurmawati Fatimah, Nozlena Binti Abdul Samad

Folia Medica Indonesiana

Peperomia pellucida (L.) Kunth and Piper crocatum Ruiz and Pav are members of the Piperaceae family, which contains many active phytochemical compounds, one of which functions as an antioxidant. Antioxidants in the human body play a crucial role in protecting cells and tissues from damage by free radicals. Free radicals are unstable molecules that can damage cells through a process called oxidation. The purpose of this study was to compare the levels of antioxidant activity in the two plants using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) method. The processing was conducted from simplicial to extraction, using the maceration method with 70% ethanol solvent. …

Correlation Of F2-Isoprostane With Interleukin-6 And Interleukin-10 In Transfusion-Dependent Thalassemia Patients : A Cross-Sectional Study, Nurul Muhlisa, Yetti Hernaningsih, Puspa Wardhani, Mia Ratwita Andarsini, Zulfikar Ali Hasan

Folia Medica Indonesiana

Transfusion-dependent thalassemia (TDT)[-7pc]AU: Please Provide authors affiliations. is a condition in which patients require lifelong regular blood transfusions. However, regular blood transfusions carry a major risk of iron overload, which accumulates in the body and can trigger oxidative stress and chronic inflammation. Oxidative stress is characterized by an increase in reactive oxygen species (ROS), which can be assessed through the measurement of F2-Isoprostanes (8-iso-PGF2α). Excessive ROS affects cytokine production by inducing an inflammatory response, such as IL-6 and IL-10. This study aims to analyze the correlation between F2-isoprostane with Interleukin-6 and Interleukin-10 levels in TDT patients. This research …

Transforming Vision: Long Term Follow-Up Of Rigid Gas Permeable Contact Lens Therapy In Anisometropic Amblyopia, Christina Aritonang, Sarah Fauzia, Zafirah Mutiani, Hafiza Izyani Yaacob, Muhammad Irfan Kamaruddin

Folia Medica Indonesiana

Amblyopia is defined as a unilateral or bilateral reduction in visual acuity resulting from abnormal binocular interaction during the critical period of visual development. Amblyopia is classified into three etiologies: strabismus, refractive amblyopia, and other vision obstructions. Amblyopia refractive is the most common form resulting from the integration of the retina. Amblyopia is most prevalent in childhood, with a global prevalence of 1.44% mainly in Asia, the United States, and Europe. Early detection and treatment are crucial to ensure proper visual development and prevent long-term vision problems. RGP contact lenses are an alternative treatment method that creates a more effective …

Analysis Of Penis Size Differences In Patients With Severe Erectile Dysfunction Non-Responsive Pde5i With Mesenchymal Stem Cell Secretome From Umbilical Cord, Kristophorus Jonathan Wibowo, Reny I’Tishom, Mohammad Ayodhia Soebadi, Muhammad Hidayat Surya Atmaja, Supardi Supardi, Ria Margiana, Fatkhurrohmah Leo Amalia

Folia Medica Indonesiana

The ineffectiveness of PDE5i[-10pc]AU: Please provide the affiliation of all authors. therapy is indicated by the patient’s unresponsiveness to oral medication, evidenced by insufficient erection after four attempts with the dosage recommended by the manufacturer. Consequently, the application of regenerative therapy may be seen as an effort to stimulate a response or improvement in erectile function, especially in individuals with erectile dysfunction who exhibit no significant progress after utilizing PDE5 inhibitors. Regenerative therapy seeks to repair damaged erectile tissue, with the objective of enhancing erectile function and rehabilitating tissue impacted by existing comorbidities. The secretome denotes the aggregate of chemical …

Patterns Of Rifampicin And Isoniazid Resistance In Pulmonary Rr/Mdr-Tb With Or Without T2dm, May Ira Sopha, Laksmi Wulandari, Musofa Rusli, Dominicus Husada, Susantina Prodjosoewojo

Folia Medica Indonesiana

Tuberculosis (TB) causes approximately[-12pc]AU: Please provide ORCID ID for all authors. 1.6 million deaths each year. The incidence of drug-resistant TB has continued to rise, primarily due to multidrug-resistant tuberculosis (MDR-TB). Drug-resistant TB remains a primary concern in various parts of the world, especially in Eastern Europe, Russia, Asia, and sub-Saharan Africa. This study aimed to analyze the correlation between first-line anti-tuberculosis drug resistance and the presence or absence of T2DM comorbidity in patients with pulmonary RR/MDR TB. This research employed a cross-sectional design, which used secondary data from 2023, obtained from medical records, the Tuberculosis Information System (SITB), and …

Preliminary Laboratory Evaluation Of Rapid Diagnostic Test Prototype To Detect Hbsag In Whole Blood And Serum, Ema Qurnianingsih, Citrawati Dyah Kencono Wungu, Mochammad Amin, Dewi Setyawati, Yanna Debby Restifanny Yasan, Lina Lukitasari, Maria Inge Lusida, Soetjipto Soetjipto

Folia Medica Indonesiana

Chronic hepatitis B virus (HBV) remains a major global health issue,[-10pc]AU: Please provide ORCID ID for all authors.[-7pc]AU: Please provide affiliation’s for all authors. with over 250 million people affected worldwide. In Indonesia, HBV prevalence has declined from high to moderate endemicity, but challenges persist due to regional disparities, risk of mother-to-child transmission, and the predominance of B3 and C1 sub-genotype. Despite available preventive measures and diagnostic tools, approximately 90% of cases remain undiagnosed, particularly in low-resource settings, indicating the need for improved screening and control strategies. Therefore, this study aims to conduct preliminary performance tests of KODC hepatitis B …

Global Analysis Of Pyroptosis On Autoimmune Diseases: Bibliometric Study, Astri Dewayani, Kartika Afrida Fauzia

Folia Medica Indonesiana

Pyroptosis has gained increasing attention due to its role in immune responses and its implication in the pathogenesis of autoimmune diseases. Unlike apoptosis, pyroptosis is characterized by gasdermin D-mediated membrane pore formation and the release of pro-inflammatory cytokines. This bibliometric analysis aims to systematically explore trends, influential contributions, and emerging themes in the study of pyroptosis within the context of autoimmune diseases. Literature was retrieved from the Web of Science Core Collection covering publications from 2015–2024. A total of 1,271 English-language articles and reviews were analyzed using Biblioshiny and VOSviewer for performance metrics and network visualizations. Hotpots trend identification is …

Clinical Pathway Sebagai Solusi Keberlanjutan Jkn Di Indonesia: Systematic Review, Septiana Septiana, Siti Soekiswati, Burhannudin Ichsan

Jurnal Ekonomi Kesehatan Indonesia

The National Health Insurance (JKN) program is threatened with a deficit and potential default in 2026 due to inefficiency and the risk of fraud in healthcare facilities. In the context of JKN, which uses a package system (INA-CBG), Clinical Pathway (CP) is a strategic instrument within the JKN system that has dual benefits for both Payers (BPJS Kesehatan) and Providers (Hospitals). For BPJS Kesehatan, CP primarily functions to ensure service quality and prevent undertreatment fraud, the practice of reducing services to benefit hospitals. This prevention ultimately achieves cost efficiency in the JKN program by avoiding payment of complication claims and …