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All Journal Journal of Hospital Administration and Excellent Health Service
Muhammad Faris Nuuruddin
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Humanities Education Health Professions Public Health Veterinary

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ANALISIS MANAJEMEN PELAYANAN PEMERIKSAAN KLASIFIKASI ATLET PENYANDANG DISABILITAS DI NATIONAL PARALYMPIC COMMITTEE INDONESIA PROVINSI LAMPUNG M Tasa Kasumbang; Efraldo Yudistira; Bota Muhammad Akbar; Al Um Aniswatun Khasanah; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Introduction: Athlete classification is a fundamental component of para-sports, ensuring fair competition by determining athletes' eligibility based on functional abilities according to the International Paralympic Committee (IPC) standards. At the regional level, classification requires not only accurate clinical assessment but also efficient health service management. However, the classification process at the National Paralympic Committee of Indonesia (NPCI) Lampung Province still faces challenges related to scheduling, infrastructure, and administrative management. Objective: This study aimed to analyze the health service management of athlete classification and propose strategies to improve service efficiency at NPCI Lampung Province. Methods: A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, focus group discussions, and document reviews involving NPCI administrators, medical classifiers, physiotherapists, technical classifiers, and para-athletes. Data were analyzed using the Miles, Huberman, and Saldaña interactive model. Results: Three major challenges were identified, including scheduling inconsistencies, limited examination infrastructure, and paper-based administrative management. Based on these findings, an Integrated Para-Classification System (IPCS) was proposed to integrate administrative processes, medical screening, physiotherapy assessment, technical classification, and documentation into a single service pathway. Conclusion: The proposed integrated service model has the potential to improve service efficiency, strengthen multidisciplinary collaboration, and enhance the quality of athlete classification management at NPCI Lampung Province.
IMPLEMENTASI STRATEGI PENGENDALIAN PERILAKU SEDENTARI DALAM MENEKAN BEBAN OSTEOARTRITIS LUTUT DAN PENGUATAN SISTEM PELAYANAN KESEHATAN: STUDI KASUS-KONTROL DI RSU MUHAMMADIYAH METRO W. Azhar Na'im; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Knee osteoarthritis is one of the main causes of chronic pain, disability, and reduced quality of life in adult and elderly populations. Sedentary behavior, like spending a lot of time sitting due to changes in work patterns and technology use, is thought to increase the burden of this musculoskeletal disease. This study aimed to analyze the relationship between sedentary behavior and the occurrence of knee osteoarthritis, as well as to outline strategic policy implications for the healthcare system. The study used a case-control design at RSU Muhammadiyah Metro. The results showed that sedentary behavior has a very strong connection with the occurrence of knee osteoarthritis. Individuals with sedentary behavior are 23.276 times more likely to develop knee osteoarthritis compared to those who are not sedentary (OR = 23.276; p < 0.001). Based on the strength of this association, committing to promoting physical activity, integrating early screening into primary healthcare services, and strengthening community-based prevention programs are high-value healthcare investment choices to maintain the sustainability of National Health Insurance (JKN) funding. Keywords: knee osteoarthritis, sedentary behavior, healthcare services, case-control, JKN.
IMPLEMENTASI AKTIVITAS STIMULASI MOTORIK HALUS BERBASIS BERMAIN PADA BALITA DI POSYANDU BUNGA TANJUNG Al Um Aniswatun Khasanah; Nabila Nur Afifah Fitri; Efraldo Yudistira; Muhammad Tasa Kasumbang; Muhammad Faris Nuuruddin; Bota Muhammad Akbar
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Introduction: Fine motor development is a crucial aspect of child growth and development that should be stimulated early through play activities appropriate to the child's developmental stage. Posyandu (Integrated Health Service Posts) have the potential to serve as promotive and preventive community-based health services for providing developmental stimulation. This study aimed to describe the implementation of play-based fine motor stimulation activities for toddlers at Posyandu Bunga Tanjung. Methods: This study employed a descriptive observational design with a cross-sectional approach. The participants were all toddlers who attended the fine motor stimulation activities at Posyandu Bunga Tanjung on April 18, 2026, selected using a total sampling technique. The stimulation activities included color matching games, a marble maze, puzzles, and a ball relay using bottle caps. Data were collected through direct observation and analyzed descriptively using frequency distributions and percentages. Results: A total of 49 toddler participations were recorded, consisting of color matching games (n=22), marble maze (n=13), puzzles (n=8), and ball relay (n=6). The color matching games showed the greatest variation in repetition frequency, whereas the other three activities were predominantly completed with a single repetition. Conclusion: Play-based fine motor stimulation activities can be implemented in Posyandu as a promotive strategy to stimulate various components of fine motor skills according to the characteristics of each activity. The variation in repetition frequency reflects toddlers' participation patterns during the activities rather than the effectiveness of the intervention or improvements in fine motor skills.
Co-Authors Al Um Aniswatun Khasanah Bota Muhammad Akbar Efraldo Yudistira M Tasa Kasumbang Muhammad Tasa Kasumbang Nabila Nur Afifah Fitri W. Azhar Na'im