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EVALUATION OF MEDICAL WASTE MANAGEMENT BEFORE AND DURING THE COVID-19 PANDEMIC AT SENTRA MEDIKA HOSPITAL CIKARANG Sholihah, Enny Mar’atus; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

One of important things in managing Coronavirus Disease 2019 (COVID-19) pandemic is managing medical waste production. Medical waste management start from waste sort until waste manage by licensed parties, both of patients’ waste and health workers’ waste. Sentra Medika Hospital Cikarang is one of the referral hospitals that handles COVID-19. This research is a descriptive analytic study. Researchers analyze hazardous and toxic waste management before and during a pandemic by conducting interviews with the nursing unit and using secondary data. Secondary data was obtained from the hospital environmental health unit. There is no significant differences medical waste before and during pandemic. This happens because there are decreasing of patients amount which come to the hospital. Besides, health services waste is patients waste such as food or drink waste and personal protective equipment such as hazmat, masks, gloves and others. The weight of waste does produce is lighter. Medical waste at Sentra Medika Hospital has been managed in accordance with regulations.
ANALYSIS OF ACTIVITY BASED COSTING AS THE BASIS FOR INPATIENT SERVICES TARIFF AT INTAN MEDIKA LAMONGAN HOSPITAL Munaa, Nihayatul; Rahmawati, Nahardian Vica; Nurdiana, Fara; Kusdiyana, Ari; Kusbiantoro, Dadang; Sholihah, Enny Mar’atus
Jurnal Manajemen Kesehatan Indonesia Vol 12, No 2 (2024): Agustus 2024
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.12.2.2024.185-193

Abstract

Activity Based Costing is a cost assignment system based on the activities carried out by the company to produce products. The aim of this research is to find out and obtain information about calculating and comparing prices for inpatient room rates using conventional cost calculation methods with the ABC method. This is the quantitative descriptive research involves conducting interviews with the person in charge of the VIP inpatient room and financial department who relates to the research data. The results of the research show that the calculation of inpatient service rates using the Activity Based Costing method for the VIP class is IDR 160,499. From these results, when compared with the tariff used by Intan Medika Hospital of IDR 266,000, the Activity Based Costing method provides cheaper results with a difference of IDR 105,501. So by reducing rates according to the Activity Based Costing method, Intan Medika Hospital can expand its market because if it uses more appropriate prices and provides good quality, customers will choose to use Intan Medika Lamongan Hospital, so that Intan Medika Lamongan Hospital can increase the occupancy of VIP inpatient room and have a long-term profits.
Evalusi Pengelolaan Limbah Medis Sebelum dan Saat Pandemi Covid19 di Rumah Sakit Sentra Medika Cikarang Sholihah, Enny Mar’atus; Sjaaf, Amal Chalik; Djunawan, Achmad
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 7, No 1 (2021): JMK Yayasan RS.Dr.Soetomo, April 2021
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.555 KB) | DOI: 10.29241/jmk.v7i1.607

Abstract

Pendahuluan: Pengelolaan limbah medis merupakan salah satu hal yang penting dalam penanganan pandemi Corona Virus Disease 2019 (Covid-19). RS Sentra Medika Cikarang merupakan salah satu rumah sakit rujukan Covid-19 yang menghasilkan limbah medis. Perlu adanya evaluasi pengelolaan limbah medis sebelum dan saat pandemi Covid-19. Metode: Desain penelitian ini adalah studi kasus. Penelitian ini dilaksanakan pada bulan Agustus tahun 2020. Informan kunci dalam penilitian ini adalah sanitarian dan perawat. Hasil dan Pembahasan: Pengelolaan limbah medis saat pendemi tidak berbeda jauh dengan sebelum pandemi. Jumlah pasien yang berkunjung ke pelayanan kesehatan menurun akibat pandemi. Limbah yang dihasilkan dari pelayanan Covid-19 meliputi bekas makanan atau minuman pasien serta APD seperti hazmat, masker, sarung tangan. Berat limbah tersebut jauh lebih ringan. Kesimpulan. Limbah medis di Rumah Sakit Sentra Medika sudah dilakukan pengelolaan sesuai dengan regulasi yang telah ditetapkan pemerintah.
PENGARUH MODEL PEMBELAJARAN DARING (DENGAN PEMUTARAN VIDEO) TERHADAP PEMAHAMAN KONSEP TERJADINYA BENCANA ALAM (KEBAKARAN DAN GEMPA BUMI) PADA INSTITUSI PENDIDIKAN KESEHATAN “X” DI KOTA SURABAYA M. Usa, WD. Yuni; Andreas Pradhana; Juni Dwi Kurnia Santi; Enny Mar’atus Sholihah; Vebiola Dammu Djari; Anisa Nomeni; Kifri Aquinas
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.201

Abstract

Online learning is an alternative way to improve the effectiveness of understanding a concept. The purpose of this study was to determine the effect of the online learning model using video playback on the understanding of the concept of natural disasters (fires and earthquakes) in students of the health education institution "X" in Surabaya. The method used was quantitative with a pre-experimental design in the form of one group pretest-posttest. The research sample was students of the health study program with a total of 110 respondents. Data through a test of understanding the concept of natural disasters before being given online learning based on video playback and after the online learning was completed. The analysis of the results showed a significant increase in the understanding of the concept of respondents after participating in learning which was supported by the results of the T-Test statistical test with a value of 0.000 (ρ <0.05). These results indicate that the use of video as a medium in online learning can improve students' understanding of the concept of natural disasters (fires and earthquakes) so that it can be an effective strategy in the learning process in the digital era.
Selisih Klaim INA-CBGs dengan Tarif Rumah Sakit Aktual di RS X Surabaya Pradhana, Andrea Thrisiawan; Yuadi, Imam; Puspitasari, Ira; Djunawan, Achmad; Sholihah, Enny Mar'atus
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 2 (2025): JMK Yayasan RS.Dr.Soetomo, Oktober 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i2.2309

Abstract

The hospital payment system in Indonesia uses the Indonesia Case Based Groups (INA-CBGs). It is expected to control service costs within the National Health Insurance (JKN) program. However, there is a challenge in the form of a negative difference between BPJS Kesehatan claims and the hospital's actual tariffs. If left unchecked, this could impact the financial sustainability of hospitals. This study aims to predict and analyze the factors influencing the difference between BPJS claims and hospital tariffs at Hospital X Surabaya for the period February to June 2024. The method used is an analytical quantitative study with a time series design using secondary data from BPJS claims and the hospital’s actual tariffs for 6,523 inpatient cases. Data analysis was performed using graphs, cross-tabulation, and multiple linear regression. The results show that the difference between BPJS claims and hospital tariffs is always negative. The largest negative difference occurred in inpatient class 3. Variables such as costs of non-surgical procedure tariffs, surgical procedures, nursing care, supporting services, radiology, laboratory, blood services, rehabilitation, and room accommodation have a significant effect in increasing the claim deficit (p < 0.05). However, drug costs have a significant positive effect in reducing the deficit. The limitation of this study is that the data is not normally distributed and indicates heteroskedasticity. In conclusion, most medical and non-medical cost components contribute to the claim deficit experienced by the hospital during the study period.
BENARKAH KEPEMILIKAN JAMINAN KESEHATAN DIPENGARUHI TINGKAT PENDIDIKAN KEPALA RUMAH TANGGA DAN WILAYAH TEMPAT TINGGAL? Sholihah, Enny Mar'atus; Santi, Juni Dwi Kurnia; Lestyoningrum, Sinta Dewi
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i1.311

Abstract

The National Health Insurance (JKN) aims to provide comprehensive health coverage for all Indonesian citizens. However, disparities in enrollment persist, suspected to be influenced by sociodemographic factors such as education and residential area. This quantitative study used secondary data from the National Socioeconomic Survey (Susenas) March 2023, specifically the module on employment and social security (RUTA-SKI) in East Java (n = 27,393). Binary logistic regression analysis was used to examine the relationship between independent variables (household head's education level and residential area) and the dependent variable (health insurance ownership). As many as 99% of the sampled households had health insurance. The logistic regression results showed that the residential area significantly influenced health insurance ownership (coefficient=0.611; p<0.001). Households in urban areas had 1.84 times higher odds of owning health insurance compared to households in rural areas (OR=1.84; 95% CI [1.44-2.36]). Meanwhile, the education level of the household head showed no statistically significant influence (p=0.395). Geographical factors (area of residence) are a significant determinant of health insurance ownership in East Java, while education level is not. This finding indicates that future efforts to expand JKN coverage need to be more focused on outreach and improving accessibility in rural areas.   Jaminan Kesehatan Nasional (JKN) bertujuan memberikan cakupan kesehatan menyeluruh bagi seluruh penduduk Indonesia. Namun, disparitas kepesertaan masih terjadi, diduga dipengaruhi oleh faktor sosiodemografi seperti pendidikan dan wilayah tempat tinggal. Menganalisis pengaruh tingkat pendidikan kepala rumah tangga dan wilayah tempat tinggal terhadap kepemilikan jaminan kesehatan di Jawa Timur. Penelitian kuantitatif ini menggunakan data sekunder dari Survei Sosial Ekonomi Nasional (Susenas) Maret 2023 modul ketenagakerjaan dan jaminan sosial (RUTA-SKI) di Jawa Timur (n = 27.393). Analisis regresi logistik biner digunakan untuk menguji hubungan antara variabel independen (pendidikan kepala rumah tangga dan wilayah tempat tinggal) dengan variabel dependen (kepemilikan jaminan kesehatan). Sebanyak 99% rumah tangga sampel telah memiliki jaminan kesehatan. Hasil regresi logistik menunjukkan bahwa wilayah tempat tinggal berpengaruh signifikan terhadap kepemilikan jaminan kesehatan (koefisien=0,611; p<0,001). Rumah tangga di wilayah perkotaan memiliki odds kepemilikan jaminan kesehatan 1,84 kali lebih tinggi dibandingkan dengan rumah tangga di perdesaan (OR=1,84; 95% CI [1,44-2,36]). Sementara itu, tingkat pendidikan kepala rumah tangga tidak menunjukkan pengaruh yang signifikan secara statistik (p=0,395). Aktor geografis (wilayah) merupakan determinan signifikan dalam kepemilikan jaminan kesehatan di Jawa Timur, sedangkan tingkat pendidikan tidak. Temuan ini mengindikasikan bahwa upaya perluasan cakupan JKN ke depan perlu lebih difokuskan pada penjangkauan dan peningkatan aksesibilitas di wilayah perdesaan.
PERILAKU KESELAMATAN BERKENDARA (SAFETY RIDING) PADA MAHASISWA (STUDI PADA MAHASISWA UNIVERSITAS MUHAMMADIYAH LAMONGAN) Istighfaara, Nadiya; Sholihah, Enny Mar’atus; Bowo, Eko Ari; Arintra, Herlambang Syafian
IDENTIFIKASI Vol 11 No 2 (2025): Mei 2025
Publisher : Program Studi Kesehatan dan Keselamatan Kerja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36277/identifikasi.v11i3.663

Abstract

Kecelakaan lalu lintas di Jawa Timur, khususnya di Kabupaten Lamongan setiap tahunnya mengalami peningkatan. Kecelakaan lalu lintas tidak hanya merenggut nyawa seseorang saja, tapi juga mengakibatkan kerugian material yang besar. Faktor penyebab terjadinya kecelakaan di Kabupaten Lamongan diantaranya adalah karena faktor manusia (human eror) dan faktor kendaraan, faktor jalan, dan faktor lingkungan. Faktor manusia menjadi penyebab utama dalam kecelakaan lalu lintas, maka penelitian ini bertujuan untuk menggambarkan perilaku dan budaya keselamatan berkendara pada remaja usia 17–19 tahun guna mendukung upaya pencegahan sejak usia dini dengan studi kasus mahasiswa universitas Muhammadiyah Lamongan semester II. Perilaku yang dimaksud dalam penelitian ini adalah menggambarkan pengetahuan, sikap, persepsi, serta dukungan teman dan keluarga mengenai budaya selamat berkendara (safety riding). Metode penelitian ini adalah menggunakan metode kuantitatif deskriptif univariat. Hasil menunjukan pengetahuan, sikap, persepsi, dukungan teman, dan dukungan keluarga mahasiswa mengenai selamat berkendara (safety riding) sudah baik. Kesimpulan dari penelitian ini adalah meskipun pengetahuan, sikap, persepsi mahasiswa cukup baik, serta kesadaraan mahasiswa tentang keselamatan berkendara (safety riding) sudah baik, namun belum diimbangi dengan perilaku yang baik pula.
ANALISIS PENYEBAB TINGGINYA KELUHAN PASIEN TERKAIT AKUN MOBILE JKN YANG SERING TER-LOGOUT DI RSI MUHAMMADIYAH SUMBERREJO TAHUN 2026 Puan Maharani Hardiyanti; Enny Mar’atus Sholihah; Hermin Puji Astutik
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.437

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate National Health Insurance members in accessing healthcare services. However, frequent complaints about automatic account logouts remain a problem at RSI Muhammadiyah Sumberrejo, disrupting service delivery. This study aimed to identify the causes of frequent Mobile JKN account logouts. A qualitative descriptive method was employed through in-depth interviews with three purposively selected informants, supported by observation and documentation. Data were analyzed using the Miles and Huberman model. The findings showed that the main causes of account logouts were system updates, system maintenance, and account access from different devices. Other barriers included forgotten passwords and not carrying mobile phones. These problems increased service waiting time and staff workload. Providing simple educational media is recommended to improve patients' understanding and independence in using the Mobile JKN application, thereby enhancing the efficiency and quality of healthcare services.
ANALISIS KELUHAN PASIEN TERKAIT PEMBUATAN AKUN MOBILE JKN SECARA ONLINE DI APLIKASI MOBILE JKN Rahma Setyaning Putri; Enny Mar’atus Sholihah; Hermin Puji Astutik
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.459

Abstract

The Mobile JKN application was developed to facilitate public access to healthcare services, including online account registration. However, patients still experience various obstacles during the account registration process, affecting the effectiveness of digital healthcare services. This study aimed to analyze patient complaints related to online Mobile JKN account registration, identify the contributing factors, and propose improvement strategies. This study employed a descriptive qualitative approach. Data were collected through observation and interviews with patients and healthcare staff involved in the Mobile JKN registration service. The problems were analyzed descriptively to identify the main causes of patient complaints. The results showed that the most common complaints included failure to verify personal data, one-time password (OTP) codes not being received, registered phone numbers or email addresses, application errors, unstable internet connections, and limited patient understanding of the registration procedure. These complaints were caused by system factors, technological limitations, and users' lack of knowledge regarding Mobile JKN registration Improvement efforts include enhancing system performance, providing clear registration guidelines, strengthening patient education, and improving coordination between healthcare facilities and BPJS Kesehatan. These efforts are expected to reduce patient complaints and improve the quality of digital healthcare services.
ANALISIS KEPATUHAN JADWAL PERMINTAAN LOGISTIK UMUM TERHADAP EFISIENSI DISTRIBUSI BARANG DI RS X Evindasari; Enny Mar’atus Sholihah
Jurnal Medicare Vol. 5 No. 3 (2026): JULY 2026 (INPRESS)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v5i3.460

Abstract

Logistics management is an important component in supporting hospital operational activities. Logistics requests that do not follow the scheduled system can disrupt the distribution process and reduce the efficiency of logistics services. This study aims to analyze compliance with the schedule of general logistics requests and its impact on the efficiency of goods distribution at RS X. This research used a descriptive qualitative method with observation and problem analysis using the USG (Urgency, Seriousness, Growth) method. Data were obtained through field practice activities in the General Logistics Unit by observing the process of requesting and distributing logistics goods. The results showed that several work units still submitted logistics requests outside the predetermined schedule stated in the standard operating procedures, which disrupted the workflow of logistics staff, increased workload, and reduced the efficiency of the distribution process. The study concludes that compliance with logistics request schedules significantly influences the efficiency of goods distribution in hospitals. Therefore, it is necessary to improve SOP socialization, conduct periodic monitoring, and strengthen coordination between work units and the logistics department to enhance the effectiveness of hospital logistics management.