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COMMUNITY PARTICIPATION IN INSURANCE OWNERSHIP SOCIAL HEALTH TO UNIVERSAL HEALTH COVERAGE (UHC) IN JAMBI CITY Dwi Noerjoedianto; Andi Subandi; Andy Amir
International Journal Of Health Science Vol. 2 No. 3 (2022): November: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v2i3.561

Abstract

Introduction: Universal Health Coverage (UHC) is a health financing system that ensures every individual has equitable access, quality and financially affordable health services. BPJS as the organizing body has made efforts to encourage the achievement of UHC but in it’s implementation there are many obstacles.Method: This research is an analytical qualitative research. Result: Public knowledge about health insurance is still low, the availability of health facilities and coverage of health services are in accordance with standards.Discussion: There are still many people who do not know the importance of being a participant in health insurance.
Non-compliance Analysis of Independent Participants Paying BPJS Health Contributions After Utilization of Delivery Services Adila Solida; Andy Amir; Dwi Noerjoedianto
International Journal Of Health Science Vol. 2 No. 3 (2022): November: International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v2i3.577

Abstract

Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the number of family members (p = 0.001), knowledge (0.000), perception of illness (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP) with the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household financing.
STUDY OF THE PATTERNS OF HEALTH FINANCE UTILIZATION IN THE NATIONAL HEALTH SECURITY (JKN) ERA OF NON-PBI PARTICIPANTS AT H. ABDUL MANAP HOSPITAL Yulia Frischa; Dwi Noerjoedianto; Hubaybah Hubaybah
International Journal Of Health Science Vol. 3 No. 1 (2023): March : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i1.1459

Abstract

The National Health Insurance is a mechanism designed to protect individuals and families in providing health services to their citizens, especially the poor, in order to reduce financial barriers to obtaining health services. It is known that Non-PBI Mandiri participants who have been late paying premiums for at least six months show that 70.5% of respondents register as BPJS participants on the grounds that they need health financing guarantees in the near future, either on their own or according to directions from doctors or paramedics. Therefore, the aim of this research is to look at the pattern of health financing utilization in the era of National Health Insurance (JKN) for non-PBI participants at H.Abdul Manap Hospital. This study uses a qualitative research method with a phenomenological approach. Data were obtained from 9 informants by conducting in-depth interviews at H.Abdul Manap Hospital with qualitative data analysis. The results of this study (1) Psychological factors found a pattern of moral hazard phenomena with a tiered referral system, because there was a tendency to use BPJS membership benefits only to finance expensive or high-cost health services identified in research informants, (2) Personal factors found an alleatory pattern , because they feel they have benefited from the sustainability of the program and there are differences in understanding from the demand side.
DETERMINANTS OF INTEGRATED ANTENATAL CARE VISITS PARTICIPANTS OF THE NATIONAL HEALTH INSURANCE PROGRAM AT JAMBI CITY HEALTH CENTER Ivanna Tiur Nauli Nadapdap; Dwi Noerjoedianto; Adila Solida; Guspianto Guspianto
International Journal Of Health Science Vol. 3 No. 2 (2023): July : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i2.1635

Abstract

Background: Integrated Antenatal Care (ANC) is a comprehensive service effort for pregnant women in the early detection of complications of pregnancy whose scope of visits has the aim that pregnant women can have a positive experience in undergoing pregnancy and childbirth. The government presents the JKN program for pregnant women with the aim of reducing costs in obtaining services, so as to reduce MMR. In Jambi City, there are still several health centers that have not met the target of the coverage of Integrated ANC visits. The purpose of this study was to determine the determinants of integrated ANC visits to participants in the National Health Insurance program at the Jambi City Health Center in 2022. Methods: This study used a quantitative research type with a descriptive approach and a cross sectional design. The data were obtained from a sample of 103 pregnant women respondents at the Jambi City Health Center, the research variables consisted of knowledge, education, employment, income, husband's support and support from health workers. The sampling technique uses proportional random sampling. Results: Bivariate analysis using the Chi-Square test found that factors related to integrated ANC visits were knowledge (0.006), occupation (0.001), income (0.01), husband's support (0.001), health worker support (0.000). There is no educational relationship (0.47). Conclusion: Variables that have a relationship are knowledge, work, income, husband's support, and support from health workers, while education does not.
Hubungan Usia, Sikap Kerja, Durasi Kerja, dan Masa Kerja dengan Kejadian Low Back Pain (LBP) pada Pengendara Ojek Online di Kota Jambi Evany, Abib Putra; Rini, Willia Novita Eka; Noerjoedianto, Dwi; Aswin, Budi; Muldiasman, Muldiasman
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2026): Edisi Januari
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i3.1408

Abstract

Low back pain (LBP) adalah nyeri yang dirasakan pada daerah punggung bawah di daerah diskus intervertebralis lumbal dan sakralis (L5-S1). Faktor resiko low back pain, yaitu Usia, Sikap, Durasi kerja, masa kerja. Penelitian ini bertujuan untuk menganalisis hubungan antara Usia, sikap kerja, durasi kerja, dan masa kerja pada pengendara ojek online di Kota Jambi. Penelitian kuantitatif dengan desain observasional merupakan metodologi yang digunakan. Tujuan dari pendekatan cross sectional adalah untuk mengetahui hubungan antara usia, sikap kerja, durasi kerja, dan masa kerja dengan resiko terjadinya Low Back Pain (LBP) pada pengendara ojek online di Kota Jambi. Teknik pengambilan sampel dalam penelitian ini adalah Accidental sampling mengambil responden yang kebetulan ditemui di suatu tempat yang sesuai dengan konteks penelitian. Jumlah sampel yaitu 100 sampel yang merupakan pengendara Ojek Online di Kota Jambi. Hasil penelitian terhadap 72 responden yang mengalami keluhan (LBP) dan 28 orang yang tidak mengalami keluhan low back pain (LBP). Ditemukan hubungan yang signifikan antara variabel durasi kerja dan masa kerja dengan keluhan (LBP). Tidak ditemukan hubungan yang signifikan antara variabel usia dan sikap kerja hal ini disebabkan oleh homogenitas postur berkendara responden. Dari hasil tersebut dapat disimpulkan bahwa lebih banyak pengendara ojek online di Kota Jambi yang mengalami keluhan LBP dari pada yang tidak mengalami keluhan LBP.
Determinan Pemanfaatan Jaminan Kesehatan Nasional pada Kelompok Remaja: Studi di SMA Negeri 5 dan 8 Kota Jambi Minapo, Achmad Shiddiq; Noerjoedianto, Dwi; Mekarisce, Arnild Augina
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2026): Edisi Januari
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i3.1411

Abstract

Latar Belakang: Jaminan Kesehatan Nasional (JKN) merupakan program penting pemerintah untuk meningkatkan akses pelayanan kesehatan. Namun, pemanfaatan Jaminan Kesehatan Nasional (JKN) pada remaja, khususnya siswa SMA, masih bervariasi. Sikap dan persepsi merupakan faktor psikologis yang berperan besar dalam perilaku kesehatan. Pemanfaatan JKN didefinisikan sebagai perilaku siswa SMA dalam menggunakan kepesertaan JKN untuk memperoleh pelayanan kesehatan di fasilitas kesehatan yang bekerja sama dengan BPJS Kesehatan, baik pelayanan promotif, preventif, kuratif, maupun rehabilitatif, sesuai dengan prosedur yang berlaku. Tujuan: Mengetahui hubungan sikap dan persepsi siswa SMAN 5 dan SMAN 8 Kota Jambi dengan pemanfaatan Jaminan Kesehatan Nasional (JKN). Metode: Penelitian kuantitatif dengan desain cross-sectional. Jumlah sampel 200 siswa yang dipilih secara proportionate stratified random sampling. Instrumen berupa kuesioner. Analisis menggunakan Chi-Square. Hasil: Tidak terdapat hubungan antara sikap dengan pemanfaatan Jaminan Kesehatan Nasional (JKN) (P Value = 0,623). Sikap positif siswa tidak serta merta mendorong pemanfaatan karena keputusan berobat dominan ada pada orang tua. Terdapat hubungan signifikan antara persepsi dengan pemanfaatan pemanfaatan Jaminan Kesehatan Nasional (JKN) (P Value = 0,005). Kesimpulan: Sikap siswa tidak berhubungan dengan pemanfaatan Jaminan Kesehatan Nasional (JKN), sedangkan persepsi berperan signifikan. Sekolah perlu meningkatkan edukasi dan sosialisasi mengenai manfaat JKN melalui kegiatan penyuluhan, Sekolah dapat bekerja sama dengan Puskesmas atau BPJS Kesehatan untuk memberikan informasi yang lebih akurat dan mudah dipahami oleh siswa.
Financial Management of Health Services in Improving Efficiency and Service Quality: A Systematic Literature Review Nadia Dwi Wulandari; Nanda Sincilia; Dwi Noerjoedianto; Arnild Augina Makarisce
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.530

Abstract

Financial management in health services plays a crucial role in improving efficiency and service quality,particularly in the context of limited resources and the implementation of national health financing systems.This study aims to analyze the role of health service financial management in enhancing efficiency and qualityof care through a systematic literature review approach. Articles were identified using Google Scholar with apublication period from 2020 to 2025. Of the 200 articles initially identified, a screening and eligibility processbased on inclusion and exclusion criteria resulted in 10 relevant articles for analysis. The findings indicate thateffective financial management through budget planning, cost control, health economic evaluation, andoptimization of health financing systems such as the National Health Insurance contributes to improvedoperational efficiency and service quality. In addition, strong financial performance and managerialinnovations, including digitalization, support improvements in service processes and outcomes. This reviewconcludes that integrated and performance-based financial management is a strategic factor in achievingefficient, high-quality, and sustainable health services.
Implementation of Electronic Medical Records (EMR) in Improving the Quality and Efficiency of Health Services: Literature Review Fazira; Dwi Noerjoedianto
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.540

Abstract

Background: Digital transformation in Indonesia's health sector, driven by the Industry 4.0 era and mandated by Minister of Health Regulation No. 24 of 2022, requires a transition from manual to Electronic Medical Records (EMR). While promising efficiency, its implementation still faces various practical challenges. Objective: This study aims to analyze the success of EMR implementation, evaluate its impact on work efficiency and service quality, and identify the main obstacles encountered by healthcare facilities. Methods: This study employed a literature review method, analyzing ten scientific articles published between 2022 and 2025. Data were gathered from Google Scholar and national health journal portals, followed by a narrative synthesis.
Analisis Implementasi Kebijakan Penanganan Kekerasan Verbal atau Fisik pada Petugas Rumah Sakit Oleh Pasien atau Keluarga di Rumah Sakit Umum Daerah Nurdin Hamzah Kabupaten Tanjung Jabung Timur Nazwa Sabina; Dwi Noerjoedianto; Arnild Augina Mekarisce; Annisa Putri S
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24090

Abstract

ABSTRACT Violence against healthcare workers in hospitals has become a global concern. This violence often occurs in service areas, both verbal and physical, and can impact the physical and mental health of healthcare workers. Nurdin Hamzah Regional Hospital, as a referral hospital in Tanjung Jabung Timur District, does not yet have an effective policy to address violence against healthcare workers. This study aims to evaluate the implementation of the violence handling policy for healthcare workers at this hospital.This study uses a qualitative approach with a case study method. Data were collected through in-depth interviews with 10 informants, including the hospital director, specialist doctors, members of the violence handling committee, nurses, administrative staff, and security officers. Other data collection techniques include observation and documentation. Data analysis was conducted using thematic analysis with the assistance of NVivo software.The study found that although the violence handling policy has been implemented, there are gaps in communication between hospital units, especially in units with a lower frequency of violence incidents. Additionally, the reporting system for violence is still suboptimal due to psychological barriers from healthcare workers who are concerned about worsening relationships with patients’ families. However, the presence of the healthcare protection committee and a clear reporting system provides support for the implementation of the policy. The implementation of the violence handling policy for healthcare workers at Nurdin Hamzah Regional Hospital is underway, but improvements are needed in communication between units, the reporting system, and increased psychological support for victims. It is recommended that the hospital enhance training and policy socialization and improve the reporting system to better protect healthcare workers from violence. Keywords:  Policy, Violence Against Healthcare Workers, Hospital,  Reporting System.  ABSTRAK Kekerasan terhadap tenaga kesehatan di rumah sakit semakin menjadi perhatian global. Insiden kekerasan verbal maupun fisik sering kali terjadi di ruang pelayanan, yang dapat berdampak pada kesehatan fisik dan mental tenaga kesehatan. RSUD Nurdin Hamzah, sebagai salah satu rumah sakit rujukan di Kabupaten Tanjung Jabung Timur, belum memiliki kebijakan yang efektif untuk menangani kekerasan terhadap tenaga kesehatan. Penelitian ini bertujuan untuk mengevaluasi implementasi kebijakan penanganan kekerasan terhadap tenaga kesehatan di rumah sakit ini. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus. Data dikumpulkan melalui wawancara mendalam dengan 10 informan yang terdiri dari direktur rumah sakit, dokter spesialis, anggota komite penanganan kekerasan, perawat, petugas administrasi, dan satpam. Teknik pengumpulan data lainnya adalah observasi dan dokumentasi. Analisis data dilakukan menggunakan pendekatan tematik dengan bantuan perangkat lunak NVivo. Hasil penelitian menunjukkan bahwa meskipun kebijakan penanganan kekerasan sudah diterapkan, terdapat kesenjangan dalam komunikasi antar unit rumah sakit, terutama di unit dengan frekuensi insiden kekerasan yang lebih rendah. Selain itu, sistem pelaporan kekerasan masih tidak optimal karena hambatan psikologis dari tenaga kesehatan yang khawatir akan memperburuk hubungan dengan keluarga pasien. Meskipun demikian, adanya komite perlindungan tenaga kesehatan dan sistem pelaporan yang jelas memberikan dukungan terhadap implementasi kebijakan. Implementasi kebijakan penanganan kekerasan terhadap tenaga kesehatan di RSUD Nurdin Hamzah sudah berjalan, namun perlu ada perbaikan dalam hal komunikasi antar unit, sistem pelaporan, dan peningkatan dukungan psikologis bagi korban. Disarankan agar rumah sakit meningkatkan pelatihan dan sosialisasi kebijakan serta memperbaiki sistem pelaporan untuk melindungi tenaga kesehatan dari kekerasan. Kata Kunci: Kebijakan, Kekerasan Terhadap Tenaga Kesehatan, Rumah Sakit, Sistem Pelaporan.
Evaluation of Essential Medicine Availability to Support Integrated Primary Health Care in Batang Hari District Primary Health Centers Susy Mardianti; Dwi Noerjoedianto; Herwansyah Herwansyah; Asparian Asparian; Muldiasman Muldiasman; Willia Novita Eka Rini
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 6 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i6.602

Abstract

Introduction: Adequate availability of essential medicines is a critical component in ensuring the continuity of Integrated Primary Health Care (IPC) services. Objective: This study aimed to evaluate the availability of essential medicines in supporting IPC implementation at Primary Health Centers in Batang Hari Regency. Methods: A qualitative descriptive study was conducted using in-depth interviews, observations, and document reviews. Informants were selected through purposive sampling, comprising heads of primary health centers, drug managers, IPC coordinators, and District Health Office representatives. Data were analyzed thematically using an input–process–output evaluation framework. Results and Discussion: Of 40 essential medicine types observed, 16 (40%) were sufficiently available across all health centers, 13 (32.5%) were available but limited in several facilities, 7 (17.5%) experienced stock-outs in some health centers, and 4 (10%) were entirely unavailable across all studied facilities. Stock-outs persisted from several weeks to months, driven by distribution delays, supply-demand mismatches, and inadequate stock monitoring systems, resulting in increased patient referrals and out-of-pocket medicine purchases. Conclusions: The availability of essential medicines has not yet fully supported optimal IPC implementation. Strengthening demand planning, improving logistics distribution timeliness, and enhancing coordination between primary health centers and the district health office are essential to ensure sustainable medicine availability in support of comprehensive primary health services
Co-Authors Adila Solida Adriani Adriani Ahmad Thohir Hidaya Ahmad Thohir Hidayat aini, muthma Ainun Afifah Ali Idrus Amelia, Deva Ameliza Qamara Dinda Amri Amir Andi Subandi Andi Subandi Andi Yusman Andika Sulistiawan Andree Aulia Rahmat Andriyanti, Elisa Andy Amir Anita Rahmawati3 Annisa Putri S Arnild Augina Makarisce Arnild Augina Mekarisce Arnild Augina Mekarisce Ashar Nuzulul Putra Asni Hasanuddin Asparian Asparian Asparian Asparian Asparian Astuti, Jesika Augina Mekarisce, Arnild Bachtiar, Najwa Budi Aswin Butar, Marta Butar Chandra, Dian Novita Cindy Izzati Damris Muhammad Dewi Friska Dian Meisafitri Diastanti, Yunita Difa Septian Lestari, Tiara Dwi, Guspianto Eko Prasetyo Elsa Volinda Sari Elsa Volinda Sary Endang Yuswatiningsih Erika Vernanda Br Lbn Toruan Evany, Abib Putra Fajar Lestari Farah Luthfiyah Putri Susanto Farras Hasalia, Afifah Fazira Fazira Cahayatul Rahmi Febi Rizka Eliza Ferdiansyah Feri Agustriyani Fikri Khairusshidqi Rizqullah Firman Fitri Widyastuti Guspianto Guspianto Guspianto Guspianto Halim, Rd Halim, Rd. Hartini, Iis Haryadi Haryadi Hasanuddin Hasanuddin Hasibuan, Ainun Nazmi Hasmil Arifqi Helmi Suryani Nasution Hendra Dhermawan Sitanggang Herwansyah . Herwansyah . Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah, Herwansyah Hopiyatun Aulia Hubaybah Hubaybah Hubaybah, Hubaybah Iis Hartini Indira Harti Inggrit Vanesa Ismi Nurwaqiah Ibnu Istiani, Istiani Ivanna Tiur Nauli Nadapdap Jodion Siburian Julianda Elbarini Junaidi Junaidi Junaidi Junaidi Jurnal Syarif Kasyani Kasyani Kasyani, Kasyani Kencana, Yanuar Tree Kiki Andrean Kiki Ayu Apriani La Ode Reskiaddin Lione Alfionita Hafidz Listiawaty, Renny Liza Syahputri M. Dody Izhar M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M.Ridwan Maryani , Anis Tatik Merliana Marbun Minapo, Achmad Shiddiq Muhammad Muhammad Muhammad Ridwan Muhammad Syukri Muhammad Taqwa Muhammad Taqwa Mukhdi, Fuad Ajrul Muldiasman Muldiasman Muldiasman Muldiasman Muldiasman, Muldiasman Nadia Dwi Wulandari Nahda Agustina Naila Nur Ramadani Nanda Sincilia Nasution, Helmi Suryani Nazwa Sabina Novyandina, Jessyca Nugraha, Arrafi Nur Octaviani Nurhusna Nurul Hikmah Oka Lesmana Oka Lesmana, Oka Oktavanie, Marshelly Ghea Parawansa, Nur Lutfiah Pebriani Pebriani Permatasari, Nadia Dwi Puji Rahmiyati Awaliyah Putri Irwanti Sari Putri, Amelia Gustina Putri, Fitria Eka Qurrota A'yunin Rahmat Panyiwi Rd Halim Rd. Halim Rd. Halim Renny Listiawaty Rinaldi Daswito Rini, Willia Novita Eka Risty Ivanti Rizki Ibnu Rahmad Rosdiana Rosiana Putri Royyan, Nurmisbahur Roza Rizana S, Oka Lesmana Salshabila, Azahra Saputra , Endarman Septian Primalasari Shafira Ainun Hafilda Shyafaatsya, Vifany Sellsa Silvia Mawarti Perdana Simamora, Mutiara Sintia Tri Handayani Sintya Dwi Anggraini Siti Suherni Sobihannur, Raisa Pasyah Sri Rahayu Subandi , Andi Sulistiyo, Urip Sundari Sundari Suryani Nasution, Helmi Susy Mardianti Syafrila Wil Yantoni, Lara Tiara Kamila Dyanti Tona Aurora Lubis Tsaabitah Zakhirah Ummi Kalsum Ummi Kalsum Viska Andini Widiastuti, Fitri Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Yantoni, Lara Syafrila Wil Yolanda Margarettha Silaban Yulia Frischa