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Determinan Pemanfaatan Jaminan Kesehatan Nasional pada Kelompok Remaja: Studi di SMA Negeri 5 dan 8 Kota Jambi Achmad Shiddiq Minapo; Dwi Noerjoedianto; Arnild Augina Mekarisce
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.
The Role of Cost Accounting in the Efficiency of Healthcare Services Sarah Michelle; An.Nisa Rahma Sari; Dwi Noerjoedianto; Adila Solida
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.v4i6.495

Abstract

The efficiency of healthcare services is a major challenge in managing healthcare facilities, particularly due to increasing demands for service quality and limited available resources. Ineffective cost management can reduce the performance of healthcare organizations and disrupt service sustainability; therefore, cost accounting is essential as a management tool to provide accurate cost information, control waste, and improve the efficiency of healthcare services. This study aims to analyze the role of cost accounting in improving the efficiency of healthcare services using a Systematic Literature Review (SLR) approach. The literature review process was conducted using the PICOS framework to ensure alignment with population, intervention, outcomes, and study design. Articles were retrieved from various national and international scientific databases within a publication period of the last five to ten years. Articles that met the inclusion criteria were qualitatively analyzed to identify how cost accounting is implemented and its impact on efficiency and performance of healthcare services. The results show that the application of cost accounting methods such as responsibility accounting, activity-based costing, and the development of technology-based cost accounting systems makes a positive contribution to improving healthcare service efficiency by increasing the accuracy of cost identification, controlling operational expenditures, and maximizing resource utilization. In addition, the use of digital technology in cost accounting systems enhances transparency, accountability, and the quality of financial information that supports managerial decision-making. Based on these findings, it can be concluded that cost accounting plays an important role in supporting healthcare service efficiency, where the application of appropriate methods, supported by managerial capability and information technology, is a key factor in achieving efficient, sustainable, and high-quality healthcare services.
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.
Readiness for Electronic Medical Record Implementation at Simpang Kawat Public Health Center, Jambi City in 2024 Fazira Cahayatul Rahmi; Arnild Augina Mekarisce; Rumita Ena Sari; Andy Amir; Dwi Noerjoedianto
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.544

Abstract

Human resources are the main asset that determines the success of Electronic Medical Record (EMR) implementation. This study aims to analyze the readiness for EMR implementation at Simpang Kawat Public Health Center, Jambi City in 2024 through the aspects of input, process, and output. This research used a descriptive qualitative method with in-depth interviews with informants selected purposively. Data collection techniques included interviews, observation, and documentation, with validity testing using source and method triangulation. In the input aspect, the quantity of human resources is sufficient, but routine training has not been scheduled. BOK funds are sufficient for monthly operations. Technical obstacles were found in the damaged generator. The service process is digital in accordance with PMK No. 24 of 2022. The output shows increased time efficiency and minimized data errors through the integration of NIK and BPJS. Overall, EMR implementation has been going well, but improvements are needed in supporting infrastructure, especially electricity backup, and periodic training to maintain the quality of digital services.  
The Role Of Cost Accounting In Supporting National Health Financing Policy Sara Aprilia Siregar siregar; Kevin Fritson Napitupulu; Juwita Maharani; Dwi Noerjoedianto; Adilla Solida
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.690

Abstract

Health financing plays a crucial role in ensuring the sustainability of the national health system, particularly in the implementation of the National Health Insurance (JKN). The implementation of a prospective payment system based on Indonesian Case-Based Groups (INA-CBGs) requires accurate cost information to ensure efficient and equitable health financing policies. Cost accounting is a crucial tool in providing information on health care costs. This study aims to examine the role of cost accounting in supporting national health financing policies through a Systematic Literature Review (SLR) approach. The study analyzed 16 national and international scientific articles using thematic synthesis. The study results indicate that cost accounting supports the determination of healthcare service tariffs, increased financing efficiency, cost control, and the implementation of the National Health Insurance (JKN) policy and the achievement of Universal Health Coverage. However, its implementation still faces challenges related to information systems and human resource capacity. Therefore, strengthening cost accounting is necessary as part of national healthcare financing reform.
Effectiveness Of The Implementation Of The Blud Financial Management Model (Ppk-Blud) On The Financial Performance Of Government Hospitals In Indonesia : A Systematic Review Grace Yohana; Yesiana Situmorang; Dwi Noerjoedianto; Arnild Augina Mekarisce
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.700

Abstract

The implementation of the Regional Public Service Agency Financial Management Model (PPK-BLUD) is a form of public sector financial management reform that aims to improve the flexibility, efficiency, and accountability of government hospital financial performance. This study aims to examine the impact of BLUD implementation on the financial performance of government hospitals in Indonesia. This study uses a literature review approach to empirical articles that discuss hospital financial performance before and after the implementation of BLUD in Indonesia. The selection process was carried out through stages of identification, screening, and feasibility until nine relevant full-text articles were obtained. The results of the study show that, in general, the implementation of BLUD has a positive impact on increasing revenue and certain financial ratios, especially profitability and liquidity. However, several studies found that this increase was not evenly distributed across all indicators, particularly profitability and service performance. These findings indicate that the success of BLUD implementation is greatly influenced by the quality of financial management, human resource competencies, and the optimization of flexibility provided by regulations.
The Relationship Between The Role Of Health Workers And BPJS Participants' Satisfaction In The Outpatient Room Of Mayjen H. Thalib Hospital, Sungai Penuh City, 2025 Ratu Balqiss; Dwi Noerjoedianto; Budi Aswin
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.v4i6.712

Abstract

Quality and affordable health services are the right of every citizen, which the government strives to provide through the National Health Insurance (JKN) program organized by BPJS Kesehatan. However, participant satisfaction with health services remains a challenge, one of which is related to the role of health workers. This study aims to analyze the relationship between the normative, ideal, and factual roles of health workers with BPJS participant satisfaction in the outpatient ward of Mayjen H. Thalib Regional General Hospital. This study used an analytical observational design with a cross-sectional approach. The study population was all BPJS PBI participants in Sungai Penuh City with a sample of 106 respondents selected using systematic random sampling techniques. Data were collected through structured interviews using questionnaires and direct observation with checklists. Data analysis was carried out using univariate and bivariate methods. The results showed that the majority of respondents (64.2%) expressed dissatisfaction with the services received. Bivariate analysis showed a significant relationship between the normative role (p-value = 0.041; PR = 1.406), ideal role (p-value = 0.000; PR = 4.731), and factual role (p-value = 0.028; PR = 1.443) of health workers with BPJS participant satisfaction. Therefore, improving the quality of interpersonal interactions, empathy, and officer compliance with service standards is necessary to improve patient satisfaction and the quality of hospital services.
Factors Associated With Chronic Energy Deficiency (Ced) In Adolescent Girls Aged 10-19 In Jambi Province Lione Alfionita Hafidz; Dwi Noerjoedianto; Muhammad Ridwan; Muhammad Syukri; Kasyani Kasyani
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.731

Abstract

Chronic Energy Deficiency (CED) is a critical nutritional issue among Indonesian adolescent girls. In Jambi Province, its prevalence shows a fluctuating upward trend, requiring a thorough analysis of risk determinants. This study aimed to determine CED prevalence and analyze its association with macronutrient intake frequency, infectious diseases, hygiene behavior, physical activity, and family size. This quantitative study used a cross-sectional design with 2023 Indonesian Health Survey (SKI) secondary data. The sample consisted of 1,082 adolescent girls (10–19 years) in Jambi Province. Data were analyzed using Chi-square and Cox Regression to identify dominant factors and Prevalence Ratios (PR). CED prevalence was remarkably high at 56.1%, predominantly in the 15–19 age group (51.6%). Nutritional patterns showed infrequent consumption of carbohydrates (51.7%), fats (66.0%), and proteins (58.3%). While most respondents reported good hygiene and no infection history, bivariate analysis showed no significant association with CED. However, multivariate analysis identified light physical activity as the dominant factor significantly associated with CED risk (p-value: 0.045; PR: 1.45; 95% CI: 1.00–2.08). Physical activity is the primary determinant of CED among adolescent girls in Jambi. These findings highlight the urgency for comprehensive nutritional interventions focusing on energy balance and dietary quality.
Student Knowledge Of Antenatal Care Services For Third-Trimester Pregnant Women Andi Husna; Dwi Noerjoedianto; Budi Aswin; M. Ridwan; Ashar Nuzulul Putra
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.736

Abstract

Antenatal care (ANC) is a key maternal health service that supports monitoring of maternal and fetal conditions, early detection of complications, health education, and preparation for safe delivery. The third trimester is a critical period because the need for monitoring increases near childbirth. This study aimed to describe the knowledge of public health students regarding ANC services for third-trimester pregnant women. A quantitative descriptive study with a cross-sectional approach was conducted at Universitas Jambi from February to March 2026. A total of 100 public health students were selected using purposive sampling. Data were collected using a validated 17-item questionnaire covering ANC definition, aims and benefits, visit frequency, service components, and danger signs. The instrument showed acceptable reliability with Cronbach's Alpha of 0.724. Data were analyzed using univariate analysis. Most respondents had good knowledge (65.0%), followed by moderate knowledge (31.0%) and poor knowledge (4.0%). The highest correct responses were found in aims and benefits, while the lowest were related to visit frequency. Strengthening technical and applied learning is needed to improve student competence.
Co-Authors . Asparian, . Abib Putra Evany Achmad Shiddiq Minapo Adila Solida Adila Solida Adila Solida Adilla Solida Adriani Adriani Ahmad Thohir Hidayat aini, muthma Ainun Afifah Ali Idrus Ali Idrus Amelia, Deva Ameliza Qamara Dinda Amri Amir An.Nisa Rahma Sari Andi Husna Andi Subandi Andi Yusman Andika Sulistiawan Andika Sulistiawan Andree Aulia Rahmat Andriyanti, Elisa Andy Amir Andy Amir Andy Amir Angel Graceta Sitepu Anita Rahmawati3 Annisa Putri S Arnild Augina Mekarisce Arnild Augina Mekarisce Ashar Nuzulul Putra Asni Hasanuddin Asparian Asparian Asparian Asparian Asparian Asparian Asparian Asparian Astuti, Jesika Attiya Istarini Bachtiar, Najwa Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Budi Aswin Butar, Marta Butar Chandra, Dian Novita Cindy Izzati Damris Muhammad Damris Muhammad David Kusmawan Dewi Friska Dian Meisafitri Dianita Indriani Diastanti, Yunita Difa Septian Lestari, Tiara Dina Rosalina Dwi, Guspianto Eko Prasetyo Elsa Volinda Sari Elsa Volinda Sary Endang Yuswatiningsih Enzelina Rosiana Tampubolon Erika Vernanda Br Lbn Toruan Fairuz Quzwain Fajar Lestari Farah Luthfiyah Putri Susanto Farras Hasalia, Afifah Fazira Fazira Cahayatul Rahmi Febi Rizka Eliza Ferdiansyah Feri Agustriyani Fharin Asroyan Fikri Khairusshidqi Rizqullah Firman Firman Fitri Widyastuti Florencia Tamba Grace Yohana 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 Hendro Prima Mukti Herlambang Herwansyah . Herwansyah . Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah Herwansyah, Herwansyah Hoirunnisa Sabilah 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 Jurnal Syarif Juwita Maharani Kamariyah Kasyani Kasyani Kasyani, Kasyani Kencana, Yanuar Tree Kevin Fritson Napitupulu Kiki Andrean Kiki Andrean Kiki Ayu Apriani La Ode Reskiaddin Leni Novita Sari Lione Alfionita Hafidz Listiawaty, Renny Liza Syahputri Lu'ai Hana Adilah M Ridwan M Ridwan M. Dicky Dermawan M. Dody Izhar M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M. Ridwan M.Ridwan Maryani , Anis Tatik Merliana Marbun Muhammad Muhammad Muhammad Ridwan Muhammad Syukri Muhammad Syukri Muhammad Taqwa Muhammad Taqwa Mukhdi, Fuad Ajrul Muldiasman, Muldiasman Mutia Fadilla Asyifa Nabila Fahmiayumtari Nadia Dwi Wulandari Nahda Agustina Naila Nur Ramadani Najmi Qalami Hadist Nanda Sincilia Nasution, Helmi Suryani Natasya Zalta Amany Nazwa Sabina Neliyana Neliyana Nidhal Syarifa Nora Jenniririn Nainggolan Novyandina, Jessyca Nugraha, Arrafi Nur Aini Nur Octaviani Nurhusna Nurul Hikmah Nurwan Alkahfi Oka Lesmana Oka Lesmana Oka Lesmana, Oka Oktavanie, Marshelly Ghea Parawansa, Nur Lutfiah Pebriani Pebriani Permatasari, Nadia Dwi Puji Rahmiyati Awaliyah Putri Irwanti Sari Putri Widya Ningsih Putri, Amelia Gustina Putri, Fitria Eka Qurrota A'yunin Rahma Oktaria Rahmah Pujianti Rahmat Panyiwi Ratu Balqiss Rd Halim Rd. Halim Rd. Halim Renny Listiawaty Ridhoka, M Berri Rinaldi Daswito Rini, Willia Novita Eka Risty Ivanti Rizki Ibnu Rahmad Rosdiana Rosiana Putri Royyan, Nurmisbahur Roza Rizana Rumita Ena Sari Rumita Ena Sari S, Oka Lesmana Salshabila, Azahra Saputra , Endarman Sara Aprilia Siregar siregar Sarah Michelle Sasra Juwita Septian Primalasari Shafira Ainun Hafilda Shandy Tri Winata Shyafaatsya, Vifany Sellsa Silvia Mawarti Perdana Simamora, Mutiara Sintia Tri Handayani Sintya Dwi Anggraini Siti Suherni Sobihannur, Raisa Pasyah Sri Rahayu Sukendro Sulistiyo, Urip Sundari Sundari Suryani Nasution, Helmi Susy Mardianti Syafrila Wil Yantoni, Lara Tari Indah Lestari Tiara Kamila Dyanti Tona Aurora Lubis Tsaabitah Zakhirah Ummi Kalsum Ummi Kalsum Ummi Kalsum Ummi Kalsum Ummi Kalsum Ummi Kalsum Viska Andini Wahyu Indah Dewi Aurora Widiastuti, Fitri Wilia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Yantoni, Lara Syafrila Wil Yesiana Situmorang Yoiko Suci Pyar Restu Yolanda Margarettha Silaban Yulia Frischa