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Agusta Dian Ellina
IIK STRADA Indonesia
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Evaluation of Health Insurance Patient Satisfaction in Participating in the Referral Back Program for Hypertension Cases at the Community Health Center Meiningsih, Meiningsih; Indasah, Indasah; Ellina, Agusta Dian
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5706

Abstract

Hypertension is one of the factors contributing to non-communicable diseases that can have a negative impact on an individual's social, economic, and psychological aspects. Therefore, it has been designated as one of the diseases that requires a referral-back program. However, adherence to the referral-back program still needs to be evaluated. This study aims to evaluate the satisfaction of health insurance patients participating in the referral-back program for hypertension cases at Kumpai Batu Atas Health Center. A qualitative descriptive research was applied in phenomenology approach by interviewing 17 primary informants and 2 triangulation informants from the hospital and health center. Data collection includes in-depth interviews, triangulation, and patient medical records. Interviews are interactive and flexible, using probing techniques to explore participants’ experiences. Triangulation with health center staff, physicians, and specialists ensures validity. Data analysis follows reduction, presentation, and conclusion drawing, refining key themes, structuring findings, and verifying conclusions for accuracy. The thematic analysis yielded 4 themes: 1) the situation of referral-back program participants (diagnosed based on signs, symptoms, and predisposing factors. Some dropped out after 2-6 months due to uncertainty about the availability of medication); 2) satisfaction with the quality of service (satisfactory due to fast and accurate service. Professional attitudes were expressed appropriately and in accordance with needs. Clinical competence was displayed with quality and empathy was expressed with a humble attitude); 3) satisfaction with the value referral-back program facilitates access and fast service. Certainty and innovation are the main values for patients); and 4) perceptions of the best desired service (certainty of medication availability, easy administration, and friendly communication are highly desired).
Operational Risk Assessment Towards the Integration of Primary Health Care Services at Sungai Rangit Community Health Center using the ISO 31000 (2018) Perspective Lesmana, Iwan Setyo; Ellina, Agusta Dian; Indasah, Indasah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5713

Abstract

Primary Healthcare Service Integration (PHSI) at Community Health Centers aims to integrate primary healthcare services at Community Health Centers, Sub-Centers, and Integrated service posts for a more comprehensive and integrated approach. Sungai Rangit Community Health Center in West Kotawaringin Regency is planned to implement PHSI in 2024. However, a preliminary study has shown several issues that need to be anticipated, especially in terms of planning and budgeting, organizational governance, and staff assignment. This study aims to explore the operational risks faced by Sungai Rangit Community Health Center so that the implementation of PHSI can run smoothly. This research uses a qualitative descriptive approach. Data was collected through Focus Group Discussions (FGD) involving 59 employees of Sungai Rangit Community Health Center and triangulated interviews with health department employees and qualified risk management experts. The study collected qualitative data through FGDs and document analysis, involving health center employees and policy documents. Triangulation with district officials and risk management experts ensured validity. Data were refined, categorized, and analyzed iteratively, leading to a prioritized risk assessment for healthcare integration while maintaining ethical considerations. The study identified 5 main operational risks that need to be anticipated, namely: 1) risk of unavailable budget; 2) risk of invalid health data; 3) risk of sub-standard work plan preparation; 4) risk of internet connection down; and 5) risk of employee demotivation. Village governments need to allocate budgets for the needs of cadres to conduct household data collection. Cluster Heads need to assist cadres in conducting data collection and filling out the LOCAL AREA MONITORING dashboard. WiFi access in the Community Health Center environment needs to be improved to support internet-based community health center operations.
Analysis of Individual and Organizational Factors on Nurses' Perception in Reporting Patient Safety Incidents Fadilatul, Dewi; Indasah, Indasah; Ellina, Agusta Dian
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5715

Abstract

Patient safety is a situation where patients are protected from all risks of injury that should not occur during health services, one effort is by reporting incidents. The aim of this research is to analyze individual and organizational factors regarding nurses' perceptions in reporting patient safety incidents. Quantitative research method survey method with a cross sectional approach. Samples were collected using purposive sampling technique, totaling 243 respondents. The data collection technique uses a questionnaire. Validity is tested using Pearson’s correlation, with items valid if the coefficient exceeds the critical r-value at 5% significance. Reliability is assessed with Cronbach’s Alpha, where a coefficient above 0.600 indicates acceptable consistency. The data analysis technique uses multiple linear regression. The research results show that the factors that have an influence on nurses' perceptions are motivation indicators, reward/punishment and hospital policy, this is because the sig value. < 0.05. Meanwhile, the indicators that have no effect are the knowledge, training and leadership indicators, this is because the sig value. > 0.05. It was concluded that individual and organizational factors, namely indicators of motivation, reward/punishment and hospital policy, had an influence on nurses' perceptions, while the results that had no influence were indicators of knowledge, training and leadership
Evaluation of the Implementation of Electronic Medical Records (EMR) using the HOT-Fit Method Prameswari, Diah; Wardani, Ratna; Ellina, Agusta Dian
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5983

Abstract

Implementing Electronic Medical Records (EMR) is a strategic step in improving the efficiency and quality of health services in hospitals. So it is necessary to evaluate the implementation of EMR using the HOT Fit method as a complete solution that best suits the difficulties or limitations currently existing at the Aminah Blitar Islamic Hospital. This research aims to analyze the influence of each variable on the implementation of EMR at the Aminah Blitar Islamic Hospital. The design of this research is a quantitative observational analytic type with a cross-sectional approach. The population of this study is 151 profesional pemberi asuhan (PPA) using EMR. This research uses a proportional random sampling technique. The sample size was determined using the Krejcie and Morgan table and a sample of 108 profesional pemberi asuhan (PPA) using EMR was obtained. The research results show that Service Quality has an effect on User Satisfaction with a significance value of <0.05, namely 0.000. Service Quality influences the Environment with a significance value of <0.05, namely 0.000. User satisfaction does not affect net benefit, with a significance value of> 0.05, 0.357. Environment influences Net-Benefit with a significance value of <0.05, namely 0.000. Service Quality mediated by User Satisfaction has no effect on Net-Benefit with a significance value of > 0.05, namely 0.325. Service Quality with environmental mediation has an effect on Net-Benefit with a significance value of > 0.05, namely 0.0000000. So it can be concluded that the presence of professional and reliable IT personnel supported by government and hospital policies influences the optimal implementation of EMR at the Aminah Blitar Islamic Hospital.
Analysis of the Effect of Speech Therapy Services on Post-Stroke Patients' Quality of Life Through the Role of Family in Medical Rehabilitation Laili, Zulva Rahma; Prasetyo, Joko; Ellina, Agusta Dian
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6093

Abstract

Stroke is a neurological condition that often leads to brain dysfunction, resulting in paralysis, speech impairments, and a significant decline in patients' quality of life. Speech therapy is one of the critical rehabilitation methods to restore communication abilities in post-stroke patients, which subsequently improves their quality of life. Furthermore, family support plays a vital role in the success of rehabilitation, contributing emotionally, socially, and instrumentally. This study aims to analyze the effect of speech therapy services on the quality of life of post-stroke patients, with family involvement as a mediating variable. A quantitative research method with a cross-sectional design was employed. A total of 100 post-stroke patients undergoing medical rehabilitation were selected using purposive sampling. Data were collected through questionnaires. This study confirms the validity and reliability of the measurement scale, with all variables meeting convergent validity and composite reliability criteria. The data analyzed using path analysis to evaluate direct and indirect relationships between variables. The results revealed that speech therapy services significantly and positively impact patients' quality of life (p < 0.05). Family involvement was also found to have a significant impact, both directly on patients' quality of life and as a mediator that enhances the effectiveness of speech therapy services. The study concludes that optimal speech therapy services, combined with active family involvement, can significantly improve the quality of life of post-stroke patients. This study recommends increasing the number of speech therapists and actively involving families in rehabilitation programs for stroke patients at Ngudi Waluyo General Hospital.
EFEKTIFITAS KEPATUHAN PELAKSANAAN EMPAT PILAR DIABETES MILITUS TERHADAP KADAR GULA DARAH DAN KADAR HbA1C PENDERITA DIABETES MILITUS TIPE 2 (STUDI DI KLINIK ZAHRA MEDIKA SILO JEMBER) Duri, Vinca Rosa Swastika; Dian Ellina, Agusta; Nurwijayanti, Nurwijayanti
Klabat Journal of Nursing Vol. 6 No. 1 (2024): Nursing Overarches All Clinical Setting
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v6i1.990

Abstract

Penderita diabetes militus selama ini tidak mudah untuk mencapai sasaran gula darah dan kadar HbA1C yang diinginkan karena salah satu penyebabnya adalah kebanyakan pasien sering hanya mengandalkan obat-obatan saja, padahal banyak faktor lain yang dapat mempengaruhi dan membantu capaian gula darah yang diinginkan. Faktor-faktor tersebut merupakan penatalaksanaan empat pilar diabetes militus. Empat pilar tersebut adalah: pola makan sehat, aktivitaas fisik, obat-obatan, dan edukasi. Penatalaksanaan ini harus diimbangi dengan kepatuhan pelaksanaannya oleh penderita diabetes melitus. Oleh karena itu, penelitian ini bertujuan untuk mengetahui efektivitas kepatuhan pelaksanaan empat pilar Diabetes melitus terhadap kadar glukosa darah dan kadar HbA1c penderita Diabetes Melitus Type 2. Penelitian ini merupakan penelitian kuantitatif dengan desain Quasy-eksperiment with control group design, sampel dalam penelitian ini berjumlah 124 orang yang di ambil menggunakan teknik consecutive sampling. Penelitian ini berlangsung selama bulan Maret – Mei 2023. Hasil yang didapatkan dalam penelitian ini adalah terdapat efektivitas kepatuhan pelaksanaan empat pilar diabetes terhadap peningkatan kadar gula darah dan kadar HbA1C pada penderita diabetes melitus dengan nilai p-value 0,000 (<0,05). Kesimpulan dalam penelitian ini adalah kepatuhan 4 pilar berpengaruh pada kadar gula dalam darah dan kadar HbA1C pada penderita DM di Klinik Azahra Silo Jember. It is not easy for diabetes mellitus sufferers to achieve their desired blood sugar targets and HbA1C levels because most patients rely only on medication alone, even though many other factors can influence and help achieve the desired blood sugar. These factors constitute the management of the four pillars of diabetes mellitus. The four pillars are healthy eating patterns, physical activity, medicine, and education. This management must be balanced with compliance with its implementation by diabetes mellitus sufferers. Therefore, this study aims to determine the effectiveness of compliance with the performance of the four pillars of Diabetes Mellitus on blood glucose levels and HbA1c levels in Type 2 Diabetes Mellitus sufferers. This research is a quantitative study with a quasi-experiment design with a control group design, The sample in this study was 124 people taken using a consecutive sampling technique. This research took place during March - May 2023. The results obtained in this study were that there was effectiveness in complying with the implementation of the four pillars of diabetes in increasing blood sugar levels and HbA1C levels in diabetes mellitus sufferers with a p-value of 0.000 (<0.05). This study concludes that compliance with the 4 pillars affects blood sugar levels and HbA1C levels in DM sufferers at the Azahra Silo Clinic, Jember. KEYWORDS: Adherence, Four pillars of diabetes, Blood sugar levels, HbA1C
Analysis of Resilience and Leadership on the Commitment to the Implementation of Electronic Medical Records Puspita, Mariana; Wardani, Ratna; Ellina, Agusta Dian
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.247

Abstract

Background: Healthcare facilities, particularly hospitals, must deliver swift, precise, and reliable medical services. Additionally, all healthcare providers are mandated to implement electronic medical records as part of their service delivery. Quality services can be good if the patient's medical records are complete, fast, and precise in providing information for health services. Implementing the electronic medical record system ensures resilience, leadership, and commitment. The study aimed to analyze the factors that influence resilience policies on the commitment of the electronic medical record system at the Muhammadiyah Siti Khodijah Hospital. Methods: The quantitative research method uses a cross-sectional design. The population is all Hospital Employees. The sample is 125 employees, and the sampling technique uses Proportional Random Sampling. Independent Variables Resilience and Leadership, Independent Variable Commitment. The instrument used is a questionnaire with a Likert scale. Statistical tests use multiple linear regression Results: The results of the resilience study (X1) have an influence on commitment (Y) with (p = 0.000) < 0.05, and leadership (X2) has an impact on commitment (Y) with (p = 0.000) < 0.05, and the Adjusted R Square value is 0.935 or 93.5%. Conclusion: There is a relationship between resilience and leadership variables and commitment. Employee resilience needs to be improved to maintain the quality of policies and commitments in working. Good leadership will support the Commitment of each employee.
Experiential Marketing Strategy to Increase Patient Visits at the General Dental Poly of Bunda Medika Pratama Clinic Tulungagung Sri Wulandari, Meidya; Indasah; Agusta Dian Ellina
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 1 (2024): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i1.1090

Abstract

The trend of patient visits at the Bunda Medika Clinic in 2018-2022 has decreased. This problem can be identified by knowing the causes of low dental poly services using an experiential marketing concept approach. The aim of this research is to analyze the influence of internal dental poly factors (human resources, medical and non-medical facilities, service rates) and patient expectations (customer expectations) on the patient experience (customer experience). Research with an observational analytical approach, using a cross sectional design. The research sample was general dental poly patients at the Bunda Medika Clinic in Tulungagung who had received treatment and met the inclusion criteria using a simple random sampling technique.
Analysis of Factors Influencing the Behavior of Utilization of Dental and Oral Health Care Among Primary Students Ni Luh Putu Ayu Wardhani; Agusta Dian Ellina; Agustin Widyowati
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i2.1111

Abstract

Dental and oral health is an integral part of overall health services. One effort that can be used to improve children's dental and oral health is through self-focused health promotion activities in schools through UKGS. The aim of the research was to determine the factors that influence the behavior of using dental and oral health care among elementary school students in Talok Village, Malang Regency. Observational research design with a cross-sectional approach. The population of all students in Talok, Malang was 145 respondents. The sample was 106 respondents with purposive sampling technique. Independent variables are health center support, school support, parent support, and student knowledge. The dependent variable is beviour of utilization of dental and oral health care among primary students.
The Influence of Brief Counseling on Work Motivation and Implementation of Patient Safety Culture in Staff at Ramdani Husada Clinic Ika Retnani; Agusta Dian Ellina; Yenny Puspitasari
STRADA : Jurnal Ilmiah Kesehatan Vol. 13 No. 2 (2024): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v13i2.1115

Abstract

The application of work motivation and patient safety culture is one facet of work culture, which is an organizational management concept. Additional evidence regarding the use and efficacy of counseling in the workplace can be obtained by understanding how different stakeholders use it. The purpose of this study is to ascertain how brief counseling affects staff members' job motivation and adoption of the Ramdani Husada Clinic's patient safety culture. Quantitative research employing a "nonequivalent control group design" methodology is the methodology employed. A sample of sixty-three individuals was selected using a non-random sampling technique. Three statistical tests are used in the data analysis technique: multivariate analysis of variance (MANOVA), paired sample t-test, and independent sample t-test. The findings of the study demonstrated that.
Co-Authors Aat Agustini Abiddin, Andi Hayyun Adhyaksa Indrajid Putra Adhyaksa Indrajid Putra Ady Purwoto Agus Setyono Agustin Widyowati Ahmad Kholid Fauzi Ahmad Syauqi Mubarok Alfian Fawzi Alfian Fawzi Angga Dian Vito Anggrainy, Dian Aprin Rusmawati Artha Budi Susila Duarsa Asri asri Asruria Sani Fajria Atik Setiawan Wahyuningsih Baersady, Miriam Batewa, Erny Bayu Nirwana Citrawatik Dwi Skripsia Devy Putri Nursanti Dewi Nurandika, Yunda Dewi, Prima Dini Martanti Dinik Martiani Dinik Martiani Duri, Vinca Rosa Swastika Dwi Skripsia, Citrawatik Eliyawati Eliyawati Endra Widiyanto Ervidiana, Luly Evi Kurniawati Fachry Abda El Rahman Fadilatul, Dewi Fajriah, Asruria Sani Fajriah, Asuria Sani Fajriyah, Asruria Sani Faku, Noventji Abriance Fatima, Husnul Gunawan Gunawan Gunawan Gusti Muhamad Syariyansyah Handayani, Rina Tri Heny Pramuta Sari Herlina Yuyun Saputri Hermanto Hijriani, Hera Hilda Anggraeni Laluyan Hilda Dea Revani Husnul Fatima Ibnu Sina, Ibnu Sina Ida Nashrun S, Muhammad Ika Retnani Indah Winarni Indasah Indasah istiqomah istiqomah Joko Prasetyo Joko Sutrisno Joko Sutrisno Joko Sutrisno Joko Tri Atmojo Joko Tri Atmojo K, Beko Kamaru lImron Musa Katmini Kholis, Anja Hesnia Krisnanda Aditya Pradana Krisnanda Aditya Pradana Krisnanda Aditya Pradana Kristina, Yuyun Kumalasari, Eri Puji Kunaifi, Afif kurnia, kurnia eka permana Laili, Zulva Rahma Lasaka, Hendratmo Lazarus Salyabo Lesmana, Iwan Setyo Limara Sartika Marunduh, Dian M. Asad Effendy M. Asad Effendy M. Yogi Riyantama Isjoni Meiningsih, Meiningsih Melany Pilatusalim Meylany Rosa Puspita Miftakhur Rohmah Muhammad Ida Nashrun S Muji Murtiningsih Musdalifah, Illailatul Nanda Rahmad Natalina Soares Almeida Neni Nuraeni Ni Luh Putu Ayu Wardhani Ni Wayan Manik Parwati Nia Sari Nita Dwi Astikasari Novian Mahayu Adiutama Nur Hasanah Fatimah Nurdina Nurdina Nurdina Nurdina Nurizzi Rifqi Ferdian Nurwijayanti P H Livana Panggalih, Dangan Prameswari, Diah Priyanti, Ratna Puji Purwanti, Tentry Fuji Puspita, Mariana Rahmadi, Syamsu Rahmania Ambarika Ramadhaningtyas, Karina Nur Ratna Wardani Ratna Wardani Ratna Wardhani Reni Yuli Astutik Retnaningtyas, Erma Retno Palupi Yonni Siwi Rewa, Yeni Rambu Rohani, Muhammad S, Eko Dian Saly, Salami Santy Irene Putri Sarbani, Sarbani Sari, Nia Sentot Imam Sentot Imam Suprapto setiyaningsih, yunnita Setyo Budi Susanto Setyo Wahyudi Sismulyanto SITI ROHMAWATI Sri Wulandari, Meidya Suci Anggraeni Sudewa, I Gusti Ngurah Wisnu Sulistiono, Priyo sultan Suprapto, Sentot Imam Suwarno Suwarno Trianike Nor Aini Vito, Angga Dian Wahyu Purnomo Jati Wahyuni, Eni Wardah Fauziah Wasita, Rangga Widiyanto, Aris Widiyanto, Endra Winarti Winarti Wisnawa, I Nyoman Dharma WULANDARI Wulandari Wulandari wuryani, Ary Dwi Yaya Mulyana Yeni Rambu Rewa Yenny Puspitasari Yetri Mastri Yani Seo Yetri Mastri Yani Seo Yohana Teodosia Setu Yuda Dwi Prasetyo Yuli Peristiowati, Yuli Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yunda Dewi Nurandika Yunie Ernawati Yunita, Emi Yuwono, Trisno Zuhrotul Aini, Zuhrotul