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Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul Astuti, Yurni Dwi; Dewi, Arlina; Arini, Merita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 6, No 2 (2017): August
Publisher : Universitas Muhammadiyah Yogyakarta

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

Abstract

The purpose of this study was performed to evaluate the content and quality of clinical pathway sectio Caesarea (CP SC), compliance evaluate the implementation of CP SC and know that there are barriers in the implementation of CP SC, so it can make recommendations to improve the implementation of CP SC in hospitals Panembahan Senopati Bantul. The research used mix method focusing in case study design at obsgyn unit room in Panembahan Senopati State Hospital in Bantul. Sample of respondent to the quantitative data to observe at the documentation and obedience to the medical records of patients who had been operated sectio caesarea’s elective that choosen by total sampling and evaluation of CP SC using the Integrated Care Pathway Appraisal Tools (ICPAT) consisting of six dimensi. Data qualitative is obtained by do a deep interviews with a purposive sampling method.
Evaluasi Pelayanan Kesehatan, Perilaku Masyarakat, dan Lingkungan di Wilayah dengan Angka Kematian Bayi (AKB) Tinggi Dewi, Arlina; Sulistyawati, Endang; Asmi, Sarah Ayu Budi; Arini, Merita
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

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Abstract

Recently, Pejawaran District has high IMR minimal 5 year and higher than national average. The aims of this research are to evaluate health care, community behavior, and environment in Pejawaran District. This research uses observational method with survey approach. The 97 sample are women who ever deliver the life baby and live in Pejawaran for 5 years. Maternal-neonatal health cares in Pejawaran are good, which are enough in available, acceptable-continuely, accessible, affordable, and good quality. Health behaviors are various and some components should be more concerned (proper washing hand, brushing teeth, “kadarzi”, birth attendance, health insurance and smoking). Illness behaviors are still low, especially mother knowledge. Sick role behaviors are various especially the community efforts to take medication. Achievement is good in the knowledge of health care places and the understanding of the rights of sick people although the understanding of the duties is low. Unfulfilled health housing component are ratio wide house with family members (22,7%), floor (51,5%), wall (49,5%), roof (3,1%), ventilation (66%), lighting (20,6%), and cages of animal (51,6%). Unfulfilled health basic sanitation are the drinking water source (100%), excreta disposals (87%), garbage bin (4,1%), andwaste water disposal (50,5%). The conclution are maternal-neonatal health care in Pejawaran District have fulled requirement; health related behaviors achievement are various, but mostly must be increased; and the majority environment archievement haven ’t fulled health requirements yet.Kecamatan Pejawaran memiliki AKB tinggi selama 5 tahun terakhir dan lebih tinggi dibanding rata-rata nasional. Tujuan penelitian ini adalah mengevaluasi pelayanan kesehatan, perilaku masyarakat, dan lingkungan di Kecamatan Pejawaran. Penelitian ini menggunakan metode observasional dengan pendekatan survei. Sampel sebanyak 97 yaitu ibu yang pernah melahirkan 1 bayi lahir hidup dan tinggal di Pejawaran minimal 5 tahun. Pelayanan kesehatan maternal-neonatal cukup tersedia, dapat diterima-berkelanjutan, mudah dicapai, dapat dijangkau, dan berkualitas. Perilaku sehat masyarakat bervariasi, komponen yang masih memerlukan perhatian adalah mencuci tangan dengan benar, menggosok gigi, kadarzi, penolong persalinan, asuransi kesehatan dan merokok. Perilaku sakit masih rendah khususnya pengetahuan ibu. Perilaku peran sakit beragam khususnya perilaku mencari kesembuhan. Pengetahuan adanya tempat pelayanan kesehatan dan kepemahaman terhadap hak orang sakit tercapai dengan baik walaupun kepemahaman terhadap kewajiban orang sakit masih rendah. Komponen rumah yang belum mencapat syarat kesehatan adalah kepadatan rumah (22,7%), lantai (51,5%), dinding (49,5%), langit-langit (3,1%), ventilasi (66%), pencahayaan (20,6%), dan kandang ternak (51,6%). Sanitasi dasar yang belum mencapat syarat kesehatan adalah sumber air bersih (100%), sarana pembuangan kotoran (87%), sarana pembuangan sampah (4,15%), dan sarana pembuangan limbah (50,5%). Kesimpulan yang diperoleh adalah pelayanan kesehatan maternal-neonatal Kecamatan Pejawaran sudah memenuhi syarat; cakupan perilaku masyarakat terkait kesehatan beragam, namun sebagian besar harus diperbaiki; dan cakupan komponen lingkungan sebagian besar belum memenuhi syarat kesehatan.
HEALTH BELIEF MODEL pada KEPATUHAN HAND HYGIENE DI BANGSAL BERISIKO TINGGI HEALTHCARE ACQUIRED INFECTIONS (HAIs) (STUDI KASUS PADA RS X) Arini, Merita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 2 (2016): July
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5117

Abstract

as a global problem, patient morbidity and mortality in hospital caused by Healthcare Acquired Infections (HAIs) can be prevented by implementation of Hand Hygiene (HH). This research aims to know the influence of Health Belief Model variables to HH compliance. there was a quantitative study by survey approach and cross-sectional design. The population consisted all of nurses in high risk HAIs ward (ICU and surgical ward, 30 respondents). HCW’s perceptions were measured through self-administered questioner. The compliance of HCWs was measured by observation form of HH. compliance rate of HH based on moment was 46,29 %. Compliance of ICU nurses where higer than surgery ward nurses. Only workplace variable that had significant influence HH compliance (p=0,000). Perception variables can not used as predictor to HH compliance. HH compliance should be increase. Workplace factor had significant influence to HH compliance. 
Evaluasi Pelayanan Kesehatan, Perilaku Masyarakat, dan Lingkungan di Wilayah dengan Angka Kematian Bayi (AKB) Tinggi Dewi, Arlina; Sulistyawati, Endang; Asmi, Sarah Ayu Budi; Arini, Merita
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1.1585

Abstract

Recently, Pejawaran District has high IMR minimal 5 year and higher than national average. The aims of this research are to evaluate health care, community behavior, and environment in Pejawaran District. This research uses observational method with survey approach. The 97 sample are women who ever deliver the life baby and live in Pejawaran for 5 years. Maternal-neonatal health cares in Pejawaran are good, which are enough in available, acceptable-continuely, accessible, affordable, and good quality. Health behaviors are various and some components should be more concerned (proper washing hand, brushing teeth, “kadarzi”, birth attendance, health insurance and smoking). Illness behaviors are still low, especially mother knowledge. Sick role behaviors are various especially the community efforts to take medication. Achievement is good in the knowledge of health care places and the understanding of the rights of sick people although the understanding of the duties is low. Unfulfilled health housing component are ratio wide house with family members (22,7%), floor (51,5%), wall (49,5%), roof (3,1%), ventilation (66%), lighting (20,6%), and cages of animal (51,6%). Unfulfilled health basic sanitation are the drinking water source (100%), excreta disposals (87%), garbage bin (4,1%), andwaste water disposal (50,5%). The conclution are maternal-neonatal health care in Pejawaran District have fulled requirement; health related behaviors achievement are various, but mostly must be increased; and the majority environment archievement haven ’t fulled health requirements yet.Kecamatan Pejawaran memiliki AKB tinggi selama 5 tahun terakhir dan lebih tinggi dibanding rata-rata nasional. Tujuan penelitian ini adalah mengevaluasi pelayanan kesehatan, perilaku masyarakat, dan lingkungan di Kecamatan Pejawaran. Penelitian ini menggunakan metode observasional dengan pendekatan survei. Sampel sebanyak 97 yaitu ibu yang pernah melahirkan 1 bayi lahir hidup dan tinggal di Pejawaran minimal 5 tahun. Pelayanan kesehatan maternal-neonatal cukup tersedia, dapat diterima-berkelanjutan, mudah dicapai, dapat dijangkau, dan berkualitas. Perilaku sehat masyarakat bervariasi, komponen yang masih memerlukan perhatian adalah mencuci tangan dengan benar, menggosok gigi, kadarzi, penolong persalinan, asuransi kesehatan dan merokok. Perilaku sakit masih rendah khususnya pengetahuan ibu. Perilaku peran sakit beragam khususnya perilaku mencari kesembuhan. Pengetahuan adanya tempat pelayanan kesehatan dan kepemahaman terhadap hak orang sakit tercapai dengan baik walaupun kepemahaman terhadap kewajiban orang sakit masih rendah. Komponen rumah yang belum mencapat syarat kesehatan adalah kepadatan rumah (22,7%), lantai (51,5%), dinding (49,5%), langit-langit (3,1%), ventilasi (66%), pencahayaan (20,6%), dan kandang ternak (51,6%). Sanitasi dasar yang belum mencapat syarat kesehatan adalah sumber air bersih (100%), sarana pembuangan kotoran (87%), sarana pembuangan sampah (4,15%), dan sarana pembuangan limbah (50,5%). Kesimpulan yang diperoleh adalah pelayanan kesehatan maternal-neonatal Kecamatan Pejawaran sudah memenuhi syarat; cakupan perilaku masyarakat terkait kesehatan beragam, namun sebagian besar harus diperbaiki; dan cakupan komponen lingkungan sebagian besar belum memenuhi syarat kesehatan.
ANALISIS KEBUTUHAN SISTEM INFORMASI KESEHATAN SEKOLAH UNTUK MENINGKATKAN PEMANTAUAN DAN PENGELOLAAN KESEHATAN ANAK: (STUDI KUALITATIF PADA SEKOLAH-SEKOLAH MUHAMMADIYAH) Arini, Merita; Suryanto, Farid; Puspita, Gina
Majalah Kesehatan Vol. 10 No. 2 (2023): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.010.02.1

Abstract

Kesehatan anak usia sekolah yang meliputi kecukupan gizi, status kesehatan, serta berbagai faktor risiko penyakit dapat diprediksi dan dikelola untuk mencapai derajat kesehatan yang optimal di masa mendatang. Muhammadiyah memiliki jaringan sekolah yang tersebar luas di seluruh Indonesia, sehingga sangat potensial untuk membangun kesehatan anak sejak dini. Hingga saat ini, belum tersedia sistem informasi untuk pencatatan kesehatan anak usia sekolah yang terintegrasi di sekolah-sekolah Muhammadiyah. Tujuan penelitian ini adalah untuk mengeksplorasi praktik yang ada dalam pengelolaan kesehatan anak di Sekolah Dasar (SD) dan Madrasah Ibtida’iyah (MI) milik Muhammadiyah saat ini dan memetakan gambaran kebutuhan sistem informasi yang dapat digunakan untuk meningkatkan pemantauan dan pengelolaan kesehatan. Penelitian menggunakan desain kualitatif eksploratif dengan melakukan focus group discussion pada guru dan pimpinan/pengelola SD/MI Muhammadiyah di wilayah Jawa Tengah (n = 7) dan Daerah Istimewa Yogyakarta (n = 8). Informan dipilih secara purposive sampling. Selanjutnya, data  dilakukan transkrip secara verbatim dan analisis tematik. Hasil menunjukkan bahwa implementasi pengelolaan kesehatan anak di sekolah-sekolah yang diteliti beragam. Hambatan yang dihadapi meliputi kompetensi guru tentang kesehatan anak, beban kerja guru yang tinggi, belum optimalnya kerjasama lintas sektor dan peran wali murid, serta terjadinya pandemi. Berdasarkan FGD, didapatkan 4 tema: 1) urgensi pengelolaan kesehatan anak sekolah; 2) kurang optimalnya pengelolaan kesehatan anak sekolah; 3) pentingnya dukungan pengambilan keputusan; 4) kebutuhan sistem informasi kesehatan. Dapat disimpulkan bahwa sebagian hambatan dan perbaikan pemantauan dan pengelolaan kesehatan anak seperti integrasi pencatatan dan pelaporan, pelibatan pihak terkait, serta pendampingan  potensial dapat dilakukan dengan membangun sistem informasi kesehatan yang sesuai dengan kebutuhan pengguna.
Patient Safety Incident Reporting Challenges in Indonesian Private Hospitals Listiowati, Ekorini; Arini, Merita; Nurmansyah, Mochamad Iqbal; Rachmawati, Emma; Samsudin, Agus
Global Medical & Health Communication (GMHC) Vol 12, No 1 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i1.12158

Abstract

Reporting patient safety incidents is essential in improving learning and patient safety. It is necessary to identify reporting challenges to improve the reporting process's success. This study assessed the challenges of patient incident reporting and learning systems in Indonesian private hospitals. This qualitative participatory action research is used. In October 2022, data was collected using a videoconferencing application. This study included 34 quality improvement and patient safety team members from 22 private hospitals. In this study, inductive analysis was used. The challenges of patient safety incident reporting are examined in six categories in this study: reporting environment, reporting rules and content, analysis and investigation, governance, action and learning, and patient and family engagement. The challenges mostly come from reporting environment components such as reporting difficulty and ignorance, a lack of time for analysis, the fear of making a mistake in the reporting process, and insufficient management support. Multiple challenges were encountered in different patient safety incident components. A positive environment for reporting patient safety incidents needs a multifaceted approach, including increased hospital leadership commitment and policies and procedures.
EARLY DETECTION OF LOW VISION DETERMINANT FACTORS USING THE E-SIGALON SELF-ASSESSMENT APPLICATION: Deteksi Dini Faktor Determinan Low Vision Menggunakan Aplikasi e-SIGALON Berbasis Pemeriksaan Mandiri Triyono, Erwin Astha; Arini, Merita; Tan, Feriawan; Masyfufah, Lilis; Rachmad, Eka Basuki; Kusumayanti, A.A.Ayu Mas; Kartikawati, Tri; Kartikadewi, Indriani; Novanda, Aisyah Wahyu; Ramadhani, Putri Nabilah
Jurnal Berkala Epidemiologi Vol. 12 No. 3 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I32024.263-272

Abstract

Background: Low Vision is an end-stage condition that cannot be cured. The best treatment for low vision is the early detection. However, there is still no integrated low vision data in health services, the lack of public knowledge about low vision, the low rate of case discovery, and the lack of optimal referral and treatment mechanisms for low vision are problems that must be addressed at this time. Purpose: This study aims to detect early low vision determinant factors using a self-assessment application. Methods: This study is analytical and quantitative research. Respondents for this research were from five selected populations in East Java who filled out the e-SIGALON application from September to December 2023. The respondents were suspected as having low vision if they had score of 6 or higher. The variables were analyzed using logistic binary regression, the validity and reliability test was also performed. Results: From 446 respondents, there were 237 people (53.14%) suspected of low vision but only 66 people came to referral hospital. The low vision suspect showed 12 of the 15 statistically significant questions (p<0.05). The most common was sitting very close to the television/monitor (48.43%), followed by having difficulties in seeing objects in dim light (44.17%) and difficulties in doing the things they want to do (40.13%). Conclusion: The e-SIGALON application can be a solution in managing low vision. Through this application, people can easily find out and recognize whether they have low vision or not.
Readiness and Service Model Exploration for Chronic Kidney Disease Telemonitoring at Public Hospital in Bengkulu, Indonesia Nurhidayati, Nurhidayati; Arini, Merita; Wan Mamat, Wan Hasliza
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 2 (2024): August 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i2.79

Abstract

Public hospitals in Bengkulu lack health workers in hemodialysis units, making services not optimal, and the quality of life of chronic kidney disease patients is not controlled. Thus, telemonitoring should be an alternative to a remote health service. This study aimed to determine readiness and explore the telemonitoring service model needed in public hospitals in Bengkulu. This qualitative research used group discussion forums and in-depth interviews with 24 informants, consisting of management and health workers in the hemodialysis unit, recruited by purposive sampling. Audio recordings, verbatim transcripts, and thematic analyses were carried out. Public hospitals in Bengkulu are ready to carry out telemonitoring services regarding potential reasons, expectations from health workers, and benefits to implement as alternative solutions to improve service quality—inhibiting factors such as support tools, patients, health workers, organization, and low understanding of telemonitoring. Supporting factors are the adequacy of basic infrastructure facilities, the allocation of funds, and the required service models such as materials, supporting devices, and service settings. In conclusion, a public hospital in Bengkulu meets the readiness indicators of telemonitoring services for chronic kidney disease patients from a health worker’s perspective. Potential supporting factors need to be improved, inhibiting factors need to be anticipated, and the required service model needs to be described.
NAVIGATING BARRIERS: THE NEED FOR INTEGRATED HEALTH INFORMATION SYSTEM FOR TUBERCULOSIS-DIABETES CO-SCREENING Arini, Merita; Prakoso, Denny Anggoro; Suryanto, Farid; Dewi, Arlina; Basha, Muzaitul Akma Binti Mustapa Kamal
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.162-176

Abstract

Background: Tuberculosis-diabetes mellitus (TB-DM) is a co-epidemic condition representing a double burden for high TB burden countries like Indonesia. Private primary care (PPC) in Indonesia was newly reintroduced to the TB program. Aims: This study explores the challenges PPC healthcare workers (HCWs) face in implementing TB-DM bi-directional screening and strategies to improve it. Methods: An explorative qualitative method was used by conducting two-round focus group discussions (FGDs) with HCWs (n=15) from five private clinics in Yogyakarta Special Region Province Indonesia and triangulated with 10 DM patients and the TB program manager from the provincial health office. The data were audio recorded, transcribed verbatim, and subjected to thematic analysis. Results: HCWs face complex barriers in TB-DM co-screening implementation from patients, HCWs, and health system aspects. An integrated system to remind, support decision-making, report, reduce documentation duplication, monitor, and evaluate co-screening implementation emerged as a potential strategy, although some challenges to deploy. Conclusion: Albeit HIS is promising in enhancing integrated TB-DM screening and management, a comprehensive approach and multisector roles are still needed to overcome impediments to TB-DM bidirectional screening in PPCs. Keywords: diabetes mellitus, health information system, screening, tuberculosis
Pengukuran Indeks Kepuasan Pasien Forensik Klinik Menggunakan Metode Customer Satisfaction Index Afandi, Dedi; Arini, Merita
Jurnal Ilmu Kedokteran Vol 18, No 2 (2024): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26891/JIK.v18i2.2024.73-82

Abstract

Measuring the patient satisfaction index is essential to establish a baseline for improving service quality in subsequent years. The Customer Satisfaction Index (CSI) method is an effective approach to determine the overall patient satisfaction index over time. At Bhayangkara Hospital Pekanbaru, the satisfaction index of clinical forensic patients has not been previously assessed. This study aims to measure the satisfaction index of clinical forensic patients using the CSI method. A cross-sectional study was conducted on 284 clinical forensic patients at Bhayangkara Hospital Pekanbaru, selected through consecutive sampling. The modified SERVQUAL questionnaire, encompassing five service quality dimensions—reliability, responsiveness, assurance, empathy, and tangibles served as the research instrument. Data were analyzed using the CSI method. The results indicated that the mean overall satisfaction perception was 4.59, with the highest mean observed in the assurance dimension (4.63). Responsiveness was identified as the most important service quality dimension by clinical forensic patients (mean = 4.90). The overall satisfaction index calculated through CSI was 91.2%, indicating a very satisfied level, with the highest satisfaction index in the assurance dimension (92.72%) and the lowest in tangibles (90%). The target for the clinical forensic patient satisfaction index for the coming year should aim to surpass the index obtained in this study.