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Penerapan Telemedicine dalam Mendukung Integrasi Pelayanan Kesehatan Primer Prima, Prima; Oktaviana L, Putri; Nurhidayati, Evi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 1 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i1.738

Abstract

Introduction: Primary health care serves as the frontline in achieving a healthy, independent, and equitable society. The implementation of the Integrated Primary Health Care (ILP) system is a strategic effort to improve efficiency, coordination, and service continuity. One of the innovations supporting ILP implementation is telemedicine, which utilizes digital technology to facilitate remote medical consultations, patient monitoring, and electronic referrals. Objective: The purpose of this service was This study aims to describe the implementation of telemedicine services in supporting ILP at Ngambon Community Health Center (Puskesmas Ngambon), Bojonegoro Regency. Method: This public service was conducted by used is a descriptive approach, with data collected through observation, interviews, and document review related to telemedicine implementation at the health center. Result: Telemedicine has improved coordination among health workers, accelerated patient referral processes, and expanded service access, especially for communities in remote areas. However, several challenges remain, including limited technological infrastructure, uneven internet connectivity, and low digital literacy among some community members. Conclusion: The implementation of telemedicine at Puskesmas Ngambon plays a significant role in strengthening ILP, yet it requires cross-sectoral support and capacity building to achieve optimal outcomes. Therefore, strong policy support, capacity building for human resources, and reinforcement of health information systems are essential to ensure the sustainability of telemedicine implementation. By optimizing telemedicine, primary healthcare services can become more responsive, efficient, and equitable in achieving the highest possible standard of public health.
Strategi Triase dan Dukungan Keluarga dalam Optimalisasi Pelayanan Instalasi Gawat Darurat Prima, Prima; S, Rining; Sari, Rafika Nurmalita
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i2.851

Abstract

Introduction: The Emergency Department (ED) is a critical service unit that requires rapid assessment and decision-making to ensure patient safety. The triage system plays a key role in prioritizing patients based on clinical severity. However, observations during a residency program at the Emergency Department of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro revealed that family members often experienced anxiety and dissatisfaction due to limited understanding of the triage process and ineffective communication from healthcare providers. These issues frequently led to misconceptions regarding waiting times and perceptions of unequal service. Objective: This community service activity aimed to improve family members’ understanding of the triage process, reduce anxiety related to waiting time, and strengthen trust in emergency care services. Method: A descriptive participatory approach was used through observation of ED service flow and interviews with nurses to identify communication gaps. An educational intervention was implemented using an audiovisual medium in the form of a short animated video explaining triage categories, which was displayed in the ED waiting area. Family members’ knowledge was assessed using pre-test and post-test questionnaires. Results: Post-test results showed a clear improvement in family members’ understanding of triage compared to pre-test findings, where most participants initially demonstrated low knowledge levels. Qualitative observations indicated reduced complaints, improved cooperation during admission, and more effective communication between nurses and families, although variability in staff communication skills remained a challenge. Conclusion: Audiovisual-based education effectively improved family understanding of the triage process and supported better communication and trust in emergency services. Structured educational media and consistent communication strategies are recommended to sustain service quality improvements in the ED.