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Representation of KRIS Policy in Indonesian Online Media Reporting: A Qualitative Content Analysis Study of 2025 Pre-Implementation Rahayu, Eka Putri; Rahayu, Agustin Putri; Ariyanti, Rea
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3076

Abstract

The JKN standard inpatient class (KRIS) policy provides significant benefits for the Indonesian people, however, the implementation of KRIS in hospitals is a complex process and there are still many challenges that must be faced in the KRIS implementation plan. The determination of the KRIS policy based on Government Regulation Number 47 of 2021 concerning the Implementation of the Hospital Sector Article 84 letter b, will be implemented no later than January 1, 2023. However, the implementation of the BPJS Kesehatan KRIS has been postponed until January 1, 2025 so that hospitals can prepare the 12 standards that must be met when the KRIS service is officially opened in all hospitals in Indonesia. This research is expected explore on how is the pre-implementation policy of KRIS in Indonesia through Indonesian online news portals. This study used a qualitative analysis approach to online news portal content that aims to explain the KRIS policy in Indonesia. The sample of this study is national online media news about the KRIS policy published between January - May 2025. The researcher used the keyword "KRIS" and searched four (4) online news portals. MAXQDA software was also used as a data analysis tool in this study. The features used include Word Cloud and word frequency to understand the main concept. The results show that there are 7 dominant topics in the coverage of well-known online media in Indonesia related to the KRIS policy in Indonesia. The topic of KRIS policy challenges in Indonesia is the most dominant topic with 33 quotes (31%).
Balancing Medical Knowledge with Behavioral Strategies: Content Characteristics of High-Performing Pediatric Diabetes Videos on Indonesian TikTok Rahayu, Agustin Putri; Rahayu, Eka Putri; Ariyanti, Rea
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3092

Abstract

Pediatric diabetes has become rapidly growing, with epidemiological projections indicating that nearly half of children with type 1 diabetes remained undiagnosed globally, while type 2 diabetes prevalence among youth increased more markedly than type 1 diabetes in several regions. This research aimed to conduct a comprehensive content analysis of the fifteen most highly engaged pediatric diabetes educational videos on TikTok within the Indonesian digital landscape over the past six months. The research method employed a quantitative content analysis design conducted on May 28, 2025, analyzing TikTok content using the keyword "diabetes anak" within the Indonesian digital domain. Results showed that documentary content dominated (93.3%), with "Foundational Medical Knowledge" and "Behavioral Health Management" each appearing in 66.7% of videos, while "Optimistic Messaging" and "Self-Efficacy Enhancement" were each present in 60% of content. Word cloud analysis revealed that practical diabetes management terminology such as "insulin," "diabetes," "makanan" (food), and "anak-anak" (children) dominated transcripts. Successful pediatric diabetes educational content on TikTok combined medical accuracy with authentic narratives and empowerment-focused messaging to achieve optimal audience engagement. Keywords: pediatric diabetes, TikTok, content analysis, digital health education
Analysis of Health Equity and Access of Healthcare In Indonesia: Literature Review Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Health equity is fundamental to the idea of living a good life and building a vibrant society because of its practical, economic, and civic implications. The number of Primary Health Care in Indonesia in 2023 will be 10,180 Primary Health Care, consisting of 4,210 inpatient health centers and 5,970 non-inpatient health centers.The large number of health facilities available raises the question of whether they are able to provide the best medical services and can be accessed by all levels of society. This study used the PRISMA (Preferred Reporting Items For Systematic Review And Meta Analysis) method. A comprehensive literature review was conducted using the following databases: Science Direct, Pub Med, Google Scholar. The period was 2020-2024. It obtained 140 articles with the keyword “access” “equity” “healthcare” “indonesia”. The articles were filtered based on the suitable of the title, abstract, content, and selected those that met the criteria, so that there were 20 articles that were assessed for suitability. So, there are 4 articles that can be analyzed and discuss about access and equity healthcare in indonesia. Equality and access to health services in Indonesia requires improvement from various aspects. It is recommended to improve transport infrastructure, increasing access to health services by telemedicine, increase public awareness of the importance of getting trusted and easily accessible health services
Analysis Of Health Equity And Access Of Healthcare In Indonesia Putri Rahayu, Eka; Ariyanti, Rea; Putri Rahayu, Agustin
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Health care systems around the world implement policies and interventions to improve access to health care for marginalized populations. Health care organizations must consider equitable access to care, regardless of factors such as gender, socioeconomic status, ethnicity or disability. Timely access to quality care is a fundamental ethical principle. By promoting equitable distribution of resources, health care organizations can reduce disparities and provide a fair opportunity for all individuals to receive needed health care (Lelyana, 2023). Public health policies should ensure equality of access to health services and equity in the distribution of health resources. This involves identifying and addressing health disparities that may arise from social, economic or demographic factors (Indarwati et al, 2024 ). Health equity is fundamental to the idea of living a good life and building a vibrant society because of its practical, economic, and civic implications. Shifts in economic mobility, income inequality, and persisting legacies of social problems such as structural racism are hampering the attainment of health equity, causing economic loss, and most overwhelmingly, the loss of human lives and potential (Weinstein et al, 2017). Health equity is the state in which everyone has the opportunity to attain full health potential and no one is disadvantages from achieving this potential because of social position or any other socially defined circumstances. Health equity and opportunity are inextricably linked. (Weinstein et al, 2017) The committee took a multifactor view of health status and health inequities, in recognition that only some aspects of a person’s health status depend on individual behaviors and choice. Community-wide problem, such as poverty, unemployement, low educational attainment, inadequate housing, lack of public transportation, exposure to violence, and neighborhood deterioration (social or physical) shape health and contribute to health inequalities (Weinstein et al, 2017). To truly eliminate health disparities and thereby achieve health equity, many solutions require a social justice lens (Smalley et al, 2021). Meanwhile, health equality is the achievement of the highest level of health for all people. To achieve this health equality, everyone needs to respect social equality (Siregar dan Rahman, 2022). Indonesia is an archipelagic country consisting of 17,374 islands, with an area of 1,892,410.1 km2. The large number of islands in Indonesia with various tribes, cultures and languages poses its own challenges in the government's efforts to provide health services for the Indonesian people (Ministry of Health, 2024). The level of public health in a country can be influenced by the existence of health service facilities. Health service facilities are entities that deal directly with the community. Primary Health Care and hospitals are still the main types of health services that provide basic and referral health services. The number of Primary Health Care in Indonesia in 2023 will be 10,180 Primary Health Care, consisting of 4,210 inpatient health centers and 5,970 non-inpatient health centers. The number of hospitals in Indonesia in 2023 will be 3,155, consisting of 2,636 general hospitals and 519 special hospitals. The number of posyandu in Indonesia in 2023 will be 304,263 posyandu spread throughout the region (Ministry of Health, 2024). The large number of health facilities available raises the question of whether they are able to provide the best medical services and can be accessed by all levels of society Based on the description above, it needs to be analyzed health equity and access of healthcare in Indonesia. Objective : This article provide a review of the analysis health equity and access of healthcare in Indonesia. previous research or taking secondary data from various sources. Research Methods/ Implementation Methods : Results : This study used the Retrospective Observational method with a qualitative approach in conducting a Systematic Review to combine findings from qualitative descriptive studies. The study uses internal data sources to identify and assess scientific publications to find reliable and accurate references. The author conducted a search using Google Scholar with the keywords “access and equity healthcare” to evaluate how healthcare facilitate the society to access healthcare services. This study uses the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method, following the right steps and procedures to synthesize the results of descriptive qualitative research. The survey was conducted using mobile phones, laptops, prepaid operator networks and wi-fi. These tools were used to search for content, especially research journals that are relevant to the subject of this study. This study examines how social and economic inequalities affect communities' access to safe and affordable healthcare services. This research was conducted by conducting a survey using information gathering methods involving various techniques, including systematic reviews and literature searches. After data extraction and synthesis, a final report will be prepared in which the results will be assessed qualitatively and the collected research material will be critically analyzed in the context of the study. It is stated that the main factors influencing the ability of rural communities to utilize primary health services are geographic access, economic and social. Patients hope that the hospital can be easily reached using public transportation or private vehicles. Apart from that, patients also hope that the roads around the hospital will not be hampered by traffic jams JKN program has succeeded in significantly increasing access to health services for the community, further efforts are still needed to improve the quality and effectiveness of these services, as well as to overcome various obstacles faced in their implementation Conclusion/Lesson Learned : The number of hospitals and health centers increases from year to year. Equality and access to health services in Indonesia requires improvement from various aspects. It is recommended to improve transport infrastructure, increasing access to health services by telemedicine, increase public awareness of the importance of getting trusted and easily accessible health services.
The Effect of Obesity, Smoking Habits, and Hypertension on the Risk of Chronic Kidney Disease: A Case Control Study Ariyanti, Rea; Rahayu, Eka Putri
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

Chronic Kidney Disease (CKD) is a global public health problem with increasing prevalence and incidence of kidney failure. About 1 in 10 of the global population experiences chronic kidney failure at some stage. There are several risk factors that are thought to increase the incidence of chronic kidney disease, such as obesity, smoking habits and hypertension. This study aims to determine the influence of obesity, smoking habits and hypertension on the risk of chronic kidney disease. The research design is case control. The research was carried out at Panti Nirmala Hospital Malang with a sample size of 286 respondents, consisting of 143 case groups and 143 controls. Data analysis used the chi-square test. The results of the study showed that hypertension status (p=0.014) had a significant influence on the incidence of chronic kidney disease, while other variables such as obesity (p=0.122) and smoking habits (p=0.077) were not proven to have an influence in causing chronic kidney disease. In the case group, it was discovered that more than half of the respondents stated that they had a smoking habit and suffered from hypertension. It is recommended that people carry out regular health checks and change their lifestyle by not smoking and always controlling their blood pressure to keep it normal.
Analysis of Hospital Patient Satisfaction in Indonesia: Systematic Review Rahayu, Eka Putri; Ariyanti, Rea
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

Patient satisfaction has been remarkably low in most developing countries leading to competition between private and public health institutions. The satisfaction of clients is one essential factor to success of every organization. It is the aim of the review to analyze hospital patient satisfaction in Indonesia. This study used the PRISMA (Preferred Reporting Items for Systematic Review and Meta Analysis) method. A comprehensive literature review was conducted using the following databases: Science Direct, Pub Med, Google Scholar. The period was 2020-2024. It shows that obtained 103 articles with the keyword “hospital” “patient” “satisfaction” “Indonesia”. The articles were filtered based on the suitable of the title, abstract, content, and selected those that met the criteria, so that there were 100 articles that were assessed for suitability. So, there are 6 articles that can be analyzed and discuss about hospital patient satisfaction in Indonesia. Patients generally express satisfaction with service quality, particularly both in private and public hospitals. However, there is room for improvement in public hospitals, especially in terms of responsiveness, attentiveness, and reliability of medical staff.
SINDROM METABOLIK DENGAN RIWAYAT KONSUMSI ALKOHOL MENINGKATKAN RISIKO TERJADINYA CHRONIC KIDNEY DISEASE: STUDI KASUS KONTROL DI RS PANTI NIRMALA KOTA MALANG Ariyanti, Rea
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 10, No 1 (2022): EDITION MARCH 2022
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v10i1.1857

Abstract

Chronic Kidney Disease (CKD) is a global public health problem with a high prevalence and incidence of kidney failure, poor prognosis, and has a large impact on morbidity, mortality, and socioeconomics of the community due to high treatment costs. Globally, CKD is the 12th leading cause of mortality and 17th for morbidity. There are several risk factors that are thought to increase the incidence of CKD, one of which is Metabolic Syndrome (SM). This study aims to determine the relationship between SM and the incidence of CKD at Panti Nirmala Hospital in Malang. The research design is case-control. The sample was 146 respondents, consisting of 73 case groups and 73 control groups. Data analysis using logistic regression. In the CKD group, the percentage of respondents with SM was 53.4% while in the group that did not suffer from CKD, the percentage of respondents with DM was 21.9%. It is known that after controlling for gender and age, respondents who have a history of consuming alcohol have an 11.9 times higher chance of developing CKD than respondents who do not have SM. It is recommended for the public to have regular health checks and change a healthy lifestyle, avoid consuming alcohol, and carry out regular health checks such as measuring blood pressure and blood sugar.
Sosialisasi tenaga kesehatan terkait pengenalan sistem aplikasi perancangan SIMKLINIK di Klinik Modern Sigit, Nanta; Ariyanti, Rea
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 1 (2024): March
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i1.21158

Abstract

AbstrakKlinik Modern merupakan satu diantara klinik rawat inap pratama yang terdapat di Kabupaten  malang yang menyelenggarakan pelayanan kesehatan secara perorangan, dimana rata-rata  kunjungan pasien di klinik moderna berkisar 50 pasien per hari. Setiap fasilitas pelayanan kesehatan  termasuk klinik wajib menyelenggarakan rekam medis. Salah satu sistem yang dilaksanakan dalam  unit rekam medis adalah Rekam medis elektronik merupakan rekam medis yang penyelenggaraannya dilakukan dengan sistem elektronik. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan dalam perancangan sotware SIMKLINIK di klinik modern. Rekam medis elektronik paling sedikit dilakukan kegiatan registrasi pasien, ditribusi data rekam medis elektronik, pengisisan informasi klinis, pengolahan informasi rekam medis elektronik, pengimputan data, penyimpanan data rekam medis elektronik, menjamin mutu , transfer isi rekam medis. Kegiatan ini dilaksanakan sebanyak 3 kali dengan metode sosialisasi dan diskusi interaktif mengenai pelaksanaan  sistem penyimpanan rekam medis yang dilakukan kepada petugas kesehatan. Dari hasil evaluasi,  diketahui bahwa pengetahuan petugas kesehatan antara sebelum dan sesudah diberikan sosialisasi  meningkat sebesar 70%, dimana sebelum diberikan edukasi, rerata nilai pretest sebesar 56.00 dan  setelah diberikan edukasi rerata nilai postest menjadi 95.00. Kegiatan ini perlu dilakukan secara rutin sebagai  upaya meningkatkan kemampuan petugas kesehatan dalam melakukan sistem perancangan aplikasi SIMKLINIK di klinik modern. Kata kunci: klinik modern; rekam medis; sistem perancangan SIMKLINIK AbstractThe Modern Clinic is one of the primary inpatient clinics in Malang Regency which provides individual health services, where the average number of patient visits at the Moderna clinic is around 50 patients per day. Every health service facility, including clinics, is required to maintain medical records. One of the systems implemented in the medical records unit is the electronic medical record, which is a medical record that is maintained using an electronic system. The aim of this activity is to increase knowledge in designing SIMKLINIK software in modern clinics. Electronic medical records include at least patient registration activities, distribution of electronic medical record data, filling in clinical information, processing electronic medical record information, data entry, storing electronic medical record data, ensuring quality, transferring the contents of medical records. This activity was carried out 3 times using socialization methods and interactive discussions regarding the implementation of the medical record storage system for health workers. From the evaluation results, it is known that health workers' knowledge between before and after being given socialization increased by 70%, where before being given education, the average pretest score was 56.00 and after being given education the average posttest score was 95.00. This activity needs to be carried out regularly as an effort to improve the ability of health workers in designing the SIMKLINIK application system in modern clinics. Keywords: modern clinic; medical records; SIMKLINIK design system
TikTok Content Analysis for Strengthening Stunting PreventionEducation Systems Rahayu, Agustin Putri; Ariyanti, Rea; Rahayu, Eka Putri; Saefurrohim, Muhamad Zakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Stunting presents significant public health challenges requiring comprehensive prevention strategies. Digital health education has emerged as an effective approach to strengthen health systems and community engagement. TikTok, as a widely accessible social media platform, offers potential for delivering evidence-based stunting prevention education. Objective : This study analyzes stunting education content on TikTok to provide recommendations for optimizing digital health communication strategies in achieving SDGs. Research Methods/ Implementation Methods : Content analysis was conducted on TikTok videos with #preventstunting hashtag posted within six months. The analysis examined 50 highest- engagement videos (final dataset) and identified top 10 most popular videos. Systematic coding analyzed video attributes (duration, music, text display, posting age), audience responses, target demographics, creator backgrounds, and content characteristics (message types, information density, sentiment). Results : Final dataset characteristics revealed optimal attributes: 16-60 second duration, TikTok music integration, explanatory text overlays, 31-90 days posting history, general public targeting, and diverse creator backgrounds. Top 10 popular videos showed similar patterns with extended posting duration (90-180 days), healthcare professional involvement, and multi-sentiment approaches (empathy, humor, fear). Prevention-focused messages with 1-2 key information points generated highest engagement. Recommended video framework includes 60-second duration, music and subtitle integration, active audience interaction, multi-sectoral creators, prevention messaging with 1- 2 focal points, and strategic sentiment use. Creativity, quality, and simplicity emerged as critical engagement factors. Conclusion/Lesson Learned : TikTok demonstrates significant potential for strengthening health system communication strategies in stunting prevention education. Video characteristics substantially influence audience engagement, with simple, informative, and creative content generating optimal responses. This digital platform can enhance health promotion accessibility and reach, contributing to SDG achievement through innovative community-level interventions.