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Profil Pemeriksaan Hematologi Rutin Pada Pasien HIV dan HIV dengan TB di RSUD Kota Kendari Kolewora, Yusuf Musafir; Thamrin, Hilma Yuniar; Asrul, Muhamad; Nelini, Nelini; Rahim, Ermawati
Jurnal Ilmiah Global Education Vol. 6 No. 2 (2025): JURNAL ILMIAH GLOBAL EDUCATION, Volume 6 Nomor 2
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/jige.v6i2.3757

Abstract

HIV and TB are a combination disease that can cause death and can accelerate the development of disease between the two. HIV and TB disease affect each other in all aspects and people infected with HIV are more prone to being infected with active TB, which is around 21-34 times, compared to people who are HIV negative. Objective to find out the profile of routine hematology examinations in HIV and HIV patients with TB at Kendari City Hospital. Method The research design uses a retrospective descriptive, namely by describing and interpreting an object according to the existing data. This study was a non-experimental study because it did not control the research variables and the researchers collected data on the results of the medical records of Kendari City General Hospital patients in 2022/2023 as many as 33 samples. Results Neutrophils increased in HIV patients, Lymphocytes decreased in HIV and HIV patients with TB, and Hemoglobin decreased in HIV patients with TB. Discussion shows that neutrophil parameters increase in HIV patients due to increased inflammatory activity. Decreased lymphocyte levels in HIV and HIV patients with TB are due to decreased immune response in the body. While Hb levels decrease in HIV patients with TB due to TB disease there is an abnormality which is anemia. Anemia is characterized by decreased hemoglobin levels in the body. Conclusion Decreased lymphocyte levels in HIV patients are due to decreased immune response in the body. Meanwhile, decreased hemoglobin levels in HIV-infected patients with TB are due to TB disease having an abnormality which is anemia.
Pengembangan Model Pengelolaan Klaim BPJS Kesehatan Rawat Inap di RSUD Kota Kendari Asrul, Muhamad; Thamrin, Hilma Yuniar
Jurnal Ilmiah Global Education Vol. 6 No. 3 (2025): JURNAL ILMIAH GLOBAL EDUCATION
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/jige.v6i3.4193

Abstract

To improve health services in Indonesia, the government established the Social Security Organizing Agency (BPJS) which is tasked with organizing the National Health Insurance (JKN) for all Indonesian citizens. The problem that occurs at Kendari City Hospital is that there are still many claims that experience payment delays. The large number of delays in payment of claims submitted by Kendari City Hospital to BPJS health that occur every month will certainly affect the operational costs of the hospital. This study aims to determine the development of an inpatient BPJS Health claim management model at Kendari City Hospital. The research design uses a qualitative approach to identify problems and find solutions to solve obstacles to submitting inpatient claims. This research was conducted at Kendari City Hospital and BPJS Kesehatan Kendari branch with a total of 16 informants. The sampling technique used in this study was purposive sampling, the criteria for informants in this study were officers who had understanding or knowledge and were directly involved in completing the inpatient claim file documents. The results of this study indicate that by adding the stages of the medical internal verifier process as a controlling phase in the process of observing the implementation of all BPJS inpatient claim management activities to ensure that all stages of the inpatient claim management model carried out run in accordance with predetermined coding rules. The internal medical verifier has an advantage because it is a strength in claims management, as a good communication negotiator between the hospital internal verifier and BPJS Health aims to find solutions that are acceptable to the Kendari City Hospital as a service provider and BPJS Health as a patient service guarantor.