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Journal : Academic Hospital Journal

Differences in Satisfaction Level between Subsidised JKN Patients and Non-Subsidised JKN Patients: A Case Study in a Hospital in Bantul with Quantitative Analysis Approach Yanasta Yudo Pratama; Muhammad Syamsu Hidayat; Tri Ani Marwati; Lina Handayani
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.71744

Abstract

ABSTRACTIntroduction: The National Health Insurance (JKN) organized by BPJS is a guarantee in the form of health protection so that participants get the benefits of health checks and protection in meeting basic health needs given to everyone. Measuring the level of patient satisfaction is needed to determine the level of service provided by a service provider. To identify differences in the satisfaction of JKN class 3 PBI patients and JKN class 3 non PBI patients who received health services at the place research.Materials and Methods: This study used an analytical observational research design with a cross sectional method through a Quantitative Method approach. Data obtained by using questionnaires and interviews with respondents. The level of patient satisfaction was analyzed using GAP scores, CSI, and Independent Samples T Test.Results: The results of the GAP score indicate that JKN class 3 PBI patients have the lowest GAP score on the reliability dimension, which is -0.1733 and the highest GAP score on the assurance dimension with a score of -0.0875. Meanwhile, JKN class 3 non-PBI patients had the lowest score on the tangibles dimension with -0.1955 and the highest on the reliability dimension with -0.1711. JKN class 3 PBI patients had a CSI score of 69.81% and JKN class 3 non-PBI patients had 66.938%. If statistically tested, there is a significant difference between JKN class 3 PBI patients and JKN class 3 non-PBI patients with p value < 0.05.Conclusion: From the results of the analysis, at the placed research patients are generally satisfied with the services provided. JKN class 3 PBI patients feel more satisfied than JKN class 3 non PBI patients.
Study of Survival of COVID19 Patients with Severe or Critical Symptoms: Study of D-dimer on Survival of COVID19 Patients with Severe or Critical Degrees in ICU COVID, Academic Hospital, Gadjah Mada University, Yogyakarta Purwadi Sujalmo; Rosita Yunanda Purwanto; Rochmi Isnaini Rismawanti; Yanasta Yudo Pratama; Wandira Lalitya; Afridhia Bidari Fachrudin
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.71798

Abstract

The SARS-CoV 2 virus pandemic has been a scourge since 2020. The number of cases that continues to increase, both mild, moderate, severe-critical confirmed cases are directly proportional to the need for treatment rooms, both ordinary wards and intensive care units (ICU), which is inversely proportional to the available capacity. room. Based on research, the high mortality and morbidity rate due to COVID 19 is due to the incidence of patient sepsis. Research abroad states that the value of D-dimer is a prognostic factor for COVID-19 patients, although there is no agreement on the best cut-off point for specificity and sensitivity. hypercoagulability conditions and increased lactic acid in patients with severe sepsis. It is necessary to evaluate the role of this laboratory result in estimating the prognosis of COVID-19 patients in Indonesia. There is no study that examines the relationship between the incidence of sepsis and the characteristics of hypercoagulability with the dominance of the thrombotic process in COVID19 patients in Indonesia. The purpose of this study was to provide information to health workers about the role of D-dimer value as a prognostic factor for severe-critical COVID-19 patients. This quantitative retrospective research data in the form of proportions were collected for 12 months from the medical records of the UGM Academic Hospital of patients with confirmed severe-critical COVID-19. Overall survival was assessed by the Kaplan-Meier curve. The cut-off determination for the D-dimer variable was carried out using the Receiver Operating Curve (ROC) followed by the calculation of the Youden index. Then the hazard ratio was determined by cox regression with a p value of <0.05 which was considered significant. Statistical analysis with SPSS version 26 software.
Cohort Study in Outcome and One-Year Mortality of Acute Stroke Patient in Academic Hospital Universitas Gadjah Mada Maskuri, Fajar; Tyas, Humaera Elphananing; Talirasa, Nimitta; Wiastuti, Arni; Akhsani, Fathiya; Pratama, Yanasta Yudo
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94520

Abstract

Background: Stroke is still becoming one of the most common non-communicable diseases in Indonesia. Sample Registration System survey in 2016 showed that in Indonesia stroke has become the most common cause of death at all age, about 19.9%. 4 Research conducted by Novbakht found that age, sex, BMI, type of stroke, family history of stroke, hyperlipidaemia, diabetes, and severity of stroke was related and increased the mortality rate. 6 Academic Hospital Universitas Gadjah Mada had not conducted this type of research, so that researcher wanted to know the one-year mortality rate after stroke, factors that related to mortality, and to improve the quality of stroke treatment at Academic Hospital Universitas Gadjah Mada.Objective: To know one-year mortality rate in acute stroke patients in Academic Hospital Universitas Gadjah Mada by looking for the acute stroke characteristic, outcome of stroke patients, and risk factors that cause mortality in stroke patients.Method: This is an analytic research using retrospective cohort study through data collection of acute stroke patients (patients with <5 days stroke onset) during July 2019 until June 2022 then we followed up the condition in the first year after stroke by using medical records, direct examination, or via telephone or video call. Mortality rates were assessed one year after stroke and the predictors of death were evaluated using the cox proportional hazard model.Result: One-year mortality after stroke in our study were related to age (>67 years old) (OR=2,29; 95% CI 1,18-4,46; p=0,015) and the severity of stroke was related to higher NIHSS score (NIHSS score during admission 16-42, (OR=38,49; 95% CI 8,92-166,0; p<0,001)) and ICU admission ((OR=8,01; 95% CI 4,03-15,90; p<0,001)).  Conclusion: An association was found between stroke severity and one-year outcomes of acute stroke patients with old age (>67 years), high NIHSS scores, and ICU admissions
Characteristics of Trauma Patients Who Died at UGM Academic Hospital (RSA UGM) Prananingrum, Febriana; Tyas, Humaera Elphananing; Caswita, Aditya Bagas; Dewa Rachmat, Radyan Artha; Widyastuti, Rina; Lestari, Ade Febrina; Darwito, Darwito; Pratama, Yanasta Yudo
Academic Hospital Journal Vol 6, No 1 (2024)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v6i1.94712

Abstract

BACKGROUND : Trauma becomes the main health problem worldwide due to its high mortality rate. Traffic accidents are a trauma with a high incidence and death rate in Indonesia, specifically in Yogyakarta. Factors causing trauma-related death are the lack of hospital infrastructure, the lack of quality human resources, the lack of standardization of trauma management, and the limited number of hospitals providing comprehensive trauma services. This research aims to identify the characteristics of trauma patients who died while receiving medical treatment at UGM Academic Hospital and to analyze the mortality of patients according to the trimodal distribution to prepare this hospital to become a trauma center hospital.METHOD : This quantitative descriptive research used a cross-sectional method. Data were taken from medical records of patients admitted to the ER of UGM Academic Hospital in 2018-2023 based on predetermined inclusion and exclusion criteria. The research was conducted from March to November 2023.RESULT : This research involved 58 patients consisting of 42 (72.4%) male and 16 (27.6%) female patients. The most common cause of death was brain injury (63%), followed by spinal cord injury (13.7%), multi-organ failure and sepsis (8.6%), cardiac and respiratory arrest (6.8%), and comorbidities patients (6.8%).CONCLUSION : The majority of trauma patients who died at the UGM Academic Hospital are male and aged 60-80 years with the main cause of death of brain injury. The patient dies at the late death stage based on trimodal distribution of death time.
Co-Authors AbuHilail, Hamza Sameeh Abd El Qader Achmad Yasin Mustamin Achmad Yasin Mustamin Achmad Yasin Mustamin Adnan, Muhammad Luthfi Adnan, Muhammad Luthfi Afnia, Pangestika Nur Afridhia Bidari Fachrudin Afridhia Bidari Fachrudin Akhsani, Fathiya Amelia, Vica Hilda Andita Rahmanda Annisa Tristifanny Arijadi, Desi Asya, Kahaya Ainin Atikah Rahayu Ayini, Nur Ayu Dewi Mahila, Niufti Az Zahra, Afifah Bambang Edi Susyanto Boekoesoe, Linjte Budiastuti, Ernadita Cahyaningrum, Yeny Dyah Caswita, Aditya Bagas Cerika Rismayanthi Clarista Ardelia Rahardjo Clarista Rahardjo Darwito, Darwito Dewa Rachmat, Radyan Artha Dewi Sitoresmi Ayuningtyas, Raden Rara Dyah Suryani Elyn Arlinda Emi Azmi Choironi Erlina Marfianti, Erlina Evicennianing Tyas, Rosyida Fajrul Falah Farhany Febrina Lestari, Ade Febrina Sucihati Futihatul Baidho Hamza AbuHilail Handayani, Lina Hidayat, Muhammad Syamsu Ichlasul Amalia Kurniawan Dwi Saputra Lana Unwanah Lestari, Ade Febrina Lina Handayani Machfud, Achmad Ali Mardiyoko, Ibnu Margono Margono Marwan Rosada Marwati, Tri Ani Maskuri, Fajar Miftahurrahmi, Rofifah Miranti Dewi Pramaningtyas Mohamad, Sri Wahyunita Mubarak, Muhammad Hamza Muhammad Luthfi Muhammad Luthfi Muhammad Yusrin Al Gifari Mutiara Annisa Nadia Rachma Nirwingsyah Nailul Husna Naufal Arif Ismail Ning Tyas, Humaera Elphananing Nurmasitoh, Titis Prananingrum, Febriana Purwadi Sujalmo Rissa Widyasworo Hartanti Rochmi Isnaini Rismawanti Rochmi Isnaini Rismawanti Rochmi Rismawanti Rofifah Miftahurrahmi Rosita Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Sameeh Abd El Qader AbuHilail, Hamza Santoso, Griselda Elisse Sava Nuraida, Aisha Senjarani, Baiq Bening Sifa Anisa Yaoma Sitti Djannah Solikhah Solikhah Sri Wahyunita Mohamad Sri Wahyunita Mohamad Sukarno, Rizky Triutami Sulistyawati Sulistyawati Sumadi, Andrias Feri Sunarti Sunarti Suryalfihro Al-Ghozi, Yasfi Talirasa, Nimitta Titik Kuntari Tri Ani Marwati Tri Ani Marwati Tri Ani Marwati Tri Ani Marwati Tri Ratnaningsih Tri Wulaningrum Trismadani Erlina Putri Tristifany, Annisa Tyas, Humaera Elphananing Usman, Muhammad Alvin Ramadhan Wahyuningsih - Wandira Lalitya Wandira Lalitya Wandira Lalitya Wiastuti, Arni Widyasari, Vita Widyastuti, Rina Yaltafit Abror Jeem