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The Effectiveness Implementation of Package Payment System (INA-CBGs) at Inpatient Installation of RSUD Zainoel Abidin Banda Aceh Herianti Herianti; Said Usman; Irwan Saputra; Safrizal Rahman; Marthonies Marthonies
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1110

Regional General Hospital Dr. Zainoel Abidin (RSUDZA) is one of the public service installations that provide direct health services to the community, especially outpatient and inpatient services. RSUD dr. Zainoel Abidin has implemented a package payment system (INA-CBGs) since January 2014. One of the management elements of implementing this system is planning. Planning (planning) is a process that is very important of all other management functions, which specifically includes the actions to be carried out in order to achieve goals. This study uses a mixed method that uses a combination of descriptive quantitative research and qualitative research with a phenomenological approach through in-depth interviews with informants (in-depth interview). The data used to assess the effectiveness of implementing package payment systems (INA-CBGs) is secondary data taken from hospital medical records. The statistical results assess the frequency distribution by comparing the effectiveness before and after the implementation of the package payment system (INA-CBGs) at RSUD dr. Zainoel Abidin Banda Aceh. The results showed the INA-CBG system was more effective than the Fee for Service (FFS) payment system. The results of this study indicate an increase in efficiency based on service indicators before / after the application of the INA-CBG system, namely (BOR: 75% / 72%, AvLOS: 5 days / 4 days, TOI: 2 days / 1 day, BTO: 46 times / 58 times, GDR: 6 per 1000 patients with discharge / 27 per 1000 patients with discharge, and NDR: 8 per 1000/21 per 1000). It can be concluded that the planning process (planning) of the implementation of the package payment system (INA-CBGs) which has been implemented well by the RSUD Dr. Zainoel Abidin Banda Aceh, including the provision of adequate Human Resources (HR), provision of adequate facilities (infrastructure and facilities), the process of formulating and forming strategies and the process of preparing the budget. The implication of implementing this system has been to be able to increase the efficiency of hospital service performance.

Relationship of Individual, Psychological and Organizational Factors with Practical Performance Professional Continuity Nurse in Non-Inpatient Room Intensive Regional General HospitalAceh Government Area 2022 Muhammad Muhammad; Hajjul Kamil; Said Usman; Marthoenis Marthoenis; Elly Wardhani
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5724

This study aims to determine the relationship between the performance of the continuous professional practice of nurses with individual, psychological and organizational factors in the Non-Intensive Intensive Care Unit at the Regional General Hospital.Aceh governmentyear 2022. This research uses descriptive analytic method with cross sectional approach. Sampling through random sampling approach. The research subjects were 224 implementing nurses who served in thenon-intensive inpatient roominstallationp. Regional general hospitalAceh government. Measured variableage, gender, education, years of service, employment status and income, psychological factors consist of sub variablesmotivation and perception, while the organizational factors that are measured are the sub-variables of leadership and supervision. The instrument uses a Likert scale. Analysis of the data used is associative test using Chi-Square and multivariate test using Binner Logistic Regression to find the most dominant factor influencingrelationship with individual, psychological and organizational factors with continuous evaluation of the performance of the nurse's professional practice, with the help of a computer program. The results of the study with the Chi-Square correlation test showed that aand the relationship between the level of education, leadership and supervision with evaluationcontinuous performance of the nurse's professional practice,and there is no relationship between age, gender, employment status, years of service, income, perception and motivation with evaluationthe performance of the continuous professional practice of nurses, while the multivariate test showedthat nurses with a Nurse, Masters in Nursing and Nurse Sp 1 Nursing education have an evaluation valuecontinuous performance of the nurse's professional practicebetter than nurses with a Diploma III nursing education level, which is 0.5 times and based on the analysis, it was found that there was a significant relationship between education level and evaluation.continuous performance of the nurse's professional practice and leadership

The Effect of Marketing Mix on Patient Retention at the Regional General Hospital (RSUD) Datu Beru Takengon Rizki Anjar Pinanggih; Irwan Saputra; Said Usman; Muhazar Muhazar; Martunis Martunis
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5656

Retention of patients as hospital customers is very important for agencies that provide services, in this case hospitals, but is often neglected. Several studies have stated that patient retention can be improved with the existence of a marketing mix by the hospital management. This type of research is observational using a cross sectional design. The population in this study included inpatients at Datu Beru Takengon Hospital where the sample size was determined by the Slovin equation and 113 people were selected. Statistical analysis used was logistic regression. The results showed that there was an effect of the dimensions of the product (product), place (place), health workers (people) and the service process (process) on patient retention in RSUD Datu Beru Takengon (p≤0.05). There is no influence of the dimensions of promotion (promotion) and physical appearance (physical) on patient retention in RSUD Datu Beru Takengon (p>0.05). Based on the results of the study, it can be concluded that the most dominant factor in patient retention at RSUD Datu Beru Takengon is the service process

Analysis of Officer Soft Skills in Increasing Service Satisfaction to Customers Aceh Mental Hospital Elly Sujiati; Nasrul Z; Said Usman; Irwan Saputra; Muhazar Muhazar
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5650

Mental hospitals in carrying out their duties and functions as organizers of government tasks in the health sector should have sufficient resources both in terms of quality and quantity to support promotive, curative, and rehabilitation activities through the application of soft skills. This type of research is observational, the approach used is cross sectional. The population in this study included all recipients of the Aceh Mental Hospital in March 2022, the selected sample was 100 people. Statistical analysis used is Partial Least Square with smartPLS 3.0. There is a significant influence on soft skills with service satisfaction at the Mental Hospital, thus soft skills can be a driving factor for service satisfaction officers at the Aceh Hospital ( 0.00 0 0.05) . There is the influence of physical evidence, reliability, responsiveness, empathy and assurance affect service satisfaction (42,986 > 1,984). The actor that most influences soft skills at the Aceh Mental Hospital is teamwork (37.247 > 1,984). The F actor that most influences service satisfaction is assurance. Based on the results of the study, it can be concluded that the soft skills of officers affect service satisfaction at the Aceh Provincial Hospital.

Media Effectiveness Health Promotion Video and Poster on Covid-19 Vaccination on Improving Knowledge and Attitude of Cadres in Banda Aceh City Nurul Fajri; Said Usman; Sofia Sofia; Irwan Saputra; Marthoenis Marthoenis
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.5696

The COVID-19 pandemic since March 2020 until now has had an impact on all aspects of people's lives. The government has made various efforts to achieve the COVID-19 vaccination target, but promotive and preventive efforts still need to be strengthened considering that many people refuse vaccination. In Indonesia, promotional efforts using video and poster media have begun to develop. Puskesmas is a health service facility that focuses on promotive efforts where the involvement of health cadres greatly influences these efforts. The purpose of the study was to determine the effectiveness of video and poster health promotion media on increasing the knowledge and attitudes of cadres about COVID-19 vaccination. Research methods:Method usedRandomized Controlled Trialpretest posttest with control group design.The population is all health cadres in Banda Aceh City. Randomly selected at the cluster level. Of the 9 sub-districts, 3 sub-districts were selected as the population to be studied. Sampling by Cluster Randomized Sampling based on the sampling criteria, the determination of the sample size using OpenEpi software is 213 people. Data retrieval using a questionnaire was analyzed by Kruskal Wallis statistical test with Post hoc Mann Whitney, Wilcoxon, Spearmen's Bivariate Correlation and Multivariate Multiple Linear Regression. Research result:. video and poster media were effective in increasing the knowledge and attitudes of cadres (P=.000) and there was no difference in their effectiveness (P=.212 and P=.228).The level of knowledge and attitudes of cadres increased after being given an intervention with video and poster media (P=.000). There was no effect of the Confounding variable on the level of knowledge and attitudes of cadres (age P = ,122 and ,438), (education P = 089 and ,308), (occupation P = ,445 and ,163), (service period P = ,051 and .264), (vaccination training P=.16 and .18) (income P=.265 and .412). The most dominant variables influencing the level of knowledge and attitudes of cadres are video media and poster media (P=.000 and P=.001).

The Effect of Marketing Mix on Patient Retention at the Regional General Hospital (RSUD) Datu Beru Takengon Rizki Anjar Pinanggih; Irwan Saputra; Said Usman; Muhazar Muhazar; Martunis Martunis
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.5790

Retention of patients as hospital customers is very important for agencies that provide services, in this case hospitals, but is often neglected. Several studies have stated that patient retention can be improved with the existence of a marketing mix by the hospital management. This type of research is observational using a cross sectional design. The population in this study included inpatients at Datu Beru Takengon Hospital where the sample size was determined by the Slovin equation and 113 people were selected. Statistical analysis used was logistic regression. The results showed that there was an effect of the dimensions of the product (product), place (place), health workers (people) and the service process (process) on patient retention in RSUD Datu Beru Takengon (p≤0.05). There is no influence of the dimensions of promotion (promotion) and physical appearance (physical) on patient retention in RSUD Datu Beru Takengon (p>0.05). Based on the results of the study, it can be concluded that the most dominant factor in patient retention at RSUD Datu Beru Takengon is the service process

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN TUBERCULOSIS DI KABUPATEN NAGAN RAYA T.M. Rafsanjani T.M. Rafsanjani; Said Usman; Burhanuddin Syam; Irwan Saputra
Prosiding Seminar Nasional USM Vol 2, No 1 (2019): Semnas Multidisiplin Ilmu
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2017.053 KB)

Indonesia 3rd ranks highest of Tuberculosis case in the world. There are 69 cases of Tuberculosis around Nagan Raya Regency, it is caused by many factors therefore need to know the problems that cause in The Regency. This research need to know connection Age, Gender, Education, Job, Knowledge and Socioeconomic effects Tuberculosis occurences. Population in this research were cases of Tuberculosis recorded in the health department of Nagan Raya number of 69 patients, they are taken from society of Nagan Raya regency by matching methode. The types of this research is Descriptive Analytic by approach to comparative cases (control) with a wiew Free Variable, they are Age, Gender, Education, Job, Knowledge, socioenomic and view Unfree Variable is patients of Tuberculosis with kuisoner division methode. The result of bivariat research shows : Age P=1.000, OR=1.226 (CI: 0511-1.956). Gender P=1.000, OR=2.000 (CI: 0.493-2.030). Education P=1.000, OR=1.156 (CI: 0.512-1.953). Job P=0.016, OR= 1.571 (CI: 1.242-5.007). Knowledge P=0.027, OR=1.024 (CI: 1.088-4.248). and Socio Economi P=0.026, OR=1.129 (CI: 0.221-0.866). There was no relationship and increased risk between Age with the incidence of Tuberculosis. There was no relationship and increased risk between Gender with the incidence of Tuberculosis. There was no relationship and increased risk between Education with the incidence of Tuberculosis. There was relationship and increased risk between Job with the incidence of Tuberculosis. There was relationship and increased risk between Knowledge with the incidence of Tuberculosis. There was relationship and increased risk between Socioeconomic with the incidence of Tuberculosis. Nagan Raya district health office should improve the discovery suspected Tuberculosis, conduct outreach to increase Nagan Raya public awareness of Tuberculosis.

HUBUNGAN STRATEGI PROMOSI KESEHATAN DENGAN CAKUPAN IMUNISASI MEASLES RUBELLA (MR) DI WILAYAH KERJA PUSKESMAS KUTA BARO ACEH BESAR TAHUN 2020 Siti Marlina; Said Usman; Husna Husna; Masyudi Masyudi
Majalah Kesehatan Masyarakat Aceh (MaKMA) Vol 5, No 1 (2022): Makma Vol 5 No 1 tahun Februari 2022
Publisher : Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/makma.v5i1.5455

Kampanye imunisasi massal MR dilaksanakan di sekolah, Puskesmas dan posyandu dengan sasaran anak usia 9 bulan sampai 15 tahun. Capaian imunisasi MR di Provinsi Aceh terendah diantara 28 Provinsi diluar pulau Jawa. Cakupan imunisasi MR di Aceh tahun 2019 sebesar 53%, menurun dari tahun 2018 (77%). Tujuan penelitian ini adalah untuk hubungan strategi promosi kesehatan dengan cakupan imunisasi Measles Rubella (MR) di wilayah kerja Puskesmas Kuta Baro Aceh Besar tahun 2020. Penelitian ini bersifat analitik dengan desain cross sectional. Populasi dalam penelitian ini sebanyak 660 orang dan sampel berjumlah 87 orang. Penelitian dilakukan pada Juni 2020. Data yang diperoleh dianalisis secara univariat dan bivariat. Hasil penelitian didapatkan ada hubungan advokasi (p value 0,002) dan pemberdayaan masyarakat (p value 0,004) dan bina suasama (p value 0,000) dengan cakupan imunisasi Measles Rubella (MR) di Wilayah Kerja Puskesmas Kuta Baro Aceh Besar tahun 2020. Disarankan kepada Puskesmas agar lebih gencar melakukan promosi kesehatan melalui penyuluhan dan pendampingan imunisasi Measles Rubella (MR) dengan memberdayakan kader-kader atau tokoh-tokoh masyarakat agar dapat meningkatkan kesadaran masyarakat.

Connecting Factors for the Application of Community-Based Total Sanitation in the Work Area of the Blang Bintang Health Center, Aceh Besar Fitri Arsyaf; Sri Aprilia*; Said Usman
JIPI (Jurnal IPA dan Pembelajaran IPA) Vol 7, No 2 (2023): JUNE 2023
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jipi.v7i2.30554

Open defecation behavior occurs due to hereditary habits and habits since childhood. At this time, the government launched a program that is to stop open defecation with the Community-Based Total Sanitation Program. This program is an entry point towards total sanitation and is an effort to break the chain of pollution from human excrement to drinking, eating and other standard water. Community-based total sanitation is expected to be able to change people's habitual attitudes in an effort to improve environmental sanitation conditions. This study aims to determine the factors related to the implementation the program in the work area of the Blang Bintang Health Center, Aceh Besar, Aceh Province. This research is descriptive analytic in nature, carried out using a cross-sectional design method with a quantitative approach. The population in this study is the community in the working area of the Blang Bintang Health Center with a population of 1,990 people. The populations of samples were 97 respondents and data analysis used the Chi-Square Test. The results of the study gave respondents the first pillar of good Community-Based Total Sanitation implementation of 63.9%, respondents with less knowledge of 58.8%. In general, respondents with high school education were 69.1%, respondents' behavior towards the program was known 67% to have a positive attitude, 58.8% respondents stated that the role of health workers played a role, 69.1 the role of community leaders was more dominated respondents stated that they lacked participation of 64.9% that respondents had facilities

The Influence of Peer Education on the Coverage of Clean and Healthy Living Behavior in Kutacane 3 Public Middle School Students Rizki Ardika; Said Usman; Yusni Yusni; Nasrul Zaman; Irwan Saputra
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.451

Low awareness of students about PHBS allows for a lack of knowledge obtained by students due to the lack of information obtained. Therefore, health education is important to be encouraged. One strategy that can be used in providing health education to students is peer education. To determine and analyze the effect of peer education on the scope of Clean and Healthy Living Behavior in students. The type of research used in this study is quasi-experimental, with a pretest-posttest control group design. Data analysis using variate and bivariate tests. The subjects of this study were students of Class VII-A and Class VII-B of SMP Negeri 3 Kutacane in the 2024/2025 Academic Year. The research instrument used was a test sheet. The results of the Mann-Whitney test showed a significant increase in students' understanding of each indicator including PHBS, except for the indicator of not smoking, although there was an increase but it was not statistically significant. This can be seen based on the average value of the experimental class at the time of the posttest which was greater when compared to the pretest, with a value of p = <0.05, while for the non-smoking indicator the value of p => 0.05. These results indicate the influence of health education with the peer education method on the understanding of the scope of PHBS in experimental class students. Peer Education is able to improve students' understanding of the scope of PHBS better, compared to students who do not receive peer education intervention.

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