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Putri Asmita Wigati

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Suitability Analysis between Expectations and Reality of Employee from Organizational Aspect at Bulu Lor Public Health Center in Semarang Rizqi Amanullah; - Sudiro; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 6 (2014): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Background; At the health center Bulu Lor Semarang was obtained employees dissatisfaction to leadership, compensation, work environment, promotion opportunities, and supervision. The purpose of this study was to determine the fit between the expectations and reality of employee’s job satisfaction in the organizational aspects of the health center Bulu Lor Semarang. Method; This research is an observational method and cross sectional survey. The research aspects were leadership, compensation, work environment, promotion opportunities, and supervision. The sample was civil servant who works in the health center of Bulu Lor Semarang totaling 17 people. The instrument in this study was using questionnaire that given twice, the first are expectations and the second are reality. Analysis of the research data was using Importance- Performance Analysis by Cartesian Diagram. Result; The results showed the level of suitability between expectation and reality employees are leadership 89.95%, compensation 82.82%, work environment 76,47%, promotion opportunities 86.59%, and supervision 84.50%. Summary of Cartesian diagram analysis shows that work environment needs to be fixed and there are aspects to maintain; compensation and leadership. Conclusions; It can be concluded that characteristics of the respondents in the health center of Semarang Bulu Lor percentage are, 58.8% Early Adult (26-35 years), 82.4% female, 82.4% are highly educated (D3, D4, S1), 76.5% period the new work is less than 10 years, and each as much as 17.6% holding positions as doctors, Sanitarian, Nurse, Administrative staff, The level of suitability between expectation and reality employees are leadership 89.95%, compensation 82.82%, work environment 76,47%, promotion opportunities 86.59%, and supervision 84.50%. Summary of Cartesian diagram analysis shows that work environment needs to be fixed and aspects to maintain are compensation and leadership

GAMBARAN SISTEM ANTRIAN PASIEN DALAM OPTIMASI PELAYANAN DI LOKET PENDAFTARAN INSTALASI RAWAT JALAN RUMAH SAKIT UMUM PUSAT FATMAWATI Ade Selvia Septiani; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Queue is a situation where there are customers who have to wait to get service. This queuing process also occurs in the outpatient registration service of RSUP Fatmawati. The number of patient visits in the outpatient installation within a year in 2016 is 329.622 patients. The queue will occur if the existing facilities have not been able to keep up the patient’s arrival rate. The purpose in this study is to describe the system of patient queues for service optimization at registration counter in outpatient installation of RSUP Fatmawati. The method used in this study is quantitative method with descriptive survey and cross sectional approach. Data collecting was done by doing a calculation of arrival rate and service rate at the registration counter of 4 polyclinics, with accidental sampling method. The results showed that the outpatient service flow in RSUP Fatmawati started with taking the queue number and waiting for a call at registration counter. The sample in June showed that the highest arrival rate was the counter of other polyclinic as many as 90 patients/hour; and the highest service rate was the counter of obstetric polyclinic as many as 32 patients/hour. The sample in July showed that the highest arrival rate was the counter of other polyclinic as many as 94 patients/hour; and the highest service rate was surgical polyclinic counters as many as 39 patients/hour. Based on the result in this study, only the surgical polyclinic counters have reached the optimal point of the system where patient waiting times are shorter and the server’s idle time is less than the others. The additional number of counters is recommended for obstetric polyclinic counter and pulmonary polyclinic counter to reduce patient waiting time. Reoperation of 2 other counters at the counters of other polyclinic is also recommended to reduce the high workload of the existing servers.

ANALISIS ADMINISTRASI KLAIM JAMINAN KESEHATAN NASIONAL RAWAT JALAN RSUD KOTA SEMARANG TAHUN 2016 Firsa Olivia Susan; Septo Pawelas Arso; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Sekitar 70% dari total kunjungan pasien di RSUD Kota Semarang merupakan pasien JKN yang wajib melengkapi persyaratan JKN sebelum memperoleh pelayanan. Verifikasi dokumen klaim JKN adalah hal penting karena FKTL (Fasilitas Kesehatan rujukan Tingkat Lanjutan) wajib memenuhi kelengkapan administrasi klaim kepada BPJS Kesehatan untuk mendapatkan penggantian atas biaya pelayanan sesuai tarif INA-CBG’s (Indonesia Case Base Groups). Namun, pengajuan klaim di RSUD Kota Semarang selalu melebihi batas waktu yang ditentukan oleh BPJS Kesehatan yakni maksimal tanggal 10 bulan berikutnya serta banyak dokumen klaim yang tidak lolos proses verifikasi. Tujuan penelitian ini adalah untuk menganalisis tahapan alur pelaksanaan administrasi klaim JKN rawat jalan di RSUD Kota Semarang menurut aspek input, proses dan output. Penelitian ini menggunakan jenis penelitian kualitatif dengan studi deskriptif. Pengumpulan data dalam penelitian ini diperoleh dengan metode wawancara mendalam dan observasi yang bersifat partisipasi aktif. Hasil penelitian menunjukkan banyak pasien yang kurang memahami persyaratan untuk memperoleh pelayanan dengan JKN, kurangnya jumlah petugas, tidak adanya diklat untuk petugas, keterbatasan sarana untuk menunjang kelengkapan dokumen klaim, software bermasalah saat jam pelayanan, tidak adanya SOP khusus pelayanan pasien JKN, tidak semua petugas mengecek ulang dokumen klaim, tidak adanya indikator keberhasilan, monitoring dan evaluasi untuk menilai kinerja petugas. Kesimpulan penelitian ini adalah terdapat beberapa kendala dalam proses administrasi klaim JKN rawat jalan di RSUD Kota Semarang sehingga penting untuk dilakukan perbaikan pada tiap tahapan administrasi klaim JKN rawat jalan demi terjaminnya kelengkapan dokumen klaim sehingga RSUD Kota Semarang dapat mengajukan klaim tepat waktu.

ANALISIS FAKTOR YANG MEMPENGARUHI KINERJA BIDAN DALAM PELAYANAN ANTENATAL CARE DI PUSKESMAS KAGOK KOTA SEMARANG Rahma Kusuma Putri Widyani; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Antenatal care is health care that given to mother in their pregnancy according the set standard. In 2013 and 2014, K1 and K4 indicators in Kagok Health Primary Care hasn’t reach the minimal healthcare standard yet. The aim of this research is to analyze the performance of the midwife in Kagok Primary Health Care, Semarang, looked by the variables of : leadership of head of the Primary Health Care, resources, motivation, supervision, and structure and job design. This research was observational research with analytical approach. The data collected by in-deepth interview to the main informant, is the midwife and to do validity test, triangulation was done on the head of primary health care and Health Departement of Semarang City’s workers. The result of this research is the leadership of the primary health care are still lack, resources are limited, motivation and supervisition are still lack, structure and job design are still not according to the standard. Recommended to Kagok Primary Health Care Semarang to give motivation like coaching, guidance, additional incentives and held an forum about complaint felt by the midwife during work. To Health Departement of Semarang is expected to do the monitoring, guidance, oversight and supervision to the head of the health centers and midwife regularly and scheduled

ANALISIS IMPLEMENTASI PROGRAM RUJUK BALIK PESERTA JAMINAN KESEHATAN NASIONAL DI RUMAH SAKIT UMUM DAERAH TIDAR KOTA MAGELANG Dianita Pertiwi; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

RSUD Tidar Kota Magelang merupakan salah satu rumah sakit yang melaksanakan Program Rujuk Balik (PRB). Tujuan PRB adalah meningkatkan aksesibilitas, kualitas pelayanan, dan efisiensi biaya kesehatan. Angka rujuk balik dari RSUD Tidar tertinggi se-Kota Magelang tetapi angka rujuk balik di FKTP masih rendah dan antrian pasien di rumah sakit masih tinggi. Tujuan penelitian ini adalah untuk menganalisis implementasi PRB peserta JKN di RSUD Tidar Kota Magelang dan menganalisis faktor-faktor yang berpengaruh, yaitu faktor komunikasi, sumber daya, disposisi, dan struktur birokrasi. Jenis penelitian yang dilakukan merupakan penelitian kualitatif dengan pendekatan deskriptif. Hasil penelitian menunjukkan bahwa RSUD Tidar Kota Magelang dalam pelaksanaan PRB belum optimal dari faktor komunikasi (dokter spesialis di FKTL dengan dokter umum di FKTP) di aspek kejelasan. Hal ini terbukti dengan informasi yang seharusnya disampaikan oleh dokter spesialis melalui surat rujuk balik tidak dituliskan. Surat rujuk balik yang digunakan oleh FKTL juga masih berubah-ubah. Sumber daya belum memenuhi (SDM secara kuantitas masih kurang mencukupi, tetapi secara kualitas sudah mampu, sedangkan segi fasilitas terkendala pada persediaan obat yang masih sering kosong). Disposisi pelaksana program sudah mendukung. Struktur birokrasi dari segi SOP sudah tersedia tetapi belum dilaksanakan dengan baik. Struktur organisasi untuk PRB belum dibentuk dan koordinasi dilakukan secara langsung. Disarankan bagi BPJS Kesehatan untuk melakukan evaluasi bersama dengan FKTP dan FKTL dan membuat suatu sistem di mana FKTL dan FKTP dapat terhubung untuk berkomunikasi tentang kondisi pasien. Bagi RSUD Tidar Kota Magelang disarankan untuk melakukan pengawasan terhadap pelaksanaan PRB, khususnya kepada dokter spesialis yang menuliskan form rujuk balik.

ANALISIS PERBEDAAN TINGKAT KEPUASAN MASYARAKAT TERHADAP PELAYANAN RAWAT JALAN DI PUSKESMAS HALMAHERA DAN PUSKESMAS TLOGOSARI WETAN KOTA SEMARANG TAHUN 2016 Melodi Damai Soleiman; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Primary health care is one of public care facilities where in charge of operating health care to public which forced to increase performance quality and quality for providing care. Outpatient is one of the services provided by the health centers. Halmahera Health Care (Certified by ISO) was generally complained about long queing time and care procedure disclosure and also implementation care declaration. The aim of this research was to determine differentiation between public satisfication level among Halmahera Primary Health Care (Certified by ISO) and Tlogosari Wetan (Uncertified by ISO). This research was using descriptive model with public satisfication index. The result of data was number with different test with Mann-Whitney test. The Data showed that public satisfication index number in Halmahera Primary Health Care was 75,63 and Tlogosari Wetan was 73,52 or simply classified in good quality services. There was no significant differences between patient satisfication level, except condition care elements, care procedures, time services, and care declaration. Statistic analysis showed that there was differentiation between satisfication level among four of care elements (p = 0.000). While for cost (p=0.155), specification product of services type (p=0.728), competency and operator behavior (p=1.000), complaint handling, suggestion, and recommendation (p=0.317). Halmahera primary health care as primary health care where already certified by ISO is categorized into good performance primary health care according to public satisfication level.The recommendation to Primary health care is to improve and increase quality, so that care quality and public satisfication will be enhancement.

ANALISIS KINERJA PELAKSANAAN PENYELIDIKAN EPIDEMIOLOGI KASUS DEMAM BERDARAH DENGUE DI PUSKESMAS ROWOSARI KOTA SEMARANG TAHUN 2017 Ade Yuny Afriyanty; Septo Pawelas Arso; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Puskesmas Rowosari ranks first highest case of DHF in Semarang City 2015 and 2016. One of prevention of dengue fever through Epidemiology Investigation (EI), EI DHF aims to track the patient and larva examination. This study aims to analyze the performance of EI implementation seen from several variables, knowledge, skills and abilities, resources, rewards and punishment, leadership, organizational structure, punishment, and motivation and officer behavior. This research is a qualitative with in-depth interview method to EI Officer at Puskesmas Rowosari and Puskesmas Bulusan, Head of Puskesmas, and officer of P2P VTZ DKK Semarang. The results performance is not optimal yet, not all cases in EI (> 24 hours), late delivering EI report (> 1x24 hours after EI), there are cases with buildings examined <20 buildings. This problem is influenced by officers who can not use HEWS, there is incomplete address so difficult to implement EI, support of head of health center is not given to all officers, no direct appreciation for officers from Puskesmas and DKK Semarang, the number of tasks assigned by Puskesmas EI officers so that EI is done outside of working hours of Puskesmas, staff motivation is still lacking, officer behavior is still lack in discipline and time management. Suggestions for the problem are DKK Semarang and Head of Puskesmas can give appreciation to encourage officer motivation, Head of Puskesmas can give support to the officers and officers can to set priorities on each task and be able to manage time. Implementation of EI can work with Gasurkes. Provision of additional duties on officers are expected to be adjusted to the task and task assignments that have been given.

PERSEPSI PASIEN RAWAT INAP KLAS III TERHADAP RESPONSIVENESS PELAYANAN DOKTER DAN PERAWAT DI RUMAH SAKIT UMUM DAERAH RAA SOEWONDO PATI Nydia Veramita; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Responsiveness is non-medical aspects of how a person is treated. This study was conducted to determine the perception of hospitalized patients class III to reactivity doctors and nurses service were seen on 3 domain ie friendliness agent responsiveness, clarity of information, and long periods of expectation. This research is opservasional. The population in this study were all hospitalized patients class III hospitals RAA Soewondo Pati. The sample of this research is 73 respondents. The sampling technique using simple random sampling formulas. Data collection methods using questionnaires and structured documentation. The data analysis of this research is the analysis of univariate. Univariate analysis was to describe all the variables of the study. The results of this study dilhat of two factors, namely higher education and vocational education is getting to know the quality of health services. For the perception of the responsiveness of service doctors and nurses patient were seen on 3 domain ie friendliness agent responsiveness, clarity of information, and the long period of waiting, the results of responsiveness care physician All patients responded to 100% friendly doctor, nurse showed all patients also answered 100% friendly and for the clarity of the information, there are still 19.2% of which are not agreed to answer questions relating to an easily understandable explanation of the patient's condition is considered, and the last for this long wait almost all patients respond in accordance with the highest value of 93.2% to a question Related responsiveness of nurses and doctors in emergency conditions. Doctors and nurses reactivity was good, both in normal and in emergency situations. Both have received a positive response from respondents. But doctors and nurses need to improve their communication skills, as there are still some respondents are not always able to understand their explanation.

ANALISIS IMPLEMENTASI KEBIJAKAN PROGRAM SANTUN LANJUT USIA DI PUSKESMAS BANGETAYU KOTA SEMARANG TAHUN 2014 Familia Endah Triyani; Anneke Suparwati; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

One of the output indicators mannered elderly health centers program is health care for the elderly and pre-elderly in health centers. Semarang city already has 21 elderly health centers until 2014 mannered One such program is a pilot health centers health centers Bangetayu, but for the scope of services to the elderly and pre-elderly in 2013 is still below the target of DKK. Implementation of a program can be influenced by communication, resources, disposition and bureaucratic structures. This research was conducted in the area of Semarang Bangetayu. This type of research is exploratory research study with a qualitative approach. Data were collected by in-depth interviews using interview guides and observation using the observation checklist sheet for support facilities. Informants research that managers and program leaders mannered elderly health centers and Head of the Section of Maternal and Elderly DKK Semarang, implementing programs in Bangetayu mannered elderly, program coordinator, Head Bangetayu health centers, as well as cross-sectoral officers Bangetayu. The results showed that the delivery of information from DKK to the clinic Bangetayu already done when socializing in 2009 and in 2011 when training both through media exposure. But for clarity of information about health centers mannered elderly only understood in detail by the program coordinator mannered elderly only, this is because refreshing officer only once a year. Resource availability is limited so that the workload is still very high officials. Budget funds are available each year, although still relatively small. Facilities and infrastructure are available already quite complete. Attitude executor also demonstrate commitment and willingness to carrying out the program because it considers part of the task. SOP and the existing guide books. But coordination between DKK to health centers and cross-sectoral Bangetayu still lacking. It is recommended to Semarang City Health Office convey information not only with the clarity of the program coordinator at the health center, but to the rest of the program managers, program managers to the addition of personnel, service programs do not focus on curative services, but the service of preventive, promotive and rehabilitative as well as well as increased coordination to DKK, clinic staff and program delivery across sectors that can be delivered to all officers.

Hubungan Persepsi Ibu Hamil Tentang Mutu Pelayanan Antenatal dengan Minat Kunjungan Ulang di Puskesmas Tlogosari Kulon Kota Semarang Rizki Pamulat Sari; Septo Pawelas Arso; Putri Asmita Wigati
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The coverage of antenatal care at TlogosariKulon Health Center has not reached the target and the number of visit is decrease.The decrease caused by the disinterest of some pregnant women on antenatal services that were felt to take a long time, the number of waiting room is less, and the officers are less thorough when checking. The quality of antenatal care in this terms of 5 dimensions that is reliability, responsiveness, assurance, empathy, and tangible. The purpose of this study was to find out the correlation between the quality of integrated antenatal care with the interest of repeat visit. The method of this research was using explanatory research with cross sectional approach. The total population of 218 people with sample 68 was calculated using the slovin formula. Data analysis using univariate and bivariate with a chi-square test. The results showed that the perception of reliability was not relates to the interest of repeat visit of antenatal service (p-value = 0,091). The perceptions of responsiveness relates to interest in repeat visits of antenatal service (p-value = 0,000). The perception of assurance relates to the interest of repeat visits of antenatal service (p-value = 0.001). The perceptions of emphaty relates to interest in repeat visits of antenatal service (p-value = 0,000). The perceptions of tangible relates to interest in repeat visits of antenatal service (p-value = 0,000). The perceptions of the quality of integrated antenatal care relates to the interest in repeat visits (p-value = 0,000). Based on the results of research, it is necessary to increase the speed of service, detailed information in the examination,extension waiting room facilities in the public health center, and renewal of tools that are not feasible to use.

Co-Authors - Sudiro Ade Selvia Septiani Ade Yuny Afriyanty Alifa Rizqia Rachmawati Anastasia Wulandari Anggiyara Dayu Rizal Anneke Suparwati Astri Budhi Satiti Ayu Diana Fuanasari Ayun Sriatmi Clara Sylvia Pardede Dian Febrina Hutauruk Dianita Pertiwi Dwi Utari Nugroho, Dwi Eka Yunila Fatmasari Familia Endah Triyani Fani Alizi Ilmifaluthi Firsa Olivia Susan Jafar Arifin Kartika Yufi Aruming Melati Kusyogo Cahyo Lucia Ratna Kartika Wulan Maynisa Puspita Kusuma Wardani Melodi Damai Soleiman Mulikhatun Umamah Nelda Rosita Hasibuan Nila Nafisatul Izzah Nur Shinta Rengganis, Nur Nuraini Maulidna Nurulia Unggul P.R., Nurulia Nydia Veramita Palawa Pangeran Hidayat Putra Puri Nur Mahmudah Rachmawati Yulianingtyas Rahma Kusuma Putri Widyani Riski Malimpa Risnawati Valentina Riyan Aprilatama Rizki Pamulat Sari Rizki Tri Putriarti Rizqi Amanullah Rosalinda Trajuningtyas Sarmaulina Sitompul Septo Pawelas Arso Shofi Assri Sinta Indi Astuti Su diro Sutopo Patria Jati Syifa Sakinah Wiwid Novitaria Wiwik Wulandari Zahroh Shaluhiyah

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