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Dumilah Ayuningtyas
Departemen Administrasi Dan Kebijakan Kesehatan FKM UI
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Strategi Peningkatan Mutu dan Keselamatan Pasien di Rumah Sakit Umum Daerah Kepulauan Seribu Tahun 2019 – 2023 Haryoso, Agus Ariyanto; Ayuningtyas, Dumilah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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Abstract

Quality of service and patient savety now adays has become the main demand of hospital customer, even now, become one of evaluation point in hospital accreditation. Nevertheless, quality and patient savety in Kepulauan Seribu Public Hospital (RSUD Kepulauan Seribu) has not been accredited yet. RSUD Kepulauan Seribu plans to increase quality and patient savety so that can go through accreditation. This thesis aims to arrange strategies of Quality improvement and Patient Savety in Years 2019- 2023. The study in this thesis is qualitative. The study digs informations from informans to obtain internal and external factors hich used to arrange strategies. The factors then be analized with instruments such as Internal Factor Evaluation (IFE), Eksternal factor Evaluation (EVE), I-E matrix, TOWS Matrix, to obtain strategies. All employees are enthusiastic to work, and the great quantities of financial resources are obtained as strength factor, while vision and misson of hospital which are not maximal socialized, no program prioriting, and have not done quality and patien safety assessment yet are still become weakness of RSUD Kepulauan Seribu. One of the opportunity obtained in study is stake holders support, while the challenge is the capacity gap of medical officer in hospital and primary service. IFE scor is 2,40 and EFE score 2,31. RSUD Kepulauan Seribu Position of I-E matrix is in fifth cel, which mean that the best strategy to execute are hold and maintain strategies. RSUD Kepulauan Seribu, based on TOWS Matrix analysis, recommended to settle the target of organizational policy, optimize the financial resources, optimalize stakeholder cooperation, increase the employee’ knowledge, standardize employee’s upgrading, arrange priority programs, do risk management, and assess quality and patient safety.
Implementasi Green Hospital di RSUD R. Syamsudin, SH dengan Kriteria Kerangka Kinerja Ekselen Malcolm Baldrige Alatas, Haniah; Ayuningtyas, Dumilah
Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Publisher : UI Scholars Hub

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The existence of green hospital is very necessary to overcome climate change which can cause disruption to human health and the environment, because hospitals are one of the contributors to pollution. RSUD R. Syamsudin, SH became a member of the Global Green and Healthy Hospital and is committed to implementing ten agendas, namely leadership, chemicals, waste, energy, water, transportation, food, pharmacy, buildings, and purchasing. Aim of this study is to analyze the implementation of green hospital with the Malcolm Baldrige Criteria Framework for Excellence Performance. Malcolm Baldrige Criteria evaluates based on seven criteria which isleadership, strategy, customer, measurement, analysis, and management of knowledge, labor, operations and results. The design of this study is qualitative by gathering information through in-depth interviews, questionnaires, and document review. Based on the results of research, the implementation of the green hospital in R. Syamsudin Hospital, SH received a score of 620.1 out of 1000 (maximum score) so that it was positioned in emerging industry leaders. The Leadership Criteria get the highest points, while the lowest points are the Customer Criteria. It can be concluded, RSUD R. Syamsudin, SH is in the average position in implementing green hospital, meaning that it already has several advantages but there are still several factors that can be improved so that the implementation of green hospital can be more optimal. For this reason, it was recommended to RSUD R. Syamsudin, SH to carry out routine evaluations, promote green hospital more aggressively, optimize hospital management information system, and strengthen the budget so that the achievement of ten agendas more optimized.
Malpractice Causes and Disputes Resolution Choices Widjaja, Gunawan; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 1, No. 1
Publisher : UI Scholars Hub

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With respect to medical malpractice, even though it is widely used and spoken, formally there is no clear neither equivocal definition ever made. Even from the point of view of law and healthcare experts, the use of malpractice term in healthcare is still unclear. This thesis conducts literatures review and experts interview in order to find out and determine the definition of medical malpractice. This thesis also tries to find the criteria, kinds, causes, evidence to be used in malpractice lawsuits, and forum selection in resolving malpractice disputes in healthcare. This thesis provides input that in principle the legal relation in providing medical service shall be seen as contractual relation.
An Analysis of The National Health Insurance Policy Implementation in 2014 (Presidential Regulation No. 12 And 111/2013 on Health Insurance) from The Regulator’s Position Hasan, Muhammad Arief Rosyid; Oktamianti, Puput; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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JKN (National Health Insurance) is a government program that aims to provide health assurance for all Indonesian citizens for a healthy, productive, and prosperous life. In the two years after JKN was implemented, various problems occurred. This research used the qualitative approach with the Edward II implementation theory. Results of the research indicated that there were problems in communication, stemming from the lack of socialization and inharmonic regulations, there was also the problem of the lack of healthcare resources. From the disposition side, the policy makers often obstructs the implementation preparation, this is evident from the information on determining the premium size. From the organization structure, all the stakeholders have been well coordinated. We conclude that we are not ready to implement the JKN. We recommend that mass and effective socialization program to be performed using various methods of communication and involve the community. To reduce the disparity of healthcare services, we recommend that the regional government to establish various healthcare facilities to accelerate health development. There should also be regulations that allocates healthcare staff in every corner of the country to achieve Universal Health Coverage in 2019, as stated in the National Health Insurance Road Map.
THE IMPACT OF PHYSICAL DISTANCING HEALTH POLICY IN REDUCING COVID-19 INCIDENCE IN THE WORLD IN 2020: LITERATURE REVIEW STUDY Nurbaiti, Nunik; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

To reduce and slow the spread of COVID-19, many countries in the world have adopted physical distancing health policy, which have never happened before. This study aims to get an overview of the impact of physical distancing health policy to reduce of COVID-19 incidence in the world at 2020. The research design used was a descriptive qualitative with a narrative literature review method, while the research source came from international journal channels Google Scholar, ProQuest, PubMed, Science Direct, and Scopus with search data for the past five years. The approach used is the input, process, and output (IPO). From the journal search results, there are 10 scientific articles obtained in accordance with the inclusion and exclusion criteria of the search. While the overall results of the study show that the impact of physical distancing health policy can reduce of COVID-19 incidence in the world in 2020. In addition, the decline in the incidence of COVID-19 according to the study is also due to other health interventions carried out simultaneously. The suggestion of this research needs further research with the same topic related to physical distancing health policy. Especially regarding the factors that determine the success of this policy.
TELEMEDICINE AND ELECTRONIC HEALTH RECORD IMPLEMENTATION IN RURAL AREA: A LITERATURE REVIEW Alfiyyah, Arifah; Ayuningtyas, Dumilah; Rahmanto, Agus
Journal of Indonesian Health Policy and Administration Vol. 7, No. 2
Publisher : UI Scholars Hub

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The Indonesian Minister of Health 2019 issued regulations regarding the implementation of telemedicine services between health service facilities. Telemedicine is aimed primarily at rural areas. This research aims to look at the quality of telemedicine-based services, which are documented in an electronic health record (EHR) with complete information. This research uses the narrative literature review method: Garuda journal channels, Google Scholar, IEEE Explorer, ProQuest, PubMed, Science Direct, and Scopus. With the input-output process approach, eight scientific articles were published on countries with telemedicine/telehealth policies in rural areas. The implementation of telemedicine has advantages and disadvantages depending on the things supported and the target users. It must have policies, infrastructure, financial resources, and human resources to use, maintain and develop telemedicine. Telemedicine will help the health service process by increasing the degree of public health in rural areas if it is used on a large scale. The completeness of the EHR seems to be lacking in terms of informed consent. Still, a quality EHR can make it easier for health workers to enforce the history, establish the diagnosis, and provide patient healthcare.
Policy Implementation Analysis of SPM Health Sector for Hypertension Sufferers in South Kalimantan Province, Indonesia in 2022 Dewi, Anggi Asri Rusliana; Ayuningtyas, Dumilah
Journal of Indonesian Health Policy and Administration Vol. 8, No. 3
Publisher : UI Scholars Hub

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Abstract

Hypertension is a major cardiovascular risk factor that causes disability throughout the world and among those who are not aware of their health condition, it is often referred to as the silent killer . The prevalence rate of hypertension in Indonesia is quite high. Based on Riskesdas (2018), South Kalimantan Province shows the highest prevalence of hypertension, but the percentage of hypertension sufferers who receive health services is still low. Banjarbaru City has the lowest percentage, namely 11.3% of the target of 100%. Health services for hypertension sufferers are included in the Minimum Service Standards (SPM) for the Health Sector which are regulated in statutory regulations and government policies. The aim of this research is to analyze the implementation of the SPM policy in the health sector for hypertension sufferers in Banjarbaru City. Qualitative research with a Rapid Assessment Procedure (RAP) research design was conducted from May to June 2023 in Banjarbaru City, South Kalimantan Province. Data collection was carried out through in-depth interviews, observation and document review. The results of the research show that the implementation of the hypertension SPM policy has not been optimal, as can be seen from the SPM achievement report in the health sector in Banjarbaru City which is in the lowest position among 12 types of basic health services. In conclusion, several obstacles in the implementation of SPM for hypertension are recording and reporting hypertension sufferers, low public awareness of carrying out examinations and treatment at community health centers so that the data is not recorded, there is no special budget allocation for SPM for hypertension at community health centers, and the dual duties of health workers so that they are not optimal in achieve a program. Cross-sector collaborative efforts are needed for integrated recording and reporting of hypertensive patient data, submission of hypertension SPM budgets, efforts to invite the community, and fair distribution of tasks for community health center officers.
The Needs Fulfillment of Medical and Specialist Doctors in West Nusa Tenggara, Indonesia Dumilah Ayuningtyas; Anwar Fachry; Sandra Barinda; Sri Windiarti; Nurul Saptorini Rahmadhani; Muhammad Sapoan Hadi; M Misnaniarti; Ni Nyoman Dwi Sutrisnawati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.449 KB) | DOI: 10.30604/jika.v6i3.508

Abstract

One of the challenges in improving health services in Indonesia is the uneven number and distribution of health workers in some areas, especially doctors and specialist doctors. Therefore, the aim of this study was to review the conduciveness and support of the policy environment towards meeting the needs of specialist doctors in West Nusa Tenggara (NTB) Province, Indonesia. This study was the narrative review method. Keywords used are environmental policy, specialist doctor, and remote area. Critical appraisal was performed by utilizing the PRISMA method. This study showed that there is political support from the Central and Regional Governments. However, several aspects are still recognized negatively, aspects of national policies related to incentives and facilities. Regional Government Policies are considered not sufficiently significant to improve the availability of doctors and specialist doctors, especially in terms of the advocacy mechanisms. This matter impacts the lack of doctors and specialist doctors’ interest to be placed in remote areas. The policy environment towards meeting the needs of a specialist doctors in West Nusantara Tenggara (NTB) was enough conducive and supportive. It still needs improving coordination mechanisms among institutions and providing advocacy channels, which are crucial to support the effectiveness of meeting the needs of specialist doctors’ policies.Abstrak: Salah satu tantangan dalam meningkatkan pelayanan kesehatan di Indonesia adalah belum meratanya jumlah dan distribusi tenaga kesehatan di beberapa daerah, terutama dokter dan dokter spesialis. Oleh karena itu, penelitian ini bertujuan untuk mengkaji kondusifitas dan dukungan lingkungan kebijakan terhadap pemenuhan kebutuhan dokter spesialis di Provinsi Nusa Tenggara Barat (NTB), Indonesia. Penelitian ini menggunakan metode review naratif. Kata kunci yang digunakan adalah kebijakan lingkungan, dokter spesialis, dan daerah terpencil. Critical appraisal dilakukan dengan menggunakan metode PRISMA. Studi ini menunjukkan adanya dukungan politik dari Pemerintah Pusat dan Daerah. Namun demikian, beberapa aspek masih diakui secara negatif, aspek kebijakan nasional terkait insentif dan fasilitas. Kebijakan Pemerintah Daerah dinilai belum cukup signifikan untuk meningkatkan ketersediaan dokter dan dokter spesialis, terutama dari sisi mekanisme advokasi. Hal ini berdampak pada minimnya minat dokter dan dokter spesialis untuk ditempatkan di daerah terpencil. Lingkungan kebijakan untuk memenuhi kebutuhan dokter spesialis di Nusantara Tenggara Barat (NTB) cukup kondusif dan mendukung. Masih perlu perbaikan mekanisme koordinasi antarlembaga dan penyediaan jalur advokasi yang sangat penting untuk mendukung efektivitas pemenuhan kebutuhan kebijakan dokter spesialis.
Implementation of food labelling policy in small, medium and micro food businesses in West Nusa Tenggara Ayuningtyas, Dumilah; Farida, Ida; Utami, RR Mega; Barinda, Sandra; Munawaroh, Sayyidatul
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (735.041 KB) | DOI: 10.53638/phpma.2021.v9.i2.p10

Abstract

Background and purpose: The government has adopted policies regarding food labelling to ensure food quality and safety, but the implementation has not yet optimal. This study identifies resources, knowledge, and facilities that affect food labelling implementation in small, medium, and micro food-businesses (SMMF-B) in West Nusa Tenggara, Indonesia. Methods: We conducted a mixed method study. The qualitative data was collected through in-depth interviews with informants from the West Nusa Tenggara Provincial Office of National Agency of Drug and Food Control and the Mataram City. Health Office, and a focused-group discussion involving SMMF-B owners. The quantitative data was collected with a survey to 30 respondents using questionnaire and observation of the label of 36 SMMF-B products to determine the presence of product’s label, composition, net-weight, producer’s name and address, production code, expiry date and distribution license. Results: We found SMMF-B owners’ knowledge on food labelling was low, however, they expressed supports to the implementation of food label controlling. Of the 36 food labels, the two highest number of violations were the absence of production code (88.9%) and net weight (86.1%). Meanwhile, of the 30 surveyed respondents, the majority (96.6%) stated the importance of labels on SMMF-B products and almost two third (63.4%) read food labels before purchasing the product. Conclusion: This study reveals that SMMF-B in West Nusa Tenggara has not implemented food labelling policies optimally. The lack of implementation was influenced by the government’s lack of funds and minimal information and monitoring efforts. Therefore, government should increase budget allocation for food label controlling, number and capacity of food label controllers and strengthen the enforcement.
Characteristics of drug users admitted in Lido Rehabilitation Center during 2022 Putri, Anzany Tania Dwi; Ayuningtyas, Dumilah
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.23169

Abstract

The increasing trend of illicit drug use leaves a huge concern for health and behavioral changes, including in Indonesia. Rehabilitation is a series of treatments designed to help them recover from addiction and its impacts comprehensively. The present study aimed to explore the demographic characteristic and drug use profiles of clients admitted in Lido Rehabilitation Center, the national referral center for drug use treatment in Indonesia, during 2022. A survey study was carried out quantitatively using a 2022 database of client admission in February 2023. Descriptive analysis was performed to present the data as appropriate. The overall total of drug users was 592 clients (569 males, 23 females). The demographic characteristics were dominated by young adults (79.90%), voluntary (74.70%), Muslims (86.80%), high-school-to-higher graduates (74.70%), and employers (61.80%). The drug mostly used was methamphetamines (69.80%) with duration being less than 10 years (75.50%) and addiction level being mild-to-moderate (92.80%). The main reasons for starting drug use were peer/partner pressure (37.18%) and curiosity (29.92%). From this study, we can see that the trend of methamphetamine use in productive ages is still dominating in 2022. Further study is needed to evaluate the outcomes of the treatment they have received during the rehabilitation program.
Co-Authors Abd. Rasyid Syamsuri abdad, Fairus ali Adang Bachtiar Aditia Putri AFIYAH, NUR Agus Rahmanto Aji Muhawarman Akbar, Bintang Mukhammad Burhanudin Akhada Maulana Akhada Maulana, Akhada Alatas, Haniah Alexander W. Chriswanto Alfiyyah, Arifah Anastasia Yekti Heningnurani Anastasia Yekti Heningnurani Anggi Asri Rusliana Dewi Anwar Fachry Ardi, Niken Sasanti Arieyani, Asti Arifah Alfiyyah Arifin, Safrin Asri Nur Maulidya Asti Arieyani Asti Arieyani Astri Nurdiana Barinda, Sandra Budiman Mahmud Musthofa, Budiman Mahmud Bunga Listia Paramita Bunga Listia Paramita Bunga Listia Paramita Candra Dewi Purnamasari Cattleya Ananda Vilda Cattleya Ananda Vilda Cicilya Candi Cindy Margaretha Dewa Ayu Dyah Widya Dewa Ayu Dyah Widya Dewi, Anggi Asri Rusliana Dewi, Ni Putu Indra Diah Nurlita Elfi Yennie Elfrida Rooslanda Eny Juliati Eva Dian Kurniawati Farida Naftalin firdinand nurdin Ghamal Ahmad Pramana Gunawan Widjaja Gustina, Ira Haryoso, Agus Ariyanto Hasan, Muhammad Arief Rosyid Hasbullah Thabrany Hayyan Ul Haq Hayyan ul Haq Heningnurani, Anastasia Yekti henri Azis Herartri, Rina Herartri Herliyanti Yadi Herma Krisdiana Hidayani Fazriah Hidayani Fazriah HUSNUL KHOTIMAH Ida Farida Iljas, Jaslis Indah Pusvitasari Ita Patriani Ita Patriani Iwan Dakota Jaslis Iljas Jati, Prasetyaning Juliati, Eny Katon, Danar Wahyu Giwang Kemal N. Siregar Khaula Karima Krisdiana, Herma Larasanti, Ayudina Lourina, Deny Ardi Lulus Prihandari M Misnaniarti Mardiyati, Fitri Yuli Margaretha, Cindy Marisa Rayhani Marisa Rayhani Mary Liziawati Misnaniarti Misnaniarti Muhammad Hasan Muhammad Hasan Muhammad Sapoan Hadi Muhammad Sapoan Hadi Munawaroh, Sayyidatul Nadjib, Mardiati Naftalin, Farida Naibaho, Margareth Maya Parulianta Ni Nyoman Dwi Sutrisnawati Ni Putu Diah Utami Darmayanti Ni Putu Indra Dewi Ni Putu Indra Dewi Niken Sasanti Ardi Nunik Nurbaiti Nur Asmita Rahma Nasution Nasution Nurbaiti, Nunik Nurhasanah Nurhasanah Nurul Safitri Nurul Saptorini Rahmadhani Permanasari, Vetty Yulianty Permanasari, Vetty Yulianty Pramesti, Dini Puteri Astianto Prastiwi, Arini Cyndwiana Prayoga, Haryadi Prihandari, Lulus Puput Oktamianti Putri, Anzany Tania Dwi Raden Roro Mega Utami Rahmadhani, Nurul Saptorini Rahmadini, Indah Mustika Rahmanto, Agus Rahmat Aji Pramono Ramadhan, Ben Fauzi Ratih Oktarina Ratih Oktarina Ratih Oktarinai Redyardani, Ni Nyoman Diah Renny Nurhasana Rhinza Seputra M. Simanjuntak Riastuti Kusuma Wardani Riastuti Kusuma Wardani Riastuti Kusumawhardani Rini Prasetyo Wahyu Wijayati Ruth Christy Setyaningtyas Sahfira Ulfa Hasibuan Sandra Barinda Sandra Olivia Sandra Olivia Sangadji, Ekasafitri A.S Siti Khodijah Parinduri Sri Purnama Rezeki Sri Purnama Rezeki Sri Windiarti Suharmi suharmi Susanti, Fitria Aryani Sutanto Priyo Hastono Sutrisnawati,, Ni Nyoman Dwi Tatyana Amanda Pinta Tri Wisesa Soetisna Tri Wisesa Soetisna, Tri Wisesa Utami, Raden Roro Mega Utami, RR Mega Valentina, Jesslyn Verdi, Riandi Vetty Yulianty Permanasari Vetty Yulianty Permanasari Wahyu Sulistiadi Wati Mekarsari Widya, Dewa Ayu Dyah Widyasanti, Nisrina Yadi, Herliyanti Yuliatiningtyas, Solikhah Zahrotul Lina Andarwati