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All Journal Jurnal Kedokteran Syiah Kuala Jurnal Kedokteran Brawijaya Sari Pediatri Padjadjaran Journal of Dentistry Jurnal Ilmiah Mahasiswa Kedokteran Medisia Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Jurnal Sinaps Poltekita : Jurnal Ilmu Kesehatan Indian Journal of Forensic Medicine & Toxicology Narra J Journal of Social Research Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh International Journal Of Public Health Media Penelitian dan Pengembangan Kesehatan
Rachmad Suhanda
Fakultas Kedokteran Universitas Syiah Kuala
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Analysis of Risk Management Cycle on Capitation Mechanism at First Level Healthcare Facilities in East Java Rachmad Suhanda; Usman Hadi; Widodo J. Pudjirahardjo; Djazuly Chalidyanto
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14381

Abstract

The implementation of risk management is an essential function in an organization to control risk. Basedon the preliminary research that has been carried out, only 4.2% of FLHF in East Java implemented thecomplete risk management process, starting from establishing context to evaluating risks. Modificationsof risk management cycle implementation are made by reviewing the opinion of Carroll (2001) and ISO31000:2009. This research aims to analyze the influence between the stages of implementing modified riskmanagement based at 95 FLHF in East Java. The results show that each stage of the capitation mechanismrisk management has a strong significant influence on each other. The results provide recommendation thatFLHF should improve the understanding and awareness of the risks and expected to be able to apply riskmanagement cycle as a whole.
JAMINAN KESEHATAN DAN MANAGED CARE Rachmad Suhanda
Jurnal Kedokteran Syiah Kuala Vol 15, No 2 (2015): Volume 15 Nomor 2 Agustus 2015
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak. Jaminan Kesehatan Nasional (JKN) yang dikembangkan di Indonesia merupakan bagian dari SJSN. Beberapa prinsip yang dianut pada JKN yakni prinsip gotong royong, nirlaba, keterbukaan, kehati-hatian, akuntabilitas, efisiensi, efektivitas, portabilitas, kepesertaan bersifat wajib, dana amanat dan hasil pengelolaan Dana Jaminan Sosial. Manfaat Jaminan Kesehatan Nasional mencakup pelayanan promotif, preventif, kuratif, dan rehabilitatif termasuk pelayanan obat dan bahan medis habis pakai sesuai dengan kebutuhan medis. Managed care adalah suatu system pembiayaan pelayanan kesehatan yang disusun berdasarkan jumlah anggota yang terdaftar dengan kontrol mulai dari perencanaan pelayanan serta meliputi kontrak dengan penyelenggara pelayanan kesehatan untuk pelayanan yang komprehensif. Secara keseluruhan manage care menimbulkan reaksi positif dalam mengontrol pertumbuhan biaya pelayanan kesehatan. Pendekatan ini dapat mengurangi bahaya moral (moral hazard) terhadap pelayanan kesehatan yang tidak dibutuhkan oleh pasien sehingga mengakibatkan kerugian kesejahteraan masyarakat. Managed care ini berbeda dengan asuransi kesehatan indemnity tradisional. Dalam managed care pembayaran pada provider tidak berdasarkan  fee for service dan reimbursement, akan tetapi besar biaya telah ditentukan dan dibayar untuk memberikan pelayanan yang komprehensif termasuk pelayanan preventif.Abstract. The National Health Insurance (NHI) developed in Indonesia is part of the National Social Security System. Some of the principles adopted at JKN are the principle of mutual cooperation, nonprofit, transparency, prudence, accountability, efficiency, effectiveness, portability, participation is mandatory, a trust fund and management outcomes of the Social Security Fund. National Health Insurance Benefits include promotive, preventive, curative, and rehabilitative care including drugs and medical materials consumables according to medical need. Managed care is a health care financing system that is based on the number of members registered with the control from the planning services and includes contracts with health care providers for comprehensive service. Overall managed care cause a positive reaction in controlling the growth of health care costs. This approach can reduce moral hazard  to health services that are not needed by the patient. Managed care is different from the traditional indemnity health insurance. In managed care payments to providers not based on fee for service and reimbursement, but the cost has been determined and paid to provide comprehensive services including preventive services.
Pengaruh Diare Terhadap Malnutrisi pada Balita di Puskesmas Batoh Banda Aceh Tahun 2015 Mustaqiem Isda; Tristia Rinanda; Rachmad Suhanda
Sari Pediatri Vol 18, No 1 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.1.2016.50-54

Abstract

Latar belakang. Malnutrisi merupakan keadaan tubuh yang tidak mendapatkan asupan gizi yang cukup. Salah satu penyakit infeksi yang dapat menyebabkan malnutrisi adalah diare. Kejadian diare di Puskesmas Batoh merupakan angka tertinggi dari seluruh puskesmas yang ada di Kota Banda Aceh.Tujuan. Mengetahui pengaruh diare terhadap malnutrisi dan Risiko Relatif (RR) diare pada Balita malnutrisi di Puskemas Batoh Kota Banda Aceh.Metode. Pengambilan data dilakukan menggunakan data primer dari Wawancara serta pengukuran status gizi dan data sekunder dari rekam medik dan Kartu Menuju Sehat (KMS).Hasil. Jumlah subjek 42 Balita yang dibagi dalam 2 kategori, yaitu diare sering dan jarang. Karakteristik subjek digambarkan secara deskriptif. Data dianalisis dengan uji Chi-square. Total 42 Balita, 52,4% adalah gizi kurang dan dengan uji Chi-square menunjukkan bahwa variabel independen (diare) berpengaruh terhadap malnutrisi (p<0,05). Risiko relatif (RR) menunjukkan bahwa Balita dengan diare sering berisiko menjadi malnutrisi sebesar 10,00 kali.Kesimpulan. Diare memiliki hubungan yang signifikan terhadap kejadian malnutrisi. Balita dengan diare sering memiliki risiko 10,00 kali untuk menjadi malnutrisi. 
Relationship of Knowledge and Attitude Towards Dengue Prevention at Baiturrahman District Community Azka Muda Adri; Kurnia Fitri Jamil; Rachmad Suhanda
Jurnal Ilmiah Mahasiswa Kedokteran Medisia Vol 1, No 4 (2016)
Publisher : Jurnal Ilmiah Mahasiswa Kedokteran Medisia

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Abstract

Dengue hemorrhagic fever (DHF) is one of disease that often disturbs society because it can cause death. Dengue fever is transmitted by the bite of aedes aegypti and aedes albopictus that contain dengue virus. The prevention of dengue fever is preventing the bite of aedes aegypti and aedes albopictus that contain dengue virus to humans. One of way to prevent the dengue fever is keeping the environment clean so it will not be the breeding media for aedes aegypti and aedes albopictus, they are mosquito eradication and implementation of 3M (drain, close, and bury). Every single health problems, include the dengue hemorrhagic fever problem solving, behavioral factor is one of the most important thing. The Attention for the behavioral factors is the same as with the attention for to environmental factors, especially for the prevention disease. This research is an analytic observational with cross sectional design. Samples were taken in 1 March 2016 until 31 March 2016. The sample used the quota sampling technique for 96 respondents. The analysis showed a strong correlation between the level of knowledge (p value = 0,002) (rs = 0,695), attitude (p value = 0,002) (rs = 0,697) on dengue hemorrhagic fever prevention for society in Baiturrahman. It is concluded that there is a strong relation between knowledge and attitudes to the dengue hemorrhagic fever prevention action for society in Baiturrahman. More knowledge can be a better action to prevent the dengue hemorrhagic fever, A better attitude can be a better way for dengue hemorrhagic fever prevention for the society in Baiturrahman.
MIXED PAIN PADA LOW BACK PAIN: ELABORASI DAN IDENTIFIKASI Juwita; Dessy R. Emril; Rachmad Suhanda
Jurnal Sinaps Vol. 5 No. 3 (2022): Volume 5 Nomor 3, September 2022
Publisher : Neurologi Manado

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Abstract

Low back pain is a health problem that is very common and has an impact on the financial well-being of both patients and their families. Based on pathophysiology, pain can be divided into nociceptive, neuropathic, and central sensitization pain. In about 85% low back pain cases, it is not known which type of pain plays a greater role so that patients suffer from pain for more than 1 year. Currently known as Mixed Pain, namely pain with a combination of pathophysiology that underlies the pain such as nociceptive with neuropathic pain. The term pain cannot yet be formally defined, so the term mixed pain has not been used widely enough to define pain. It is necessary to conduct a search on clinical indicators of mixed pain so that the process of identifying the type of pain is better, the selection of therapy becomes more rational, and the patient's quality of life improves.
Review of Determinants of Nonmedical Caesarean Section in Indonesia: A Systematic Review Nurfianto, Sigit; Suhanda, Rachmad; Yuarta, Ferina Agustia; Refani, Priska; Sembiring, Thyrister Nina Asarya; Mellazulfa, Dhea Sofiana; Laurentina, Yoriko; Yeni, Yeni
Jurnal Kedokteran Brawijaya Vol. 33 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.9

Abstract

Caesarean section (C-section) delivery has increased worldwide. The number of deliveries using the C-section procedure at the age of 10–54 years in Indonesia reached up to 17.6% of the total number of deliveries, due to the presence of medical and nonmedical indications. This study aims to analyze about nonmedical indications of C-section. This study uses a systematic review method. The inclusion criteria for the investigated studies were articles published in 2011–2021, written in English or Bahasa Indonesia, observational studies with case control or cohort as the design, and available to be downloaded in full text. In total, 12 articles were included in this systematic review. The nonmedical factors that influence the C-section procedure are antenatal care, the mother's level of education, residency, health insurance, socio-economics, occupation, previous birth histories, the mother's demand, the family's support and decision-making, and doctor's referral. The government, through the help of health practitioners, needs to increase the education to pregnant women and their families regarding the advantages and disadvantages of their preferred delivery methods.
Treatment acceptance and its associated determinants in cancer patients: A systematic review Novirianthy, Rima; Syukri, Maimun; Gondhowiardjo, Soehartati; Suhanda, Rachmad; Mawarpury, Marty; Pranata, Agung; Renaldi, Teuku
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.197

Abstract

Treatment recommendations for cancer patients are carried out according to clinical assessment, type and stage of cancer and treatment guidelines. However, many patients do not accept the recommendations. This raises obstacles in managing of cancers, which not only affects the patients, but also the family and people around the patients. This problem could increase morbidity, mortality and recurrence rate, which might result in lower quality of life. Since this condition is a complex problem, there is necessity to explore and determine various determinants from different levels. The aim of this systematic  review was to explore the acceptances of cancer treatments among cancer patients and its associated determinants. Articles published from 2010 to 2023 were searched in four databases: ScienceDirect, Medline, Google Scholar and PubMed. Articles written in English and focussing on three main cancer treatments (surgery, chemotherapy and radiotherapy) were eligible.  A narrative approach was used and the data were analysed into selected themes. Data suggest that several factors influence patient acceptance for cancer therapy including sociodemographic, economic and spiritual cultural backgrounds; patient knowledge and perceptions; community support, as well as policy and availability of health facilities.  The determinants consist of individual, interpersonal, institutional, community and public policy level and interaction between levels are contributing to cancer treatment acceptance. In conclusion, cancer treatment acceptance remains a problem in particular in low middle income countries. In addition, the data on radiotherapy referral acceptance were limited and needed further study.
Application of artificial intelligence technology in monitoring students’ health: Preliminary results of Syiah Kuala Integrated Medical Monitoring (SKIMM) Pratama, Rovy; Suhanda, Rachmad; Aini, Zahratul; Nurjannah, Nurjannah; Geumpana, Teuku A.
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.644

Abstract

Health promoting university is a holistic approach to health that uses higher education settings to create a learning environment that improves the health and well-being of the campus community in a sustainable manner. The utilization of technology such as artificial intelligence (AI) could be one of the main success factors in the implementation of health-promoting universities to increase the effectiveness and efficiency of all stages of activities carried out in health promotion and prevention efforts. Integrated monitoring with the utilization of AI in this program is conducted to evaluate the health status of the students. The Syiah Kuala Integrated Medical Monitoring (SKIMM) has three components of continuous health status evaluation: vital signs, nutritional status, and burnout status. Health status monitoring was conducted continuously for three months among medical students at the Faculty of Medicine Universitas Syiah Kuala, Banda Aceh, Indonesia. This system uses the WhatsApp application as a platform to monitor health status. Student health monitoring in this program consists of two main activities: the health measurement phase and the health monitoring phase. The use of the SKIMM system to monitor students' vital signs, nutritional status and burnout status through the use of AI significantly raises students' awareness to conduct timely self-examination and enables sustainable healthy lifestyle behavior change. The adoption of AI technology allows for continuous health promotion to the entire academic community, including students in implementing the health promoting university.
Bacterial growth assessment of extraction pliers following tooth extraction in culturing bacterial on various media: a quasi-experimental study Chairunas, Chairunas; Sinta, Gian Salsabila; Sari, Liza Meutia; Suhanda, Rachmad; Zainul Abidin, Siti Nur Nabihah
Padjadjaran Journal of Dentistry Vol 36, No 2 (2024): July 2024
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/pjd.vol36no2.53803

Abstract

ABSTRACTIntroduction: Tooth extraction injury potentially creating an entry point for bacteria that may cause infection. Dental extraction tools that come into contact with a patient's oral cavity contain many bacteria which can be opportunistic and pathogenic. The purpose of this study was to examine the bacterial growth on tooth extraction pliers following tooth extraction in culturing bacteria on various media. Methods: Type of study is a quasi-experimental research design, using pre and post-test analysis. It was conducted in September–October 2021 at the Teeth and Mouth Dentistry Hospital (RSGM), Universitas Syiah Kuala, focusing on the swab sampling of tooth extraction pliers. The sample examination stage was conducted at the Faculty of Dentistry Laboratory. The study involved culturing bacterial on various media, including NA (Nutrient Agar), MHA (Mueller Hinton Agar), TSA (Triptic Soy Agar), TYS20B (Trypticase Soy-Yeast 20% Sukrose with Bacitracin), and performing gram staining under a microscope. Results: NA media: out of 16 samples cultured, 8 were not covered by bacteria, while the other 8 were. MHA media: all samples were overgrown with bacteria, but each 8 had different characteristics. 9 samples of TYS20B medium were overgrown with bacteria, while the other seven did not show signs of bacterial overgrowth. On TSA media, 5 samples were not overgrown with bacteria, 9 samples were overgrown with bacteria exhibiting solid, yellowish white, and not slimy, and the other 2 samples contained bacteria that were soft, yellowish white, and slimy. Conclusion: Bacillus sp., Diphtheroid basil sp., and Streptococcus mutans were found grown on the agar media.  In general, MHA media is the most effective general growth medium, while TYS20B media is the best media for Streptococcus mutans growth.
DETEKSI DINI TUMOR PAYUDARA DENGAN SADARI DAN PENAPISAN DENGAN ULTRASONOGRAFI DI KOTA BANDA ACEH Yus, Teuku Muhammad; Novirianthy, Rima; Zakaria, Iskandar; Machillah, Nurul; Dwi Susanti, Nurhayani; Zulkarnain, Zulkarnain; Suhanda, Rachmad
Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ Vol 12 No 1 (2025): Januari
Publisher : Lembaga Penelitian, Penerbitan dan Pengabdian Masyarakat (LP3M) UNSIQ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32699/ppkm.v12i1.7974

Abstract

Kanker payudara salah satu kanker yang paling banyak ditemui pada perempuan di seluruh dunia. Kemenkes RI melaporkan bahwa dari sekitar 26.550 wanita usia 30-50 tahun yang memiliki benjolan pada payudara, 17,64% diantaranya dicurigai kanker payudara. Sementara di Provinsi Aceh dari 1285 wanita usia yang sama dan memiliki keluhan benjolan payudara, 54,1% dicurigai kanker payudara. Kanker payudara menempati peringkat kedua kematian akibat kanker di Indonesia. Angka mortalitas tersebut diperparah dengan fakta bahwa dari 80% kasus kanker payudara di Indonesia terdeteksi saat stadium lanjut. Menanggapi permasalahan tersebut, kami menyelenggarakan penyuluhan metode pemeriksaan payudara sendiri (SADARI) dan dilanjutkan penapisan dengan pemeriksaan ultrasonografi. Tujuan kegiatan ini untuk meningkatkan pengetahuan dan kesadaran masyarakat terhadap pentingnya deteksi dini kanker payudara dan pemeriksaan ultrasonografi payudara. Kegiatan ini melibatkan residen Prodi Radiologi FK USK, Banda Aceh. Hasil pemeriksaan ultrasonografi 12 peserta, 41,67% dengan keluhan dan 58,33% tanpa keluhan, 25% memiliki lesi di payudara dan 75% tidak ditemukan lesi.
Co-Authors Adnyana, I Gde Hary Eka Agung Pranata Aini, Zahratul Atika, Siti Azka Muda Adri Chairunas Chairunas Cut Fauziah Dessy R. Emril Dian Lestari, Nova Djazuly Chalidyanto Dwi Susanti, Nurhayani ENDANG MUTIAWATI, ENDANG Evrillisa, Ghina Alya Fadhlia Farida Farida FIRDAUSA, SARAH Fitria, Sova Geumpana, Teuku A. Hasan, Desi Salwani Hendra Zufry, Hendra Irwan Saputra Ismy, Dewi Purnama Sari Juwita Kurnia , Benny Kurnia Fitri Jamil Laurentina, Yoriko Liza Meutia Sari Machillah, Nurul Maimun Syukri, Maimun Marty Mawarpury Mellazulfa, Dhea Sofiana Mulkan Azhari Munadi Munadi Mustaqiem Isda Nurfianto, Sigit Nurjannah Nurjannah Oktaria Denantika Refani, Priska Renaldi, Teuku Rima Novirianthy Rovy Pratama, Rovy Said Usman Sembiring, Thyrister Nina Asarya Setiani, Lily Sinta, Gian Salsabila Soehartati Gondhowiardjo Sri Hastuti Sukri Ekadamayanti, Agustia T. Maulana Tristia Rinanda Ummu Balqis Usman Hadi Wardhana Sucipto, Krishna Widodo J. Pudjirahardjo Winda Yulia Yeni Yeni Yuarta, Ferina Agustia Yus, Teuku Muhammad Zainul Abidin, Siti Nur Nabihah Zakaria, Iskandar Zulkarnain Zulkarnain