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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

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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.
Factors Related to the Prevalenceof Chronic Kidney Disease in Indonesia:An Ecological Study Achmad Yudi Arifiyanto; Agung Dwi Laksono; Djazuly Chalidyanto; Nungky Taniasari; Warih Kusumaningtyas
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15587

Abstract

Previous research has found that the cost of chronic kidney disease is relatively high. This study aims to ecologically analyze the factors relatedto the prevalence of chronic kidney disease in Indonesia.The research conduct ecological analysis using secondary data from the Ministry of Health of the Republic of Indonesia report in 2018. The study takes all provinces as samples. Apart from chronic kidney disease, four other variables analyzed as independent variables were the adherence to taking antihypertensive drugs, dedication to taking anti-diabetic drugs/injections, a habit of drinking soft drinks > 1 time/day, a habit of drinking energy drinks> 1 time/day. Data were analyzed usinga scatter plot.The results showed that the higher the percentage of adherence to taking antihypertensive drugs in a province, the higher the prevalence of chronic kidney disease. The higher the percentage of commitment to taking anti-diabetes medications/injections in a section, the lower the prevalence of chronic kidney disease. The higher the rate of drinking soft drinks>1 timea day, the higher the prevalence of chronic kidney disease. The higher the percentage of regular drinking energy drinks>1 timea day, the higher the prevalence of chronic kidney disease.The study concluded that five independent variables analyzed were related to Indonesia’s prevalence of chronic kidney diseases.
The Prevalence of Cancer in Indonesia: An Ecological Analysis Hendrik Santoso; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15791

Abstract

Cancer is one of the catastrophic diseases with the most considerable absorption of costs in the NationalHealth Insurance-Indonesian Health Card (JKN-KIS) program. The study aimed at analyzing ecologicallythe factors related to the prevalence of cancer in Indonesia.The research carried out ecological analysis usingsecondary data from the Ministry of Health of the Republic of Indonesia in 2018. The study sampled allprovinces. Apart from cancer, five other variables analyzed as independent variables were the percentageof preserved meat/chicken/fish, the percentage of fatty/cholesterol/fried foods, the percentage of e-cigarettesmokers, the prevalence of diabetes mellitus, the prevalence of hypertension. Data were analyzed usingscatter plots.The study results found that the higher the percentage of preserved meat/chicken/fish foodconsumption habits in a province, the higher the prevalence of cancer. The higher the rate of fatty/cholesterol/fried food consumption in an area, the higher the prevalence of cancer. Likewise, the higher the percentage ofe-cigarette smokers in a province, the higher the prevalence of cancer. The higher the prevalence of diabetesmellitus in an area, the higher the prevalence of cancer. Finally, the higher the prevalence of hypertensionin a province, the higher the prevalence of cancer. The studyconcluded that the five independent variablesanalyzed are related to the majority of cancer in Indonesia.
Hospital Preparedness for COVID-19 in Indonesia: A Case Study in Three Types Hospital Kristina Dewi; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15842

Abstract

Background: The increase in COVID-19 cases demands hospitalpreparedness in handling COVID-19 toprovide quality services by prioritizing patient safety and health personnel factors. The purpose of this studyis to analyze hospital preparedness in providing COVID-19 services comprehensively.Method: The study is a cross-sectional design. The research objects are public, private, and police hospitals.The review usesthe checklist from the CDC.Observation and interviews with hospital leaders carried outdata collection. Data were analyzed descriptively.Result: From the results of filling out theinventory, the preparedness of public, private, and policehospitals in Banjarmasin was low on average. In detail, it showedaverage scores that publichospital(2.83),privatehospital(2.70), and Policehospital(2.63). Police hospital is better prepared than the private and publichospital. Public and private hospitals have the lowest scores on the written COVID-19 Development ofwritten COVID-19 Plan component. Meanwhile, the Police hospital had the lowest scores on consumableand durable medical equipment and supplies.Conclusion: It concludedthe private, public, and police hospitals have a low level of preparednessforCOVID-19 services.
Ecological Analysis of Diabetes Mellitusin Indonesia Oskar Renagalih Amarta; Djazuly Chalidyanto; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (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.v15i3.15905

Abstract

Diabetes mellitus is a dangerous disease and often causes complications. The study aims to analyzeecologically the factors related to the prevalence of Diabetes Mellitus in Indonesia. The study was designedwith an ecological analysis approach, using secondary data from the 2018 Indonesia Basic Health Surveycovering all provinces as samples. The dependent variable is the prevalence of diabetes mellitus. Theindependent variable is the prevalence of obesity nutritional status according to BMI in the adult population(aged >18 years), the proportion of less physical activity in the population aged >10years, the proportion ofsweet drink consumption habits in the population >3 years old more than once per day and the percentage ofpoor people. Data were analyzed using the scatter plot.The results showed that the higher the prevalence ofobesity nutritional status according to BMI in the adult population, the higher the proportion of less physicalactivity, and the higher the proportion of sweet drink consumption habits in the population more than onceper day, the higher the prevalence of diabetes mellitus. Conversely, the higher the percentage of poor people,the lower the prevalence of diabetes mellitus. The study concluded that the four independent variables testedtend to relate to the prevalence of diabetes mellitus.
The Impact of Social Factor on Decision Making in TB Patients: An Approach to Consumer Behavior in Health Sector Yenny Purwanti; Auli Fisty Noor Azizah; Djazuly Chalidyanto; Ernawaty Ernawaty
Health Notions Vol 2, No 11 (2018): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.28 KB) | DOI: 10.33846/hn.v2i11.359

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Tuberculosis is commonly shortened to TB is still a health problem throughout the world, including in Indonesia. Treatment loss rate (loss to follow-up) treatment of pulmonary TB nationally is estimated to be high, this is very dangerous because treatment that is done irregularly will have a worse effect than not done at all. Treatment loss (loss to follow-up) treatment TB in Pasuruan district is 3.50%, although it does not exceed the national target of > 10%, it should not be ignored, because there are several Public health centers with loss to follow-up treatment for TB treatment> 10% in two consecutive years. This study aims to analyze the social factors that influence the decision making of TB treatment which is the cause of the drop out of treatment. This study was a cross sectional study conducted in 4 Public health centers in Pasuruan, namely Bangil Health Center, Pandaan Health Center, Gempol Health Center, and Kejayan Health Center with a sample size of 66 TB patients. Data analysis using multiple logistic regression. Based on the results of the study it was found that social factors that influence decision making were only family members (p = 0.037, Exp B = 4.558). Whereas other social factors, namely the reference group and leader opinion, have no effect with p = 0.813 and p = 0.939. Therefore, the role of family members should be carried out on the grounds of being more trustworthy, in addition to the closeness of the emotional relationship that greatly affects TB patients. Keywords: TB, loss to follow up, social factors, decision making
Analysis of Determinant Factors for Hospital Staff Adherence to The Use of PPE The Care of COVID-19 Patients Indra Gunawan; Djazuly Chalidyanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 3 (2020): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.93130

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COVID-19 (coronavirus2019) is a viral infection of concern globally. Based on data released by the National Disaster Management Agency in July 2020, there was a twenty-six COVID-19 hospital cluster. This study aimed to analyze determinant factors for hospital staff adherence to the use of personal protective equipment in the care of COVID-19 patients. This Study is observational research with a cross-sectional design. The sample was selected using a simple random sampling technique with a total sample of 53 respondents. Data was collected using a questionnaire and analyzed using linear regression statistical analysis. The result of the study illustrated that only 43.40% of the hospital staff were compliant to use PPE. The respondents have characteristics as follows: good knowledge (52.83%), good risk perception (50.94%), low barriers to implementation (71.70%), good safety climate (90.57%), and good information and training (94.34%). There were correlation between knowledge (p-value = 0.000, β = 0.880), risk perception (p-value = 0.000, β = 0.846), barriers to implementation (p-value = 0.000, β = 0.579), safety climate (p-value = 0.005, β = 0.646), information and training (p-value = 0.034, β = 0.620) with hospital staff using PPE.  Knowledge and risk perception has a very strong correlation with hospital staff adherence.
The Relationship Between Characteristics of Health Workers on Handwashing Behavior Ossy Wijaya Iriandoko; Djazuly Chalidyanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92127

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Based on data from PPI Hospital X in Surabaya there are still nosocomial infections. If the incidence of this infection continues to recur, then the hospital's image will be bad and can cause hospital bed occupational rates to decrease. The purpose of this study was to determine the relationship between the characteristics of health workers (level of knowledge, level of education, age, and length of work) with the level of compliance of health workers doing hand washing at the "X" Hospital in Surabaya. This research is a descriptive correlation study. The sample in this study was 150 health workers working at X Hospital Surabaya, using proportional random sampling stratification technique. Data were collected using a questionnaire instrument. Data analysis using Pearson correlation test. The results revealed a significant relationship between the level of knowledge about handwashing (p = 0.001), an education level (p = 0.004), age (p = 0,000) and years of service (p = 0,000) to the level of compliance of health workers doing hand washing at the "X" Hospital in Surabaya. Surabaya "X" Hospital health workers have a level of compliance with handwashing with a maximum compliance category 75% (76%).
The Effect of Patient Safety Culture on the Quality of Nurses’ Performance Ririk Harlin; Djazuly Chalidyanto; Ririn Indah Permatasari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 10, No 1 (2021): April
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i1.10279

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Patient safety culture should be applied by all nurses in healthcare facilities. Yet, most of the time, nurses are not aware of its importance, resulting in patients’ poor perception of the nurses’ performance. This study identified the effect of patient safety culture on nurses’ performance at Bakti Mulia General Hospital. This was a correlation-descriptive study, which selected all nurses as many as 28 at Bakti Mulia General Hospital by using simple random sampling. Data were collected through questionnaires and analyzed using univariate and bivariate analysis with Pearson Correlation test. The majority of the respondents had poor patient safety culture (46%), and some had high patient safety culture (54%). The majority of the respondents showed had poor performance (68%), and some others had high performance (32%). There was a significant effect on patient safety culture on nurses' performance at Bakti Mulia General Hospital.
Hubungan Status Kegawatdaruratan dengan Penilaian terhadap Pelayanan IGD di Rsud Ibnu Sina Kabupaten Gresik Hikmah Ridho Hardyanti; Djazuly Chalidyanto
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 1 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.561 KB) | DOI: 10.20473/jaki.v3i1.2015.80-88

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ABSTRACT The number of non-emergency patients is high from normative visit an indication of problems in the Emergency Room. The purpose of this study to analyze the relationship between the patient's assessment of the provider or hospital with emergency status. This study examines the factors that exist in hospitals, among others, policy about patients who come, the physical condition of buildings, facilities, skilled human resources. The study involved 172 patients who ever went to the Emergency Room RSUD Ibnu Sina Kabupaten Gresik in June 2014, data were taken with visit their homes to conduct interviews based on a questionnaire. The independent variable in this study is the emergency of the patient's status while the dependent variable is the policy of the patients who come, the physical condition of buildings, facilities, skilled human resources. Data were analyzed using the relationship test Chi-square (α = 0.05). The study states that the factors comprising hospital policy on patients who come, the physical condition of buildings, facilities and skilled human resources and discipline to have a relationship with the emergency of the patient's status. Variable physical condition of buildings, facilities and skilled human resources need to be considered and improved the quality of emergency services. Keywords: facilities, hospital, status of emergency, the physical condition of                    buildings
Co-Authors Achmad Noerkhaerin Putra Achmad Yudi Arifiyanto Achmad Yudi Arifiyanto Ade Nurma Ruditya Ade Nurma Ruditya, Ade Nurma Agung Dwi Laksono Akas Yekti Pulih Asih Alita Dewi Percunda Amen Desina Sari Arif Setiawan Arindani, Farichah Septiana ARIS KURNIAWAN Aris Kurniawan Aris Sujoko Aris Sujoko, Aris Arlina, Launa Inayati AS, Andi Indahwaty Asri, Fusarina Mumpuni Intantyana Auli Fisty Noor Azizah Budhi Setianto Budi Pranoto Dahlui, Maznah Dewi Kusumawati Dewi Retno Suminar Dhamanti, Inge Dyah Yuniati Elida Zairina Endang Lestari Ernawaty Ernawaty Eva Firdayanti Bisono Fandaruzzahra Putri Perdani Fany Arsyad Hidayaturachman Fathiyah Rahmah Hadi Masyurrosyidi Hadinata, Immanuel Michael Handayani, Novia Hapsari, Niky Isa Harlin, Ririk Hendrik Santoso Hikmah Ridho Hardyanti Hikmah Ridho Hardyanti, Hikmah Ridho I Gusti Bagus Wiksuana Indana Tri Rahmawati Indira Probo Handini Indira Probo Handini, Indira Probo Indra Gunawan Intantyana Asri, Fusarina Mumpuni Iriandoko, Ossy Wijaya Irwandy Irwandy Ismawantri, Putu Jihan Anfa Kinanti Setyastuti Kristina Dewi Lilik Wijayati Mahmudin, Ahmad Amin Mangilep, Adelia U. Ady Margarita, Livia Marlia Tanaya, Evelyn Martanto, Tri Wahyu Maznah Dahlui Mega Nurmalasari Wira Putri Michael Siswanto Mochammad Bagus Qomaruddin Moh Sholeh moh sholeh, moh Mohammad Hendra Kurniawan Monita Fenny Sudarsono Muhammad Atoillah Isfandiari Muhammad Miftahussurur Mustikawati, Bernadetta Indah Nadya Kumalasari Nila Novita Ningrum, Shely Oktavia Puspita Nungky Taniasari Nurhasmadiar Nandini Nuzulul Kusuma Putri Nyoman Anita Damayanti Ongko, Tjindrawati Oskar Renagalih Amarta Ossy Wijaya Iriandoko Ossy Wijaya Iriandoko Paramita, Ristiya Galih Pathak, Yashwant Perdani, Fandaruzzahra Putri Permatasari, Ririn Indah Prayitno, Antonius Adji Putri, Mutiara Sitha Rachmad Suhanda Raden Muhammad Ali Satria Raissa Manika Purwaningtias Raissa Manika Purwaningtyas Resty Varia Tutupoho Ria Asti Septianti Rien Rahmi Riandini Rinanti Rahayunig Bekti Ririk Harlin Ririn Indah Permatasari Riris Diana Rachmayanti Rizmi Novishia Wijaya Rosally, Ruby Rizal Rosyidah Arafat, Rosyidah Ruby Rizal Rosally Saleh, Lalu Muhammad Setyastuti, Kinanti Shely Oktavia Puspita Ningrum Siti Fatonah Siti Hunainah Siti Hunainah Soesianingsih , Njoman Oly Sri Ramadany, Sri Stella Herliantine Febreani Sugiyatmi, Tri A. Supangat, Ririn Widyowati Sururut Tazkiyah Terivenna Wijaya Thinni Nurul Rochmah Tumbelaka, Reyner Valiant Ulfa, Ana Mariatul Ummu Kalsum Usman Hadi Usman Hadi Wagiyo Wagiyo Warih Kusumaningtyas Widodo J. Pudjirahardjo Widodo Jatim Pudjirahardjo Wijaya , Terivenna Windhu Purnomo Yenny Purwanti Yuniati, Dyah