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Evaluasi pelaksanaan upaya kesehatan masyarakat di wilayah kecamatan Jatinegara dan kecamatan Matraman kota administrasi Jakarta Timur tahun 2016 Fika Maulani Fadrianti; Ede Surya Darmawan
Berita Kedokteran Masyarakat (BKM) Vol 34, No 6 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.401 KB) | DOI: 10.22146/bkm.34736

Abstract

Human resource and organizational capacity of public health programs in two sub-districts of East JakartaIntroduction: The current health policy priorities and focus are increasingly showing that public health programs are the same or even more important than medical treatment in improving the health status of the population. Although the government has asked the community health centers and local administrators to focus on the development and implementation of public health programs, very few studies in Indonesia have focused on the ability of government organizations to actually implement public health programs. This study evaluates the relationship between public health outcomes and the relationship with availability of human resources and program implementation capacity of government organizations. Methods: The data comes from reported minimum service standards (SPM) in public health and clean and healthy living behavior (PHBS), the survey and in-depth interviews of 46 respondents from 17 community health centers and 14 urban villages in two sub-districts - Matraman and Jatinegara - in East Jakarta. Results: The study found that health outcome indicators in the two study areas were lower than national average outcomes despite adequate availability of tbs. In addition, the administrative and management capacity of the implementation process in the field is not as expected. Conclusions: This study showed the paradox of resource availability and the weakness in intersectoral collaboration and in program implementation management. Based on this, we discuss three implications. First, the cross-sectoral authority of the mayor should be the advocacy focus among public health community interest groups. Secondly, the hamlet administrators should improve their implementation management capacity to have more effective programs. Third, community health centers should have human resources equipped with program management and intersectoral advocacy competencies.AbstrakLatar belakang: Prioritas dan fokus kebijakan kesehatan yang berkembang saat ini makin menunjukkan bahwa program public health adalah sama atau bahkan jauh lebih penting daripada tekanan pengobatan dalam meningkatkan status kesehatan penduduk. Meski pemerintah telah meminta puskesmas dan kelurahan fokus pada pengembangan dan pelaksanaan program-program public health, sedikit studi melaporkan kemampuan organisasi pemerintah yang benar-benar mengerjakan fungsi ini. Penelitian ini mengevaluasi hubungan capaian program public health dan apakah capaian itu didukung oleh ketersediaan sumber daya manusia dan kapasitas implementasi program dari organisasi pemerintah. Metode: Data berasal dari “standar pelayanan minimal” kesehatan masyarakat dan “perilaku hidup bersih dan sehat” (PHB), survei dan wawancara mendalam terhadap 46 responden dari 17 puskesmas dan 14 kelurahan di dua kecamatan - Matraman dan Jatinegara - di Jakarta Timur. Hasil: Penelitian ini menemukan bahwa indikator capaian kesehatan di daerah penelitian di kota besar seperti Jakarta adalah lebih rendah dari capaian rata-rata nasional meskipun memiliki ketersediaan sdm yang memadai. Selain itu, kapasitas administrasi dan manajemen proses implementasi di lapangan tidak seperti yang diharapkan. Simpulan: Studi ini menunjukkan paradoks antara ketersediaan sumber daya dan kapasitas yang lemah dalam kolaborasi lintas sektoral dan dalam manajemen implementasi program. Kami mendiskusikan 3 faktor penting yang harus menjadi perhatian dalam pengembangan dan implementasi upaya public health di Jakarta. Pertama, peran lintas sektoral yang jadi kewenangan dari walikota harus mendapat advokasi yang besar dari masyarakat public health. Kedua, administrator kelurahan memiliki kapasitas manajemen implementasi agar program-program dirasakan oleh penduduk setempat. Ketiga, puskesmas memiliki sdm dengan kemampuan manajerial dan bekerja sama dengan sektor lain yang bekerja fokus untuk upaya kesehatan masyarakat.
Kesiapan ibu dalam melahirkan sehat di wilayah kerja Puskesmas Brebes Jawa Tengah Irene Jesihka Pandiangan; Ede Surya Darmawan
Berita Kedokteran Masyarakat (BKM) Vol 34, No 11 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.37591

Abstract

Mother's readiness in healthy childbirth in Brebes Health Center of Central JavaPurpose: Although health workers have made classes of pregnant women to have a healthy childbirth, very few evaluations of these programs existed for Indonesian context. This study examines health workers and socioeconomic factors effects on mother's readiness to deliver healthy children. Methods: A survey of 100 pregnant women in the working area of the Brebes Health Center in Brebes Regency, Central Java Province, in 2018. Data collection using questionnaires and pregnancy records in the MCH Handbook. Results: A quarter of pregnant women in this study were not ready for a "healthy childbirth process" (24%). Mothers with higher education have three and a half times more than those with low education. Mothers who received health support in the ANC were three times more prepared than those who did not need ANC support. Conclusions: Most pregnant women have adequate readiness to deliver a healthy child. Mothers with low education were less likely to be ready to have a healthy childbirth. Health worker support to mothers during antenatal care is critical for a healthy childbirth. Puskesmas workers should reach mothers who have no ANC visit and educate them, in particular, those from low-education mothers.
TURNAROUND TIME OF DIAGNOSTIC LABORATORY RESULTS AS A QUALITY IMPROVEMENT TO PATIENT SATISFACTION: A SYSTEMATIC LITERATURE REVIEW Purbosari Purbosari; Ede Surya Darmawan
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Laboratory information is increasingly recognized as a crucial factor to reduce diagnostic uncertainty and enhance quality care. Medical diagnoses and effective treatments depend on the accurate and timely reporting of laboratory test results, and the trend toward disease prevention and personalized care calls for more complex and effective tests and biomarkers. Today's clinical laboratory provides essential information for the diagnosis, monitoring, screening, prevention, early diagnosis, tailored treatment and more effective monitoring of human diseases. Response Time is an action that is carried out quickly and precisely to handle patients. While an ability for fast (responsive) service is the response time taken to the patient when the patient arrives to get a response. Response time is one indicator of service quality that affects patient satisfaction. The laboratory turnaround time is the starting point for the time of for receiving the sample, the time for registration, or the analytical sampling time and end point for analytical completion, the time for verification of results, the transfer of results to the time for medical record, and the time for report printing. Methods: In this systematic review, we searched Pubmed, Science Direct, and Scopus database published from January 2010 to March 2019. The included studies were broadly classified as reporting from healthcare/hospital and international survey. There were 21 studies that met keywords searching criteria. Then we analysed based on the content of studies, matching to our objectives Results: Out of 21 identified studies, we recognized 6 scholarly journals of turnaround time diagnostic laboratory results as quality improvement of medical care and medical diagnoses and that affects patient satisfaction. These studies concluded that turnaround time becomes a key element to patient safety that contributes to patient satisfaction. Conclusion: Turnaround time as one of quality indicator in a laboratory setting. Improvement in this parameter could give benefit to the patient and deliver service excellence. Standardized reporting method is mandatory as it will not only allow the accreditation of clinical laboratories according to the International Standard but also to assure guidance for promoting improvement processes and guaranteeing quality care to patients and patient satisfaction.
Evaluation of Government Policy Implementation in the Provision of Covid 19 Incentives in Indonesia: Systematic Review Marianus Ruba; Ede Surya Darmawan
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 4 (2022): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i4.7074

Abstract

Online learning and working from home for educators are changes that must be made by lecturers to keep teaching students. Distance education has the aim of increasing the quality of education and the relevance of education and increasing equitable access and expansion of education. Systematic review using database: Google Scholar. The search results that meet the criteria are then analyzed for articles. A systematic search yielded eight articles that best fit the study objectives. Studies vary greatly in study design, perspective, and also on the results of the evaluation of the COVID-19 health worker incentive policy. The covid 19 incentive program for health workers can be a solution to improve the performance of health workers in health services. The problem of delays, regulatory problems and also the availability of the budget are things that need to be evaluated at a later date. So that the success of the program can be a reflection of the government's success in handling COVID-19.
MENTAL HEALTH IMPACT OF PANDEMIC COVID-19 AMONG HEALTH CARE WORKERS: A SYSTEMATIC REVIEW David R. I. Hutajulu; Ede S. Darmawan
Journals of Ners Community Vol 13 No 3 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i3.1947

Abstract

Basically, this study want to know what is the impact of COVID-19 among Health Care Workers (HCWs), including effect (stress, burnout, and anxiety). This systematic review was performed according to the Preferred Reporting Items for Systematic review. We conducted a systematic review by searching the following databases Proquest, Science Direct, Scopus, Sage, and MDPI from January 2020 to December 2020. The search was limited to the studies that reported mental health impact of COVID-19 in healthcare workers, such as psychological (emotional) trauma, acute stress disorder (ASD) and post-traumatic stress disorder (PTSD), mass traumatic event, secondary traumatic stress (STS), moral injury, sleep disorder. Case reports, duplicate publications, journal reviews, were excluded. The methodological quality of studies was assessed by the Appraisal tools From JBI tools. The initial search returned 34 articles. twelve studies were included in final analysis, with total of 14.205 subjects. Healthcare worker directly giving healthcare to suspected or confirmed COVID-19 patients may develop various mental issues such as anxiety, poor sleep quality, insomnia, parasomnia, changing personal life and enhanced negative effect. Physician and Nurse are healthcare workers professions most at risk of infection of COVID-19. Healthcare Workers have significant mental pressure during the COVID-19 pandemic. The different healthcare workers professions and gender have different levels of risk of mental disorders during COVID-19 pandemic.
Factors Affecting Hospital Physician Engagement: A Scoping Review Stephanie Paramita; Amelia Kusumawardhani; Ede Surya Darmawan
Jurnal Pendidikan dan Konseling (JPDK) Vol. 4 No. 6 (2022): Jurnal Pendidikan dan Konseling
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jpdk.v4i6.9378

Abstract

Karyawan adalah salah satu faktor untuk membantu organisasi mencapai bisnis yang optimal. Oleh karena itu, sangat penting untuk merekrut, mengembangkan, dan mempertahankan staf berbakat yang memiliki keterlibatan dan komitmen terhadap kesuksesan perusahaan. Sayangnya, dalam industri Kesehatan di mana dokter adalah salah satu pemangku kepentingan yang paling penting, banyak dokter sama sekali tidak terlibat. Dokter memiliki keterlibatan terendah di seluruh tenaga kesehatan meskipun salah satu alasan mengapa seorang dokter tetap bekerja adalah jika dokter memiliki keterlibatan dengan rumah sakit. Untuk itu penting bagi pengelola rumah sakit untuk mengetahui faktor apa saja yang mempengaruhi keterikatan dokter dengan rumah sakit. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi keterlibatan dokter rumah sakit. Penelitian ini menggunakan metodologi scoping review. Pencarian artikel dilakukan menggunakan Pubmed, NCBI, Scopus, EMBASE menghasilkan 650 artikel yang berhubungan dengan doctor engagement. Penghapusan duplikasi dikecualikan dan sisa 35 artikel dimasukkan. Untuk metode yang kami gunakan: kerangka metodologis yang diusulkan oleh Arksey dan 'Malley, dan setelah itu, ulasan pelingkupan dilaporkan menggunakan metode Pedoman PRISMA (Prefered Reporting Items for Systematic Review and Meta-Analysis). Dari hasil penelitian yang dilakukan diketahui bahwa keterikatan tidak semata-mata karena materi atau penghasilan yang diperoleh, tetapi juga adanya faktor penghargaan dan pengakuan dalam bentuk immateriil. Lokasi kerja secara signifikan terkait dengan keterikatan. Berdasarkan spesialisasi, spesialis yang sangat dekat dengan mereka sebagian besar adalah spesialis non-bedah. Faktor lain yang berhubungan dengan keterikatan adalah motivasi bergabung dengan rumah sakit, seperti kelengkapan fasilitas sehingga dapat mengembangkan ilmunya, serta kesamaan visi dan misi rumah sakit. Keterikatan pada rumah sakit tidak dipengaruhi oleh sistem remunerasi dan pola kemitraan, tetapi dipengaruhi oleh persepsi dokter termasuk dokter spesialis mengenai dukungan rumah sakit berupa kelengkapan fasilitas dan tenaga pendukung, visi misi rumah sakit, dan peluang karir.
Systematic Review Analysis of Government Policy Implementation of COVID 19 Provision Incentives in Indonesia Marianus Ruba; Ede Surya Darmawan
International Journal of Social Service and Research (IJSSR) Vol. 3 No. 1 (2023): International Journal of Social Service and Research (IJSSR)
Publisher : CV. Ridwan Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v3i1.224

Abstract

The emergence of the COVID-19 pandemic has had a significant impact on health workers, who are on the front lines of the COVID-19 fight. The issue of health worker incentives persists to this day. The occurrence of the COVID-19 pandemic has greatly impacted health workers as the front line in the fight against COVID-19. The problem of incentives for health workers continues to this day. Many factors must be considered by regulators and executors at the national and regional levels, as coordination of providing incentives for health workers is deemed ineffective. These include a failure to absorb the budget allocated for health worker incentives, particularly at the regional level, a large number of health workers complaining that incentives have not been distributed, and a reduction in incentives for those at the forefront of dealing with the COVID-19 pandemic. Furthermore, changing regulatory issues in accelerating the provision of COVID-19 health worker incentives are one of the factors that cause delays in paying health worker incentives. Even though the COVID-19 pandemic is over, it is critical to pay attention to the evaluation of policies for providing health workers incentives for COVID-19 that are not only focused on the time of the COVID-19 pandemic but also on the agenda for providing health workers incentives in general. Google Scholar was used to conduct a systematic review. Articles are then found in the search results that meet the criteria. A systematic search turned up eight articles that best matched the study objectives. The study design, perspective, and results of the evaluation of the COVID-19 health worker incentive policy vary greatly. The COVID-19 incentive program for health workers may be a solution to improving health workers' performance in health services. Delays, regulatory issues, and the availability of funds are all issues that must be addressed at a later date. So that the program's success can reflect the government's success in dealing with COVID-19.
Artificial Intelligence Utility To Improve The Quality Of Health And Patient Safety Services: A Scoping Review Amelia Kusumawardhani Setiawan; Ede Surya Darmawan; Stephanie Paramita
Journals of Ners Community Vol 13 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2840

Abstract

This study aimed to analyze the role of artificial intelligence in enhancing the quality of healthcare services and patient safety. The research followed the methodological framework proposed by Arksey and Malley, and a scoping review was conducted using the PRISMA guideline method. The authors searched several electronic databases, including Pubmed, NCBI, Elsevier, Proquest, EBSCO, Scopus, and Google Scholar, between 2017-2022 using specific keywords related to artificial intelligence, quality of health care, and patient safety. Out of 550 articles obtained, 61 were included in the review. The analysis of the selected studies indicated that artificial intelligence can significantly improve the quality of healthcare services and patient safety, especially in hospitals. However, further research is needed to develop AI systems that can be tailored to the specific needs of healthcare facilities, particularly hospitals and health centers in Indonesia. This study provides evidence for healthcare policymakers and practitioners to consider incorporating AI-based technologies to enhance healthcare quality and safety.
Differences And Trends Between Emergency Departments And Hospitals In Patients Hendra Ayusra; Ede Surya Darmawan
Innovative: Journal Of Social Science Research Vol. 3 No. 2 (2023): Innovative: Journal Of Social Science Research (Special Issue)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v3i2.1627

Abstract

Hospital bylaws merupakan peraturan yang berlaku dalam internal organisasi Rumah Sakit yang juga menjadi rujuakan bagi staf medis Rumah Sakit yang disusun dalam rangka penyelenggaraan tata kelola yang baik dan tata kelola klinis yang baik. rumah sakit harus memenuhi pengaturan mengenai organisasi, manajemen klinik, akreditasi, jaringan dan sistem rujukan, keselamatan pasien, perlindungan hukum rumah sakit, tanggung jawab hukum, dan bentuk rumah sakit. pentingnya aturan sangat dirasakan karena mendukung tindakan kesehatan agar lebih unggul dan lebih tepat. Tujuan dari pemelitian ini adalah untuk membangun kembali dan melengkapi aturan rumah sakit yang sesuai dari waktu ke waktu. Yang diperlukan juga kemampuan sumber daya manusia yang profesional karena rumah sakit sebagai organisasi yang didirikan untuk mencapai pelayanan kesehatan yang optimal bagi masyarakat. Strategi pencarian dalam peneliatain ini dengan menerapkan dilakukan sesuai dengan pedoman Preferred Reposting Items for Systematic Review and Meta-analysis (PRISMA). Secara sistematis mencari artikel relevan yang diterbitkan hingga Desember 2022 di database PubMed, Embase, Cochrane Library, dan Scopus. Kata kunci berikut digunakan dalam pencarian: " hospitalbylaw”, or “hospital”, or “anggaranrumahtangga”, and “bylaw rumah sakit”. Dari artikel yang dianalisis ada implementasi hospital bylaws pada penanganan pasien dimasa covid yang menunjukkan bahwa keempat peneliti membahas trend penggunaan fasilitas perawatan emergensi dan perawatan rawat jalan yang megikuti pada aturan dalam Hospital Bylaws, yang pada hakekatnya Hospital Bylaws mempunyai bidang tersendiri dan juga mempunyai fungsi penting di dalam mengadakan tata tertib, kepastian hukum dan jalannya Rumah Sakit.
STRATEGI PENGENDALIAN PERSEDIAAN DENGAN SEGMENTASI DATA DAN CONTINUOUS REVIEW : SEBUAH LITERATURE REVIEW Tulus Kurnia Indah; Ede Surya Darmawan; Puput Oktamianti
Jurnal Kesehatan Tambusai Vol. 4 No. 2 (2023): JUNI 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i2.14724

Abstract

Pengendalian persediaan barang farmasi merupakan aspek penting dalam manajemen rumah sakit. Anggaran untuk persediaan farmasi menempati urutan kedua terbesar setelah belanja pegawai. Sehubungan dengan hal tersebut diperlukan pengelolaan yang baik agar tercapai kondisi yang seimbang antara kinerja pelayanan dan kinerja keuangan rumah sakit. Ketersediaan stok berkualitas baik, dalam jumlah yang tepat, di tempat dan waktu yang tepat, dan dengan biaya yang tepat adalah inti dari pengendalian persediaan. Hal ini sangat dibutuhkan untuk menjamin kelancaran fungsi dan pemberian layanan di fasilitas pelayanan kesehatan. Tujuan dari makalah ini adalah untuk menyajikan tinjauan terkini tentang berbagai strategi pengendalian persediaan berdasarkan beberapa penelitian sebelumnya. Penelitian dilakukan dengan menelaah artikel penelitian dari tahun 2018 hingga 2023. Artikel yang dikaji berkaitan dengan strategi yang dilakukan rumah sakit dalam melakukan pengendalian persediaan. Proses telaah artikel dilakukan dengan metode Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) dan menghasilkan delapan artikel yang relevan dengan tujuan penelitian.  Dari hasil telaah artikel didapatkan kesimpulan bahwa dalam proses pengendalian persediaan, rumah sakit perlu melakukan segmentasi data item obat berdasarkan karakteristik yang dimiliki dari segi keuangan, tingkat kekritisan, pola konsumsi maupun durasi lead time. Selain itu tinjauan berkala terhadap kondisi persediaan di rumah sakit memungkinkan rumah sakit untuk menjaga jumlah persediaan sesuai fluktuasi permintaan sehingga persediaan yang ada menjadi lebih efisien dibandingkan jika rumah sakit hanya melakukan tinjauan berdasarkan periode waktu tertentu dengan asumsi bahwa permintaan selalu konstan.
Co-Authors Achir Yani S. Hamid Adang Bachtiar Agung Waluyo Amelia Kusumawardhani Amelia Kusumawardhani Setiawan Amelia Rahayu Amelia Rizki Alfriantin Anhari Achadi Arani Nadhira Arif, Umi Fikria Ariyanti, Fajar Asnawi Abdullah Azni, Nurkarti B, Ilmah Yanuarti Baequni, Baequni Bashabih, Masyitoh Bernadeth Novita Budisusilowati Bunga Listia Paramita Chintia, Amelia Cicilya Candi David R. I. Hutajulu DEWI IRAWATI Dhynianti, Levi Diah Ekawati Diah Ekawati Diah Ekawati Eka Putri, Nidya Elvira Elvira Eska Perdini Suhendi Etty Rekawati Fahnida Zeydra Thohari Farid Fauzan Mahubessy Farid Kharisma Feni Dwi Lestari Fika Maulani Fadrianti Fitriana, Mila Fransisca, Martha Hafnidar A. Rani Hartono, Widy Hendra Ayusra Hermansyah Hermansyah Ilyas, Jaslis Immanuel Natanael Tarigan Indriana, Yuki Melati Irene Jesihka Pandiangan Irmayanto, Randi Isroil Samihardjo Ita Wulandari Jaya, Danil Anugrah Julian Simanjuntak Kusumawardhani Setiawan , Amelia Mardiati Najib Mardiati Najib Marianus Ruba Marianus Ruba Martha Fransisca Martini Heniastaty Patuwondatu Mulyadi, Budhi Mumpuni, Dian Pitaloka Sri Mustafa, Ghulam Mutia Nasir , Narila Nadia Irina Darmawan Nadia Irina Darmawan Ngabila Salama Nova Perdana Novie Irawaty L. Manurung Nurkarti Azni Nyoman Dwi Maha Udiyana Ovi Norfiana Paramita, Stephanie Permanasari, Vetty Yulianty Prasetyo, Chandra Istanti Pratama, Muhammad Fachmi Adi Pratiwi Pujiyanto Pujiyanto Puput Oktamianti Puput Oktamianti Purbosari Purbosari Purnawan Junadi Purnawan Junadi Putri Ardhani Putu Darmika Randi Irmayanto Ratna Sitorus Rendy Setya Wardana Rheine Indira Putrie Sesunan Rifda Amalia Choirunnisa Rinie Indah Chandra Wirasati Rita Mutia Royani Royani Sabarinah Prasetyo Sabarinah Sabarinah Samboe, Betania Saza Fitria Septama, Andis Sidhi Laksono Sila Wiweka, Ida Bagus Sjaaf, Amal Chalik Stephanie Paramita Stephanie Paramita Suci Nurul Andini Susanti, Lili Syarif Rahman Hasibuan Syifa Silviana Tarigan, Immanuel Natanael Tintin Sukartini Sukartini, Tintin Sukartini Tulus Kurnia Indah Ulfah, Annisa Ulianto Ulianto Wirasati, Rinie Indah Chandra Yaslis Ilyas Yasrizal, Meutia Arini Yulianty Permanasari , Vetty Yunianti, Siti Zamzanah, Sofi Zuhdi, Nadya Adina