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Analysis of Loss Ratio and Determinants of High Health Insurance Claims in Employee Benefit Programs: A Case Study of PT XYZ for the 2024–2025 Period Frestinawati, Senintyas; Budhialon, Poltak Robert; Sari, Yulia Indah Permata
Jurnal Ilmiah Multidisiplin Indonesia (JIM-ID) Vol. 5 No. 03 (2026): Jurnal Ilmiah Multidisplin Indonesia (JIM-ID), March 2026
Publisher : Sean Institute

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Abstract

The rising global healthcare costs have placed significant pressure on the sustainability of employer-sponsored health insurance programs. This study aims to analyze the loss ratio and identify the main determinants of high health insurance claims in the employee benefit program of PT XYZ for the 2024–2025 period. The research employed an analytical observational design using secondary claims data from 2024–2025. The analysis was conducted descriptively and inferentially by calculating the loss ratio, examining the frequency distribution of claims, determining the average cost per case, and performing comparative analysis based on type of service and membership status. The results show a loss ratio of 115.37%, indicating an underwriting deficit. Outpatient services dominated claim frequency (±78%), while inpatient services contributed the highest cost per episode. Dependent participants accounted for more than two-thirds of total claims. The primary determinants of increasing claims include the high frequency of outpatient visits, the high cost of inpatient care, and the utilization pattern among dependents. These findings highlight the importance of benefit design evaluation, utilization control strategies, and strengthening promotive and preventive programs to maintain the financial sustainability of the program.
The relationship between sleep quality and learning concentration among junior high school students Hasanul, Fikri; Nurhusna, Nurhusna; Sari, Putri Irwanti; Sari, Yulia Indah Permata; Oktarina, Yosi
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2108

Abstract

Background: Learning concentration is a crucial ability for students to achieve optimal academic performance. Good sleep quality plays a vital role in influencing students' learning concentration. Purpose: To analyze the relationship between nighttime sleep quality and learning concentration among students in grades VII, VIII, and IX. Method: This study employed a cross-sectional design with a correlational approach. A sample of 100 respondents was selected using stratified sampling technique from students in grades VII, VIII, and IX. Data collection was conducted using the Pittsburgh Sleep Quality Index (PSQI) instrument to measure sleep quality and the Mindful Attention Awareness Scale-Adolescent (MAAS-A) to measure learning concentration. Data analysis utilized Spearman Rank correlation test with a significance level of α = 0.05. Results: Spearman correlation test results showed a strong and significant negative relationship between sleep quality and learning concentration (r = -0.770; p < 0.001). Conclusion: There is a significant negative relationship between nighttime sleep quality and learning concentration among students.   Keywords: Adolescents; Junior High School Students; Learning Concentration; MAAS-A; PSQI; Sleep Quality.
Analisis faktor risiko diabetes mellitus pada remaja Masdaf, Agino Saputra; Nurhusna, Nurhusna; Sari, Putri Irwanti; Oktarina, Yosi; Sari, Yulia Indah Permata
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2110

Abstract

Background: Diabetes mellitus in adolescents continues to increase due to modern lifestyles characterized by unhealthy diets, low physical activity, and obesity. Purpose: To analyze the relationship between physical activity, diet, and obesity (BMI) and the risk of diabetes mellitus in adolescents. Method: A quantitative, cross-sectional analytical study of 101 eleventh-grade respondents was conducted using purposive sampling. Instruments included the Global Physical Activity Questionnaire (GPAQ), Food Frequency Questionnaire (FFQ), anthropometric measurements, and the Finnish Diabetes Risk Score (FINDRISC). Data analysis used frequency distribution and the Gamma test with α = 0.05. Results: The majority of respondents were aged 16-18 years (86.1%), female (59.4%), reported light physical activity (43.6%), had poor diet (50.5%), had a normal BMI (34.7%), and had a low risk of diabetes mellitus (84.2%). The Gamma test results showed a significant association between physical activity (p = 0.002; OR = 0.690), diet (p = 0.005; OR = 2.105), and BMI (p = 0.011; OR = 13.778) and the risk of diabetes mellitus. Conclusion: There is a significant association between physical activity, diet, and BMI and the risk of diabetes mellitus in adolescents.   Keywords: Adolescents; Body Mass Index; Diabetes Mellitus; Eating Patterns; Physical Activity.   Pendahuluan: Diabetes mellitus pada remaja terus meningkat akibat gaya hidup modern yang ditandai oleh pola makan yang tidak sehat, rendahnya aktivitas fisik, dan obesitas. Tujuan: Untuk menganalisis hubungan antara Aktivitas fisik, pola makan, dan obesitas (IMT) dengan risiko Diabetes Mellitus pada remaja. Metode: Penelitian kuantitatif analitik cross-sectional pada 101 responden kelas XI dengan purposive sampling. Instrumen meliputi Global Physical Activity Questionnaire (GPAQ), Food Frequency Questionnaire (FFQ), pengukuran antropometri, dan Finnish Diabetes Risk Score (FINDRISC). Analisis data menggunakan distribusi frekuensi dan uji Gamma dengan α = 0,05 Hasil: Mayoritas responden berusia 16-18 tahun (86.1%), perempuan (59.4%), aktivitas fisik ringan (43.6%), pola makan kurang baik (50.5%), IMT normal (34.7%), dan risiko diabetes melitus rendah (84.2%). Hasil uji Gamma menunjukkan hubungan signifikan antara aktivitas fisik (p = 0.002; OR = 0.690), pola makan (p = 0.005; OR = 2.105), dan BMI (p = 0.011; OR = 13.778) dengan risiko diabetes melitus Simpulan: Terdapat hubungan yang signifikan antara aktivitas fisik, pola makan, dan IMT dengan risiko diabetes mellitus pada remaja.   Kata Kunci: Aktivitas Fisik; Diabetes Mellitus; Indeks Massa Tubuh; Pola Makan; Remaja.
EFFECTIVENESS OF VIDEO AND LEAFLETS ON KNOWLEDGE AND ATTITUDES IN DYSMENORRHEA SELF-MEDICATION Manalu, Nada Utami; Mulyani, Sri; Permata Sari, Yulia Indah; Mutmainnah, Muthia; Meinarisa, Meinarisa
Jurnal Multidisipliner Kapalamada Vol. 5 No. 01 (2026): JURNAL MULTIDISIPLINER KAPALAMADA
Publisher : Pusat Studi Ekonomi, Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/kapalamada.v5i01.2289

Abstract

Adolescence is a transitional period characterized by rapid physical and psychological development, including the onset of menstruation. Dysmenorrhea is a common problem among adolescent girls and can negatively affect daily activities, academic performance, and quality of life. In Indonesia, menstrual pain remains highly prevalent, as reported by the World Health Organization globally and supported by local studies. This study aimed to determine the effectiveness of video and leaflet educational media in improving knowledge and attitudes regarding self-medication for dysmenorrhea using turmeric and tamarind herbal medicine. A quasi-experimental pretest–posttest control group design was conducted at SMP Negeri 11 Jambi City, Jambi City, Indonesia. Results showed that both media significantly improved knowledge, while no significant difference was found in attitude change between groups. Educational interventions effectively enhance adolescents’ understanding of dysmenorrhea management.
EFFECT OF BREAST SELF-EXAMINATION EDUCATION ON ADOLESCENTS’ KNOWLEDGE AND MOTIVATION Veoleta Sijabat, Melan; Kamariyah, Kamariyah; Yuliana, Yuliana; Permata Sari, Yulia Indah; Meinarisa, Meinarisa
Jurnal Multidisipliner Kapalamada Vol. 5 No. 01 (2026): JURNAL MULTIDISIPLINER KAPALAMADA
Publisher : Pusat Studi Ekonomi, Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/kapalamada.v5i01.2290

Abstract

Breast cancer is a major global and national health problem, including among adolescents. Early detection through Breast Self-Examination (BSE/SADARI) is recommended to improve early diagnosis and prevention. This study aimed to analyze the effect of BSE education on knowledge and motivation among female students at SMP Negeri 11 Jambi City. A quantitative pre-experimental design with a one-group pretest–posttest approach was used. The sample consisted of 40 students selected using stratified sampling. Data were collected using validated and reliable questionnaires and analyzed using the Wilcoxon Signed Rank Test. The results showed a significant increase in knowledge (p = 0.000) and motivation (p = 0.000) after BSE education. The findings indicate that BSE education effectively improves students’ knowledge and motivation, supporting early breast cancer awareness among adolescents.
EXPLORING RESTLESS LEGS SYNDROME AND QUALITY OF LIFE HEMODIALYSIS CKD PATIENTS THROUGH COMPREHENSIVE SCREENING Shopa, Muzani; Nurhusna, Nurhusna; Permata Sari, Yulia Indah
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 11, No 1 (2026): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v11i1.1014

Abstract

Introduction: Restless Legs Syndrome is a common neurological disorder among chronic kidney disease patients undergoing hemodialysis, significantly affecting their physical and psychological quality of life. In Indonesia, studies on this association remain limited. This study uniquely employed the CH-RLSQ13 screening tool to provide a more comprehensive and standardized RLS diagnosis.Methods: This study used a quantitative design with a cross-sectional approach. The sample was taken by total sampling using the CH-RLSQ13 screening, obtained 43 CKD patients with RLS who underwent hemodialysis at Raden Mattaher Jambi Hospital. Data were collected using IRLSSG questionnaire for RLS level and RLSQoL for quality of life. Data were analyzed using Spearman correlation test (p < 0.05).Results: Most of the respondents experienced moderate RLS symptoms. As many as 51.2% of respondents had poor quality of life, while the other 48.8% had good quality of life. The Spearman test results show that there is a significant relationship between the level of RLS and quality of life in CKD patients undergoing hemodialysis, with a significance value of 0.001 and a correlation coefficient (r) of 0.598.Conclusion: There is a significant relationship between the severity of Restless Legs Syndrome (RLS) and quality of life in chronic kidney disease patients undergoing hemodialysis. Therefore, it is recommended that health workers pay more attention to the symptoms of RLS in the management of hemodialysis patients, to improve their overall quality of life.
PENGARUH KOMBINASI TERAPI BERMAIN PLAYDOUGH DAN ORIGAMI DALAM PENINGKATAN TINGKAT KONSENTRASI PADA ANAK HIPERAKTIF DI SLBN PROF. DR. SRI SOEDEWI MASJCHUN SOFWAN, S Mellia Putry, Afillza; Mulyani, Sri; Permata Sari, Yulia Indah
Jurnal Multidisipliner Bharasumba Vol 5 No 02 (2026): BHARASUMBA: Jurnal Multidisipliner
Publisher : Pusat Studi Ekonomi, Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/bharasumba.v5i02.2326

Abstract

This study aims to determine the effect of a combination of play therapy using playdough and origami on learning concentration in hyperactive children. The research used a quasi-experimental method with a pretest-posttest control group design. The sample consisted of 30 children divided into an experimental group and a control group. The instrument used was the Digit Symbol Substitution Test (DSST). The results showed that before the intervention, all respondents were in the low concentration category. After the intervention, the experimental group showed a significant improvement with the mean score increasing from 37.53 to 48.12, while the control group showed no significant change. Statistical analysis using the Wilcoxon Signed Rank Test showed a p-value of 0.006 (p < 0.05), indicating a significant effect of the combined play therapy on concentration improvement. Therefore, playdough and origami therapy can be considered effective non-pharmacological interventions.
Co-Authors Adinda Adinda Adinda Adinda Afriani, Shelly Agustina, Rati Elvi Amalia, Mita Ambarwati Ambarwati Ambarwati Andi Subandi Andika Rahmad Siregar Andika Sulistiawan Andrisa Devitasari Anggraini, Citra Julia Anggun Meiliani Aulia Apri Yani Sitompul Ariani, Dhea Aulia, Esa Surya Azizi, Putri Dwi Bagas Setiawan, Bagas Budhialon, Poltak Robert Chloranyta, Shanty Dewi Damayanti Ditatri Utami Elvira Monalisa Erwan Efendi Fadliyana Ekawati Fadliyana Ekawaty Fariska Rian Elfandes Febri Adriati Fitri Yuliastuti Frestinawati, Senintyas Harnum, Assyafiah Hasanul, Fikri Hendrik Prayitno Luawo Hikmawati Hikmawati Juniana, Maolia Kamariyah kamariyah, kamariyah Khoiru Ulfah Kirana, Febiyora Chandra Komala, Rossie Intan Lisa Anita Sari Lukman, Muhammad Nasril Luri Mekeama Maghfirawati, Okti Manalu, Nada Utami Martawinarti, RTS Netisa Martawinarti, Rts. Netisa Maruhawa, Tamara Khaisya Masdaf, Agino Saputra Mawarti, Indah Meinarisa, Meinarisa Mellia Putry, Afillza Muhammad Fahri, Muhammad Muhammad Taqwa Mutia Salsa Billa Mutmainnah, Muthia Nadia Br. Pasaribu Nanda Poniar Nurhusna OKTARIA, RINA RINA Pratama, Oky Agung Aditya Putri Irwanti Sari Putri, Rizky Amanda Rakhman, Sitti Riska Amalya Nasution Ritonga, Rohani Rohmah, Ulfa Nur Rts. Netisa Martawinarti Rudini, Dini Rudini, Dini Santhi, Fera Afri Santi, Lala Delva Sapti Ayubana Sari, Elliza Puspika Sary, Elsa Volinda Saskiyanti Ari Andini Satria Saputra Septidianti, Chantika Sholihin Sholihin Shopa, Muzani Sinta WIjayanti Sitompul, Qory Amalia Az-Zahra Sri Mulyani Sri Mulyani Sri Mulyani Suryadi Imran, Suryadi Suryati Syafitri, Zakia Ulifa Syafruddin Syam Teguh, Saeful Hadi Tria Anisa Firmanti Ujang Sumarwan Ummami, Ellysha Azzahra Veni Misriyani Veoleta Sijabat, Melan Visabilillah, Ananda Putri Wahyuni Dazura Waluyo Waluyo Wijayanti, Sinta Wirda Hayani Syahputri Wulandari, Elsa Yosi Oktarina Yuliana Yuliana Yuliana Yuliana Yurni yurni Yusprisan, Ajeng Ananda