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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Farmasi Klinik Indonesia Jurnal Sistem Kesehatan Jurnal Kesehatan Komunitas
Henni Djuhaeni
Department of Public Health Faculty of Medicine Universitas Padjadjaran
Health Professions Medicine & Pharmacology Public Health

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Journal : Althea Medical Journal

 1 
Ability and Willingness to Pay Premium in the Framework of National Health Insurance System Ramadhan, Aulia Abdillah; Rahmadi, Andri Reza; Djuhaeni, Henni
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: The National Health Insurance is one of the government’s efforts to improve community access to health services. The government has fixed the premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national health insurance premium.Methods: A descriptive study which involved 210  housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the health insurance premium. The results were compared to the required premium by the government (Rp 22,000,-).Results: Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20–39 years old. About 57.6% of the respondents were able to pay for the required premium, but Only 17.4% of the them were willing to pay according to the required premium.Conclusions: The ATP of the respondents are higher compared to the WTP, meaning that most of the respondents are able to pay the requires premium but are not willing to pay it. [AMJ.2015;2(4):502–5] DOI: 10.15850/amj.v2n4.635
Cyanosis as Mortality Risk among Children with Severe Pneumonia Fadlinda, Herza; Utomo, Adi; Djuhaeni, Henni
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Background: Pneumonia is the second leading cause of infant death in Indonesia. The mortality of pneumonia in children is associated with cyanosis, malnutrition, and age less than 4 months. The aim of this study was to determine the relationship between cyanosis, malnutrition, and age less than 4 months with the mortality of infant patients with severe pneumonia at Dr Hasan Sadikin General hospital.Methods: A case-control study has been conducted using medical records of 80 patients with pneumonia at Dr. Hasan Sadikin General Hospital, period January 2007 to December 2013. The inclusion criteria were medical records consisting of information about infants with severe pneumonia, without comorbid diagnoses, who died during hospitalization. While controls were infants who have been discharged from hospital. The independent variables of this study were cyanosis, malnutrition, and age less than 4 months, while the dependent variable was the mortality. Data were analyzed by using univariate and bivariate analysis.Results: The study reported that only cyanosis was associated with mortality. Malnutrition and age less than 4 months were not associated with mortality.Conclusions: Cyanosis is known to be the only factor that has affected the mortality of infants with pneumonia who are hospitalized at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):186–9]DOI: 10.15850/amj.v3n2.799
Comparison of Maternal Health Service Satisfaction Level of National Health Coverage and Non National Health Coverage Patients in Bandung Mother and Child Hospital Yuntiani, Rika; Achmad, Eppy Darmadi; Djuhaeni, Henni
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Healthcare is financially inaccessible to some people. This results in deterioration of patients’ condition or even death, which is proven by the high level of Maternal Death Rate in Indonesia. The government implemented the National Health Coverage (NHC) system to ensure the provision of quality health care for the entire community. This study aimed to examine the NHC and non-NHC patients’ perception to quality maternal healthcare services.Methods: This study was an analytic cross-sectional study conducted from August–October 2014. One hundred and twenty six respondents from Kota Bandung Mother and Child Hospital were included. The tool used in this study was a validity and reliability-tested questionnaire encompassing five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The Kolmogorov-Smirnov test was used to test the hypothesis.Results: The study showed that the majority of NHC(75%) and non-NHC patients (89%) ware unsatisfied with the maternal healthcare services. Most patients felt unsatisfied towards the reliability dimension which involved complicated referral procedures and examination time that failed to comply with what was promised.Conclusions: There is no difference between NHC and non-NHC patients’ level of satisfaction of maternal health care service in Bandung Mother and Child Hospital. [AMJ.2016;3(3):425–29]DOI: 10.15850/amj.v3n3.869
Role of Knowledge and Attitude toward Perilaku Hidup Bersih dan Sehat (PHBS) of Medical Students 2009 Universitas Padjadjaran Syaefullah, Sufia Permatasari; Herryadi, Noorman; Setiawati, Elsa Pudji; Djuhaeni, Henni
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Althea Medical Journal

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Background: Perilaku hidup bersih dan sehat (PHBS) is one of the main pillars of preventive measures in Indonesia Sehat and also a strategy to reduce health cost caused by illness based on the desire, willingness, and ability to be able to help themselves in medical aspects. The health provider including a doctor as a community leader should behave toward PHBS which based on adequate knowledge and attitude.Methods: This study have been conducted in February–November 2012 with cross-sectional design of 152 medical students 7th semester admission 2009 Universitas Padjadjaran, using questionnaires. Data were analyzed using chi-square.Results: The number of students with good knowledge and poor knowledge were not different (50.7%vs 40.3%). Most of the respondens attitude are not in accordance with PHBS program(p=0.805).Conclusions: Knowledge of PHBS  for all medical students needs to be improved and needs to investigated whether there are other factors which affect student attitudes toward  PHBS.Key words: attitude, knowledge, PHBS, student   Peranan Pengetahuan dan Sikap Mahasiswa Kedokteran Universitas Padjadjaran Angkatan 2009 terhadap Perilaku Hidup Bersih Dan Sehat (PHBS)  AbstrakLatar Belakang: Perilaku Hidup Bersih Dan Sehat (PHBS) merupakan salah satu pilar utama pencegahan dalam program Indonesia Sehat serta strategi untuk mengurangi biaya kesehatan akibat penyakit yang berdasarkan keinginan, kemauan, dan kemampuan untuk membantu diri sendiri dalam aspek medis. Pelayanan kesehatan termasuk dokter sebagai pemimpin kesehatan di masyarakat harus mempunyai sikap dan pengetahuan yang memadai mengenai PHBS.Metode: Penelitian dilakukan pada bulan Februari-November 2012 dengan desain potong lintang terhadap 152 mahasiswa kedokteran angkatan 2009 Universitas Padjadjaran semester 7 dengan menggunakan kuesioner. Data dianalisis menggunakan chi-square.Hasil: Jumlah mahasiswa yang memiliki pengetahuan baik dan pengetahuan kurang tidak jauh berbeda (50,7% vs 40,3%). Sebagian besar responden mempunyai sikap yang tidak sesuai dengan program PHBS (p=0,805).Simpulan: Pengetahuan tentang PHBS bagi semua mahasiswa kedokteran perlu ditingkatkan dan perlu diteliti lebih lanjut mengenai faktor-faktor lain yang memengaruhi sikap mahasiswa terhadap PHBS.Kata kunci: sikap, pengetahuan, PHBS, mahasiswa DOI: 10.15850/amj.v1n2.353
Role of Satisfaction with Health Care Services in Increasing Patient Loyalty: an Ambulatory Setting Yusri, Citra Restia; Hidayat, Marlianti; Djuhaeni, Henni
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Background: Health care providers must be able to provide services that can satisfy the patient. This encourages patient loyalty so that competitiveness can be preserved. This study aimed to examine the correlation of patients’ satisfaction to their loyalty towards health care facilities.Methods: An analytic cross-sectional study was conducted on 50 respondents from Anggrek Specialist Polyclinic at Dr. Hasan Sadikin General Hospital Bandung (ambulatory setting) who met the inclusion criteria during the period of September to October 2014. Questionnaires that had been validated and tested for reliability were used. Rank Spearman test was used to analyze the correlation between patient satisfaction and patient loyalty. This study used five dimensions of service quality to measure patient satisfaction, i.e. tangibles, reliability, responsiveness, assurance, and empathy.Results: The study showed that most (84%) patients felt unsatisfied and only 14% was loyal towards the health care services they received. Satisfaction and loyalty showed positive correlation with p=0.001 (p<0.05) and r=0.439, which showed a moderate correlation.  Conclusions: There is significant correlation between patient satisfaction and loyalty in Anggrek Specialist Polyclinic at Dr. Hasan Sadikin Hospital. This study can be an evaluative material for health care providers to encourage improvement of service quality as to increase patient satisfaction and loyalty. 
Co-Authors Anas Subarnas Andri Reza Rahmadi ardini raksanagara, ardini Asfeni, Asfeni Aulia Abdillah Ramadhan, Aulia Abdillah Budi Setiabudiawan Elsa Pudji Setiawati Eppy Darmadi Achmad Fadlinda, Herza Fedri Rinawan, Fedri Fedri Ruluwedrata Rinawan Guswan Wiwaha Hidayat, Marlianti Indah Amalia, Indah Insi Farisa Arya, Insi Farisa Kurniasih, Dea A. A. Kuswandewi Mutyara Lukman Hilfi Mukhtar, Hidayati Nita Arisanti Noorman Herryadi Nurmaimun, Nurmaimun Ratna Komara, Ratna Rossi Suparman Sekar Ayu Paramita, Sekar Ayu Sharon Gondodiputro Sheba, Shiane Hanako Sufia Permatasari Syaefullah Sunjaya, Deni K. Titik Respati Utomo, Adi Yunita, Jasrida Yuntiani, Rika Yusri, Citra Restia