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All Journal JURNAL HUKUM Majalah Ilmiah Fisioterapi Indonesia WMJ (Warmadewa Medical Journal) Journal of Agromedicine and Medical Sciences Herb-Medicine Journal WAJAH HUKUM Jurnal Keperawatan Suaka Insan JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) PREPOTIF : Jurnal Kesehatan Masyarakat Community Engagement and Emergence Journal (CEEJ) Jurnal Ners Media Keadilan: Jurnal Ilmu Hukum LEGAL BRIEF Jurnal Health Sains Journal La Bisecoman Journal of Transcendental Law Sehat Rakyat: Jurnal Kesehatan Masyarakat Jurnal Ilmu Hukum, Humaniora dan Politik (JIHHP) Journal of Law, Poliitic and Humanities Proceeding ISETH (International Summit on Science, Technology, and Humanity) Indonesian Health Issue Prosiding University Research Colloquium Jurnal Pengabdian Masyarakat Medika Ranah Research : Journal of Multidisciplinary Research and Development Hasil Karya Aisyiyah Untuk Indonesia Warta LPM GEMBIRA (Pengabdian Kepada Masyarakat) Jurnal Ekonomi Kesehatan Indonesia Jurnal Ilmiah Kesehatan Sandi Husada Joong-Ki Cermin Dunia Kedokteran Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta
Siti Soekiswati
Universitas Muhammadiyah Surakarta
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Opportunities for Hospital-Based Telemedicine Development: A Systematic Review Jayantika Sakina Ifnadera; Siti Soekiswati; Yusuf Alam Romadhon
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2025: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Purpose: This study aims to examine the adoption, hospital integration, and revenue implications of telemedicine, with specific emphasis on Indonesia where hospital-based telemedicine services remain less developed than commercial platforms. The review focuses on identifying key drivers of user acceptance, organizational readiness, and financial outcomes to support strategic telemedicine development in hospitals.Methodology: A systematic review was conducted using a comprehensive search of open-access empirical studies published from 2020 to 2025. Twenty-six eligible articles were identified and analyzed. Data were synthesized thematically across three domains: factors influencing user adoption, hospital-level implementation processes, and the economic impact of telemedicine services. The review integrates both global and Indonesian evidence to provide a comparative perspective.Results: Findings show that perceived usefulness, trust, and digital readiness consistently shape patient and provider adoption of telemedicine. Successful hospital integration is supported by adequate infrastructure, clear governance, and alignment with clinical workflows. Several studies report cost-effectiveness and increased service utilization, indicating potential for enhanced hospital revenue, although economic evidence from Indonesian hospitals is still emerging.Applications/Originality/Value: This review offers practical insights for policymakers and hospital administrators planning long-term institutionalization of telemedicine. It is original in combining global and Indonesian contexts while emphasizing the financial sustainability of hospital-based telemedicine services.
Analisis Determinan Sosiodemografi dan Perilaku Terkait Kejadian Servisitis dalam Kehamilan: Tinjauan Sistematik Kencana, Nabila Safhira Titan; Prakoeswa, Flora Ramona Sigit; Pramuningtyas, Ratih; Soekiswati, Siti; Dzikri, Dykall Naf’an
Cermin Dunia Kedokteran Vol 53 No 04 (2026): April 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i04.1901

Abstract

Introduction: Cervicitis is an inflammation of the cervix that can lead to serious complications during pregnancy. The objective of this article is to identify risk factors associated with the incidence of cervicitis in pregnant women. Methods: Literature review with narrative analysis. Article searches were conducted on the ScienceDirect, Sage, Google Scholar, and Garuda databases using predetermined keywords. A total of 2,009 articles were obtained from the 4 databases. After the screening process based on the inclusion and exclusion criteria, 15 articles were obtained for analysis. Results: Analysis of 15 articles showed that the incidence of cervicitis in pregnant women is influenced by several risk factors, including: (1) Demographic characteristics such as age and ethnicity; (2) Behavior and lifestyle including sexual intercourse and smoking patterns; (3) Obstetric and gynecological health history; (4) Socio-economic factors; (5) Living environment; and (6) Personal hygiene. The most consistently reported factors were poor personal hygiene, low socioeconomic status, and risky sexual behavior. Conclusion: Cervicitis in pregnant women is associated with complex and multidimensional risk factors. Identification of these factors is important for developing prevention and early detection strategies, thereby reducing the incidence of cervicitis and preventing serious pregnancy complications.
Clinical Pathway Sebagai Solusi Keberlanjutan JKN di Indonesia: Systematic Review Septiana, Septiana; Soekiswati, Siti; Ichsan, Burhannudin
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Abstract

The National Health Insurance (JKN) program is threatened with a deficit and potential default in 2026 due to inefficiency and the risk of fraud in healthcare facilities. In the context of JKN, which uses a package system (INA-CBG), Clinical Pathway (CP) is a strategic instrument within the JKN system that has dual benefits for both Payers (BPJS Kesehatan) and Providers (Hospitals). For BPJS Kesehatan, CP primarily functions to ensure service quality and prevent undertreatment fraud, the practice of reducing services to benefit hospitals. This prevention ultimately achieves cost efficiency in the JKN program by avoiding payment of complication claims and readmissions arising from substandard services. On the hospital side, CP helps control real cost effectiveness (cost) to maintain efficiency. High CP compliance can reduce inefficiencies (e.g., resource overutilization), thereby reducing the gap in hospital losses under the INA-CBG package system. This indirectly reduces the incentive for hospitals to commit fraud. This study aims to synthesize comprehensive evidence regarding the impact of CP compliance on cost efficiency (Hospital Cost) from a provider perspective and its impact on the sustainability of JKN. The method used was a Systematic Review based on the PRISMA framework, analyzing 28 articles from hospitals in Indonesia (2016-2025) that discussed the impact of CP on costs and/or Length of Stay (LOS) as well as the quality of clinical services. During the snowballing and abstract screening stages, we also found that compliance was an important variable measured by the studies we reviewed. The results show that the level of CP compliance in Indonesia remains low; 80% of hospitals have compliance below 50%, which triggers service variations and the risk of fraud. CP compliance is consistently positively correlated with reduced Hospital Costs (thus increasing internal hospital efficiency) and accelerated LOS. In addition to cost efficiency, CP has also been shown to improve the quality of clinical services by reducing complications (SSI: Surgical Site Infection) and reducing the risk of readmissions. In conclusion, CP is an essential dual solution; improving CP compliance is a fundamental key to balancing hospital cost efficiency without sacrificing quality, while simultaneously safeguarding the financial sustainability of the JKN Program from the burden of unnecessary complication claims.
The Influence of E-Service Quality on Patient Satisfaction and Loyalty in Hospitals: A Systematic Literature Review Using the PRISMA Framework in 2020-2025 Leny Widio Wati; Anton Agus Setyawan; Siti Soekiswati
Indonesian Health Issue Vol. 5 No. 1 (2026): FEBRUARY
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v5i1.137

Abstract

Background: The advancement of digital technology in the healthcare sector has driven hospitals to improve the quality of electronic services (e-service quality) in meeting patients’ expectations for convenience, speed, and service effectiveness. Objective: This study aims to analyze the influence of e-service quality on patient satisfaction and loyalty in hospitals. Methods: This research employed a Systematic Literature Review guided by the PRISMA framework and conducted in October 2025. Articles were collected from the ScienceDirect, PubMed, ProQuest, and Google Scholar databases, yielding a total of 14,273 articles, which were screened and filtered into eight relevant studies that met the inclusion criteria. Results: E-service quality has a significant effect on patient satisfaction through four factors: integrated digital services, emotional and trust dimensions, technical quality and user experience, and ease of use. Furthermore, patient loyalty is formed through two mechanisms improvement of electronic service quality and technological integration that encourages revisit intention. Conclusion: E-service quality plays an important role in enhancing patient satisfaction and loyalty in hospitals.
Association of Insight, Age, and Education Level with Relapse Rates in Schizophrenia Patients Rahmad Dhani Rujito; Erna Herawati; Sahilah Ermawati; Siti Soekiswati
WMJ (Warmadewa Medical Journal) Vol 11 No 1 (2026): May 2026
Publisher : Warmadewa University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmj.11.1.14516.22-29

Abstract

Abstract Schizophrenia is a chronic mental disorder with a high tendency for relapse, which worsens the patient's prognosis and increases the burden of care. Clinical factors such as insight, as well as demographic factors including age and education level, are thought to play a crucial role in influencing treatment adherence and relapse risk. This study aims to analyze the association between insight, age, and education level with relapse rates in schizophrenia patients at RSJD dr. Arif Zainudin Surakarta. This was an analytic observational study with a cross-sectional design. Subjects were selected using purposive sampling, totaling 96 patients. Data were analyzed using Chi-Square test, Fisher’s Exact test, and Logistic Regression. The results showed a significant association between insight (p=0.045) and education level (p=0.046) with relapse rates. Meanwhile, age (p=0.588) was found to have no significant association with relapse incidence. It is concluded that insight and education level are associated with relapse rates, although no single factor emerged as a dominant independent predictor in the multivariate model. Improving patient insight through psychoeducation is recommended to prevent relapse.
Pendampingan Remaja untuk Berhenti Merokok dengan Pendekatan Transtheoretical Model (Stages of Change) di Posyandu Remaja Desa Mliwis Boyolali Tanjung Anitasari Indah Kusumaningrum; Ayu Khoirotul Umaroh; Dian Purworini; Siti Soekiswati; Arif Pristianto; Zulia Setiyaningrum; Nanda Hani Nur Pertiwi; Sabrina Cantika Putri Sandrana; Novyanti Setiyo Rini; Muhammad Irfan Zahran; Faturohit Rois Imron Santoso; Zavier Ferodova Al Fitroh; Pradhana Satria Pinandhita
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4445

Abstract

The partner for community service activities was the youth posyandu in Tambakboyo Hamlet, Mliwis. Adolescent boys at Mitra Posyandu have a smoking habit. There were 25% of teenage boys who have tried to stop smoking but failed. The problems faced by posyandu partners are the difficulty of generating teenagers' intention to stop smoking, teenagers also don't know how to stop smoking, and there are still many teenagers who relapse or smoke again even though they are already at the action stage. The aim of this program was to provide smoking cessation education and health messages with the stages of change in smoking behavior in each adolescent using a transtheoretical model approach and monitoring and strengthening smoking cessation by adolescent cadres. The methods used were socializing activities to youth posyandu, providing media on how to stop smoking, providing education regarding efforts to stop smoking, training youth cadres, designing applications for monitoring efforts to stop smoking, and assisting teenagers to stop smoking. The results of this service were that there was an increase in adolescent knowledge by 0.17% after being given smoking cessation education, the formation of peer counselors consisting of adolescent cadres, the existence of health media in the form of pocket books and booklets, and the creation of the Smoke Stop Step (3S) application to monitor efforts of quit smoking. After using the application and providing health messages according to the smoking cessation stages, there were 3 teenagers who started to intend to stop smoking and 1 teenager entered the preparatory stage (preparing to stop smoking).
Implementasi Program Pencegahan dan Pengendalian Infeksi (PPI) di Rumah Sakit Surawijaya Bakhtiar Kaslam; Siti Soekiswati
Joong-Ki : Jurnal Pengabdian Masyarakat Vol. 5 No. 4: Agustus 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/joong-ki.v5i4.17939

Abstract

Infeksi terkait pelayanan kesehatan (Healthcare-Associated Infections/HAIs) masih menjadi tantangan utama dalam peningkatan mutu dan keselamatan pasien di rumah sakit. Berdasarkan analisis situasi di rumah sakit mitra, ditemukan bahwa implementasi program Pencegahan dan Pengendalian Infeksi (PPI) belum optimal, khususnya dalam kepatuhan hand hygiene, penggunaan alat pelindung diri (APD), serta sistem surveilans HAIs yang belum berjalan secara sistematis. Oleh karena itu, kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran tenaga kesehatan serta seluruh karyawan rumah sakit melalui pendekatan knowledge transfer terkait implementasi PPI. Metode yang digunakan berupa kegiatan knowledge transfer selama satu hari dengan pendekatan edukatif dan partisipatif, melibatkan 30 peserta. Evaluasi dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan rata-rata nilai dari 145,00 menjadi 149,33 dengan perbedaan signifikan secara statistik (p < 0,05). Namun demikian, tingginya nilai awal peserta menunjukkan adanya ceiling effect, sehingga peningkatan secara praktis relatif terbatas. Selain itu, teridentifikasi potensi knowledge transfer lanjutan kepada karyawan lain serta adanya komitmen awal dalam penguatan implementasi PPI. Kegiatan ini memberikan indikasi awal terhadap peningkatan pengetahuan dan penguatan kesadaran, namun memerlukan evaluasi lanjutan untuk menilai dampak jangka panjang terhadap perubahan perilaku dan implementasi PPI.
Hubungan Persepsi Dokter Terhadap Model Klaim BPJS Kesehatan Dan Pemahaman Hukum Kedokteran Dengan Otonomi Klinis Dokter Di Rumah Sakit Eka Cahya Ningsih; Siti Soekiswati
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61008

Abstract

Penelitian ini bertujuan menganalisis hubungan persepsi dokter terhadap model klaim BPJS Kesehatan dan pemahaman hukum kedokteran dengan otonomi klinis dokter di rumah sakit. Penelitian menggunakan pendekatan kuantitatif dengan desain analitik korelasional dan rancangan potong lintang. Sampel berjumlah 107 dokter yang dipilih sesuai kriteria penelitian. Data dikumpulkan menggunakan kuesioner terstruktur kemudian dianalisis melalui uji korelasi Spearman, regresi linear berganda, uji t, uji F, dan koefisien determinasi. Hasil penelitian menunjukkan persepsi dokter terhadap model klaim BPJS Kesehatan berhubungan positif dan signifikan dengan otonomi klinis dokter. Sebaliknya, pemahaman hukum kedokteran tidak menunjukkan pengaruh signifikan terhadap otonomi klinis. Secara simultan kedua variabel berpengaruh signifikan terhadap otonomi klinis dengan nilai Adjusted R² sebesar 0,517, yang menunjukkan kemampuan menjelaskan variasi otonomi klinis sebesar 51,7%, sedangkan sisanya dipengaruhi faktor lain. Temuan ini mengindikasikan bahwa persepsi positif terhadap sistem klaim BPJS lebih berperan dalam mendukung pelaksanaan otonomi klinis dibandingkan pemahaman hukum kedokteran. Optimalisasi administrasi, koordinasi, dan sistem pelayanan diperlukan guna meningkatkan kualitas pelayanan kesehatan berkelanjutan.
Melampaui Resiliensi Individu: Sebuah Narrative Review tentang Burnout dan Turnover Intention pada Dokter dan Perawat Jayantika Sakina Ifnadera; Siti Soekiswati; Yusuf Alam Romadhon
Community Engagement and Emergence Journal (CEEJ) Vol. 7 No. 2 (2026): Community Engagement & Emergence Journal (CEEJ)
Publisher : Yayasan Riset dan Pengembangan Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37385/ceej.v7i2.11653

Abstract

Latar Belakang: Burnout pada tenaga kesehatan telah mencapai tingkat krisis global dengan prevalensi 32-47% pada dokter dan perawat rumah sakit. Sindrom ini membawa implikasi mendalam terhadap stabilitas tenaga kerja, keselamatan pasien, dan keberlanjutan sistem kesehatan. Pandemi COVID-19 telah memperburuk tantangan ini secara dramatis. Tujuan: Menyintesis bukti terkini mengenai hubungan antara burnout dan turnover intention pada dokter dan perawat, mengidentifikasi faktor-faktor kunci, serta mengembangkan kerangka kerja berbasis bukti untuk organisasi kesehatan. Metode: Narrative review mengikuti pedoman SANRA. Pencarian literatur terstruktur dilakukan di PubMed, Scopus, Web of Science, CINAHL, dan Embase (Januari 2010 - Maret 2025). Sebanyak 100 artikel peer-review diseleksi untuk sintesis. Model Job Demands-Resources (JD-R) berfungsi sebagai kerangka teoretis utama. Hasil: Lima temuan utama diperoleh: (1) Prevalensi burnout sebesar 32% pada dokter dan 47% pada perawat, dengan angka lebih tinggi di ICU (71,6%) dan UGD (64%); (2) Burnout meningkatkan turnover intention 3-4 kali lipat (OR 3,10-3,79); (3) Prediktor terkuat adalah faktor sistemik, yaitu ketidakcukupan staf (54%), lingkungan kerja buruk (34%), lembur wajib (β=0,395), kekerasan di tempat kerja (74-97%), dan work-life interference (OR 1,72); (4) Tenaga kesehatan memprioritaskan intervensi organisasi dibandingkan program individu; (5) Intervensi efektif meliputi rasio staf wajib, terapi seni kreatif, dan program mentorship. Kesimpulan: Burnout dan turnover intention terutama didorong oleh faktor sistemik, bukan defisit resiliensi individu. Organisasi kesehatan harus beralih dari membangun resiliensi individu menuju penciptaan sistem kesehatan yang resilien melalui reformasi struktural.
The Effect of Compensation on Work Productivity of Physiotherapists in Yogyakarta Daru Kumoro Cipto Jati; Umi Budi Rahayu; Siti Soekiswati; Dwi Rosela Komala Sari
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.6040

Abstract

The growing demand for physiotherapy services has challenged work productivity and job satisfaction among physiotherapists in many healthcare facilities. Inadequate financial compensation is a primary source of stress that can affect both job satisfaction and productivity. This study aims to analyze the effect of compensation on the work productivity of physiotherapists in Yogyakarta. This study employed a quantitative method with a correlational design. The sample consisted of 75 physiotherapist respondents in Yogyakarta, selected using total population sampling. The independent variable was compensation, and the dependent variable was work productivity, which was measured using a questionnaire. Data were analyzed using Simple Linear Regression analysis with SPSS version 27. The results show that compensation has a significant positive effect on work productivity (b = 0.768; t-test = 7.131; p < 0.001) and job satisfaction (b = 0,750; t-test = 5,122; p<0,001) among physiotherapists in Yogyakarta. This indicates that better compensation for physiotherapists in Yogyakarta will improve their work productivity. It is recommended that a policy be established to standardize compensation, making it fairer and more proportional according to physiotherapists workload and qualifications. This policy should institute clear and uniform regulations governing the calculation of salaries and allowances for all physiotherapists, thereby eliminating arbitrariness and ensuring accountability.
Co-Authors Abdullah Al Mamun Absori Agung Cuby Hantoro Aminuddin Mustaffa Anton Agus Setyawan Arief Budiman Arief Budiono Arif Pristianto Ayu Khoirotul Umaroh Azahra Khansa Muza Baskoro, Wisnu Basuki, Muhammad Nur Aji Burhannudin Ichsan Cahyaningrum, Rina Asih Budi Daru Kumoro Cipto Jati Dewi Iriani Dian Purworini Dilla, Natasya Salsa Dwi Rosela Komala Sari Dzikri, Dykall Naf’an Eka Cahya Ningsih Erna Herawati Fajri, Ainun Nuril Faturohit Rois Imron Santoso Fauziah, Nida Faradisa Flora Ramona Sigit Prakoeswa Galang Liwandika Hantoro, Agung Cuby Ichsan, Burhannuddin Ichsan, Burhanudin Ida Wulandari Iin Novita Nurhidayati Mahmuda Imron Marsyadi, Muhammad Afi Jayantika Sakina Ifnadera Kencana, Nabila Safhira Titan Laila Cahya Ratnasari Leny Widio Wati Lestari, Nining Liwandika, Galang Mahensa, Noval Gentha Maslahah, Syah Fillia Nurul Maulana Adjie Nugroho Muhammad Irfan Zahran Muhammad Nur Aji Basuki Muhammad Shoim Dasuki Muzakar Isa Nanda Hani Nur Pertiwi Nida Faradisa Fauziyah Nining Lestari Novyanti Setiyo Rini Pradetyawan, Pradetyawan Pradhana Satria Pinandhita Rafika Surya Putra Pratama Rahmad Dhani Rujito Ratih Pramuningtyas Retno Sintowati Rizka Sabrina Cantika Putri Sandrana Sahilah Ermawati Sany Ayu Kurniawati SEPTIANA SEPTIANA Silvia Rahma Maulida Sri Fatmiyati Sulistyani Sulistyani Sulistyani Sulistyani Surawijaya Bakhtiar Kaslam Syah Fillia Nurul Maslahah Tanjung Anitasari Indah Kusumaningrum Tri Agustina Umi Budi Rahayu Utami, Shindy Yudha Wardah Yuspin Wirayudha, Yan Yuni Prastyo Kurniati Yurita, Irma Yusuf Alam Romadhon Zavier Ferodova Al Fitroh Zemba Riski Maranti Zulia Setiyaningrum