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Studi Fenomenologi Tantangan dan Solusi Kreatif Perawat Case Manager dalam Meningkatkan Kualitas Pelayanan Pasien di Rumah Sakit Widya Agustin Faidhatul Ulfa; Ratna Agustin; Ida Agustiningsih
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25538

Abstract

Background: One of the service models to maintain the quality of service in the Hospital is case management, driven by the Case Manager who is generally responsible for the coordination and continuity of patient services. However, over time, the Case Manager profession has not been optimal in implementing its roles and functions, causing problems in services, namely lack of continuity of service, ineffective management of patient flow, and lack of efficiency of service costs that affect the quality of service. The purpose of this study is to describe the Case Manager's strategy in implementing its role and function to improve the quality of service at Siti Khodijah Sepanjang Hospital. Methods: The type of qualitative research with a phenomenological approach, the number of Case Manager and PPA informants is 6, data is obtained through in-depth interviews, observation and documentation. Results: The Based on the research results, 6 themes were obtained, namely qualifications, role and function implementation strategies, completeness of documents, readiness of reporting systems, quality of service, and obstacles. The implementation of the role and function of the Case Manager has been running well but has not been optimal because there are still obstacles, namely the adequacy of the number of Case Manager HR, multi-roles, and patient complaints. The strategy carried out by the Case Manager is to collaborate with patients and families and coordinate with the head of the room, unit team, related DPJP so that the Case Manager can monitor the patients they manage, and coordinate with casemix for financing. Conclusion: Case Manager's strategy in implementing its roles and functions is important in helping to improve the quality of service. The dominant roles and functions are the cost control role and the service coordination function
Comorbid Diabetes Mellitus in Patients with Coronavirus Disease 2019: A Literature Review Suyatno Hadi Saputro; Ratna Agustin; Sri Wahyuni; Nur Mukarromah
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i1.26579

Abstract

Diabetes Mellitus (DM) is one of the risk factors faced by COVID-19 patients. diabetics aged >60 years, uncontrolled blood sugar levels, and the presence of complications from diabetes with a poor COVID-19 prognosis. In China, the death percentage of diabetics who contracted COVID-19 was 7.3%. In Italy, 36% of deaths in COVID-19 patients are related to diabetes. This study aims to analyze a comprehensive summary of the article Comorbid Diabetes Mellitus in Coronavirus Disease (COVID-19) Patients. Using the literature review method. PubMed, Science Direct and Medica Hospitalia databases. Inclusion criteria: articles on comorbid diabetes mellitus in COVID-19 patients, causes and effects on comorbid diabetes in COVID-19 patients, years from the end of 2019 to 2021, using English and Indonesian, Journal Article and Research article types, availability abstract and full text, Medline journal category. keyword Diabetes Mellitus, COVID-19 obtained 10 articles. COVID-19 patients with diabetes mellitus exhibit a wide range of severity, many of which weigh. Factors whose severity is characterized by age ranging from 50 to 70 years, a history of hypertension, signs and symptoms that are often experienced by COVID-19 patients with diabetes are dyspnea and weakness, laboratory findings show an increase in neutrophils, C-protein reactive, erythrocyte sedimentation rate, procalcitonin, D-dimer, and decreased lymphocytes and albumin. The radiological findings showed a picture of bilateral pneumonia on CT-scan results. The severity and mortality rates vary widely, the severity ranges from 11.1% to 42.4%, and the mortality rate ranges from 15.4% to 42.9%. Comorbidities of diabetes mellitus can increase the severity of COVID-19 patients, there are factors that are related to age, hypertension, symptoms of dyspnea and weakness, inflammation, increased coagulation activity, bilateral pneumonia, high severity and mortality.