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Abiddin, Andi Hayyun
Poltekkes Kemenkes Malang
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RELAKSASI NAFAS DALAM KOGERTA TERHADAP PENURUNAN TEKANAN DARAH PADA KLIEN HIPERTENSI Mujito Mujito; Sri Mugianti; Andi Hayyun Abiddin
Jurnal Kesehatan Vol. 14 No. 2 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v14i1.366

Abstract

Relaksasi nafas dalam kogerta salah satu terapi non farmakologis pada klien hipertensi yang dilakukan dengan cara menarik nafas melalui hidung secara maksimal dan lambat kemudian menghembuskan nafas melalui mulut secara perlahan dengan kombinasi berbagai gerakan tangan yang terdiri dari gerakan pemanasan, inti, dan pendinginan. Tujuan penelitian untuk mengidentifikasi efektifitas latihan teknik relaksasi nafas dalam kogerta terhadap penurunan tekanan darah klien hipertensi. Desain penelitian yang digunakan pra eksperimental one group pretestt-posttest design. Populasi penelitian ini adalah seluruh klien hipertensi di desa Kesamben Kabupaten Blitar yang berjumlah 58 orang. Teknik sampling yang digunakan Purposive sampling, besar sampel sebanyak 30 klien hipertensi primer yang memenuhi kriteria inklusi diantaranya bersedia menjadi responden, rentang usia 45 tahuan – 70 tahun, pengukuran tekanan darah ≥ 140/90 mmHg dan tidak sedang mendapatkan terapi farmakologis. Sedangkan kriteria eksklusi yakni klien dengan penyakit kronis (jantung, diabetes mellitus, gagal ginjal, dan lain-lain). Pengumpulan data dilakukan dengan cara pengukuran tekanan darah saat pretest dan postes. Analisis menggunakan paired t-test dengan p: a<0,05. Hasil penelitian menunjukkan rata-rata nilai tekanan darah untuk pretestt systole 162,33 mmHg dan diastole 94,55 mmHg dan posttest systole 147,17 mmHg dan diastole 86,36 mmHg. Hasil analisis didapatkan nilai p=0,000. Latihan teknik relaksasi nafas dalam kogerta efektif dalam menurunkan tekanan darah klien hipertensi. Klien hipertensi diharapkan menggunakan teknik relaksasi nafas dalam kogerta sebagai alternatif terapi non farmakologis untuk menurunkan tekanan darah.Kata Kunci: Relaksasi; Nafas Dalam; Hipertensi Abstract Deep breathing relaxation is a non-pharmacological therapy for hypertensive clients which is done by inhaling through the nose maximally and slowly then exhaling through the mouth slowly with a combination of various hand movements consisting of heating, core, and cooling movements. The purpose of this study is to identify the effectiveness of Kogerta deep breathing relaxation techniques in reducing blood pressure in hypertensive clients. The research design used was a pre-experimental one group pretestt-posttest design. The population were all hypertensive clients in Kesamben village with 58 respondents. The sampling technique used was purposive sampling, a sample size of 30 primary hypertension clients who met the inclusion criteria including willing to be respondents, age range 45-70 years, blood pressure measurement ≥ 140/90 mmHg and did not currently receiving pharmacological therapy. While the exclusion criteria were clients with chronic diseases (heart, diabetes mellitus, kidney failure, etc.). Data collection was carried out by measuring blood pressure during the pretest and posttest. Paired t-tests was used for analysis and obtained p = 0.000. The results showed an average blood pressure value for the pretestt systole was 162.33 mmHg and diastole by 94.55 mmHg, while the posttest systole was 147.17 mmHg and diastole was 86.36 mmHg. Kogerta deep breathing relaxation technique exercise is effective in reducing the blood pressure of the hypertensive clients. The hypertensive clients are expected to use the kogerta deep breathing relaxation techniques as an alternative to non-pharmacological therapy to reduce their blood pressure.Keywords: Relaxation; Deep Breathing; Hypertension
PENGEMBANGAN PERMAINAN TRADISIONAL MUL-MULAN SEBAGAI MEDIA EDUKASI JARING-PTM PADA ANAK REMAJA Mujito Mujito; Tri Cahyo Sepdianto; Andi Hayyun Abiddin
Jurnal Kesehatan Vol. 15 No. 1 (2024)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v15i1.402

Abstract

Penyakit tidak menular (PTM) saat ini semakin meningkat, tidak hanya terjadi pada dewasa, namun juga terjadi pada remaja. Promosi kesehatan salah satu cara dalam mencegah penyakit tidak menular. Promosi perilaku hidup sehat dengan perilaku Cerdik pada anak remaja merupakan upaya dini pencegahan faktor risiko penyakit tidak menular. Tujuan penelitian ini menghasilkan media edukasi Jaring-PTM untuk meningkatkan perilaku pencegahan penyakit tidak menular pada anak remaja. Penelitian ini menggunakan desain Research and Development dengan prosedur pengembangan ADDIE. Subyek penelitian yaitu 10 responden guru dan tenaga pendidikan sebagai partisipan focus group discussion (FGD), dan 60 responden siswa Madrasah Aliyah Negeri Kota Blitar tahun 2021 sebagai subyek dalam perancangan media yang diambil menggunakan teknik porpusive sampling yang sesuai dengan kriteria inklusi: siswa kelas XI dan bersedia menjadi responden. Obyek yang diteliti adalah kualitas, kepraktisan serta efektifitas media. Pengambilan data menggunakan wawancara, diskusi terarah, check list dan kuesioner. Data dianalis secara univariat dengan menyajikan frekuensi dan persentase. Pengukuran kualitas media dari ahli materi, skor 84% Layak, ahli media, skor 75% Layak. Pengukuran kepraktisan dari responden: uji coba 1 diperoleh rerata skor 86% Sangat Layak dan skor praktisi 81% Layak, uji coba 2 diperoleh rerata skor 82% Layak dan dari praktisi skor 86% Sangat layak. Kesimpulannya media edukasi Jaring-PTM sangat layak dimanfaatkan sebagai media belajar dalam pencegahan PTM dengan perilaku Cerdik. Tenaga pendidik diharapkan mampu menggunakan media edukasi Jaring-PTM sebagai media alternatif dalam edukasi kesehatan di sekolah sesuai kearifan lokal.Kata Kunci: Pengetahuan; Sikap; Media Edukasi; Jaring-PTM Abstract Non-communicable diseases (NCDs) are currently increasing, not only occurring in adults, but also in teenagers. Health promotion is one way to prevent non-communicable diseases. Promotion of healthy living behavior with smart behavior in teenagers is an early effort to prevent risk factors for non-communicable diseases. The aimed of this research is to produce Jaring-PTM educational media to improve non-communicable disease prevention behavior in teenagers. This research used a Research and Development design with the ADDIE development procedure. The research subjects were 10 respondents from teachers and education personnel as focus group discussion (FGD) participants, and 60 respondents from Blitar City State Madrasah Aliyah students in 2021 as subjects in media design who were taken using a porpusive sampling technique in accordance with the inclusion criteria: class XI students and willing to be a respondent. The objects studied are the quality, practicality and effectiveness of the media. Data collection used interviews, focused discussions, check lists and questionnaires. Data were analyzed univariately by presenting frequencies and percentages. Measuring media quality from material experts, score 84% Decent, media experts, score 75% Decent. Measurement of practicality from respondents: trial 1 obtained an average score of 86% Very Feasible and a practitioner score of 81% Feasible, trial 2 obtained an average score of 82% Feasible and from practitioners a score of 86% Very feasible. In conclusion, the Jaring-PTM educational media was very suitable to be used as a learning medium in preventing NCDs with smart behavior. Educators are expected to be able to use the Jaring-PTM educational media as an alternative media in health education in schools according to local wisdom.Keywords: Knowledge; Attitude; Educational Media; Jaring-PTM
The Effectiveness of Swimming Intervention and Supplementary Feeding on the Growth of Malnourished Children Zakiyah, Risa Arina; Abiddin, Andi Hayyun
Health Gate Vol 4, No 1 (2026): January
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg4101

Abstract

Malnutrition has remained a public health issue both regionally and globally. This condition resulted from inadequate nutritional intake, both in terms of quality and quantity, as well as health problems that interfered with the absorption and utilization of nutrients. This study aimed to analyze the effectiveness of swimming intervention and supplementary feeding on the growth of malnourished children in Kepanjenkidul District. The research employed a quantitative method with a pre-experimental one-group pretest-posttest design, conducted in Kepanjenkidul District, Blitar City, from January to March 2025. The sample consisted of 20 respondents selected using purposive sampling. Data were collected using a digital scale, stadiometer, observation forms, and questionnaires. The analysis was carried out using univariate and bivariate methods with a paired t-test statistical analysis. The results of the study showed that there was a difference in growth status before and after the swimming intervention, with a p-value of 0.000. There was no difference in weight before and after the swimming intervention, with a p-value of 0.042. There was a significant difference in the effectiveness of the swimming intervention combined with supplementary feeding, with a p-value of 0.000. This study contributed to the development of knowledge in the field of child health and nutrition and served as a reference for future research regarding interventions for malnourished children.
Baby Kit for Disaster sebagai Inovasi Kesiapsiagaan Ibu dalam Menghadapi Bencana di Kawasan Rawan Bencana Khodijaturrohmah, Anggraini; Abiddin, Andi Hayyun; Anam, Agus Khoirul
Malahayati Nursing Journal Vol 8, No 1 (2026): Volume 8 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i1.23765

Abstract

ABSTRACT Disaster situations place vulnerable groups—such as pregnant and breastfeeding mothers, infants, children, the elderly, persons with disabilities, and individuals with chronic illnesses—as priority populations in rescue and health service efforts. Children are often overlooked during the preparedness phase, indicated by limited resource availability, risk of separation from parents, increased health problems, and limited ability to protect themselves. Previous research identified the lack of research-based disaster emergency bags specifically designed to meet infant and child needs. This study aims to develop a Baby Kit for Disaster as an innovation to enhance family preparedness in disaster-prone areas. A Research and Development (RD) design using the ADDIE model was employed, including needs analysis, product design, and development through production, expert validation, and revision. Inclusion criteria included mothers with infants aged 0–24 months living in disaster-prone areas of Blitar City, while exclusion criteria included mothers with cognitive impairment or unwillingness to participate. The study was conducted at Lembaga Pendidikan Jiwa, Blitar City, in September 2025. Needs analysis indicated the necessity for a practical, safe, accessible, and functional emergency kit supporting infant care, including food, clean water, breastfeeding needs, and primary health items. The Baby Kit for Disaster is expected to serve as an effective solution to strengthen family preparedness and ensure infant safety and health during disasters.  Keywords: Disaster Preparedness, Baby Kit for Disaster, Vulnerable Groups, RD ADDIE.  ABSTRAK Situasi bencana menempatkan kelompok rentan seperti ibu hamil dan menyusui, bayi, anak-anak, lansia, penyandang disabilitas, dan individu dengan penyakit kronis sebagai prioritas utama dalam proses penyelamatan dan pelayanan kesehatan. Anak-anak sering terabaikan dalam tahap kesiapsiagaan, ditandai dengan kurangnya sumber daya, risiko terpisah dari orang tua, serta keterbatasan kemampuan melindungi diri. Penelitian sebelumnya menunjukkan masih minimnya pengembangan tas siaga bencana berbasis riset untuk kebutuhan khusus bayi dan anak. Penelitian ini bertujuan mengembangkan Baby Kit for Disaster sebagai inovasi kesiapsiagaan keluarga dalam menghadapi bencana . Metode yang digunakan adalah Research Development (RD) dengan model ADDIE, mencakup analisis kebutuhan, perancangan desain, dan pengembangan produk melalui proses pembuatan, validasi ahli, dan revisi. Kriteria inklusi meliputi ibu dengan bayi usia 0–24 bulan yang berdomisili di kawasan rawan bencana Kota Blitar, sedangkan eksklusi mencakup ibu dengan gangguan kognitif atau menolak berpartisipasi. Penelitian dilakukan di Lembaga Pendidikan Jiwa Kota Blitar pada September 2025. Analisis kebutuhan menunjukkan perlunya perlengkapan darurat bayi yang praktis, aman, tepat guna, dan mudah dijangkau, khususnya terkait makanan, air, perawatan bayi, dan kebutuhan ASI. Produk Baby Kit for Disaster diharapkan menjadi solusi efektif dalam meningkatkan kesiapsiagaan keluarga untuk melindungi kesehatan dan keselamatan bayi pada situasi bencana Kata Kunci: kesiapsiagaan Bencana, Baby Kit for Disaster, RD ADDIE.
Salary Satisfaction, Workload, and Job Satisfaction with Turnover Intention of Health Workers Setyono, Agus; Ellina, Agusta Dian; Puspitasari, Yenny; Abiddin, Andi Hayyun
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 3 (2025): Volume 7 Nomor 3 Desember 2025
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i3.922

Abstract

One option for community health services is the community health center (Puskesmas). Puskesmas can adaptably enhance health services by using the Regional Public Service Agency Financial Management Pattern (PPK-BLUD). However, it will affect health care by increasing the desire of health workers to leave if it is not backed by effective human resource management. The purpose of this study is to ascertain how health workers' intentions to leave their jobs relate to their workload, job satisfaction, and wage satisfaction. Using all 418 BLUD contract workers from 37 Puskesmas in Kediri Regency as the population, a cross-sectional design was employed. 204 participants who satisfied the inclusion criteria namely, having been employed as a contract employee at the Kediri Regency Health Center for more than six months were selected through the use of a straightforward random sample procedure. Data were gathered by a questionnaire in December 2023. Multiple linear regression was employed in the data analysis. The results showed that there was a significant relationship between workload (p-value = 0,001) and job satisfaction (p-value = 0,043) with turnover intention; however, salary satisfaction was not associated with turnover intention (p-value = 0,169). Long-term organizational success depends on effective planning as a method to enhance service quality. Puskesmas can hire BLUD contract workers based on employee payroll needs and strengths by implementing PPK-BLUD.
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure Saleh, Muhammad; Kusumawati, Prima Dewi; Nurwijayanti; Wulandari, Ning Arti; Abiddin, Andi Hayyun
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p161-169

Abstract

Management of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits.
Kesiapan Implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat Kunaifi, Afif; Indasah, Indasah; Ellina, Agusta Dian; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21339

Abstract

ABSTRACT Every individual has the right to obtain an equal standard of physical and mental health. The state is obliged to create quality health services and address health disparities caused by poverty, stigma, and discrimination. This study aims to analyze the readiness of the implementation of Standard Inpatient Classes at Sidoarjo Barat Regional Hospital. The research method in this study is qualitative with a case study approach. This study was conducted in March-April 2025. The data collection technique was with in-depth interviews with 30 informants. The informants in this study were several management ranks, Installation Coordinators, Midwives, and Nurses at Sidoarjo Barat Regional Hospital. The results of the study indicate that the West Sidoarjo Regional Hospital has met the minimum standards for facilities and infrastructure according to the 12 KRIS criteria. Funding for the implementation of KRIS at the West Sidoarjo Regional Hospital comes from the APBD (20%) and BLUD (80%) with consideration of budget flexibility, but requires additional health workers, especially nurses, to support the readiness of the implementation of KRIS, and strategic planning is needed regarding the policies implemented so as not to reduce the quality of hospital services, because the decline in the quality of service can reduce the interest of patient visits. In addition, the KRIS policy from the central government is still unclear and raises many questions, and the lack of socialization is feared to cause patient confusion, potentially reducing patient trust and visits to the West Sidoarjo Regional Hospital. Keywords: KRIS, BPJS, Readiness, Hospital, Facilities and Infrastructure.  ABSTRAK Setiap individu memiliki hak untuk mendapatkan standar kesehatan fisik dan mental yang setara. Negara berkewajiban menciptakan layanan kesehatan berkualitas serta mengatasi kesenjangan kesehatan yang disebabkan oleh kemiskinan, stigma, dan diskriminasi. Penelitian ini bertujuan untuk menganalisis kesiapan implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat. Metode penelitian dalam penelitian ini adalah kualitatif dengan pendekatan studi kasus. Penelitian ini dilakukan pada bulan Maret-April 2025. Teknik pengumpulan data  dengan indepth interview bersama 30 informan. Informan dalam penelitian ini merupakan beberapa jajaran manajemen, Koordinator Instalasi, Bidan, dan Perawat di RSUD Sidoarjo Barat. Hasil penelitian menunjukkan bahwa RSUD Sidoarjo Barat telah memenuhi standar minimal sarana dan prasarana sesuai 12 kriteria KRIS, Pendanaan implementasi KRIS di RSUD Sidoarjo Barat bersumber dari APBD (20%) dan BLUD (80%) dengan pertimbangan fleksibilitas anggaran, namun membutuhkan penambahan tenaga kesehatan, khususnya perawat, guna mendukung kesiapan implementasi KRIS, serta diperlukan perencanaan strategis mengenai kebijakan yang diterapkan agar tidak menurunkan mutu pelayanan rumah sakit, karena dengan menurunnya mutu pelayanan dapat mengurangi minat kunjungan pasien.Selain itu, kebijakan KRIS dari pemerintah pusat masih belum jelas dan menimbulkan banyak pertanyaan, serta kurangnya sosialisasi dikhawatirkan menyebabkan kebingungan pasien, berpotensi menurunkan kepercayaan dan kunjungan pasien ke RSUD Sidoarjo Barat. Kata Kunci: KRIS, BPJS, Kesiapan, Rumah Sakit, Sarana Prasarana.
Peran Tenaga Kesehatan, Edukasi Kesehatan dan Dukungan Suami terhadap Minat Penggunaan Kontrasepsi pada Pasangan Usia Subur Dwiwati, Endang; Puspitasari, Yenny; Kusumawati, Prima Dewi; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21166

Abstract

ABSTRACT Recently, high population is still a major problem faced by Indonesia. Controlling population growth through Long-Term Contraceptive Methods (LTMs) is one effort to realize quality families. However, users of LTMs in Indonesia have not yet met the target. The purpose of this study was to determine the effect of the roles of health workers, health education, and husbands' support on the interest in using Long-Lasting Mosquito Nets (LLMs) in fertile couples (PUS) in Palu City. This study used an observational research design with a cross-sectional approach. The population in this study consisted of fertile couples in Palu City, totaling 51,201 people. The sampling technique used was probability sampling with a simple random sampling approach, obtaining a sample of 381 respondents. Data analysis used logistic analysis. The results showed that the role of health workers, with a significance level of 0.011, husband's support with a significance level of 0.014 influenced the interest in using LTMs in Fertile Couples, while health education with a significance level of 0.111 did not influence the interest in using LTMs in Fertile Couples in Palu City. In shaping public perceptions of the use of contraceptives, health workers must have an active and positive role. A comprehensive approach is needed after providing education that not only focuses on delivering information but also on overcoming other obstacles. Involving husbands is essential to achieving effective family planning goals. Keywords: Health Workers, Health Education, Husband's Support, Interest in Use, Long-Term Contraceptive Methods.  ABSTRAK Jumlah penduduk yang masih tinggi masih menjadi masalah utama yang dihadapi Indonesia saat ini. Pengendalian pertumbuhan penduduk melalui Metode Kontrasepsi Jangka Panjang (MKJP) salah satu upaya mewujudkan keluarga berkualitas. Namun, pengguna Metode Kontrasepsi Jangka Panjang Di Indonesia masih belum memenuhi target. Tujuan penelitian ini adalah Untuk mengetahui pengaruh peran tenaga kesehatan, edukasi kesehatan dan dukungan suami terhadap minat penggunaan Metode Kontrasepsi Jangka Panjang pada pasangan usia subur (PUS) di Kota Palu. Penelitian ini menggunakan desain penelitian observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasangan usia subur di Kota Palu sebanyak 51.201 orang. Teknik pengambilan sampel menggunakan probability sampling dengan pendekatan simple random sampling diperoleh sampel sebanyak 381 responden. Analisis data menggunakan analisis logistik. Hasil penelitian menunjukkan bahwa peran tenaga kesehatan dengan tingkat signifikasi sebesar 0,011, dukungan suami dengan tingkat signifikasi sebesar 0,014 berpengaruh terhadap minat penggunaan MKJP pada Pasangan Usia Subur, sedangkan edukasi kesehatan dengan tingkat signifikasi sebesar 0,111 tidak berpengaruh terhadap minat penggunaan MKJP pada Pasangan Usia Subur di Kota Palu. Dalam membentuk persepsi masyarakat terhadap penggunaan alat kontrasepsi, tenaga kesehatan harus memiliki peran yang aktif serta positif. Perlu pendekatan yang komperhensif setelah memberikan edukasi yang tidak hanya fokus pada penyampaian informasi saja, namun juga mengatasi hambatan-hambatan lainnya. Upaya melibatkan suami sangat penting untuk mencapai tujuan perencanaan keluarga efektif. Kata Kunci: Tenaga Kesehatan, Edukasi Kesehatan, Dukungan Suami, Minat Penggunaan, Metode Kontrasepsi Jangka Panjang.
Strategi Percepatan Kemandirian Keuangan Badan Layanan Umum Daerah RSUD Sidoarjo Barat Mawarni, Amelia Indah; Melda, Byba; Kusumawati, Prima Dewi; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21233

Abstract

ABSTRACT Unstable income, low Cost Recovery Rate, and high budget subsidies from the Regional Budget/National Budget are challenges faced by the West Sidoarjo Regional General Hospital, which disrupt health services. The purpose of this study is to explore the strategies implemented by the West Sidoarjo Regional General Hospital using the Balanced Scored Card. The research design employs a qualitative case study approach, utilizing a purposive sampling technique. The number of samples is 16 respondents, consisting of 12 main informants and 4 triangulator informants. The analysis was carried out using qualitative analysis based on the Balanced Scorecard, employing a 4-perspective approach: the Financial Perspective, Customer Perspective, Internal Business Perspective, and Learning and Growth Perspective. The results of the study show that the greatest weight in the strategy to accelerate financial independence is the customer perspective. The customer perspective describes the trend of increasing patient visits caused by the opening of new services, patient satisfaction with services, and the closure of competing hospitals for BPJS services. The Internal Business Perspective describes business growth from the health and non-health sectors such as asset optimization, cooperation, and acceptance of educational services. The learning and growth perspective describes the BERAKHLAK culture that has been implemented by employees, increasing employee competency through internal and external training, increasing work motivation through reward and punishment and support from the APBD budget for training. RSUD Sidoarjo Barat is not yet financially independent due to insufficient income to finance operational expenses. RSUD Sidoarjo has only been operational for 3 years; the health services that have been opened are not yet optimal, patient visits are still unstable, dependence on BPJS patients and inefficient financial management. Acceleration strategies in increasing BLUD's financial independence with service diversification, budget efficiency, asset optimization, promotion, and cooperation. Keywords : Regional Public Service Agency, Balance Scored Card, Cost Recovery Rate, Financial Independence, Revenue.    ABSTRAK Pendapatan yang belum stabil, Cost Recovery Rate rendah dan tingginya subsidi anggaran dari APBD/APBN menjadi tantangan yang dihadapi RSUD Sidoarjo Barat yang menyebabkan terganggunya pelayanan kesehatan. Tujuan penelitian ini adalah mengeksplore strategi yang dilakukan RSUD Sidoarjo Barat menggunakann Balanced Scored Card. Desain penelitian  menggunakan kualitatif  pendekatan studi kasus dengan teknik purposive sampling. Jumlah sampel sebanyak 16 responden, terdiri dari 12 informan utama dan 4 informan triangulator. Analisa dilakukan dengan analisis kualitatif berdasarkan Balanced Score Card menggunakan pendekatan 4 perspektif yaitu Perspektif Keuangan, Perspektif Pelanggan, Perspektif Bisnis Internal dan Perspektif Pembelajaran dan Pertumbuhan. Hasil penelitian menunjukkan bobot terbesar dalam strategi percepatan kemandirian keuangan adalah prespektif pelanggan. Perspektif pelanggan menggambarkan trend kenaikan kunjungan pasien yang disebabkan pembukaan layanan baru, kepuasan pasien atas layanan dan ditutupnya rumah sakit pesaing atas layanan BPJS. Perspektif Bisnis Internal menggambarkan pertumbuhan bisnis dari sektor kesehatan dan non kesehatan seperti optimalisasi aset, kerjasama dan penerimaan layanan pendidikan. Perspektif pembelajaran dan pertumbuhan menggambarkan budaya BERAKHLAK yang sudah diimplementasikan oleh pegawai, peningkatan kompetensi pegawai melalui pelatihan internal eksternal, peningkatan motivasi kerja melalui reward punishment dan dukungan anggaran APBD untuk pelatihan. RSUD Sidoarjo Barat belum mandiri secara keuangan yang disebabkan belum tercukupinya pendapatan untuk pembiayaan belanja operasioan, RSUD Sidoarjo masih 3 tahun beroperasional, belum optimalnya layanan kesehatan yang dibuka, masih belum stabilnya kunjungan pasien, ketergantungan pada pasien BPJS dan manajemen keuangan yang belum efisien. Strategi percepatan dalam meningkatkan kemandirian keuangan BLUD dengan diversifikasi layanan, efisiensi anggaran, optimalisasi aset, promosi dan kerjasama. Kata Kunci: Badan Layanan Umum Daerah, Balance Scored Card, Cost Recovery Rate, Kemandirian Keuangan, Pendapatan.
Manajemen Penanganan Klaim Pending Rawat Inap Jaminan Kesehatan Nasional Sari, Dyah Indira; Imum, Sentot; Prasetyo, Joko; Anam, Agus Khoirul; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21039

Abstract

ABSTRACT Inpatient claims under the National Health Insurance (JKN) submitted to BPJS Health are not always fully approved for payment; some require further confirmation by the hospital (pending). The purpose of this study is to describe the pending inpatient claims, identify the contributing factors, and assess how Human Resource Management, Standard Operating Procedures, and Information Technology availability are applied in handling pending inpatient claims at Sidoarjo Barat Regional Public Hospital. This research uses a qualitative case study approach. The sampling technique applied was purposive sampling, involving 11 informants. Data were collected through interviews, observation, and document analysis. The findings indicated that pending inpatient claims at Sidoarjo Barat Hospital during 2024 and January 2025 accounted for 10% of the total inpatient claims submitted to BPJS Health. The causes of pending claims were predominantly due to coding issues (76%), followed by medical and administrative aspects (each 12%). Effective handling of pending claims requires complete and accurate medical record documentation, effective coordination between the Casemix Team and the Patient’s Attending Physician, enhancement of Casemix Team competencies, development and dissemination of inpatient claim management standard operating procedures, implementation of electronic medical records, alignment of understanding with BPJS Health, and optimization of SIMRS integration with the INA-CBGs e-claim system. Keywords: Pending Claims, Inpatient Care, Human Resources, Standard Operating Procedures, Information Technology.  ABSTRAK Klaim rawat inap Jaminan Kesehatan Nasional yang diajukan ke BPJS Kesehatan tidak sepenuhnya layak terbayar, sebagian masih perlu dikonfirmasi lebih lanjut oleh rumah sakit (pending). Tujuan dari penelitian adalah untuk mengetahui bagaimana gambaran klaim pending rawat inap, mengidentifikasi faktor penyebabnya dan mengetahui bagaimana manajemen Sumber Daya Manusia, Standar Prosedur Operasional dan ketersediaan teknologi informasi dalam menangani klaim pending rawat inap di RSUD Sidoaro Barat. Desain penelitian kualitatif dengan menggunaka pendekatan studi kasus. Teknik sampling yang digunakan adalah teknik purposive sampling sebanyak 11 informan. Pengumpulan data melalui wawancara, observasi dan studi dokumentasi. Hasil penelitian menunjukkan bahwa jumlah kasus klaim pending rawat inap di RSUD Sidoarjo Barat selama tahun 2024 dan Januari 2025 sebesar 10% dari jumlah kasus rawat inap yang diajukan ke BPJS Kesehatan. Faktor penyebab klaim pending disebabkan oleh aspek koding sebesar 76% sedangkan aspek medis dan aspek administrasi masing - masing sebanyak 12%. Penanganan klaim pending diperlukan pendokumentasian rekam medis yang lengkap dan akurat, koordinasi efektif Tim Casemix dengan Dokter Penanggung Jawab Pasien, peningkatan kompetensi Tim Casemix, penyusunan dan sosialisasi standar prosedur operasional pengelolaan klaim rawat inap, implementasi rekam medik elektronik, penyamaan persepsi dengan BPJS Kesehatan, dan optimalisasi bridging SIMRS dengan e-klaim INA CBGs. Kata Kunci: Klaim Pending, Rawat Inap, Sumber Daya Manusia, Standar Prosedur Operasional, Teknologi Informasi.
Co-Authors Acob, Joel Rey U. Adinda Putri, Bulan Nathaniela Agus Khoirul Anam, Agus Khoirul Agus Setyono Agusta Dian Ellina Amalia, Dewi Riska Anggraini Khodijahturrohmah Anggraini Khodijahturrohmah Arif Mulyadi Arif Mulyadi, Arif Arista, Fadila Ayu Atti Yudiernawati, Atti Cabelin Jr, Rolando S Christiana, Ananda Ekka Dewi Rachmawati Dwiwati, Endang Faisal Agus Mustofa Galabay, Jolo Hananti, Freni Susilo Herya Putra Dharma Imum, Sentot Indasah Indriani, Ririn Irawan, Pungky Dwi Joko Prasetyo Khodijaturrohmah, Anggraini Krisnawati, Nawang Wulan Kun Aristiati Susiloretni Kunaifi, Afif Mawarni, Amelia Indah Melda, Byba Mercado, Myrna Mudayatiningsih, Sri Muhammad Saleh Mujito Mujito Mujito Mujito Mujito Mujito, Mujito Nabila, Intan Ning Arti Wulandari, Ning Arti Nurul Pujiastuti Nurwijayanti Oqui, Maximiano Prima Dewi Kusumawati Putri Setyorini, Putri Putri, Dhea Natasya Putri, Maulidya Amalia Rachman, Moh Zainol Ratna Wardani Ratna Wardani Romadhon, Wimar Anugrah Rossyana Septyasih, Rossyana Sari, Dyah Indira Setiyawan, Eltrik Siska Ayu Setya Ningrum Sri Mugianti Sri Wahyuni Sri Winarni Suprajitno Suryani, Pudji Swito Prastiwi, Swito Titik Kurnia Tri Anjaswarni Tri Cahyo Sepdianto Tri Cahyo Sepdianto Ulum, Mohamad Miftachul Wahyuni, Eko Sari Wijayanti, Antik Wiwin Martiningsih Yenny Puspitasari Zahra, Rana Zakiyah, Risa Arina