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Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities Solida, Adila; Amir, Andy; Sari, Rumita Ena; Widiastuti, Fitri
Journal of Applied Nursing and Health Vol. 5 No. 2 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i2.148

Abstract

Background: The incidence of chronic diseases in Jambi City is still high from year to year. The Referback Program (PRB) is one of the government's efforts through BPJS Health in collaboration with health facilities to ensure chronic disease sufferers have easier access to obtain the medicines they need at an efficient cost. This research aims to analyze the main problems of quality control and cost control of PRB implementation in terms of man, material-machine, method, market, money and time elements at FKTP in Jambi City. Methods: The research was conducted using qualitative methods using the perspective of Root Cause Analysis (RCA) theory to form research procedures. The informants consisted of the person in charge of PRB, the head of the community health center and PRB participants at FKTP in Jambi City. The research instrument is a structured interview sheet. Data analysis uses thematic analysis techniques according to the RCA flow Results: The research results found that the main cause of the problem was weak coordination between PRB officers and BPJS Health in implementing PRB at FKTP. Conclusion: It is recommended that BPJS Health be more active in providing outreach and special training to PRB officers as well as setting up a clear monitoring and evaluation system regarding the implementation of PRB in FKTP
Spatial analysis of advanced level health facilities in Jambi city in 2023 Ramadhani, Suci; Noerjoedianto, Dwi; Amir, Andy
Science Midwifery Vol 11 No 6 (2024): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i6.1411

Abstract

Background: The national health insurance system which implements a tiered referral system requires BPJS participants to visit the community health center as a First Level Health Facility (FKTP) before seeking treatment at an Advanced Level Health Facility (FKTl). Research Objective: To determine the availability and distribution of Jambi City Advanced Level (FKTL) facilities. Research method: Quantitative with an exploratory descriptive design. Research results: Show that all sub-districts in Jambi City have been reached by FKTL, Putri Ayu Community Health Center made the most referrals to FKTL at 5,927 due to being close to several FKTL, while the FKTL with the highest referrals was DKT Jambi Hospital, namely around 65,375. The most common illnesses referred to FKTL are hypertension, diabetes mellitus, coronary heart disease, stroke and kidney failure. Raden Mattaher Regional Hospital is a hospital that receives many referrals for this disease, one of the reasons is because it has the largest number of specialist doctors in Jambi City. Conclusion: The distribution of Jambi City Hospitals is quite even, the number of FKTL referrals can be influenced by the distance or distribution of health centers close to the FKTL and the availability or ability of medical personnel to treat referral diseases.
Upaya Perubahan Perilaku Penderita Hipertensi Menghemat Biaya Kesehatan Melalui Sosialisasi Bahaya Katastropik di Wilayah Puskesmas Talang Bakung Solida, Adila; Amir, Andy; Ena Sari, Rumita
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 5 No. 1 (2023): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v5i1.27770

Abstract

The prevalence of hypertension in Jambi City has always increased in the last 5 years, including in the working area of ​​the Talang Bakung Health Center. On the other hand, the costs of treating and treating hypertension that must be borne by the community are relatively high, especially if complications occur and are not covered by insurance, so there is a risk of catastrophic expenses that trigger the fragility of the household economy due to illness. The purpose of the service activity is to provide education and outreach about hypertension and its impact on health costs. The activity was attended by 30 participants with hypertension in the Talang Bakung Health Center area. The core activities include providing education about hypertension and its impact on health costs, socializing catastrophic hazards and socializing various supporting programs from the Government. The results of the activity showed that 80% of the participants experienced a significant increase in knowledge and there was a difference in the participants' knowledge between before and after the PPM activity (p=0.000). It is recommended to the Government and Puskesmas to increase campaign efforts to mobilize the community to adopt a healthy and proactive lifestyle in various health programs that support saving health costs so as to avoid catastrophic expenses.
ULKUS DIABETIKUM DENGAN TEKNIK PERAWATAN MOIST WOUND HEALING Andi Subandi; Andy Amir; Muhammad Taqwa
PEDAMAS (PENGABDIAN KEPADA MASYARAKAT) Vol. 1 No. 04 (2023): NOVEMBER 2023
Publisher : MEDIA INOVASI PENDIDIKAN DAN PUBLIKASI

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Abstract

Kondisi metabolik yang disebut diabetes didefinisikan oleh peningkatan kadar glukosa darah yang lebih tinggi dari biasanya. Ulkus diabetik, juga dikenal sebagai luka diabetik, merupakan akibat dari masalah pembuluh darah dan neuropati yang mempengaruhi ekstremitas bawah. Dengan menjaga luka tetap lembab, perawatan dengan metode moist wound healing yang mempercepat pertumbuhan jaringan dan mempercepat proses penyembuhan. Proyek pengabdian ini bertujuan untuk meningkatkan kesadaran masyarakat akan pentingnya menjaga kesehatan, meningkatkan pengetahuan dan wawasan tentang pengertian merawat luka diabetes (ulkus), dan mengedukasi masyarakat mengenai hal tersebut. Kegiatan yang dilakukan di salah satu rumah warga sekitar tersebut diikuti oleh sepuluh orang. Pengabdian ini meliputi serangkaian kegiatan yang meliputi melakukan pre-test, memantau tekanan darah dan gula, memberikan informasi pendekatan moist wound healing (penyembuhan luka lembab) untuk pengobatan ulkus diabetik, dan diakhiri dengan post-test. Berdasarkan hasil evaluasi, pemahaman warga mengenai cara penanganan luka diabetes (ulkus) meningkat setelah mendapat penyuluhan, dan peserta menyatakan antusias terhadap kegiatan tersebut. Alternatif yang paling efektif untuk mengurangi dampak memperdalam luka diabetes adalah dengan melakukan penyuluhan ini
Pelatihan Keselamatan Berkendara Sepeda Motor Bagi Siswa SMK Negeri 4 Kota Jambi Putri, Fitria Eka; Putra, Ashar Nuzulul; Fitri, Adelina; Sari, Rumita Ena; Amir, Andy
BINAKES: Jurnal Pengabdian Kesehatan Masyarakat Vol 5 No 1 (2024): Jurnal Binakes
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35910/binakes.v5i1.812

Abstract

Kecelakaan lalu lintas di jalan raya setiap tahunnya selalu mengalami peningkatan terkait peristiwa terjadinya kecelakaan dan korban jiwa akibat dari kecelakaan. Usia remaja mendominasi korban kecelakaan lalu lintas, dua per tiga kematian berdampak pada usia produktif 18-59 tahun. Tujuan dari kegiatan PPM ini adalah untuk memberikan Pelatihan Keselamatan Berkendara Sepeda Motor Dalam Menekan Angka Kecelakaan Lalu Lintas Bagi Siswa SMK Negeri 4 Kota Jambi. Metode yang digunakan adalah pendekatan kontekstual dan partisipatif, dengan model penyuluhan, pelatihan, dan pemutarab video. Kegiatan pelatihan dan pendampingan siswa pelatihan keselamatan berkendara sepeda motor ini dilaksanakan melalui beberapa tahapan yaitu tahap perencanaan, pelatihan dan evaluasi. Evaluasi kegiatan dilakukan dengan melihat pengetahuan siswi sebelum dan sesudah diberikannya pelatihan didapatkan hasil ada peningkatan nilai rata-rata dan didapatkan nilai p-value 0.0001 < 0.05 artinya terdapat perbedaan yang signifikan antara tingkat pengetahuan sebelum dan sesudah diberikan edukasi. Pengabdian ini terbukti dapat meningkatkan pengetahuan siswi tentang kemanan berkendara sehingga nantinya diharapkan dapat menurunkan angka kecelakaan lalu lintas.
Environmental Health Indicators Affect On The Acheivement Of Community Health Development Index In Tanjung Jabung Timur District Andy Amir; Dwi Noerjoedianto; Andi Subandi
International Journal of Health Engineering and Technology Vol. 1 No. 3 (2022): IJHET-SEPTEMBER 2022
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (559.672 KB) | DOI: 10.55227/ijhet.v1i3.46

Abstract

The Public Health Development Index (IPKM) is composite indicator that describe the progress of health development in a district. Enviromental health is one of the indicator contained in the IPKM. There are 2 sub-indicator for environmental health, access to clean water and access to sanitasion. This research was conducted in Tanjung Jabung Timur regency with the aim of knowing the description of IPKM achivements on environmental health indicator in 2016-2018. Methodology this was quantitative research. This study was conducted 5 months starting from May to October 2021. Data analyzed used public health development index formula that has been determined by calculating weights for each indicator and then used minimum and maximum standars values. This study found that the sub-index value of the group from 2016-2018 continued to increase. In 2016 amounted to 0.111411387, in 2017 amounted to 0.363059484, and in 2018 amounted to 0,696495001. The results of this study indicate that for 3 consecutive years the environmental health conditions have continued to improve towards a better direction, both in terms of access to clean water and access to sanitation. However, it still to improvements access to clean water and access to healthy sanitation so that it evenly distributed for all communities in Tanjung Jabung Timur Regency.
Analysis of Savings Asset Ownership and Duration of Illness on Ability to Purchase First-Level Health Care Facility Services in Jambi City Dwi Noerjoedianto; Andi Subandi; Andy Amir
International Journal of Health Engineering and Technology Vol. 1 No. 3 (2022): IJHET-SEPTEMBER 2022
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (588.791 KB) | DOI: 10.55227/ijhet.v1i3.51

Abstract

To analyze ownership of savings assets and duration of illness on the ability to purchase first-level health care facilities in Jambi City.  This study used a cross sectional design. The research instrument used a questionnaire to 100 independent Non- Assistance Recipients (PBI) BPJS participants with accidental sampling technique. This research data is analyzed quantitatively.  Statistical test shows that there is a relationship between ownership of savings assets and purchasing ability (p value=0.003) and there is no relationship between duration of illness and ability to buy (pvalue=1,000).  There is a relationship between ownership of savings assets and there is no relationship between length of illness and ability to buy. It is expected that first-level health care fasilities with BPJS Health will assist in collecting data on independent JKN participants who cannot afford to pay to convert their membership into PBI participants and disseminate information about JKN to the community in the working area of the Public Health Centre (Puskesmas)
Effect of Service Quality on the utilization of Puskesmas Penerokan Bajubang District Batanghari Regency Andy Amir; Adila Solida; Arnild Augina Mekarisce; Nurmala Sari
International Journal of Health Engineering and Technology Vol. 1 No. 4 (2022): IJHET-NOVEMBER 2022
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.45 KB) | DOI: 10.55227/ijhet.v1i4.78

Abstract

Utilization of Healt Center services in a region can be a reflection of public health status in the region. For 4 (four) consecutive years there was a significant decrease in the number of visits at the Panerokan Health Center, Batanghari Regency. This indicates a decrease in the quality of services at the Panerokan Health Center. This study aims to identify the influence of service quality with the utilization of Panerokan Health Center, Bajubang District, Batanghari Regency. Quantitative research using cross sectional design with a population of 1,549 people. Sample calculation using lemeshow formula, which is as many as 63 samples with accidental random sampling technique. The research instruments used questionnaire sheets, then the data were processed through data editing, data coding, data entry, data cleaning, and data processing, then analyzed univariate, bivariate with chi-square test, and multivariate with double logistic regression test. The results showed that 74.6% utilization of Healt Center included in the good category. There is a significant influence of reliability factor (p-value = 0.007), responsiveness factor (p-value = 0.003), assurance factor (p-value = 0.005), and empathy factor (p-value = 0.000) on the utilization of Healt Center Penrokan. The most dominant factor affecting the utilization of Penerokan Health Center is reliability (OR=0.023). there is the influence of reliability, responsiveness, assurance and empathy to the utilization of Panerokan Health Center. Reliability factor becomes the most dominant factor affecting the utilization of Healt Center. It is recommended that the Panerokan Healt Center conduct periodic evaluations related to the reliability of Healt Center employees in providing services that are in accordance with the provisions and increase responsibility and discipline during working hours.
Risk Factors Associated with the Incidence of Diarrhea in Toddlers in the Working Area of Putri Ayu Health Center, Jambi City in 2025 Rahmalisa Safitri; Andy Amir; Fajrina Hidayati
International Journal of Health Engineering and Technology Vol. 4 No. 2 (2025): IJHET JULY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i2.296

Abstract

Diarrhea in toddlers is one of the main causes of death in children. The Putri Ayu Health Center area in Jambi City is the area with the highest prevalence of diarrhea cases in toddlers in Jambi City, which is (5.1%). This study aims to determine the relationship between clean water facilities, toilets, waste management, waste disposal, maternal employment status, and maternal education with the incidence of diarrhea in toddlers in the Putri Ayu Health Center area in Jambi City in 2025. This type of research is quantitative research with a cross-sectional study design. The population in this study were all mothers of toddlers in the working area of ​​Putri Ayu Health Center, Jambi City. The sample in this study was 70 mothers of toddlers. The sampling technique used proportional random sampling. Data collection used questionnaires and observations, univariate and bivariate data analysis used the chi-square test. The proportion of diarrhea incidence was 37.1%. There was a relationship between toilets (p = 0.036, PR = 2.118), waste management facilities (p = 0.043, PR = 3.556), waste disposal facilities (p = 0.028, PR = 3.849) with the incidence of diarrhea in toddlers. There was no relationship between clean water facilities, maternal employment status, and maternal education with the incidence of diarrhea. The related variables are toilet facilities, waste management facilities and waste disposal facilities. Therefore, it is recommended to maintain the environment, both toilets, waste management and waste disposal.
Analisis Pelaksanaan Sistem Rujukan Terintegrasi (SISRUTE) di RSUD Kolonel Abundjani Bangko Tahun 2025 Afifah Nahla Risti; Arnild Augina Mekarisce; Andy Amir
Jurnal Pendidikan Tambusai Vol. 9 No. 3 (2025): Desember
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sistem Rujukan Terintegrasi (SISRUTE) merupakan platform digital yang dikembangkan Kementerian Kesehatan untuk mempercepat proses rujukan, meningkatkan koordinasi antar fasilitas kesehatan, serta memastikan pasien mendapatkan pelayanan sesuai kompetensi fasilitas. Meskipun implementasinya telah diwajibkan secara nasional, pelaksanaannya di RSUD Kolonel Abundjani Bangko masih menghadapi berbagai kendala seperti keterbatasan sarana prasarana, pemanfaatan perangkat pribadi oleh petugas, jaringan internet yang tidak stabil, kurangnya pelatihan teknis, serta keterlambatan respon dari rumah sakit tujuan. Penelitian ini bertujuan menganalisis pelaksanaan SISRUTE pada aspek input, activities, dan output menggunakan pendekatan deskriptif kualitatif. Informan penelitian meliputi petugas SISRUTE, kepala ruangan, dan unsur manajemen rumah sakit. Data diperoleh melalui wawancara mendalam, observasi, dan telaah dokumen, kemudian dianalisis menggunakan teknik reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa aspek input belum optimal karena keterbatasan SDM terlatih dan sarana pendukung. Pada aspek activities, proses rujukan belum berjalan efektif akibat penggunaan aplikasi yang tidak konsisten dan hambatan teknis. Aspek output juga belum maksimal, terlihat dari rendahnya ketepatan waktu rujukan dan dokumentasi yang belum lengkap. Penelitian menyimpulkan perlunya peningkatan pelatihan, perbaikan infrastruktur, dan penguatan koordinasi untuk mengoptimalkan implementasi SISRUTE.