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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Administrasi Kesehatan Indonesia HIGEIA (Journal of Public Health Research and Development) Promotif: Jurnal Kesehatan Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Proceedings of the International Conference on Applied Science and Health Indonesian Journal of Health Development PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Cahaya Mandalika Daengku: Journal of Humanities and Social Sciences Innovation KESANS : International Journal of Health and Science Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Varians Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sjaaf, Amal Chalik
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Dampak dan Implikasi Tarif Indonesian Case Base Group (INA-CBGs) Terhadap Pasien Sectio Caesarea: Tinjauan Sistematis Rova Martika; Amal Chalik Sjaaf
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v7i9.13976

Abstract

Penelitian ini bertujuan untuk mengkaji dampak tarif Indonesia Case Base Group (INA-CBG) terhadap pasien yang menjalani operasi caesar, serta mengidentifikasi hambatan dan solusi potensial untuk meningkatkan akses dan ketersediaan perawatan kesehatan di Indonesia. Melalui ulasan sistematis yang mencakup 6 studi terkait yang diterbitkan dalam 10 tahun terakhir, penelitian ini menemukan bahwa tarif INA-CBG mempengaruhi pasien secara signifikan. Tarif ini sering tidak mencerminkan biaya nyata yang dikeluarkan oleh profesional perawatan kesehatan, yang membebani penyedia dan pasien. Selain itu, kompleksitas dan variasi dalam prosedur operasi caesar tidak diperhitungkan dalam tarif tetap, potensial mengurangi tingkat perawatan yang disediakan. Skema pengembalian juga mendorong peningkatan operasi caesar yang tidak perlu, dengan dampak negatif pada kesehatan ibu dan pengeluaran kesehatan secara keseluruhan. Upaya perlu dilakukan untuk meninjau ulang struktur tarif, mempertimbangkan kompleksitas prosedur, dan mempromosikan pengambilan keputusan berdasarkan bukti. Hasilnya adalah peningkatan kesehatan ibu dan alokasi anggaran perawatan kesehatan yang lebih efektif. Studi tambahan diperlukan untuk memahami aspek lain dari implementasi INA-CBG di Indonesia dan konsekuensi jangka panjang dari intervensi ini.
EVALUATION OF MEDICAL WASTE MANAGEMENT BEFORE AND DURING THE COVID-19 PANDEMIC AT SENTRA MEDIKA HOSPITAL CIKARANG Sholihah, Enny Mar’atus; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

One of important things in managing Coronavirus Disease 2019 (COVID-19) pandemic is managing medical waste production. Medical waste management start from waste sort until waste manage by licensed parties, both of patients’ waste and health workers’ waste. Sentra Medika Hospital Cikarang is one of the referral hospitals that handles COVID-19. This research is a descriptive analytic study. Researchers analyze hazardous and toxic waste management before and during a pandemic by conducting interviews with the nursing unit and using secondary data. Secondary data was obtained from the hospital environmental health unit. There is no significant differences medical waste before and during pandemic. This happens because there are decreasing of patients amount which come to the hospital. Besides, health services waste is patients waste such as food or drink waste and personal protective equipment such as hazmat, masks, gloves and others. The weight of waste does produce is lighter. Medical waste at Sentra Medika Hospital has been managed in accordance with regulations.
ANALISA FAKTOR-FAKTOR PENYEBAB TERJADINYA KETERLAMBATAN TINDAKAN OPERASI (DELAY TO OPERATION) DI INSTALASI RAWAT DARURAT RSUP SANGLAH DESEMBER 2017 – FEBRUARI 2018 A, Rusdi; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Surgery service is one of the health services in a hospital that can describe the quality of the hospital. Sanglah Hospital, Denpasar is a hospital at the provincial level which has a long waiting time for surgery. The long waiting time for surgery is generally related to factors such as the availability of facilities and infrastructure, human resources, and the length of time for approval from patients and families for surgery. Research is needed to determine the factors that significantly form the basis for determining policies at the Sanglah General Hospital level, especially in the Emergency Room, to improve operating services. observational approach and cross-sectional analysis design. This study involved 54 respondents in quantitative research and 7 informants in qualitative research. The result showed bed block events is 38,9 % from December 2017 to February 2018. Agreement following informed consent is obtained in ≥ 1 hour for 17 respondents (31,5%) and < 1 hour for 37 respondents (68,5%). Tools and equipment are complete and available in 94,4% cases and incomplete in 5,6% cases. Time consumed waiting for operation is categorized delay if ≥ 5 hours in 33,3% cases, categorized not delay if < 5 hours in 66,7%. Bivariate analysis using Chi Square showed p-value 0,000 for correlation between bed block and delay to operation, p-value 0,000 for correlation between time consumed to obtain agreement for surgery, p-value 0,012 for correlation between tools and equipment with delay to operation. The most influencing factor is operation agreement with p-value 0,005 using logistic regression. From this study, we conclude there is significant correlation between bed block, time consumed for obtain operation agreement, tools and equipment availability with delay to operation. This result is a base in making strategy to improve quality of surgery services in emergency department.
EVALUATION OF TUBERCULOSIS RECORDING AND REPORTING CASE SYSTEM AT SYARIF HIDAYATULLAH HOSPITAL IN 2020 Ratnasari, Yunita; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

The national TB control program target is TB elimination at 2035 and TB eradication at 2050. Hospitals must establish a DOTS Team who have responsibility to implementing the TB control program and must be record and report any disease cases. TB case reporting uses the Integrated Tuberculosis Information System (SITT) since 2020. Integrated Tuberculosis Information System has become the Tuberculosis Information System (SITB). Syarif Hidayatullah Hospital is one of the 3 hospitals that have not completed the report. This research is a descriptive analytic study with a qualitative approach. The data collecting data include documents review, observation, and in-depth interviews with key informants. The results showed that recording and reporting did not run optimally because 1) the lack of human resources such as nurses as the spearhead of manual record, 2) there was no funding for the TB DOTS program including for recording and reporting, 3) Hospital Information System was not integrated into all service units causing difficulties in data collection TB patients, 4) the internal network did not working properly because there is no socialize about TB recording and reporting flowchart. Increased management commitment in implementing the TB DOTS program so that recording and reporting can working properly.
Pengaruh Pelaksanaan CODE STEMI Terhadap Strategi Pemasaran RSUPN Dr Cipto Mangunkusumo Ginanjar, Eka; Sjaaf, Amal Chalik; Sulistiadi, Wahyu
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Nowadays, the competition in the hospital industry business is getting tougher. For this reason, hospitals are required to have innovations and strategies to attract patients. One of the necessary things to encourage patients to come to the hospital is a good hospital marketing strategy. This research aims to identify the impact of CODE STEMI program on the marketing strategy of the Cipto Mangunkusumo National General Hospital. This research uses quantitative methods by tracking medical records and administrative documents, as well as qualitative methods by observation and in-depth interviews. The results showed a decrease in mortality, MACE, door to balloon time, total cost, and length of stay after the implementation of the CODE STEMI program. These results have a good impact on the product marketing mix, such as price, distribution, people, processes, and physical facilities. Patients are satisfied with the services provided, and the number of STEMI patients coming to the hospital has increased since the implementation of the CODE STEMI program. Based on these results, it was concluded that the CODE STEMI program had a positive impact on the marketing strategy of RSUPN Dr. Cipto Mangunkusumo. Nowadays, the competition in the hospital industry business is getting tougher. For this reason, hospitals are required to have innovations and strategies to attract patients. One of the necessary things to encourage patients to come to the hospital is a good hospital marketing strategy. This research aims to identify the impact of CODE STEMI program on the marketing strategy of the Cipto Mangunkusumo National General Hospital. This research uses quantitative methods by tracking medical records and administrative documents, as well as qualitative methods by observation and in-depth interviews. The results showed a decrease in mortality, MACE, door to balloon time, total cost, and length of stay after the implementation of the CODE STEMI program. These results have a good impact on the product marketing mix, such as price, distribution, people, processes, and physical facilities. Patients are satisfied with the services provided, and the number of STEMI patients coming to the hospital has increased since the implementation of the CODE STEMI program. Based on these results, it was concluded that the CODE STEMI program had a positive impact on the marketing strategy of RSUPN Dr. Cipto Mangunkusumo.
Srategi Bauran Pemasaran Pelayanan Kesehatan RSD Kol. Abundjani Bangko di Era Jaminan Kesehatan Nasional (JKN) Arismen, Arismen; Sulistiadi, Wahyu; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

The policy developed by the government in the form of a National Health Insurance (JKN) program whose funding is managed by the BPJS, must be supported by all health service facilities both government and private. RSD Kol. Abundjani Bangko is a regional hospital belonging to the Merangin District Government that has collaborated with BPJS to serve BPJS participants in the health services sector in 2014. In the course of the increase there have been an increase in the number of BPJS participants who have been referred and treated to RSD Kol. Abundjani Bangko. The increase in patient visits on the one hand was pleasing to management and on the other hand raised concerns for the management of RSD Kol. Abundjani Bangko. This concern arose since the budget deficit managed by the BPJS, resulting in delays in disbursing claims for patient services to BPJS participants and this affected the operations of hospitals in giving and maintaining the quality of health services. To ensure the operation of health services in hospitals, management must have a marketing strategy in the BPJS era so that hospitals can continue to provide services and not cause complaints from customers or patients. This study tries to describe the marketing strategy with the marketing mix pattern that includes 7P (product, price, promotion, place, people, process, and physical facility). The purpose of this study was to see an overview of the application of the marketing strategy by means of the marketing mix (marketing mix) of the health services of RSD Kol.Abundjani Bangko era BPJS. The research results obtained are with the marketing mix strategy. RSD Kol. Abundjani Bangko can still provide quality services to patients with conditions in the era BPJS that have a budget deficit
Analisis Kebutuhan Tenaga Ahli Teknologi Laboratorium Medik Berdasarkan Beban Kerja di Unit Laboratorium Klinik Rumah Sakit Santa Maria Pekanbaru Arifin, Arifin; Sjaaf, Amal Chalik
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

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Abstract

The main challenge of the clinical laboratory unit in hospitals nowdays is making expenditures efficiency, especially human resources expenditures. On the other hand, patients and doctors normally request faster and more accurate laboratory checking results. The purpose of this study is to get proper number of medical laboratory technology experts needed based on workload in Santa Maria Pekanbaru Hospital Clinical Laboratory Unit. Research method applied is operational research with quantitative and qualitative analysis. Workload analysis was done toward the whole medical laboratory technology experts, which were 15 person, with the combination method of work sampling and daily log. The calculation of expert need was done with 3 methods: Ilyas, WISN, and the Full Time Equivalent Method. The study result is there are 18 medical laboratory technology experts needed according to Ilyas Method, 21 experts according to WISN Method, and 17 experts according to Full Time Equivalent Method. It is suggested to Santa Maria Pekanbaru Hospital to add 3 more medical laboratory technology experts.
An Analysis of the Usage Patterns of Health Services Funded through Capitation and NonCapitation in Government Owned Primary Healthcare Facilities in The District of Pandeglang Yuliardi, Arovian; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

The National Health Insurance (JKN) is basically a form of managed care, a technique that integrates health costing and service quality through cost control and quality control. In that concept, the Puskesmas acts as the government’s primary healthcare facility, its vanguard. The aim of this research is to discover and analyze the healthcare usage patterns funded by capitation and non-capitation in government primary healthcare facilities (FKTP). This was an analytical study utilizing a cross-sectional design. 615 patients visiting the government’s FKTP were involved in this research. The results indicated that 47.3% of patients utilizing the government’s FKTP at Pandeglang district were JKN funded, while 52.7% were not funded by the JKN. 66.7% were funded by capitation methods and 33.3% used noncapitation funding. More JKN recipients access non-capitation healthcare than non-recipients. The factors that are related with the type of healthcare accessed are the patient’s health status, JKN status, and ability to pay.
Analisis Pengelolaan Obat di Instalasi Farmasi RSUA Tahun 2020 Indriana, Yuki Melati; Darmawan, Ede Surya; Sjaaf, Amal Chalik
Promotif : Jurnal Kesehatan Masyarakat Vol. 11 No. 1: JUNE 2021
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (792.751 KB) | DOI: 10.56338/pjkm.v11i1.1512

Abstract

Pandemi covid-19 membuat rumah sakit harus cermat dalam melakukan pengelolaan pendapatan khususnya untuk pembiayaan kegiatan belanja operasional. Salah satu kebutuhan belanja vital di rumah sakit adalah logistik kefarmasian oleh Instalasi Farmasi Rumah Sakit (IFRS) untuk melakukan pengelolaan ketersediaan sediaan farmasi, alat kesehatan, dan bahan medis habis pakai yang aman, bermutu, bermanfaat, dan terjangkau. Ada 4 tahap dalam analisis pengelolaan obat meliputi seleksi, perencanaan dan pengadaan, distribusi, dan penggunaan yang memerlukan dukungan dari organisasi, ketersediaan pendanaan, pengelolaan informasi dan pengembangan sumber daya manusia di dalamnya. Jenis penelitian yang dilakukan adalah penelitian non-eksperimental dengan metode deskriptif menggunakan pendekatan kualitatif. Dilakukan pada bulan Oktober-Desember tahun 2020. Lokasi penelitian yaitu unit farmasi rawat jalan, depo rawat inap, gudang farmasi, bagian keuangan, dan bagian pengadaan. Data primer didapat dari hasil observasi dan wawancara. Data sekunder didapat dari hasil telusur dokumen. Analisis data dilakukan dengan mengukur pencapaian indikator pengelolaan obat RSUA terhadap indikator standar menurut Kemenkes (2008), Pudjaningsih (1996), dan WHO (1993). Hasil : SDM di IFRS berjumlah 25 orang, terdiri dari 10 orang Apoteker, 11 orang D3 Teknis Kefarmasian, dan 4 orang lulusan SMF. Dari hasil analisis, didapatkan dari 21 indikator yang diukur, terdapat 12 indikator sudah sesuai dengan standar serta 9 indikator belum sesuai dengan standar.
Evalusi Sistem Pencatatan dan Pelaporan Kasus Tuberculosis di Rumah Sakit Syarif Hidayatullah Ratnasari, Yunita; Sjaaf, Amal Chalik; Djunawan, Achmad
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 7, No 1 (2021): JMK Yayasan RS.Dr.Soetomo, April 2021
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.875 KB) | DOI: 10.29241/jmk.v7i1.608

Abstract

Pendahuluan: Target program penanggulangan TB nasional yaitu eliminasi pada tahun 2035 dan Indonesia bebas TB tahun 2050. Rumah sakit harus menetapkan Tim DOTS yang bertanggung jawab terhadap pelaksanaan program Penanggulangan TB dan wajib melakukan pencatatan dan pelaporan terhadap setiap kejadian penyakit. Pelaporan kasus TB menggunakan Sistem Informasi Tuberkulosis Terpadu (SITT) yang menjadi Sistem Informasi Tuberkulosis (SITB) sejak tahun 2020. RS Syarif Hidayatullah termasuk 1 dari 3 rumah sakit yang belum melengkapi pelaporan dalam SITB. Metode: Penelitian ini merupakan penelitian kualitatif dengan desain studi kasus. Teknik pengambilan data dengan telaah dokumen, observasi dan wawancara mendalam pada informan kunci. Hasil dan Pembahasan. Pencatatan dan pelaporan tidak berjalan maksimal karena 1) kurangnya SDM perawat sebagai ujung tombak pencacatan manual, 2) belum adanya pendaan untuk program TB DOTS termasuk untuk pencatatan dan pelaporan, 3) belum terintegrasinya SIMRS ke semua unit pelayanan, 4) jeraring internal tidak berjalan baik. Kesimpulan: Peningkatan komitmen manajemen dalam implementasi program TB DOTS.
Co-Authors A Rusdi A, Rusdi Achmad Djunawan Adang Bachtiar Adik Wibowo Alissa Sita Pertiwi Andari Rahmani Putri Andriani, Helen Anhari Achadi Apriyanti, Hana Arbitera, Cahya Ardiansyah Ardiansyah Arifin Arifin Arifin Arifin Arifin Arifin Arifin Arifin Arismen Arismen Arismen Arismen Basabih, Masyitoh Budi Hidayat DWI SURYANTO Ede Surya Darmawan Eka Ginanjar Ekorini Listiowati Enny Mar’atus Sholihah Fitri, Wafa Sofia Halilintar, Via Dolorosa Haristia, Wenni Hartanti, Aryani Dwi Hartini, Rina Heru Komarudin, Heru Hutabarat, Evalindo Imansyah, Fadlul Indriana, Yuki Melati Irwandy Irwandy Jevon Agustinus Dwi Putra Kharisma Ersha Mufti Kurnia Sari Lasma Frisca Yoselina Panjaitan Lastri Swastanita Lia Gardenia Partakusuma Lumbanraja, Lissa MJR Merita Arini Merliana, Hanny Muhammad Firdaus Muhammad Firdaus Muktamar Umakaapa Nadjib, Mardiati Nardia, Sari Ulfa Pertiwi, Revita Anisa Puput Oktamianti Rahani, Sukma Marthia Rizky, Isnaniyah Rova Martika Roza Falinda Roza Falinda Sembiluh, Dhini Sari Simanjuntak, Julian Siti Maemunah Sitti Ashari Soeharno, Rooswanti Sukma Marthia Rahani Sukma Marthia Rahani Ulfia Mutiara Supatmanto Umakaapa, Muktamar Vanda Sativa Vanda Sativa Julianti Vela, Lia Rosi Via Dolorosa Halilintar Via Dolorosa Halilintar Via Dolorosa Halilintar Viorentina Yofiani Wahyu Sulistiadi Wahyu Sulistiadi Yuli Puspita Devi Yuliardi, Arovian Yunita Ratnasari Yunita Ratnasari, Yunita Zhafirah Salsabila