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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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Evalusi Pengelolaan Limbah Medis Sebelum dan Saat Pandemi Covid19 di Rumah Sakit Sentra Medika Cikarang Sholihah, Enny Mar’atus; 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 (142.555 KB) | DOI: 10.29241/jmk.v7i1.607

Abstract

Pendahuluan: Pengelolaan limbah medis merupakan salah satu hal yang penting dalam penanganan pandemi Corona Virus Disease 2019 (Covid-19). RS Sentra Medika Cikarang merupakan salah satu rumah sakit rujukan Covid-19 yang menghasilkan limbah medis. Perlu adanya evaluasi pengelolaan limbah medis sebelum dan saat pandemi Covid-19. Metode: Desain penelitian ini adalah studi kasus. Penelitian ini dilaksanakan pada bulan Agustus tahun 2020. Informan kunci dalam penilitian ini adalah sanitarian dan perawat. Hasil dan Pembahasan: Pengelolaan limbah medis saat pendemi tidak berbeda jauh dengan sebelum pandemi. Jumlah pasien yang berkunjung ke pelayanan kesehatan menurun akibat pandemi. Limbah yang dihasilkan dari pelayanan Covid-19 meliputi bekas makanan atau minuman pasien serta APD seperti hazmat, masker, sarung tangan. Berat limbah tersebut jauh lebih ringan. Kesimpulan. Limbah medis di Rumah Sakit Sentra Medika sudah dilakukan pengelolaan sesuai dengan regulasi yang telah ditetapkan pemerintah.
Analisis Minimisasi Biaya Amlodipin Generik dan Bermerk pada Pengobatan Hipertensi di RS X Pekanbaru Tahun 2015 Merliana, Hanny; Sjaaf, Amal Chalik
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 3
Publisher : UI Scholars Hub

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Abstract

Hypertension in a big challenge in Indonesia, proven by its prevalence that reached 25% in 2013 and conditions that mostly found in primary health care. In addition, hypertension management is considered to be suboptimal despite the availability of effective drugs. Amlodipine is one of anti-hypertensive that is commonly prescribed by X Hospital, Pekan Baru. Therefore, it is important to do cost minimization analysis to compare both generic and branded Amlodipine as an implementation of cost and quality control. This retrospective study involved early and medium stage of hypertensive patients that have at least a month period of treatment from January to December 2015 using provider’s perspectives of CMA (Cost Minimization Analysis). The result showed that generic form of Amlodipine is the most common anti-hypertensive drugs prescribed in Cardiology and Internal Medicine Clinic, X Hospital. It was suggested that average cost of generic form of Amlodipine was IDR 68.660 while branded one was IDR 374.844 or approximately 5.4 times higher. Both generic and branded Amlodipine significantly reduced blood pressure, but there was not any distinguish effect between them. It was concluded that generic form of Amlodipine was a less expensive and efficient choice in reducing blood pressure.
Challenges and Strategies for Fulfilling Specialist and Subspecialist Doctors for Improvement Service Hospital Referral: Systematic Literature Review Hutabarat, Evalindo; Amal Chalik Sjaaf
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 10 (2024): October 2024
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i10.6166

Abstract

Introduction: The availability of specialist and subspecialist doctors in sufficient numbers and with appropriate competencies is an absolute prerequisite for the success of the transformation of referral services. Data from the Ministry of Health in 2024 shows that Indonesia only has 0.18 specialist doctors per 1,000 population spread across various health facilities. This figure is still far below the ideal target of 0.28 per 1,000 population, so an additional 29,179 specialist doctors are needed. Objective: This research aims to identify obstacles that hinder availability doctor specialists and subspecialists at the hospitals, as well as to explore effective approaches to overcome these problems. Method: This study uses the Systematic Literature Review method. The method of selecting articles in this study is to search for articles that meet the inclusion and exclusion criteria through the Google Scholar database with the keywords "efforts to fulfill specialist and subspecialist doctors", "challenges to fulfill specialist and subspecialist doctors", "challenges and strategies to fulfill specialist and subspecialist doctors", "challenges and strategies to fulfill medical personnel". This study conducted a literature review of 14 relevant scientific publications, published in the last five years (2020-2024). Result: The results of the study identified a number of significant obstacles in efforts to increase the availability of specialist and subspecialist doctors in hospitals, including aspects of regulation, budget allocation, human resource management, infrastructure, and monitoring and evaluation mechanisms. Conclusion: The interconnection between these five aspects requires the implementation of a holistic strategy in an effort to increase the availability of specialist and subspecialist doctors in hospitals.
Policy Implementation Performance Related to the Procurement of PRB Drugs in the Subdistrict Primary Healthcare Center Pharmacy and PRB Pharmacy in Central Jakarta Quarter I, II, and III of 2019 Nardia, Sari Ulfa; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Back-Referral Program (PRB) is one way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. The unavailability of pharmacies and drugs for PRB causes the PRB program not to run optimally, thus increasing the catastrophic disease sufferers and absorbing big claims in JKN. This study is qualitative research with a descriptive approach using the method of in-depth interviews and document review. The research informants' criteria were: the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center, and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not optimal, which was influenced by policy standards and objectives, resources, communication between organizations, the implementers' attitude, the implementing organization's characteristics, and the economic, social, and politics. Coordination, commitment, and evaluation of activities from the Ministry of Health, BPJS Health, Government Service Goods Procurement Policy Institute, and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug
Evaluation of the Implementation of the Performance-Based Capitation Policy (KBK) at the Merial Health Clinic of DKI Jakarta City in 2020 Umakaapa, Muktamar; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 6, No. 2
Publisher : UI Scholars Hub

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Abstract

To improve the quality of health services at Primary Health Care (FKTP) in implementing the National Health Insurance Program in Indonesia, the government has issued a performance-based capitation payment (KBK) policy at the FKTP. This study aims to evaluate the performance-based capitation payment policy in Merial Health clinic from the aspects of effectiveness, efficiency, facilities and infrastructure, availability of human resources, adequacy, and legal compliance. This study performed in-depth interviews and document reviews. The results showed that the effectiveness of the policy has been optimal but is still constrained by the socialization of the KBK policy and visits to health numbers for BPJS Health participants. The efficiency of the KBK policy has been running optimally in increasing the capitation income of the Merial Health clinic. The adequacy of the policy is as expected because it improves the quality of health services. The availability of human resources is in accordance with the BPJS Health provider standards. Facilities and infrastructure are in accordance with cooperation rules as a BPJS Health provider. Legal compliance has been running optimally because it has met the applicable requirements. The study concludes that the implementation of the performance-based capitation policy at the Merial Health clinic has been running optimally.
POLICY IMPLEMENTATION IN ACHIEVING BASIC COMPLETE IMMUNIZATION AND UNIVERSAL CHILD IMMUNIZATION INDICATORS IN KAPUAS DISTRICT IN 2018 Vela, Lia Rosi; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 5, No. 1
Publisher : UI Scholars Hub

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Abstract

Completing the basic immunization and implementing Universal Child Immunization (UCI) are the objectives for the Immunization Program according to the Ministry of Health of Republic Indonesia Strategic Planning. In 2017, Kapuas district achieved 66,6% of the Completed Basic Immunization target and 32,2% of the Universal Child Immunization (UCI) target. There is still a 26,4% gap and a 62,8% gap, respectively, from the 95% target of Strategic Plan Ministry of Health 2015-2019. This study aims to discuss the performance of policy implementation of Completed Basic Immunization (CBI) and Universal Child Immunization (UCI) in 2018 at Kapuas Regency, using qualitative research with case study design at 6 Puskesmas in Kapuas Regency. The total informants in this research are 34 informants. The study showed that the performance of policy implementation regarding indicator achievement of CBI and UCI of Kapuas Regency in 2018 have not been optimal. So, policy improvement is needed to increase CBI and UCI achievement of Kapuas Regency next year
Analysis of Factors Affecting Patient Satisfaction JKN Non PBI at Primary Health Care in East Jakarta District 2016 Arbitera, Cahya; Sjaaf, Amal Chalik; Sulistiadi, Wahyu
Journal of Indonesian Health Policy and Administration Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Health development in the period 2015-2019 is Indonesia Sehat program with the goal to improve the health and nutritional status of the community through health and community empowerment efforts which are supported with financial protection and health care equity. Social Health Security Agency (BPJS) as JKN organizers estimate in 2015 is a deficit of more than 6 trillion rupiahs. In 2016, the deficit is estimated to be 11 trillion rupiahs. This study used a cross sectional study design. The population in this study were outpatients at the sub-district Kramat Jati and Pasar Rebo primary health care with the total number of 800 people and studied sample of 100 people. Patient satisfaction in this study has mean score of 43,06. Education variable; job and services are not significantly affects patient satisfaction JKN Non PBI at East Jakarta district primary heallth care. In conclusion, dimension of punctuality; convenience in obtaining services and ease in obtaining services most influence on patient satisfaction JKN Non PBI in East Jakarta district primary health care with the p value = 0,000 < 0,05. In addition, politeness and friendliness within the service still have big influence on patient satisfaction bicause it is important factors on patient satisfaction. Therefore, the author gives some recommendations to appropriate and thorough improvement added with upgrading to the punctuality of service, conducting a survey of patient satisfaction by BPJS and primary health care, disseminating the research results regarding the effect of service quality on patient satisfaction level, further and in-depth research needs to be done related to the effect on service quality dimension to JKN patient satisfaction level in all primary health care included in East Jakarta district, especially at primary health care which has never been conducted with survey and research on JKN patient satisfaction level.
Analysis of Policy Change Relating to Presidential Regulation No.19 year 2016 on Health Insurance became Presidential Regulation No.28 year 2016 on Health Insurance Simanjuntak, Julian; Sjaaf, Amal Chalik
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

The rapid change from presidential regulation no.19 year 2016 on health insurance into presidential regulation no.28 year 2016 on health insurance get a big attention. This research was purposed to analyze about health insurance policy which changed very quickly. It changed from presidential regulation no.19 year 2016 into presidential regulation no.28 year 2016 on health insurance. The researcher used qualitative methods. The analysis from the input processing and output showed that the change of presidential regulation is a responsive form from president when he looked public rejection response for the increase of fee. The president extended it through the department of health affairs. In terms of inputs, the resources of this policy change are still very limited, while at the stage of the process there is still a lack of cross-sector coordination with related institutions and difficulties in getting the materials needed in the discussion. Presidential Regulation No.28 of 2016 on Health Insurance that became the output in this change is considered to be able to accommodate the demand of the people but the changes are not in accordance with the actuary calculations. This change of presidential regulation not yet affected to appropriate the fee adequacy on BPJS Implementation. The department of health affairs as a leader of health sector was recommended to increase the cross-sectoral coordination which can manifest the better product of health policy and to complete the policy instrument that yet to be determined. It also used to be concern from the department of health affairs, DJSN and BPJS which explained the increase of fee must be offset by a quality improvement rather than the implementation of national health insurance.
Formulasi Kebijakan Penggunaan Dana Desa Bidang Kesehatan: Studi Kasus di Kecamatan Parung Kabupaten Bogor Komarudin, Heru; Sjaaf, Amal Chalik; Devi, Yuli Puspita; Fitri, Wafa Sofia
Varians Jurnal Kesehatan Masyarakat Vol. 2 No. 2 (2024): Desember 2024
Publisher : Varians Statistik Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/vjkm.v2i2.17

Abstract

WHO mendefinisikan bahwa desa dan masyarakat pedesaan dapat dikatakan sehat apabila tingkat penyakit menular yang rendah, anggota masyarakat memiliki akses ke pelayanan kesehatan. Provinsi Jawa Barat sebagai salah satu provinsi dengan jumlah penduduk terbanyak di Indonesia. Jawa Barat menempati posisi pertama dengan jumlah penduduk mencapai 48,2 juta jiwa dengan beragam permasalahan Kesehatan. Penelitian ini bertujuan untuk menganalisis formulasi kebijakan kesehatan terkait penggunaan dana desa untuk bidang kesehatan dengan menggunakan metode penelitian kualitatif melalui pengumpulan data dengan menggunakan wawancara mendalam dan observasi terhadap informan diantaranya; Kepala desa, Ketua Badan permusyawaratan Desa, Kepala Puskesmas kecamatan setempat dengan total responden enam orang yang dilakukan pada bulan Agustus – Desember 2021. Kesimpulan yang didapatkan yakni pada tahapan formulasi penggunaan dana desa bidang Kesehatan, terdapat salah satu desa yang belum nampak peran dari Badan Permusyawaratan Desa dalam menghimpun persoalan terkait kesehatan serta tidak ditemukan adanya kerjasama yang optimal dengan puskesmas dalam mengidentifikasi persoalan Kesehatan.
Contribution of National Health Insurance Patient Revenue to Financial Performance of Private-Profit Hospitals from 2017 to 2022 Imansyah, Fadlul; Sjaaf, Amal Chalik; Nadjib, Mardiati; Hartini, Rina
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Abstract

This study investigated the relationship between National Health Insurance (NHI) patient revenue and profit-private hospital financial performance in Indonesia. As the NHI provider, Badan Penyelenggara Jaminan Sosial (BPJS) Healthcare Security’s influence on hospital revenues has raised concerns about its impact on financial sustainability. This study used financial performance indicators to develop a financial performance index—Return on Assets (ROA), Return on Equity (ROE), Earnings Before Interest, Taxes, Depreciation, and Amortization (EBITDA) Margin, Current Ratio, and Net Profit Margin (NPM)—to assess the financial impact of BPJS Healthcare Security revenue. A partial model approach of multiple linear regression was employed using secondary data from seven private-profit hospitals listed on the Indonesian Stock Exchange from 2017 to 2022. The findings indicated a negative correlation between BPJS Healthcare Security patient revenue and the hospital financial performance index. Specifically, higher patient revenue correlated with lower performance across key financial indicators, including ROA, ROE, EBITDA Margin, Current Ratio, and NPM. It was essential for hospitals but not necessarily to improve their financial health performance. Hospitals need to optimize their revenue mix and explore alternative financial strategies to enhance performance.
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