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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Administrasi Kesehatan Indonesia JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) 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 VJKM: 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

Author-ID : 2739267

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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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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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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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

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, Pertama 2021
Publisher : STIKES Yayasan RS.Dr.Soetomo

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.

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, Pertama 2021
Publisher : STIKES Yayasan RS.Dr.Soetomo

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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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: OCTOBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

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

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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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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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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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

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

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