Arih Diyaning Intiasari
Jurusan Kesehatan Masyarakat Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jenderal Soedirman

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Does Covid-19 pandemic influence the sustainability of health insurance membership among informal workers in Indonesia? Aji, Budi; Rachmatika, Hasna Tri; Maharani, Afrina; Intiasari, Arih Diyaning; Anandari, Dian; Malik, Ahmad Azam
Insights in Public Health Journal Vol 4 No 2 (2023): Insights in Public Health Journal
Publisher : Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2023.4.2.8909

Abstract

Background This study aims to find out the impact felt by informal sector workers due to the Covid-19 pandemic and their efforts to maintain the membership of the NHI program. Methods This was qualitative research with a case study approach. Eight study participants had been selected for this study. All interviews then transcribing verbatim for further data analysis. The analysis was conducted by using thematic networks approach. Results There were four themes emerged from the analysis. The themes covering issue about: i) the influence of the Covid-19 pandemic on the informal sector; ii) coping strategies for maintaining NHI premium payment; iii) the role of social capital for supporting informal workers during Covid-19 pandemic; and iv) policy recommendation for protecting the informal sector for maintaining NHI membership. Conclusions This study highlights the strategic position of cooperatives in supporting their members from the burden of NHI premium payment. Government is needed to support the informal workers product so can improve the economic condition these such population.
Implementasi Kawasan Tanpa Rokok di Sekolah Menengah Atas Swasta Wilayah Perkotaan Sari, Desi Nabila; Nafisah, Lu'lu; Intiasari, Arih Diyaning
Jurnal Kesehatan Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i1.3346

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The large number of smokers in Indonesia needs coordinated and integrated action to address, especially since the number of smokers among students continues to rise. One of the measures to address this issue is the no smoking area policy, including at school. However, no smoking area policy objectives must be supported by optimum policy execution. This study aims to determine the implementation of the Non-Smoking Area Policy at Pramita High School Tangerang City. This study uses qualitative research by conducting in-depth interviews. The principal, students, and counseling teachers are the three primary informants. Teachers and administrative personnel serve as the two supporting informants. The Content Analysis approach was used to analyze the data. Non-Smoking Areas Policy has yet to be implemented optimally at SMA Pramita Tangerang City. The school needs more resources and has yet to constitute a working group to enforce a smoke-free zone and consequences for breaches. There have also been no reporting systems for breaches of this policy, making it impossible to determine the number of violations and the level of compliance of school residents with this policy of no-smoking areas. A school must strengthen the implementation of No Smoking Areas by conducting socialization, developing a dedicated team, providing supporting facilities and infrastructure and imposing strict punishments on violators of the restrictions.
Faktor-faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan di Poli Lansia Puskesmas Pejagoan Kabupaten Kebumen Tahun 2022 Fajarwati, Dian; Intiasari, Arih Diyaning; Kurniawan, Arif
Jurnal Kesehatan Masyarakat Vol 11, No 5 (2023): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v11i5.38530

Abstract

The increase in the elderly population needs attention. This is because the morbidity rate in the elderly is higher compared to other age groups. Health service coverage for the elderly is still low. The use of preventive and curative health services at the Pejagoan Health Center Elderly Polyclinic in 2022 is still not optimal and is experiencing a decline. This study aims to identify the factors that influence the utilization of health services in the elderly in the working area of the Pejagoan Health Center. This research is a quantitative analytic study with a cross-sectional research design. The research sample is 104 people. Sampling was carried out using proportional random sampling. The instrument used is a questionnaire. Data analysis was performed using univariate analysis, bivariate analysis through chi square test, and multivariate analysis through multiple logistic regression tests.The results showed that 45.2% of the elderly had used health services at the Elderly Poly. Factors related to the utilization of health services in the Elderly Poly are education, employment, income, health insurance, accessibility, family support, and perceptions of illness. The factor that has the most influence on the utilization of health services at the Pejagoan Health Center Elderly Poly is the ownership of health insurance.Ownership of health insurance is the factor that most influences the utilization of services at the Pejagoan Health Center Elderly Poly.
Kebutuhan Jaminan Kesehatan Masyarakat di Wiliyah Perdesaan Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Jaminan kesehatan adalah salah satu cara untuk mengurangi beban pembiayaan kesehatan yang dikeluarkan masyarakat. Sebagian besar masyarakat perdesaan di Kabupaten Banyumas yang mempunyai tingkat kemampuan membayar pelayanan kesehatan rendah belum mempunyai jaminan kesehatan. Penelitian ini bertujuan untuk menganalisis kebutuhan jaminan dan faktor-faktor yang memengaruhi kesehatan masyarakat daerah. Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi penelitian adalah seluruh kepala keluarga diKabupaten Banyumas dengan jumlah sampel 130 orang. Metode analisis yang digunakan meliputi analisis univariat, bivariat, dan multivariat. Penelitian menemukan bahwa sebagian besar masyarakat Kabupaten Banyumas (72,3%) membutuhkan jaminan kesehatan daerah (Jamkesda). Terdapat hubungan antara pendidikan, pengetahuan, pendapatan, dan keyakinan terhadap mutu pelayanan kesehatan serta pola pembiayaan kesehatan dengan kebutuhan Jamkesda. Persepsi berpengaruh terhadap tarif pelayanan kesehatan dengan kebutuhan Jamkesda. Persepsi terhadap tarif pelayanan kesehatan merupakan variabel yang berpengaruh terhadap kebutuhan Jamkesda. Health insurance is one of the ways to reduce the burden of health financing issued by the society. Most communities in Banyumas district living in rural areas do not have health insurance. Rural communities in Banyumas district have low ability to pay health care services. The aim of this study isto analyze the health insurance needs of local communities and the factors that affect the public health insurance need of the area. This study is an observational study with survey research methods. This study used cross sectional approach. The study population was all households in Banyumas district.The research sample consisted of 130 people. Retrieval research data used a questionnaire instrument. Analysis of research data used univariate, bivariate, and multivariate. The research was conducted in Banyumas district. Most people in Banyumas district (72,3%) required regional health insurance. The result showed no relationship between education, knowledge, income, beliefs in health care quality and patterns of health financing in local communities needs of health insurance. The result showed the influence perceptions of health care rates with the health insurance needs of local communities. Perceptions of health care is a variable rate which affects the health insurance needs of local communities.
Kepuasan Bidan Desa dalam Pelayanan Persalinan Normal pada Implementasi Kebijakan Jaminan Persalinan Intiasari, Arih Diyaning; Kurniawan, Arif; Triyanto, Endang
Kesmas Vol. 7, No. 9
Publisher : UI Scholars Hub

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Abstract

Klaim persalinan yang rendah mengindikasikan ketidakpuasan bidan pada implementasi kebijakan jaminan persalinan (Jampersal) di Kabupaten Purbalingga. Penelitian ini bertujuan mengeksplorasi menyebabkan ketidakpuasan bidan dan hambatan implementasi kebijakan Jampersal di tingkat pelaksana. Penelitian deskriptif dengan desain studi kasus ini melakukan pengumpulan data kualitatif pada periode Maret- Juli 2012 terhadap informan empat bidan pegawai negeri sipil (PNS) dan empat bidan pegawai tidak tetap (PTT). Ditemukan ketidakpuasan bidan dan hambatan pelaksanaan kebijakan Jampersal tahun 2012, meliputi; besaran, pemotongan, dan lama klaim persalinan, penghapusan klaim persalinan komplikasi yang dirujuk, persaingan tidak sehat, dan proses administrasi. Ketidakpuasan bidan dan hambatan implementasi kebijakan Jampersal memerlukan kerja sama kalangan stakeholder untuk berkoordinasi secara mendalam untuk implementasi kebijakan Jampersal yang lebih baik pada masa mendatang. The low service reimbursement indicates midwife unsatisfaction on policy implementation of delivery insurance in Purbalingga District. The objective of this study was to explore several cause factors of and to know the barrier problem on delivery insurance policy implementation at the ground level. This descriptive case study used qualitative data that collected in period March-July 2012. The Informants of this research include four civil servant midwives and four non civil servant midwives. This research found six factors causes midwives unsatisfaction at Jampersal policy implementation in 2012 include reimbursement payment reduction, amount of service reimbursement; delivery service complication referral payment; unfair competition practice; long time waiting for the reimbursement payment; delivery service reimbursement administration process. The midwife unsatisfaction and the delivery insurance policy implementation barrier need collaboration among stakeholders to deeply coordination for better delivery insurance policy implementation in the future.
Analisis Pembiayaan Kesehatan Keluarga Penderita Talasemia Kurniawan, Arif; Intiasari, Arih Diyaning
Kesmas Vol. 7, No. 10
Publisher : UI Scholars Hub

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Abstract

Pembiayaan kesehatan sekitar 146 (60%) penderita talasemia di Banyumas, tahun 2011 ditanggung rumah tangga dalam bentuk pembayaran langsung (out of pocket payment). Penelitian ini bertujuan untuk menganalisis ability to pay, willingness to pay, dan need assessment pembiayaan kesehatan penderita talasemia di Kabupaten Banyumas. Jenis penelitian ini adalah observasional analitik dengan rancangan studi kasus. Penelitian ini menggunakan desain studi cross sectional dengan teknik pengambilan sampel simple random sampling. Jumlah sampel penelitian 30 responden yang mempunyai anggota keluarga penderita talasemia di Kabupaten Banyumas. Hasil penelitian menunjukkan keluarga penderita talasemia mempunyai ability to pay rata-rata adalah Rp34.448,8/bulan dan rata-rata willingness to pay pengobatan talasemia adalah Rp133.833,3/ bulan. Pola pembiayaan kesehatan talasemia di Kabupaten Banyumas menggunakan 93,3% Jaminan Kesehatan Masyarakat (Jamkesmas), 3,3% biaya sendiri, dan 3,3% asuransi kesehatan. Sebelum mendapatkan Jamkesmas, 90,0% responden membayar dengan out of pocket, berhutang, berhemat pada kebutuhan nonkesehatan, dan menjual perhiasan/sawah. Kebutuhan pelayanan kesehatan yang diharapkan keluarga penderita talasemia adalah konsultasi talasemia dan desain khusus ruang perawatan anak. Kebutuhan pembiayaan kesehatan keluarga penderita talasemia adalah uang transportasi ke rumah sakit sebagai bentuk biaya tidak langsung. Health financing of majority thalassemia patients, around 146 people (60%) in Banyumas year 2011 is assured by Households in direct payments to health care providers (out-of-pocket payment). This study aimed to analyze the ability to pay, willingness to pay, and need assessment of health financing thalassemia in Banyumas. This research an analytic observation- Analisis Pembiayaan Kesehatan Keluarga Penderita Talasemia Health Financing Analysis of Thalassemia Patient Family Arif Kurniawan, Arih Diyaning Intiasari al with case study design. This research used cross sectional approach. Sampling technique used simple random sampling. Total sample of 30 respondents who had had family members suffering from thalassemia in Banyumas. The results showed thalassemia families have an average ability to pay of Rp34,448.8/month and the average willingness to pay for the treatment on thalassemia Rp133,833.3/month. Health financing patterns of thalassemia in Banyumas district uses 93.3% health security, 3.3% personal costs, and 3.3% health insurance. Before getting health security, 90.0% of respondents performed out-of-pocket financing, get loan, skimped on nonmedical needs, and sold jewelry/rice fields to finance thalassemia’s health services. Health care needs that expected by thalassemia patient’s family is thalassemia consulting and special design of child-care room. Health financing needs of thalassemia’s patient family is transportation money to hospital as indirect costs.
Program intervensi pencegahan penyalahgunaan narkotika di Indonesia: A literature review Febriyaningsih, Laeli; Intiasari, Arih Diyaning; Gamelia, Elviera
Holistik Jurnal Kesehatan Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1411

Abstract

Background: Drug abuse among adolescents in Indonesia remains a serious public health issue. In response to this phenomenon, the government has implemented various forms of preventive interventions, such as mandatory rehabilitation programs, school counseling activities, and the involvement of religious institutions in anti-drug campaigns. Purpose: To review drug abuse prevention intervention programs in Indonesia. Method: This systematic literature review (SLR) examined seven primary articles published between 2015 and 2025, analyzed from Google Scholar, Scopus, PubMed, and ResearchGate. Results: The most common interventions were peer education in schools, community cadre training, and culture-based approaches. All programs demonstrated significant increases in knowledge and decreases in risky behaviors (p < 0.05). Internal factors such as participatory methods and contextual delivery contributed to success, while external challenges included social stigma and lack of family support. Conclusion: The most common and effective drug abuse prevention intervention in Indonesia is school-based education programs. The success of the program depends heavily on contextual delivery methods, active participant engagement, and supportive social environments. However, challenges such as stigma, lack of participation, and structural barriers remain limiting factors, necessitating adaptive, participatory, and community-based interventions to ensure the sustainability of their impact.   Keywords: Abuse; Narcotics; Preventio.   Pendahuluan: Penyalahgunaan narkotika di kalangan remaja di Indonesia masih menjadi isu kesehatan masyarakat yang serius. Sebagai bentuk tanggapan terhadap fenomena ini, pemerintah telah menerapkan berbagai bentuk intervensi pencegahan, seperti program rehabilitasi wajib, kegiatan penyuluhan di lingkungan sekolah, serta pelibatan lembaga keagamaan dalam kampanye anti narkoba. Tujuan: Untuk meninjau program intervensi pencegahan penyalahgunaan narkotika di Indonesia. Metode: Penelitian systematic literature review (SLR) yang meninjau tujuh artikel primer terbitan tahun 2015–2025, dianalisis dari Google Scholar, Scopus, PubMed, dan ResearchGate. Hasil: Intervensi yang paling umum adalah edukasi teman sebaya di sekolah, pelatihan kader komunitas, dan pendekatan berbasis budaya. Seluruh program menunjukkan peningkatan pengetahuan dan penurunan perilaku berisiko secara signifikan (p < 0.05). Faktor internal seperti metode partisipatif dan penyampaian kontekstual mendukung keberhasilan, sedangkan tantangan eksternal mencakup stigma sosial dan minimnya dukungan keluarga. Simpulan: Intervensi pencegahan penyalahgunaan narkotika yang paling umum dan efektif di Indonesia adalah program edukasi berbasis sekolah. Keberhasilan program sangat bergantung pada metode penyampaian yang kontekstual, keterlibatan aktif peserta, dan dukungan lingkungan sosial. Namun, tantangan seperti stigma, kurangnya partisipasi, dan hambatan struktural masih menjadi faktor penghambat, sehingga diperlukan intervensi yang adaptif, partisipatif, dan berbasis komunitas untuk memastikan keberlanjutan dampaknya.   Kata Kunci: Narkotika; Pencegahan; Penyalahgunaan.
Evaluating the implementation of hospital management information systems based on the DeLone and McLean model: A systematic review Ariyanto, Teguh; Aji, Budi; Intiasari, Arih Diyaning
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1609

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Background: The evaluation of information system success continues to attract attention from researchers, practitioners, and management stakeholders alike. Gaining a clear understanding of this success is essential, as it underscores the system’s value and informs future decision-making related to its implementation and improvement. Several methods exist for measuring information system (IS) success, with the DeLone and McLean IS Success Model (D&M model) being the most widely recognized and validated framework. Purpose: To evaluate the effectiveness of Hospital Information Systems (HIS) based on the DeLone and McLean Information Systems Success Model in various healthcare settings. The research focuses on identifying key success factors, challenges in adoption, and implications for future HIS implementations. Method: A systematic review was conducted across five articles published between 2017 and 2024, sourced from Saudi Arabia (1 paper, 20%), Nigeria (1 paper, 20%), South Africa (1 paper, 20%), and Indonesia (2 papers, 40%). The articles were assessed using the DeLone and McLean model, which includes six core dimensions: system quality, information quality, service quality, user satisfaction, usage, and net benefits. Data were collected through user satisfaction surveys, Structural Equation Modeling (SEM), and Partial Least Squares (PLS) techniques. A total of 2,441 participants were involved, including 1,784 healthcare professionals and 657 health information management staff. Results: Findings show that system quality is the most significant factor influencing HIS success, with a positive correlation coefficient of 0.87 between system quality and user satisfaction (p < 0.01). A study in South Africa demonstrated that information quality significantly influenced system usage (β = 0.65, p < 0.05), while service quality impacted user satisfaction with a coefficient of 0.73 (p < 0.01). In Nigeria, although system quality was associated with net benefits (β = 0.53, p < 0.01), user satisfaction did not directly correlate with these benefits (p > 0.05). Common adoption challenges included network disruptions and data storage problems, which were reported in 35% of hospitals using SIMRS in Indonesia. Conclusions: For future HIS implementations to succeed, healthcare institutions must prioritize improving system quality, enhancing information quality, and strengthening service quality. Addressing technical and training challenges will be crucial in overcoming adoption barriers and ensuring the long-term success of HIS.
Faktor Pendukung Pemanfaatan Jaminan Kesehatan Nasional Untuk Penanganan Penyakit Katastropik Di Indonesia Widayati, Hesti Prawita; Intiasari, Arih Diyaning; Rejeki, Dwi Sarwani Sri
Jurnal Biomedika dan Kesehatan Vol 8 No 3 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2025.v8.374-384

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The National Health Insurance (Jaminan Kesehatan Nasional/JKN) is a nationwide program that applies social insurance principles to provide equitable access to healthcare services, including coverage for catastrophic illnesses that entail high medical expenditures. Despite its extensive coverage, the use of JKN for the management of devastating illness is influenced by various socioeconomic and health-related factors. This study aimed to identify determinants of JKN utilization for the management of catastrophic diseases in Indonesia. This systematic review was conducted using the PRISMA guidelines. Literature searches were performed across four electronic databases: PubMed, PubMed Central, Semantic Scholar, and Google Scholar. Articles were included if they discussed factors influencing the utilization of JKN or other national health insurance schemes for catastrophic illnesses. Exclusion criteria excluded studies that did not address catastrophic disease management or were not relevant to insurance utilization. The review focused on publications issued between 2015 and 2025. The initial search identified 678 articles, which were screened using title, abstract, and full-text reviews, as well as duplicate checks. A total of six articles met all eligibility criteria for final analysis. The included studies consistently showed that several factors supported JKN utilization in the management of catastrophic illness. These determinants comprised household income, family size, marital status, gender, age, medical costs, and the presence of chronic illness. Evidence indicated that low-income households, larger families, older individuals, and those with chronic diseases were more likely to rely on national health insurance due to high financial vulnerability. This review concluded that key socioeconomic and health-related factors influence the use of JKN for the management of catastrophic illness in Indonesia. Strengthening JKN policies and enhancing financial protection mechanisms are essential to reducing the economic burden of devastating diseases and ensuring the program's long-term sustainability.
Peningkatan kualitas pelayanan rawat jalan di rumah sakit indonesia melalui manajemen lean healthcare: A systematic review Priladiantika, Berta Ivana; Intiasari, Arih Diyaning; Mulyanto, Joko
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1542

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Background: Lean management, part of the Toyota Production System, is now applied across various industries to improve service quality. The implementation of lean in hospitals aims to enhance efficiency, reduce the length of hospital stays, and minimize medical errors, although the outcomes vary depending on factors such as leadership, training, and staff engagement. Purpose: To examine the improvement of the quality of outpatient services in Indonesian hospitals through lean healthcare management. Method: This article uses a PICO approach and follows the PRISMA guidelines, starting with a database search that yielded 256 articles. These were then screened based on inclusion and exclusion criteria, resulting in 12 relevant articles. The selection process included the removal of duplicate articles, screening of titles and abstracts, and full-text evaluation. Results: The implementation of lean management in Indonesian hospitals was carried out by observing and recording service flow from registration to payment, then analyzing service time based on Value-Added and Non-Value-Added Activities using Visual Stream Mapping or spaghetti diagrams, and discussing solutions through the 5 Whys and Fishbone Analysis methods. Conclusion: Lean management has been proven effective and suitable for application in hospital outpatient services to improve efficiency by eliminating waste and optimizing systems.   Keywords: Healthcare; Hospital; Lean Management; Outpatient.   Pendahuluan: Manajemen Lean, bagian dari Toyota Production System, kini diterapkan di berbagai industri untuk meningkatkan kualitas layanan. Implementasi manajemen lean di rumah sakit bertujuan untuk meningkatkan efisiensi, mengurangi lama pelayanan, dan meminimalkan kesalahan medis, meskipun hasilnya bervariasi tergantung pada faktor-faktor seperti kepemimpinan, pelatihan, dan keterlibatan staf. Tujuan: Untuk mengkaji peningkatan kualitas pelayanan rawat jalan di rumah sakit Indonesia melalui manajemen lean healthcare. Metode: Artikel ini menggunakan pendekatan PICO dan mengikuti pedoman PRISMA, dimulai dengan pencarian database yang menghasilkan 256 artikel. Artikel-artikel ini kemudian disaring berdasarkan kriteria inklusi dan eksklusi, menghasilkan 12 artikel yang relevan. Proses seleksi mencakup penghapusan artikel duplikat, penyaringan judul dan abstrak, serta evaluasi fulltext. Hasil: Implementasi manajemen lean di rumah sakit Indonesia dilakukan dengan mengamati dan mencatat alur layanan dari pendaftaran hingga pembayaran, kemudian menganalisis waktu layanan berdasarkan Aktivitas Bernilai Tambah (Value-Added) dan Aktivitas Tidak Bernilai Tambah (Non-Value-Added) menggunakan Visual Stream Mapping atau diagram spageti, dan mendiskusikan solusi melalui metode 5 Whys dan Analisis Fishbone. Simpulan: Manajemen lean terbukti efektif dan cocok untuk diterapkan di layanan rawat jalan rumah sakit untuk meningkatkan efisiensi dengan menghilangkan pemborosan (waste) dan mengoptimalkan sistem.   Kata Kunci: Healthcare; Manajemen Lean; Rawat Jalan; Rumah Sakit.