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Peran Dokter Dalam Pencegahan Dan Penanggulangan Medication Error Di Rumah Sakit ( Studi di RSI NU Kabupaten Demak ) Abdul Aziz; Sarsintorini Putra; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 6, No 1 (2018): April 2018
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (28.107 KB) | DOI: 10.14710/jmki.6.1.2018.81-90

Abstract

        Pencegahan dan penanggulangan medication error perlu dilakukan untuk menurunkan insiden terutama KTD dan mengoreksi sistem dalam rangka meningkatkan keselamatan pasien . Di RSI NU Demak pada 5 tahun terakhir  2012-2016 masih ditemukan medication error . Oleh karena itu perlu dilakukan penelitian peran dokter dalam pencegahan dan penanggulangan medication error di RSI NU Demak. Desain penelitian ini bersifat deskriptif analitik dengan pendekatan kualitatif. Subjek penelitian secara purposive sebagai informan utama 5 dokter yang memberikan pelayanan di RSI NU Demak, informan triangulasi 2 apoteker, 2 perawat dan 2 keluarga pasien. Data dikumpulkan dengan teknik wawancara mendalam, focus group discussion dan observasi. Pengolahan dan analisis data menggunakan analisis isi.       Hasil survei dari 100 lembar resep didapatkan hasil:  penulisan resep yang sulit terbaca ada 14 lembar resep (14%), dosis kurang tepat ada 75 lembar resep (75%),  polifarmasi) ada 55 lembar resep (55%) , interaksi minor ada 28 lembar resep (28%), dan interaksi mayor ada 1 lembar resep (1%). Hal tersebut dilatarbelakangi oleh :1) Predisposisi factor dari aspek pengetahuan terutama interaksi obat masih ada dokter yang kurang memahaminya, aspek beban kerja era BPJS pasiennya semakin banyak tenaga terbatas; 2) Enabling factor ; komitmen dan ketrampilan dalam pencegahan dan penanggulangan medication error masih kurang 3) Reinforcing factor dari aspek managemen RS perencanaan program belum dilakukan sesuai pedoman, sosialisasi SPO terkait kelengkapan administratif resep, HAM, Polifarmasi dan interaksi obat kepada semua dokter, apoteker dan perawat belum dilakukan sesuai pedoman, pelaksanaan  monev terhadap indikator mutu patieny safety ( medication error) belum dilakukan sesuai pedoman.        Disarankan untuk advokasi dan sosialisasi kepada pengambil kebijakan diikuti deklarasi komitmen bersama dari pihak managemen, dokter, apoteker, perawat untuk mensukseskan program patient safety, pelaksanaan program patient safety dilakukan dengan system pencacatan dan pelaporan,monitoring dan evaluasi agar dapat dilaksanakan sesuai pedoman.
Arrangement of Draft Outline of a Regent Regulation as an Operational Regulation of Local Regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo Ismayanti Ismayanti; Sutopo Patria Jati; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.734 KB) | DOI: 10.14710/jmki.3.3.2015.%p

Abstract

ABSTRAKABSTRAK Implementasi Perda Kabupaten HSS Nomor 4 Tahun 2012 tentang KIBBLA belum dilaksanakan secara optimal, hal ini dikarenakan selama kurun waktu 2 tahun sejak disahkannya Perda KIBBLA, DKK HSS hanya melakukan kegiatan-kegiatan yang masih bersifat himbauan saja tanpa didukung peraturan lain di bawah Perda yang lebih mengikat. Tujuan penelitian mengevaluasi seberapa jauh kinerja implementasi Perda Nomor 4 Tahun 2012 tentang KIBBLA di Kabupaten HSS terkait penyusunan outline draft Peraturan Bupati tentang KIBBLA. Desain penelitian kualitatif disajikan secara deskriptif eksploratif, pendekatan menggunakan teknik non probability sampling dengan purposive sampling. Subjek penelitian 4 orang informan utama yaitu Kepala Dinas Kesehatan, Kabid Kesga, Kasi KIA dan Kasi Gizi, total informan triangulasi sebanyak 24 orang, yang terbagi dalam 2 kelompok yaitu 12 orang berasal dari tenaga kesehatan pelaksana Perda KIBBLA dan 12 orang sasaran Perda KIBBLA. Data dikumpulkan dengan wawancara mendalam (indepth interview) FGD dan workshop, pengolahan data dengan metode analisis isi  (content analysis). Hasil penelitian menunjukkan bahwa: 1) evaluasi kinerja implementasi Perda KIBBLA melalui indikator sebagai berikut: a) akses sasaran Perda KIBBLA untuk menjangkau fasilitas dan pelayanan KIBBLA bervariasi tergantung dari letak geografis; b) pelayanan KIBBLA masih belum dapat dijangkau oleh semua kelompok sasaran; c) frekuensi sasaran mendapat pelayanan KIBBLA beragam tergantung dari jenis pemberi pelayanan; d) masih terdapat penyimpangan terhadap penerapan Perda KIBBLA di lapangan; e) pelayanan yang diberikan masih belum sesuai standar; f) akuntabilitas yang dilaksanakan sebatas pada kegiatan rutin; g) keluaran kebijakan yang diterima oleh sasaran masih belum sesuai dengan kebutuhan; 2) telah dilakukan proses identifikasi masalah dan masukan untuk penyusunan Peraturan Bupati dari sasaran dan petugas kesehatan; 3) telah dilakukan perumusan outline draft Perbup, mengenai: wewenang, tanggung jawab Pemda, pelayanan persalinan, jenis tenaga KIBBLA, jenis sarana pelayanan kesehatan dan kualifikasi yang dibutuhkan, tata cara pelaporan, pengaduan, pembentukan unit pengaduan masyarakat dan tata cara verifikasi dan tingkat kesiapan.Kata kunci : Evaluasi kinerja implementasi, Perda KIBBLA, Outline Draft Peraturan Bupati.ABSTRACTThe local regulation Number 4 Year 2012 about health of maternal, infant, baby, and childrenunder 5 years old in District of Hulu Sungai Selatan had not been optimally implemented because it was not supported by other regulation below its regulation since it was approved two years ago. This research aimed to arrange a draft outline of Regent regulation as an operational regulation of the local regulation Number 4 Year 2012 about Health of Maternal, Infant, Baby, and Children under 5 years old in District of Hulu Sungai Selatan in Province of South Borneo. This was qualitative research presented using descriptive-explorative methods. Number of main informants were 4 persons selected using non probability sampling with purposive sampling. They consisted of head of District Health Office, head of family health department, and heads of maternal and child health section and nutritional section. Informants for triangulation purpose were divided into two groups namely 12 health workers and 12 people of target of the local regulation. Data were collected using in-depth interview, FGD, Brainstorming, and workshop. Furthermore, data were analyzed using content analysis.The result of this research showed that: 1) the indicators to evaluate the local regulationimplementation were as follows: a) access to reach service facilities and obtaining the variousservices depended on geographical location; b) the services of Health of Maternal, Infant, Baby, and Children under 5 years old had not been used by all target people; c) frequency of target people who obtained the services varied depending on types of providers; d) there was any irrelevance in implementing the local regulation; e) there was any unstandardized service; f) a form of accountability was only as a routine activity; g) a released policy was not appropriate with necessity of target people. 2) There had been done a process of problem identification and input to arrange the draft outline of the regent regulation from target people and health workers. 3) Some important points that would be written on the draft outline were: authority, local government responsibility, delivery service, types of workers, types of health service means and qualification needed for the services, reporting procedure, complaint, forming a complaint unit and a procedure to verify and level of readiness.Keywords : Performance Evaluation of Implementation, Local Regulation of Health of Maternal, Infant, Baby, and Children under 5 years old, Draft Outline, Regent Regulation
Analysis on the Implementation of Integrated Antenatal Care Program to Pregnant Women with Malaria in Tobelo Primary Healthcare Center of North Halmahera District, North Maluku Province Anna Mieke; Martha Irene Kartasurya; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.641 KB) | DOI: 10.14710/jmki.1.2.2013.123-129

Abstract

Pelayanan  antenatal  pada  ibu  hamil  dengan  malaria merupakan bagian dari pelayanan  antenatal terpadu  yang  difokuskan    pada  penanganan  malaria  ibu  hamil  melalui  deteksi  dini,  pengobatan  dan  pencegahan  malaria  serta  komplikasinya.  Tujuan  penelitian  ini  adalah  untuk  menganalisis implementasi  pelayanan  antenatal  terpadu  malaria  pada  ibu  hamil dari  aspek  komunikasi,disposisi,  ketersediaan  sumberdaya  dan  struktur  birokrasi  di  Puskesmas  Tobelo  Kecamatan Tobelo   Kabupaten   Halmahera   Utara   Provinsi   Maluku   Utara.   Jenis   penelitian   adalah observasional  dengan  pendekatan  kualitatif.  Pemilihan  informan dengan cara  purposif,    data dikumpulkan  melalui    wawancara    mendalam  (indepth  interview).  Analisis  data  menggunakan metode analisis isi (content analysis). Hasil penelitian menunjukkan bahwa pelayanan antenatal terpadu  malaria  pada  ibu  hamil  belum  dilaksanakan  oleh  bidan  sesuai  dengan  pedoman penanganan dan pencegahan malaria pada ibu hamil. Hal ini dipengaruhi kurangnya tenaga bidan dan  belum  adanya  SOP  yang  jelas  dan  banyak  bidan  yang  belum  mengikuti  pelatihan  tentang pencegahan  dan  penanganan  malaria  pada  ibu  hamil.  Komunikasi  pemberi  informasi  tentang pelayanan  antenatal  terpadu  pada  ibu  hamil  dengan  malaria  melalui  pimpinan,  tenaga  bidan untuk  melaksanakan  pelayanan antenatal  terpadu  malaria masih kurang.  Disposisi  sikap  bidan  ditunjukkan  dengan  keinginan dan kemauan dalam mensosialisasikan    pelayanan  antenatal  terpadu  malaria.  Namun  dalam  pemberian  OAM, bidan  masih  ragu  karena pernah  mengalami kematian ibu hamil dengan malaria yang diberi OAM.  Belum  adanya  SOP  dan  pelatihan  sudah diberikan tetapi belum semua bidan mengikutinya.  Antenatal care to pregnant women with malaria was a part of an integrated antenatal care; this antenatal care was focused on managing pregnant women with malaria through early detection, treatment and prevention of malaria and its complication. Objective of the study was to analyze the implementation of an integrated antenatal care and malaria service to pregnant women, and the  analysis  included  communication,  disposition, availability  of    resources  and  bureaucracy structure  aspects  in  Tobelo  primary  healthcare  center  (puskesmas),  Tobelo  district,  North Halmahera  district,  North  Maluku  province.  This  was  an  observational  study  with  qualitative approach. Selection of informants was conducted using purposive sampling. Data were collected through  in-depth  interview.  Content  analysis  was  applied  in  the data  analysis.  Results  of  the study  showed  that  integrated  antenatal  care  and  malaria  service  to  pregnant  women  were  not  performed properly by midwives.They did not perform the service according to the guideline on the management and prevention of malaria on pregnant women. This was caused by insufficient number  of  midwives,  no  clear standard  operating  procedure  (SOP),  and  a  number  of  midwives who  had  not  attended  in  the  training  on  prevention  and  management  ofpregnant  women  with  malaria.  Communication  among  people  who  provided  information  on  the  integrated  antenatal  care  to  pregnant  women  with  malaria  was  conducted  throughthe  leader.  The  number  of  midwives  who  implemented  integrated  antenatal  care and malaria service was still insufficient. Disposition  of  midwives’  attitude  was  shown  by  willingness  and  eagerness  in  socializing  integrated antenatal care and malaria service. However, midwives were still reluctant in giving OAM  due  to  past  experiences  about  the  dead of  pregnant  women  with  malaria  and  OAM  treatment.  Standard  operating  procedure  was  not  formulated.  Training  had  been  performed;  however, not all midwives had been trained.
Relationship between Management Functions of P2 ISPA Program and Target Achievement of Coverage Rate of Pneumonia on Children under Five Years Old at Health Centres in Semarang City Sri Isroyati; Sri Suwitri; Sutopo Patria Djati
Jurnal Manajemen Kesehatan Indonesia Vol 3, No 3 (2015): Desember 2015
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.779 KB) | DOI: 10.14710/jmki.3.3.2015.%p

Abstract

ABSTRAKAngka cakupan pneumonia balita di puskesmas kota Semarang tahun 2012 sebesar 25% dan tahun 2013 sebesar 26%,kondisi ini masih dibawah target yang ditetapkan oleh DKK Kota Semarang yaitu 37 % pada tahun 2013. Hal ini menunjukkan rendahnya angka cakupan pneumonia balita yang diduga belum optimalnya fungsi manajemen program P2 ISPA. Tujuan penelitian adalah menganalisis fungsi manajemen program P2 ISPA kaitannya dengan angka cakupan pneumonia balita di puskesmas kota Semarang. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional. Cara pengumpulan data melalui wawancara menggunakan kuesioner terstruktur dan observasi dokumen menggunakan checklist observasi terhadap fungsi manajemen program P2 ISPA. Jumlah sampel 36penanggung jawab program di 37Puskesmas Kota Semarang karena 1 penanggung jawab tidak memenuhi kriteria sampel.  Analisis bivariat dengan uji chi square. Hasil penelitian menunjukkan dari puskesmas yang  mencapai target cakupan proporsi penanggung jawab program yang memiliki perencanaan baik 87,5%, pengorganisasian baik 87,5%, penggerakan baik 75,0% dan pengawasan baik 87,5%. Dari puskesmas yang tidak mencapai target cakupan proporsi penanggung jawab program yang memiliki perencanaan baik 39,3%, pengorganisasian baik 42,9%, penggerakkan baik 28,6% dan pengawasan baik 46,4%. Puskesmas yang telah mencapai target cakupan sebanyak 22,2%. Analisis bivariat menunjukkan ada hubungan antara fungsi perencanaan (p value = 0,045) dan penggerakkan (p value = 0,049) dengan ketercapaian target angka cakupan pneumonia balita. Disarankan agar penanggung jawab program mengikutsertakan kader dalam deteksi dini, memotivasi petugas pelaksana teknis agar patuh dalam pendekatan MTBS, sosialisasi dalam tatalaksana standar, membuat laporan 3 bulanan dan 6 bulanan untuk upaya pemantauan rutin.Kata kunci : Fungsi Manajemen P2 ISPA, Cakupan Pneumonia BalitaABSTRACTCoverage rate of pneumonia on children under five years old at health centres in Semarang in 2012 was 25% and in 2013 was 26%. This results were lower than a target released by Semarang City Health Office (CHO) in 2013, namely 37%. This problem might be due to not optimal in conducting management functions of P2 ISPA program. The aim of this study was to analyse management functions relating to coverage rate of pneumonia on children under five years old at health centres in Semarang City. This was an observational study using cross-sectional approach. Data were collected using structured questionnaires and document observation using a checklist of management functions of P2 ISPA program. Number of respondents were 36 officers in charge of the program at 37 health centres in Semarang City. One officer had not met sample criteria. Data were analysed using Chi-Square test. The results of this research showed that among health centres that achieved the target, most ofofficers in charge of the program had good planning (87.5%), good organising (87.5%), goodactuating (75.0%), and good monitoring (87.5%. In contrast, among health centres that did not reach the target, some of officers in charge of the program had good planning (39.3%), good organising (42.9%), good actuating (28.6%), and good monitoring (46.4%). Proportion of health centres that had achieved the target was (22.2%). Bivariate analysis indicated that functions of planning (p value = 0.045) and actuating (p value = 0.049) had significant relationship with the target achievement of coverage rate of pneumonia on children under five years old. As suggestions, officers in charge of the program need to involve cadres in conducting early detection, motivate implementing technical officers in order to use MTBS approach, socialise in implementing a standard, make quarterly report and semester report as a routine monitoring.Keywords : management functions of P2 ISPA; coverage of pneumonia on  children under five years old
Kebutuhan Perawat Puskesmas Berbasis Analisis Beban Kerja Harisa Laraswatie; Tjahjono Kuntjoro; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 2 (2016): Agustus 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.062 KB) | DOI: 10.14710/jmki.4.2.2016.118-122

Abstract

A nurse’s necessity at a health centre viewed from workload analysis is required to identify a nurse’s necessities adjusted with service standards and real condition at a health centre. This requirement is in accordance with the change of an outpatient health centre status to be an inpatient health centre in which infrastructure and human resource need to be improved. This was a qualitative study using case study approach started from data collection, FGD, NGT, work sampling, to indepth interview with stakeholders who had experiences in calculating an employee’s necessities based on ABK and nurse representative. Furthermore, data were analysed using a form to calculate an employee’s necessities obtained from BKN. The results of calculation of a nurse’s necessities showed that number of nurses required for an inpatient unit were nine persons consisted of five skilled nurses and four expert nurses. This number was equal to nine beds that were required (1:1). On the other hand, number of nurses required for an outpatient unit including BP, UKM, and Pustu were 26 persons (16 skilled nurses and 10 expert nurses) or 1 nurse served 1,458 people or 456 families. Rembang 2 Health Centre needs to fulfil a nurse’s necessities by considering innovation of nursing services to reduce burden of human resource. A nursing committee needs to be formed by District Health Office as an institution that is responsible to supervise functional positions. Standards of nursing diagnosis and an information system of nursing care services need to be determined in order to describe an autonomy level of individual, family, group, and community in District of Rembang in terms of self-care. In addition, academics need to conduct further research regarding workload of other functional positions in health in order to achieve goals of national health development.
Analisis Faktor-Faktor Yang Berperan Terhadap Kolaborasi Antara Dokter Dan Perawat Di Rumah Sakit Permata Medika Semarang Irena Intania; Untung Sujianto; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 1 (2017): April 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (39.359 KB) | DOI: 10.14710/jmki.5.1.2017.12-20

Abstract

Poor collaboration can affect the quality of service to patients, thus affecting the recovery of patients. For the profession, collaboration can affect the relationship and the job satisfaction of both doctors and nurses. Poor collaboration between doctors and nurses in hospital management can can influence a decrease number of Bed Occupation Rate  and an increase in length of stay so that it can have an impact on patient satisfaction.This study used a quantitative design and descriptive analytic with qualitative approach through observation, review of documents, in-depth interviews  with informants who already selected and determined using cross sectional approached. The sample in this study were all general practitioners and all nurses who work in Permata Medika Hospital until December 2015, ie 15 doctors and 15 nurses.The results show that the control of power  is still difficult due to a balanced relationship between the two professions and poor communication. The scope of practice between doctors and nurses has established good collaboration. The shared interests of the two professions do not pay attention and see the procedure of service. At the collaborative goals of doctors and nurses there is overlapping responsibility for reasons of rushed work without regard to the Standard Operating Procedure (SOP) and job description.The Recommendations for management are need to be carried out definite career path for nurses, increase the knowledge and enhance the collaboration both nurses and doctors, increase the collaboration between nurses and doctors, follow up the results of service audits need to be coordinated and controlled
Stakeholder Mapping Analysis Of First 1000 Days Of Life Program In Semarang Dian Nursanti; Sutopo Patria Jati; M. Zen Rahfiludin
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.48-55

Abstract

There is a gap between the implementation of the first 1000 days of life Program on the Implementation Guidelines in Semarang City, among others health workers are not well informed about the program, there is no specific structure in the implementation of first 1000 days of life program in Semarang City in accordance with the first 1000 days of life program Implementation Guidelines, and there has not been an integrated step from the Health Department related to the first 1000 days of life program, therefore it is necessary to analyze stakeholder mapping related to its role and function in supporting the 1000HPK program.This research is an observatioal research with qualitative method. Respondents in this study were representatives of stakeholders involved in the 1000HPK Program in Semarang City. In determining the respondents, the researcher uses purposive sampling to assess stakeholder perceptions on the level of influence of power, level of interest, and attitudes of each stakeholder linked to the role of each stakeholder and process indicator of the first 1000 days of life program.The modification group of the stakeholder classification model is as follows: Decision makers include: Regional People's Representative Assembly of Semarang City and BAPPEDA Semarang City, Provider: Health Office of Semarang City, IBI (Indonesian Midwives Association) Semarang City, IDI (Indonesian Doctors Association) Semarang City, Ministry of Religious Affairs Semarang, Education Office of Semarang City, and Academics. Client: PHC, Pregnant Women, Breastfeeding Mothers, Cadre (Dasawisma). Representative: FMM (Forum Masyarakat Madani), Business World, Print Media, Television Media.The results of identification of stakeholders of decision makers and client groups, all states support for the first 1000 days of life Program Process Indicators, but for the provider stakeholders there are groups in the "Time Bomb" position indicating that the stakeholders have not fully supported and directly involved in the first 1000 days of life Program.    
Evaluasi Implementasi Pelayanan Jaminan Kesehatan Nasional pada Balai Kesehatan Paru Masyarakat (BKPM) Wilayah Semarang Terikat Kerjasama Dengan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan Agus Budiono; Sutopo Patria Jati; Chriswardani Suryawati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.622 KB) | DOI: 10.14710/jmki.4.1.2016.74-82

Abstract

Provision of National Health Insurance (JKN) on Lung Health Center Society (BKPM) Region Semarang has not been implemented optimally. Increased patient visits JKN participants in 2014 only 1% compared to the era of Askes, the discrepancy rates with real cost incurred, inadequate infrastructure services, long waiting time queuing services and the lack of agreement among stakeholders define the classification status of BKPM. The aim of research to evaluate the implementation of national health insurance on Lung Health Center Society (BKPM) Region Semarang. The research was conducted by using a qualitative in-depth interviews and review of documentation to explore the phenomenon being evaluated. This study key informants from BKPM Territory Semarang is Semarang Regional Head of BKPM, Treasurer, 1 Medical Record officers, 2 doctors clinic, and 1 administrative manager of the Health Insurance. 1 person sexy informant triangulation financing and Public Health Insurance Central Java Provincial Health Office, 1 Main Branch Health BPJS staff Semarang. Quantitative data to support the triangulation of data with customer satisfaction survey using quota sampling technique to sample 45 participants JKN patients who seek treatment in Semarang Regional BKPM. Qualitative data analysis techniques and quantitative content analysis method with frequency table. The results showed that: 1) The number of patients more than Non PBI PBI, 2) Services BKPM Semarang according to the contents successor agreement Regional cooperation but still need to be developed and improved again. 79.03% patient satisfaction that includes a satisfactory category. 3) On the financing aspects still exist discrepancies BPJS service rates with real cost Semarang Regional BKPM expenses, 4) Coordination is not maximized at the management and executive levels in Semarang Regional BKPM in the implementation of Health Insurance in early 2014. Recommendations that can be given is necessary socialization and revamping procedures JKN referral, assessment manufacture unit cost as the basis tariff scheme, infrastructure development and improvement of health services in the implementation of labor discipline JKN in Semarang Regional BKPM.
Implementasi Program Pengendalian Penyakit Demam Berdarah Dengue (P2DBD) di Wilayah Kota Medan Rapotan Hasibuan; Sri Suwitri; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.212 KB) | DOI: 10.14710/jmki.4.1.2016.35-43

Abstract

An incidence rate (IR) and a case fatality rate (CFR) of Dengue Haemorrhagic Fever (DHF) in Medan City tended to increase since 2012. This might be due to a problem in implementing DHF Disease Control Program (P2DBD). The aim of this study was to analyse the influence of factors of communication, attitude, health centres’ characteristics, understanding of a standard and a target, resource, and environment towards the success of the P2DBD implementation program in Medan City. This was an observational study using a cross-sectional approach. Data were collected using a structured questionnaire and observation followed by conducting indepth interview for qualitative data. Number of respondents were 39 DHF officers working at all main health centres in Medan City. Furthermore, data were analysed using a technique of structural equation model (SEM) processed by a software of visual partial least square (VPLS). The results of this research showed that most of the respondents had very good communication (66.7%), positive attitude in supporting the program (82.1%), good characteristics of health centres (84.6%), good understanding of a standard and a target (66.7%), good resource (74.4%), conducive environment (76.9%), and good implementation of P2DBD (51.3%), a moderate level. Bivariate analysis demonstrated that communication and environment influenced the implementation. Furthermore, multivariate analysis showed that the implementation could be explained by the factors of communication, attitude, health centres’ characteristics, standard and target, resource, and environment equal to 67.4%. The R 2 value was included as a substantial category in which the most influenced factor was the environment. District Health Office needs to regularly conduct training of DHF case management, to supervise a program at health centres, and to initiate the existence of cadres for monitoring mosquito wrigglers. Health workers need to motivate, to persuasively ask a community, and to coordinate revitalisation of a DHF working group.
Analisis Perbandingan Komitmen Bidan Koordinator dalam Pencatatan dan Pelaporan PWS KIA di Kabupaten Kapuas Kristie Hapsari Primaharini; Sutopo Patria Jati; Mateus Sakundarno Adi
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 2 (2020): Agustus 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.2.2020.88-97

Abstract

The midwife's commitment in recording the PWS KIA is a form of responsibility in reporting the PWS KIA and contributing to the achievement of the PWS KIA target. The lack of data and information on PWS KIA can lead to achievement of low and not low targets and cause PWS KIA problems to be resolved. Observation results of the PWS KIA Kapuas report found problems, namely; the report is incomplete, only partially filled in, even the number of formats sent is different for each puskesmas.This research is a qualitative research. Methods of data collection using questionnaires, observation of documents and in-depth interviews. The object of this study was the coordinating midwife and the Head of the Yankesdas Section as the person in charge of PWS KIA in Kapuas Regency.The results of the study are of 2 categories: coordinator midwives with "high commitment" of 17 health centers and "low commitment" of 9 health centers. Midwife coordinator with high commitment supported, among others; long work experience, has the attitude and responsibility for the trust that was stabbed, SK was appointed as a coordinating midwife, had a SOP supporting document PWS KIA report, received support from kapus and coworkers as well as the monev from the Kapuas District Health Office where the condition was not obtained from coordinating midwives with "low commitment". It is recommended to increase support for all coordinating midwives in the recording and reporting of PWS KIA in the form of supervision of the Kapuas District Health Office with quality activities, both the time and the material delivered.Keywords: Commitment, Midwife Koordinaor, PWS KIA
Co-Authors Aan Rosanti Abdul Aziz Aditya Kusumawati, Aditya Agnes Melissa Agung Purwanto Agus Budiono Agus Samsudrajat. S Agus Suwandono Akha Pratila Sari Amni Zarkasyi Rahman, Amni Zarkasyi ANDRI PURNOMO Ani Margawati Anindya, Prakasita Artha Anna Mieke Anneke Suparwati Anneke Suparwati Annisa Pratiwi, Annisa ANNISA RAHMAWATI Annisa Rakhmaningtyas Annisa, Viona Antarini Antarini Antarini Antarini, Antarini Antono Surjoputro Antono Suryoputro Antono Suryoputro Anwar, Choiroel Apoina Kartini Ari Setiawan Arinta Riza Andriani Aris Puji Widodo Aris Puji Widodo Aris Sugiharto Ariyani, Ima Armunanto, Armunanto Arnita Sofianingrum Aryani, Asri Indah Asfiya, Nissa Atul Atik Mawarni Aulia Ika Pratiwi Ayu Aztuty Tanjung Ayu Sekar Melati Ayun Sriatmi Azharayesha Nurendra Deltaverona Mahardika Bagoes Widjanarko Bagus Ronggonundarmo Bagus Widjanarko Bernadeta Lintang Hardy Bernadeta Lintang Hardy Bintang Agustina Pratiwi Budiyanti, Rani Tyas Budiyono Budiyono Budiyono Budiyono Budiyono Budiyono Cahya Tri Purnami Cahyaningsari, Brillian Ayu Chriesma Revolaninggar Cika Hanjani Pratiwi Cindi Widia Lestari Cynthia Rizky Indriani Dahlan, Muslih Deviana, Dika Dewi, Eltanin Kumala Dhwi Ba diya Maulina Ikhsani Dian Nursanti Dina Septiyanita Pratiwi Dodik Tugasworo Pramukarso Dodik Tugasworo Pramukarso Dony Kurniadi Wibowo Dyah Ayu Oktavia Edy Dwi Purwanto Edy Dwi Purwanto Eka Yunila Fatmasari Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Elsa Febrie Alvianitasari Eltanin Kumala Dewi Endah Sri Lestari Epi Saptaningrum Falentine Lidya Telussa Fani Alizi Ilmifaluthi Farid Agushybana Farid Farid Agushybana Feby Rahmawati, Feby Feliana Mirnawati Fiany Dharyanti Firman Firman Fitri Aviana Fitria, Candra Tyas Nur Friska, Erlin Guesthi Lunes Mutiara Cintha Handayani, Novia Handayani, Novia Hanun, Hafida Zahara Hapsari, Ika Sulistyaningrum Hardi Warsono Harisa Laraswatie Hartuti Purnaweni Hendra Teguh Setiawan Hendro Nurcahyo Hendro Sucipto Hidayat Waluyo Ika Sulistyaningrum Hapsari Ike Johan Prihatini Imanul Abdi Imawan, Satria Aji Indah Mutiara Puspita Sari Indah Widiastuti Inggita Raiesa Rahmi Inna Maulina Intan Dewi Kumalasari Intan Hardian Putri Irena Intania Irianti, Gita Febri Ismayanti Ismayanti Johanes Sugiarto Juwita Pratiwi Kaminang, Megawati Ayu Zharani Kartini Pekabanda Khansa Maghfira Djatnika Khasna Fikriya Kholidah, Miskiyatul Kristie Hapsari Primaharini Kusworo Adi Laksmono Widagdo Lathifah Safaatul Uzhma Lelly Prakusya Lestari, Ayu Fina Lisnia Sari Loveloi Putri Sihanari Lucia Ratna Kartika Wulan Luluk Andani M. Choiroel Anwar Mahalul Azam Maharani, Virgi Mayang Manja Mania Mariyana, Kristin Martha Irene Kartasurya Martini Martini Martini Martini Masrifan Djamil Mateus Sakundarno Adi, Mateus Sakundarno Matsna Haniifah MC. Inge Hartini Meitrika Damayanti Meytri Saraswati Moh Syarofil Anam Mohammad Zen Rahfiludin mufakhhir, Abdulaziez Muh. Ridha Setiawan Salam Muhammad Azinar Muhammad Farras Razin Perdana Muhammad Mukhlis Sujudi Muhammad Murtadho Mumpuni Sari Kusumastuti Mustikowati, Mutia Galuh Mya Rosiana Nabilatul Fanny Naintina Lisnawati Nandini, S.KM., M.Kes, Nurhasmadiar Nanik Sulistyorini Nanik Sulistyorini Naylul Izza Izza Ni Made Deviana Widiantari Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nimas Ariyani Damayanti Nina Maria Desi Nining Ningrum Ninung Rose Diana Kusumawati Nissa Kusariana Nofa Martina Ariani, Nofa Martina Noor Fadhilah Dyah Anggraini Nufika Fatasyadhuha Nur Endah Wahyuningsih Nurhasmadiar Nandini Nurhasmadiar Nandini Nurhasmadiar Nandini Nurlita Putri Apriliani Nurul Fajriah Nurul Fajriah Ossie Happinasari Paramesthi, Prasasya Pramono Apriawan Wijayanto Pramono Apriawan Wijayanto Puteri Inandin Nabiha Putri Asmita Wigati Putri, Intan Hardian Putri, Sefira Salsabila Rabiatul Amaliah Hariadi Rahmasari, Annisya Aulia Rahmi Rahmi Rani Tiyas Budiyanti Rapotan Hasibuan Rasipin Rasipin Ratna Murpratiwi Retno Hestiningsih Riama Haposanita S. Risdanti, Syafira Rizani Shofi Romdhonah Romdhonah Ronald Mahudin Rosalia, Marcheda Rahma Runjati Salma Salma salnia salnia Sandyaga Ghaffar Purwanto Sari, Emy Novita Sarsintorini Putra Septo Pawelas Arso Septyana Fauzy Shabika Imany Putri Wiguna Shinta Trinovia Kumalasari Shofiyana Shofiyana Silavati, Yuni Adhita Silfia Addina Sinaga, Ong Felin Siti Raihanah Siti Rochwati Soakakone, Minnalia Sri Achadi Nugraheni Sri Isroyati Sri Maryati Sri Maryati Sri Suwitri Sri Yuliawati Suci Aull Radian Sudarmono sudarmono Sudiro Sudiro Sugiarto, Puput Suhartono, Suhartono Sulianti Rosianna Sihotang Suryawati, Chriswarandi Suryosaputro, Antono Susanti susi yanti Syafira Risdanti Syamsulhuda BM Syamsulhuda Budi Musthofa Syamsulhuda Budi Mustofa Tasia Deastuti Tika Purbadiyanti Pranata Titik Handayani, Titik Tjahjono Kuntjoro Tjahjono Kuntjoro Tomi Konstantia Setiaji, Tomi Konstantia Tri Haryani Nur Liyana Tri Wardhani, Ria Trianita Eka Pamundhi Triastuti, Akyuning Una Zaida Untung Sujianto Vannisa Fandyar Maulidhika Viona Febya Pangestika Virgi Mayang Maharani Virgi Mayang Maharani Wijaya, M. Indra Hadi Wijayanto, Pramono Apriawan Wildan Nur Aiman Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yanti, Ni Luh Devi Yoga Dwi Ardianto Yudhy Dharmawan Yulia Elesta Nitbani Yuliani Setyaningsih Yulianto Prabowo Yuliastuti, Ika Kurnia Yuni Adhita Silavati Zahroh Shaluhiyah