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ANALYSIS OF IMPLEMENTATION OF MALARIA CONTROL POLICY AT SIDODADI HEALTH CENTER ASAHAN DISTRICT Syahruddin; Kasim, Felix; Saputri, Ika Nur
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

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Abstract

Abstract Malaria is a serious and potentially fatal public health problem. Malaria elimination efforts are carried out in Indonesia to create a society that is free from malaria transmission in 2030. This study aims to analyze the implementation of malaria control policies at the Sidodadi Community Health Center, Asahan District. This study used a qualitative approach involving the head of the Community Health Center and the malaria program manager as respondents. The results showed that the management of malaria sufferers was quite good, but there were still obstacles in the availability of malaria drugs at the Sidodadi Health Center. Prevention and management of risk factors for malaria are also not optimal due to the lack of facilities and infrastructure for health workers. Epidemiological surveillance and epidemic control still need to be improved according to the standards of the Ministry of Health. Communication, information, and education in malaria prevention is quite good. The improvement of human resources at the Sidodadi Health Center has also been carried out well, but the Asahan District Health Office needs to continue to prioritize the malaria elimination program and continue to improve education for field workers. Keywords: Policy Implementation, Prevention, Malaria
ANALYSIS OF CASE MANAGER FUNCTIONS IN IMPROVING QUALITY CONTROL AND COST CONTROL OF INPATIENT (CASE STUDY) AT GRANDMED HOSPITAL LUBUK PAKAM Fitri Maya Sari Panjaitan; Kasim, Felix; Br Ginting Munthe, Novita
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1783

Abstract

Abstract The hospital has a process for implementing continuity of care in the hospital and integration between care-giving professionals (PPA) assisted by a patient service manager (MPP)/case manager. The current challenge that must be faced by hospitals in implementing the JKN program is implementing good quality control and cost control. The existence of MPP in the hospital case management system is expected to be able to support quality control and cost control. The purpose of this study was to analyze the functions of the case manager in improving quality control and cost control for inpatients (case study). This research was conducted at the Grandmed Lubuk Pakam Hospital, Deli Serdang Regency from September 2022 to May 2023. The type of research in this study was qualitative. The sample in this study were case managers at Grandmed Lubuk Pakam Hospital, Deli Serdang Regency, totaling 3 people and 1 director of medical services and 3 heads of inpatient rooms. The results showed that the implementation of case managers in improving quality control and cost control for inpatients was quite good. The case manager utility assessment has not gone well because there is no clear format for the initial screening of patients. Patient care planning by case managers has not been maximized. Not all case managers do patient care planning. The case manager's facilitation and advocacy has not been maximized. There are 2 case managers who do not coordinate with other fields, only coordinate with DPJP and nurses. The case manager evaluation has not gone well because there is no instrument format for case manager tasks so evaluation cannot be carried out. Post-discharge planning follow-up by the case manager has not gone well because the case manager has never followed up post-discharge planning. Case managers should carry out case manager functions for patients who are being treated in case management in accordance with the standard criteria set by STARKES 2022 accompanied by proper and accurate documentation to improve service quality and patient satisfaction. Keywords : Functions, Case Manager, Quality Control, Cost Control, Hospitalization, Case Study
FACTORS THAT INFLUENCE READINESS FOR IMPLEMENTING STANDARD INPATIENT CLASSES AT GRANDMED LUBUK PAKAM HOSPITAL IN 2023 Sitepu, Abdi Lestari; Kasim, Felix; Gurusinga, Rahmad
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1955

Abstract

Health services are a benchmark in determining the expected quality of health services in hospitals. In providing services, patients must receive the best service from the hospital to improve public health. This type of research is quantitative research using an analytical survey method with a cross-sectional approach. The population and sample in this study were all 112 inpatient rooms at Granmed Lubuk Pakam Hospital. The influencing variables are building components, air ventilation, and bed equipment. This research uses primary data in the form of observation sheets and checklists. Meanwhile, secondary data was obtained directly from the Grandmed Lubuk Pakam Hospital office. Analysis of the data used univariate and bivariate analysis. The highest Inpatient Class Building Component is in the very good category, namely 58 rooms (51.8%). The highest Inpatient Class air ventilation factor was in the very Good category with 47 rooms (42.0%). The highest Inpatient Class Bed Completeness Factor was in the Very Good category with 60 rooms (53.6%). Each factor's p-value obtained is 0.001; 0.004; 0.002 means that there is an influence of building components, air ventilation, and bed equipment on the readiness to implement standard inpatient classes at Grandmed Lubuk Pakam Hospital in 2023.
The Effect of Emergency Education for Health Cadres in Improving Early Detection of Catastrophic Diseases Kasim, Felix
Jurnal FARMASIMED (JFM) Vol 6 No 2 (2024): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

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Abstract

Catastrophic diseases, such as stroke, heart disease, and kidney failure, are the leading causes of morbidity and mortality in Indonesia. Early detection is crucial to prevent further complications. Health cadres play a strategic role in the early detection of these diseases; however, their understanding of emergency conditions remains limited. Therefore, emergency education is necessary to enhance the ability of health cadres in the early detection of catastrophic diseases.Objective: To analyze the impact of emergency education on improving the ability of health cadres in the early detection of catastrophic diseasesThis study employed a quasi-experimental design with a pre-test and post-test approach involving 50 health cadres in the working area of Puskesmas X. Data were collected through questionnaires before and after the emergency education intervention. Data analysis was conducted using univariate and bivariate statistical tests, with a paired t-test to examine differences before and after the intervention Univariate Analysis: Before the education was provided, 60% of health cadres had low knowledge levels, 30% were at a moderate level, and only 10% had a high level of knowledge. After the intervention, there was a significant increase, with 70% of cadres having a high level of knowledge and 30% in the moderate category.Bivariate Analysis: The paired t-test results showed a significant difference (p < 0.05) in the knowledge level of health cadres before and after receiving emergency education. Emergency education significantly improves the ability of health cadres in the early detection of catastrophic diseases. Therefore, this educational program should be continuously implemented to enhance the capacity of health cadres in efforts to prevent and detect catastrophic diseases in the community
Determinan kepatuhan penggunaan alat pelindung diri pada perawat Rifai, Achmad; Bangun, Sri Melda Br.; Widyaningsih, Fadlilah; Kasim, Felix; Rambey, Harris; Sari, Indry Purnama
Haga Journal of Public Health (HJPH) Vol. 2 No. 2 (2025): Maret 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i2.48

Abstract

Latar belakang: Alat Pelindung Diri (APD) merupakan elemen penting dalam sistem perlindungan bagi tenaga medis, terutama perawat, yang berinteraksi langsung dengan pasien dan berada di lingkungan dengan risiko tinggi penularan penyakit. Penelitian ini bertujuan untuk mengetahui determinan kepatuhan penggunaan APD pada perawat. Metode: Penelitian ini menggunakan desain cross-sectional dan dilaksanakan di Rumah Sakit Grandmed Lubuk Pakam pada tahun 2024. Subjek yang terlibat dalam penelitian ini adalah seluruh perawat yang bekerja di Rumah Sakit Grandmed Lubuk Pakam, khususnya perawat yang bertugas di instalasi bedah sentral, dengan jumlah 57 orang. Teknik pengambilan sampel yang digunakan adalah total sampling. Data dikumpulkan melalui penyebaran kuesioner kepada perawat. Analisis data dilakukan dengan menghitung distribusi frekuensi dan melakukan pengujian hipotesis menggunakan uji chi-square dengan tingkat signifikansi α = 0,05. Hasil: Kepatuhan penggunaan APD pada perawat sebesar 19,3%. Pengetahuan perawat (p = <0,001), sikap perawat (p = 0,003), pengawasan (p = 0,004), ketersediaan APD (p = <0,001) berpengaruh signifikan terhadap kepatuhan penggunaan APD. Kesimpulan: Pengetahuan perawat yang kurang baik, sikap perawat yang negatif, pengawasan yang tidak baik, ketersediaan APD yang tidak memadai berpengaruh signifikan terhadap kepatuhan penggunaan APD.
Prevalensi dan determinan kepatuhan konsumsi obat pada penderita hipertensi: studi cross-sectional Rifai, Achmad; Kasim, Felix; Widyaningsih, Fadlilah; Rambey, Harris; Bangun, Sri Melda Br; Indriani, Restutri
Haga Journal of Public Health (HJPH) Vol. 2 No. 3 (2025): Juli 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i3.56

Abstract

Latar belakang: Rendahnya kepatuhan dalam mengonsumsi obat antihipertensi menjadi hambatan bagi keberhasilan pengendalian tekanan darah, serta berkontribusi pada peningkatan risiko komplikasi kardiovaskular dan beban pelayanan kesehatan. Penelitian ini bertujuan untuk mengidentifikasi determinan kepatuhan konsumsi obat pada penderita hipertensi. Metode: Studi ini menggunakan desain potong lintang (cross-sectional). Populasi penelitian mencakup seluruh pasien hipertensi yang berobat di Puskesmas Klinik Pratama Polkes 01.10.02 Lubuk Pakam pada tahun 2025, dengan jumlah 95 orang. Seluruh populasi dijadikan sampel penelitian melalui teknik total sampling. Pengumpulan data dilakukan menggunakan kuesioner yang disebarkan kepada pasien hipertensi, sedangkan analisis data dilakukan dengan uji Chi-Square pada tingkat signifikansi α = 0,05. Hasil: Sebanyak 65,3% responden diketahui tidak patuh dalam mengonsumsi obat, sedangkan 34,7% responden patuh dalam konsumsi obat. Faktor-faktor seperti tingkat pendidikan yang rendah, pengetahuan yang kurang, jarak tempat tinggal ≥1 km, minimnya dukungan keluarga, lama konsumsi obat, serta tidak adanya paparan edukasi kesehatan terbukti berhubungan signifikan dengan kepatuhan konsumsi obat. Kesimpulan: Kepatuhan konsumsi obat pada penderita hipertensi dapat dipengaruhi oleh aspek pendidikan, pengetahuan, jarak tempat tinggal, dukungan keluarga, durasi konsumsi obat, dan edukasi kesehatan.
Factors Affecting the Quality of Medical Record Services Kasim, Felix
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/bz7sps52

Abstract

Background: Medical records play a crucial role in supporting safe, high-quality, and continuous healthcare services. However, the quality of medical record services at many healthcare facilities, including Granmed Hospital Lubuk Pakam, still faces various challenges.Objective:This study aims to analyze the factors affecting the quality of medical record services, including individual factors (knowledge, perception, workload), organizational factors (policies, training, supervision), and technological factors (facilities and infrastructure). Research Methods: A quantitative analytic observational study with a cross-sectional design was conducted. A total of 75 healthcare and administrative workers involved in medical record management were selected using total sampling. Data were collected through structured questionnaires and medical record audits, then analyzed using chi-square tests and multiple logistic regression. Results: There were significant relationships between knowledge (p=0.002), workload (p=0.015), training and supervision (p=0.049), and availability of facilities and infrastructure (p=0.022) with the quality of medical record services. Most respondents reported a heavy workload and inadequate facilities.Conclusion:Knowledge, workload, training-supervision, and facility availability significantly influence the quality of medical record services. Efforts to strengthen human resources, manage workloads better, enhance supervision, and improve infrastructure are essential to enhance the quality of medical record documentation.
SOSIALISASI POTENSI ASTAXANTHIN DALAM MEMBANTU PENGENDALIAN TEKANAN DARAH DI UPTD PUSKESMAS LHOK BEURINGEN Wasliati, Balqis; Kasim, Felix; Rambey, Harris; Rifai, Achmad
Indonesian Collaboration Journal of Community Services (ICJCS) Vol. 4 No. 3 (2024): Indonesian Collaboration Journal of Community Services
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/icjcs.v4i3.177

Abstract

Hypertension is a significant public health issue and has shown a notable increase in prevalence in Indonesia in recent years. According to the 2018 Basic Health Research (RISKESDAS), the prevalence of hypertension in Indonesia reached 34.1%, up from 25.8% in 2013. The impact of hypertension is substantial, contributing to 45% of deaths from heart disease and 51% of deaths from stroke. Astaxanthin, a natural carotenoid antioxidant found in various aquatic organisms, has shown potential as a blood pressure regulator through various mechanisms. Research indicates that astaxanthin is effective in reducing blood pressure and improving cardiovascular health. This community service program aims to increase public knowledge about astaxanthin at UPTD Puskesmas Lhok Beuringen through socialization and lectures. The results of the activities showed an increase in understanding and interest in astaxanthin among the community, as well as indications of changes in health behavior. The village of Meunasah Beuringen has shown a commitment to continuing this health education program, hoping to become a successful example for other villages in improving public health through effective education
Evaluasi Kebijakan Standar Pelayanan Fisioterapi di RSUD Prof Dr. H.M. Chatib Quzwain Kabupaten Sarolangun Ginting, Edna Rodes; Kasim, Felix; Bangun, Imelda
Jurnal Akademika Baiturrahim Jambi Vol. 13 No. 2 (2024): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v13i2.877

Abstract

Physiotherapy Service Standards are guidelines that must be followed by physiotherapists in performing physiotherapy services. The standard policy needs to be evaluated for its application at least every 2 years and a maximum of 4 years as an effort to equalize and improve the quality of health services. The adjustment of existing service standards in accordance with the classification of health facilities has been regulated in PMK Number 65 Year 2015. The physiotherapy service standards referred to are listed in article 3 (three), including service delivery, service management and resources. This research uses descriptive qualitative methods. The number of samples or informants in this study were 14 people consisting of the Director of the Hospital (1 person), Head of Medical Services (1 person), Physiotherapy Implementers (6 people), and Physiotherapy Patients (6 people). Data were collected through observation, checklist sheets and interviews with informants.  Based on the results of this study, it can be concluded that the Physiotherapy Service Standards Policy at RSUD Prof. Dr. H.M. Chatib Quzwain Sarolangun Regency is not optimal, seen from the dimensions of service management: not yet integrated and needs to be improved according to applicable standards, including through procurement / increasing the number of supporting tools for physiotherapy services. In addition, digital-based administration needs to be improved to support the implementation of coordination, integration and synchronization as an effort to achieve professional, comprehensive and integrated, equitable and sustainable physiotherapy services. Furthermore, in the resource dimension, the unavailability of a doctor in the physiotherapy unit has an impact on the performance of the unit and the quality of physiotherapy services at RSUD Chatib Quzwain
Analysis of Administrative Hospital Human Resource Competence and Its Influence on Administrative Performance at Grandmed Hospital Lubuk Pakam in 2025 Kasim, Felix; Putri Sari Maharani; Aya Sofia Diaz
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/p484vd27

Abstract

This study aims to analyze the competence of hospital administrative human resources (HR) and its influence on administrative performance at Grandmed Hospital Lubuk Pakam in 2025. A quantitative method with a cross-sectional design was employed. The study population consisted of all administrative staff, with 80 respondents selected using a total sampling technique. Data were collected using a structured questionnaire with a five-point Likert scale, which was tested for validity and reliability. The findings revealed that the majority of respondents had high competence (67.5%) and good administrative performance (70%). Bivariate analysis using the Chi-square test showed a significant relationship between HR competence and administrative performance (p = 0.001). Multivariate analysis with logistic regression demonstrated that HR competence had a significant effect on administrative performance, with an Odds Ratio (OR) of 6.82 (95% CI: 2.35–19.80). This indicates that staff with high competence are almost seven times more likely to demonstrate good administrative performance compared to those with moderate competence. The study highlights the importance of strengthening hospital administrative HR competence through continuous training and development to support service quality and hospital competitiveness.