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Pengeluaran out of pocket rumah tangga untuk upaya pencegahan kesehatan anak: analisis berbasis two part model dan Tobit Marlinda Marlinda; Vetty Yulianty Permanasari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (826.703 KB) | DOI: 10.22146/bkm.42519

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Out-of-pocket household expenditure for child health prevention services: two-part and tobit modelPurposeTo find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.MethodsThis study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.ResultsThe two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita.  ConclusionThis study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor.
Beban ekonomi yang ditanggung pasien dan keluarga akibat penyakit stroke: studi literatur Honesty Fadhilah; Vetty Yulianty Permanasari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.663 KB) | DOI: 10.22146/bkm.46382

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Economic burden borne by patients and families due to stroke: literatur reviewPurpose: Stroke to this day is still a disease that carries a high disability, so that in the future it requires very expensive costs, and has an impact on the socio-economic consequences for patients and their families. Therefore, this study aims to estimate the causes of costs that cause economic burden due to stroke. Methods: The method used is content analysis by searching literature review from various sources, both in the form of journals and textbooks from national and international levels.Results: The literature study shows that direct medical costs in the form of rehabilitation costs and nursing care were identified as the main contributors that caused a high economic burden due to stroke.Conclusions: The high cost incurred causes families to experience catastrophic financial disasters, resulting in a decrease in the level of welfare. Social preventive measures are needed to reduce the magnitude of the prevalence of stroke to be able to reduce this cost burden in order to protect every household from the financial threat of a stroke.
THE IMPLEMENTATION OF VENTILATOR ASSOCIATED PNEUMONIA BUNDLE (VAP) IN THE ICU OF EKA HOSPITAL, PEKANBARU Erna Maria; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Nosocomial infections or known as Hospital Acquired Infections (HAIs) is a worldwide problem. VAP is nosocomial pneumonia which occurs more than 48 hours after installation of mechanical ventilation, either through an endotracheal tube or tracheostomy. The patient in ICU have high risk on VAP infection and increasing morbidity, mortality and also prolonged length of hospital stay Methods: This research is an observational study evaluating conditions before and after a specific standard operating procedure being implemented in reducing VAP infection in ICU EKA Hospital Pekanbaru. Results: It’s obtained from medical record data of 339 patients hospitalized at ICU of Eka Hospital Pekanbaru ranging from 2016 to 2017. There is significant decrease number of VAP infections in 2017 by 60%. The reduction occurred due to the application of a routine VAP Bundle covering 100% for all hospitalized ICU patients. Conclusions: Strict monitoring and supervision are required to maintain VAP bundle and reduce the incidence of VAP infection in ICU of Eka Hospital Pekanbaru.
NURSE’S ATTITUDE TOWARD PATIENT SAFETY POLICY IN BALI ROYAL HOSPITAL, INDONESIA: INDIVIDUALIZED APPROACH USING HEALTH BELIEF MODEL Dewa Ayu Dyah Widya; Adang Bachtiar; Dumilah Ayuningtyas; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Patient safety is one of the most important dimensions in quality of healthcare. Nurses are the key in care delivery, their compliance toward Patient Safety policy cannot be overlooked. Studies evaluating determinants of nurse’s compliance to Patient Safety policy is still lacking. Aims: To evaluate nurse’s attitude toward Patient Safety policy using Health Belief Model (HBM). Methods: An analytical cross-sectional study was carried on in Bali Royal Hospital, Indonesia, on December 2016. An anonymous, self-administered questionnaire was used to collect the data on socio demographics, knowledge, and attitude toward Patient Safety policy. Attitudes are specifically assessed using HBM. Results: A total of 124 nurses are included in this study. Mean age of the study population was 29.7±6.7 years. Mean score for knowledge about Patient Safety policy was 12.68±3.40 from 18.0- point scale. Nurses perceived a low risk of non-compliance (mean perceived risk 8.07±1.89) and a low barrier to comply with Patient Safety policy (mean perceived barrier 8.66±1.78). Knowledge and attitudes toward Patient Safety policy did not differ by sex and educational background but it did differ according to unit of workplace. Age and length of work correlated positively to knowledge (Spearman’s r=0.439, p-value 0.000; and r=0.400, p-value <0.001, respectively). A positive and moderate correlation was observed between knowledge vs. perceived severity (r= 0.394, p-value <0.001) and knowledge vs. perceived benefit (r=0.422, p-value < 0.001). There was a strong and positive correlation between perceived severity and perceived benefit (r= 0.725, p-value <0.001). Conclusion: Nurse’s attitudes toward Patient Safety policy were generally good and correlate positively with knowledge. The use of HBM provides an increased understanding of how individual perceptions can be influenced to improve nurse’s engagement in promoting safer health care.
COST EFFECTIVENESS AND EFFICIENCY ANALYSIS OF HOSPITAL WASTEWATER TREATMENT PLANT: A SYSTEMATIC REVIEW Catherine Maname Uli Nainggolan; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Hospital waste management had become an international attention. One of the first meeting by Solid Hazardous Waste was related to domestic waste and medical waste. The previous study showed that nationally hospital solid waste expectedly reach 376.089 ton per day and the volume of wastewater was 48.985,70 ton per day. Aims: The purpose of this study is to examine the literatures on analysis of the cost effectiveness and efficiency hospital Wastewater Treatment Plant. Methods: This systematic review was based on Protocol Prisma. Literature searches were conducted using the electronic databases Google Scholar (2011 to present), SpringerLink, and Proquest.Over a total of 3.834 potential articles, 9 met all inclusion criteria. Results: Cost problems were founded due to there was no good financial planning, maintenance costs, and the wastewater quality supervision. The budget of wastewater treatment only focuses to the cost of damage, but only enough for one time laboratory examination. Moreover, we also highlighted another factors affected to effectiveness and efficiency where there was no regular training for sanitarian, and as the results, sanitarian cannot determine the best effective method, finally the budgets were only for authoritarian system. This paper also reviews methods and applications to reduce the cost in electrical, chemical, and maintenance, by new wastewater treatment alternatives. If compared the two techniques, extended aeration and sequencing batch reactors, evidently, sequencing batch reactor had lower cost than extended aeration. Conclusions: The cost effectiveness and efficiency of wastewater management can be achieved by good management systems, good knowledge about waste, and different methods result different efficiency too.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN LAMANYA WAKTU TUNGGU RAWAT INAP (BOARDING TIME) DI UGD RS AWAL BROS PEKANBARU TAHUN 2018 Umi Eliawati; Vetty Yulianty Permanasari
Journal of Hospital Administration and Management Vol 1 No 1 (2020): Jurnal Administrasi Rumah Sakit dan Manajemen
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (875.257 KB) | DOI: 10.54973/jham.v1i1.51

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The purpose of this research is to analyse factors contributing to the boarding time in emergency department Awal Bros Pekanbaru Hospital. Variables had been analyzed are triage system, payment pattern, arrival mode, amount of diagnostic examination, amount of consulting doctors, and patients per day. This is a quantitive research, retrospective, using a cross sectional design. Waiting time conceptual model or Input/Throughput/Output model was the framework used in this study, which focusing on input and throughput process. The total sampel was 374. Data collection was using the research instrument and emergency department performance report. Data analysis was using a cross-tabulation or chi-square for bivariate analysis, and using logistic regression for multivariate analysis. The results of this bivariate analysis showed that among all varaibles, factors that contributing to boarding time was triage system ( p value= 0,001), payment pattern (p value = 0,017), amount of diagnostic examination (p value=0,001) and amount of consulting doctor (p value = 0,041). Meanwhile from the multivariate analysis showed that variables that contributing the boarding time was triage system (p value = 0,023) and amount of the diagnostic examination (p value = 0,001)
Automated Dispensing Machine Sebagai Salah Satu Upaya Menurunkan Medication Errors Di Farmasi Rumah Sakit Dicki Julianus Karundeng; Vetty Yulianty Permanasari
Cermin Dunia Kedokteran Vol. 45 No. 10 (2018): Muskuloskeletal
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v45i10.708

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Medication Errors merupakan penyebab kematian tertinggi keempat di Amerika Serikat. Untuk menurunkan kejadian medication errors, khususnya dispensing errors, Amerika Serikat sudah menggunakan sistem dispensing otomatis. Di Indonesia, hampir semua instalasi farmasi masih menggunakan tenaga manual. Studi ini menganalisis dampak ADM (Automated Dispensing Machine) terhadap medication errors, khususnya dispensing errors di instalasi farmasi rumah sakit. Metode: Systematic Review menggunakan metode PRISMA diambil dari online database seperti Scopus, Tripdatabase, Springerlink dan Google Scholar dengan kata kunci “Automated Dispensing Machine” dan “Medication Error” dengan rentang waktu studi 10 tahun terakhir (Bulan Januari 2008 - Januari 2018). Hasil dan Diskusi: Sebelas penelitian menunjukkan dampak positif automated dispensing machine (ADM) menurunkan dispensing errors, baik di instalasi rawat jalan maupun rawat inap. Lima penelitian menunjukkan ADM harus terintegrasi dengan e-Prescription, sistem barcoding, dan Sistem Informasi Rumah Sakit, agar dapat berdampak optimal. Sistem filling ADM otomatis dapat mendukung penurunan angka dispensing errors. ADM juga berdampak positif menurunkan beban kerja di farmasi, waktu tunggu obat, nilai inventory farmasi, dan biaya karyawan. Kelemahan sistem ADM adalah sulit digunakan dalam pelayanan emergency, membutuhkan sumber daya manusia terlatih, dan biaya tinggi. Simpulan: ADM berdampak positif menurunkan angka medication errors. Untuk hasil maksimal ADM harus diintegrasikan dengan sistem informasi rumahsakit. Medication Error are the 4th leading cause of death in USA; to decrease medication error particularly dispensing error, Automated Dispensing System had been used in USA. In Indonesia, most pharmaceutical departments still use manual system in drugs dispensing. This study analyze the effect of ADM (Automated Dispensing Machine) to medication errors, particularly dispensing errors in hospital pharmacy. Method: Systematic Review with PRISMA method retrieved from online database such as Scopus, Tripdatabase, Springerlink, and Google Scholar using keywords “Automated Dispensing Machine” AND “Medication Error” studied in the last ten years. Results and Discussion: All eleven studies show beneficial effects in ADM implementation, decreasing dispensing error, both at outpatient and inpatient ward. Five studies suggest that ADM should be integrated with e-Prescription, barcoding system, and hospital information system for optimal result. Automatic filling system also decrease dispensing error. ADM also gives beneficial effect in reducing pharmacy staffs’ workload, drug waiting time, drug inventory cost, and employee costs. ADM systems have some weaknesses: difficult to apply at emergency services, need trained staffs, and high costs. Conclusion ADM gives beneficial effect in reducing medication errors. For better results, ADM should be integrated with the hospital information system.
Telemedicine pada Layanan Tuberkulosis (Literature Review) Siti Muhimatul Munawaroh; Vetty Yulianty Permanasari
Jurnal Informatika Terpadu Vol 9 No 1 (2023): Maret, 2023
Publisher : LPPM STT Terpadu Nurul Fikri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54914/jit.v9i1.626

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The current Covid-19 pandemic has restricted people's movements to access health services. This has resulted in reduced access to tuberculosis treatment and has resulted in increased mortality. The government has advocated using digital tools and technologies such as telemedicine for patient care. This research aims to find out how telemedicine is applied to tuberculosis services. This study uses the Systematic Literature Review methodology with scientific article publication data sources from the Google Scholar, PubMed, ScienceDirect, and ProQuest databases. From the 6440 articles obtained at the start of the search, in the end, 18 articles met this study's inclusion and exclusion criteria. Results: The implementation of telemedicine in tuberculosis services is carried out using DOT (Direct Observation Treatment) therapy using Video or vDOT (Video Direct Observation Treatment), while other telemedicine activities are carried out via direct telephone, sending voice text messages periodically for patient reminders, vDOT is carried out online synchronous via uploads or asynchronous via video recording. The telemedicine platform is helpful for health workers in tackling and preventing tuberculosis which requires intensive monitoring of patients so that patients can be monitored regularly, reducing drug withdrawal patients and increasing the success of tuberculosis treatment. There are opportunities for the development of telemedicine applications in Indonesia that focus on the use of vDOT.
ANALISIS LAYANAN FISIOTERAPI DALAM UPAYA PELAYANAN KESEHATAN DI PUSKESMAS WILAYAH DKI JAKARTA: Analisis Layanan Fisioterapi di Puskesmas Wilayah DKI Jakarta Putri Karina Syafitri; Vetty Yulianty Permanasari
Jurnal Ilmiah Fisioterapi Vol. 3 No. 1 (2020): Februari
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.142 KB) | DOI: 10.36341/jif.v3i1.1143

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The increase in NCD’s such as hypertension, stroke, diabetes mellitus, joint disease, lack of physical activity, injury, and disability in line with the increasing need for physiotherapy services in health facilities including in Community Health Centers. The role of physiotherapist in the Community Health Centers according to Permenkes No. 65 of 2015 is to carry out activities in the form of promotive and preventive without prejudice to curative and rehabilitative. The purpose of this study is to analyze physiotherapy services at the Community Health Centers using a system approach seen through 5 levels prevention measures namely are health promotion, specific protection, early diagnosis and prompt treatment, disability limitation and rehabilitation efforts at 6 Puskesmas in DKI Jakarta. This study uses qualitative research methods through a phenomenological approach. The results of this study obtained a depth-overview of the efforts of health services at the Physiotherapy Services, namely the provision of medical services is preferred over promotive and preventive efforts. Physiotherapy services at the Puskesmas have been regulated in the Decree of the Puskesmas Head by referring to Permenkes No. 75 of 2014. Public health activities in collaboration with the Physiotherapy Services at the Puskesmas are only carried out by 3 Puskesmas and some of them only conduct individual services. This study recommends that adding 1 physiotherapist HR to be able help physiotherapy services outside the building and physiotherapy organizations can create specialized public health training to support physiotherapy competencies. Keywords: Community Health Centers, Physiotherapy services, Five levels prevention
Analysis of the Implementation of the Use of Health Center Health Operational Assistance Funds in North Buton Regency in 2021 Iswanto; Vetty Yulianty Permanasari; Kurnia Sari; Pujiyanto; Izanuddin; Mira Miranti
Formosa Journal of Sustainable Research Vol. 2 No. 7 (2023): July 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjsr.v2i7.5177

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This study aims to analyze the implementation of the use of BOK Puskesmas funds in calling for SPM performance in North Buton Regency. This research is an operational research with a case study design and a qualitative approach. Case studies were conducted at the Kulisusu Health Center, Bonerombo Health Center, and North Wakorumba Health Center, North Buton Regency. The results of the study found that in terms of human resources there were still many who were incomplete and there were still several positions filled by health workers who had no expertise. The completeness of facilities and infrastructure at the puskesmas is also not sufficient as standard facilities for implementing programs in the MSS. Planning for the budget for BOK funds for puskesmas is carried out through the preparation of RUK and RPK, but the budget ceiling is still determined by the central government. The delay in issuing the DPA in the APBD and the slow disbursement carried out by the Puskesmas had an impact on the implementation of program activities at the beginning of the year