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Hubungan Antara Jumlah Persalinan dengan Kejadian Preeklampsi di RSUD Tugurejo Semarang Merry Tyas Anggraini; Muhammad Irsam; Agus Sunarto
Jurnal Kedokteran Muhammadiyah Vol 5, No 2 (2016): JURNAL KEDOKTERAN
Publisher : Jurnal Kedokteran Muhammadiyah

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Abstract

Latar Belakang: Preeklampsia merupakan penyakit hipertensi disertai proteinuria dengan sistolik/diastolik ?140/90mmHg dan proteinuria ?300 mg/24 jam setelah kehamilan minggu ke-20. Faktor risiko terjadinya preeklampsia antara lainprimigravida, diabetes mellitus, multiparitas, usia, riwayat keluarga preeklampsia, riwayat hipertensi, obesitas, penyakitginjal dan penyakit jantung. Penelitian ini bertujuan untuk menganalisis hubungan antara jumlah persalinan dengankejadian preeklampsia di RSUD Tugurejo Semarang.Metode: Studi observasional dengan desain cross sectional dengan Uji Chi-square. Sampel sebanyak 59 sampel rekammedis ibu dengan preeklampsia periode Januari Desember 2014. Metode pengambilan sampel dilakukan dengan carapurposive samplingHasil: Hasil analisis chi square hubungan antara jumlah persalinan dengan kejadian preeklampsi didapatkan nilai p=0,706.Kesimpulan : Tidak ada hubungan antara jumlah persalinan dengan kejadian preeklampsi di RSUD Tugurejo Semarang.Kata Kunci : Preeklampsia, jumlah persalinan
Strategi Adaptasi Klinik Ananda Sehat Karangsono terhadap Persaingan Layanan Kesehatan di Era JKN Purwadhi Purwadhi; Yani Restiani Widjaja; Agus Sunarto; Annisa Berlia Maharani
Jurnal Visi Manajemen Vol. 11 No. 3 (2025): September : Jurnal Visi Manajemen
Publisher : Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/jvm.v11i3.779

Abstract

This study aims to analyze the adaptation strategies of Ananda Sehat Karangsono Clinic in facing the competition in healthcare services in the era of the National Health Insurance (JKN). The background of this research is based on the increasingly fierce competition between healthcare facilities, both clinics and hospitals, in providing fast, efficient, and quality services according to JKN standards. The presence of the JKN program, which demands integrated, transparent, and technology-based services, encourages clinics to innovate to remain competitive and maintain operational sustainability. The research method used is descriptive qualitative with data collection techniques through in-depth interviews, participatory observation, and documentation studies. Research informants included clinic leaders, healthcare workers, and administrative staff, thus providing a comprehensive perspective on the implemented adaptation strategies. The results show that Ananda Sehat Karangsono Clinic has integrated digital technologies, such as the Mobile JKN application and WhatsApp, to speed up the registration process, verify patient data, and facilitate communication. This innovation can improve the efficiency of service flows, reduce queues, and create a better service experience for patients. In addition, the clinic emphasizes the importance of patient satisfaction by improving service quality, speed, and friendliness of healthcare workers and support staff. The adaptation strategy implemented was not limited to technological aspects, but also encompassed operational efficiency and humanistic interpersonal services. Overall, the clinic's adaptation strategy was flexible and holistic, encompassing digitalization, strengthening internal management, and developing positive patient relationships. These findings confirm that the clinic was able to maintain competitiveness and service sustainability amidst the dynamics of the National Health Insurance (JKN) and the digitalization of the healthcare system.