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Literature Analysis on the Effectiveness of Referral Systems in Improving Access to Health Services Oryza Sativa H Sihotang; Putri Adinda Ramadhani; Hutagalung; Nur Indah Rahma Dilla; Zahra Andini; Nadhilah hasibuan; Dewi Agustina
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 3: July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i3.7420

Abstract

In Indonesia, the healthcare referral system has undergone a major shift from a conventional model to an integrated electronic system. Seven scientific articles published between 2020 and 2024 are the subject of this study. The purpose of this study is to evaluate the effectiveness of the electronic referral system in improving access to health services. The research results show that the implementation of electronic referral systems such as SISRUTE in the JKN BPJS Kesehatan program has improved the referral process and reduced patient waiting times. However, challenges such as limited technology infrastructure, labor shortages, the complexity of system interfaces, and fear of change still exist. Information quality, ease of use, management support, and data integration greatly influence system performance. The electronic referral system is essential for reducing maternal and infant mortality rates in delivery and maternal care services. Therefore, several important recommendations for the development of a referral system in Indonesia are continuous evaluation, increased employee capacity, strengthening regulations, and integration of health information systems.
Pembuatan Lilin Aromaterapi Dari Minyak Jelantah Bersama Ibu-Ibu Perwiritan Lingkungan II Sirandorung Kelurahan Aek Kota Batu : Penelitian Dewi Agustina; Azkyatul Arifah Rkt; Nur Latipah Siahaan
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 1 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 1 (Juli 2025 -
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i1.2759

Abstract

Waste cooking oil remains a pressing issue due to low public awareness of its environmental and health impacts. Repeated use of waste oil increases the risk of degenerative diseases, while improper disposal leads to soil and water pollution. This community service program aimed to provide education and training for the mothers’ religious gathering group in Aek Kota Batu Village on utilizing waste cooking oil to produce value-added aromatherapy candles. The methods applied included socialization, demonstrations, and hands-on practice in candle making using waste cooking oil, paraffin, coloring agents, and essential oils. The results showed improved community knowledge of the hazards of waste oil as well as enhanced skills in processing it into economically valuable products. Participants demonstrated high enthusiasm, actively engaged in discussions, and were able to practice candle-making independently. This initiative not only reduced environmental pollution but also created opportunities for small-scale, eco-friendly businesses, thereby contributing to family welfare and strengthening ecological awareness in the community.
Evaluasi Program Penanggulangan Stunting Pada Balita Dewi Agustina; Suci Maghfirah; Rosida Sapriani Harahap; Nadia Amanda Azwa; Assyifa Deswita Mrp; Dwi Fanny Amanda; Faiqah Adnin Purba; Fadhlan Al Hafiz Mrp; Muhammad Raihan Pratama; Lilis Karlina Boangmanalu; Dinda Agus Tantri; Hairum Nafsiah Purba
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 2 (2024): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i2.80

Abstract

The problem of stunting among toddlers in Indonesia is still the focus of the public health agenda. Evaluation of stunting prevention programs is needed to identify program barriers and ensure their effectiveness in overcoming the problem of stunting in toddlers. To evaluate stunting prevention programs for toddlers in Indonesia and to provide recommendations and solutions in overcoming the problem of stunting in toddlers through a comprehensive approach involving various aspects of health and nutrition. The research method is a Systematic Literature Review, with data sources received from journals and research results published on Google Scholar, with journal criteria that match the research topic, using Indonesian and English, published in the last 5 years (2019-2023). The stunting prevention program for toddlers in Indonesia has been carried out with various activities such as monitoring toddlers, providing PMT, health education, nutritional counseling, and providing vitamins and minerals. Even though the program has been implemented, there are still obstacles such as delays in disbursement of BOK funds and lack of program effectiveness. Evaluation of this program is important to ensure the effectiveness and sustainability of the program in dealing with stunting in toddlers. It is important to carry out stunting prevention programs for toddlers in Indonesia to ensure the effectiveness and sustainability of the program in dealing with stunting problems. Solutions to overcome stunting require a comprehensive approach that includes access to nutritious food, nutrition education, access to health services, and improved sanitation.
Transformational Leadership as a Key Factor in Improving the Performance of Healthcare Organizations Dewi Agustina; Restu Rahayani Padang; Tia Wahyuni Dolok Saribu; Karin; Ririn Hasrat Kartika Zalukhu; Nabilla Suci Ramadhani; Silvya Rahma; Muhammad Ramadhan Ginting; Sofia Nabila; Siti Nurhamidah Harahap; Zahra Dwi Andini; Aprilyautami; Susan Limbong
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8793

Abstract

The performance of healthcare organizations is significantly influenced by the quality of leadership applied. This study aims to comprehensively examine the role of transformational leadership in improving healthcare organizational performance through a systematic literature review approach. The literature search was conducted through Google Scholar, PubMed, ScienceDirect, and ResearchGate using the keywords "transformational leadership" and "healthcare organizational performance." Of the 358 articles found, only 10 articles published between 2019 and 2024 met the inclusion criteria and were subjected to further analysis. The results of the study indicate that transformational leadership contributes significantly to increased productivity, loyalty, innovative work behavior, and employee commitment in various healthcare institutions, including hospitals, community health centers, and health offices. This leadership style has been shown to encourage the formation of a collaborative work culture and is oriented towards quality service, although its influence is not always direct because it is mediated by factors such as organizational culture, job satisfaction, and self-efficacy. These findings confirm that the implementation of transformational leadership, supported by a solid organizational system, is an effective strategy for improving performance and quality of service in the healthcare sector.
Development of Non-Clinical Performance Indicators in Hospitals: Focusing on Stress Management and Medical Staff Burnout Dewi Agustina; Nadia Maimunah Tarihoran; Cindy Aulia Pratiwi; Rizkya Salsabila Simanjuntak; Rahma Fadhila; Nabila Zahrah; Zaskia Nabilla; Defani Zasqiyah Putri; Ami Manda Atika Putri; Elma Riska Dwiana; Mawadah Karunia Br Ginting; Indrila Sembiring
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8846

Abstract

Hospital performance is determined not only by clinical indicators, but also by non-clinical factors that reflect the well-being and mental health of medical staff. In recent years, the increase in cases of work stress and burnout among healthcare workers has become a serious issue that directly impacts service quality, patient safety, and organizational sustainability. Therefore, this study is important to examine and develop non-clinical performance indicators that focus on managing stress and burnout among medical staff. This study uses a literature review approach to various relevant national and international studies. The results of the review show that integrating psychological well-being aspects into the hospital performance appraisal system can improve organizational effectiveness and create a healthy and productive work environment. Thus, the development of non-clinical indicators based on staff well-being is a strategic step in strengthening the hospital performance management system in the modern era.
Literature Study: The Role of Effective Human Resource Management in Improving the Quality of Health Services Dewi Agustina; Nadilla Fitri Yanni; Aura Dwi Rahman; Layla Maznun Br Ginting; Hasnah Aullia; Adinda Mulpira Br Tanjung; Mutya Purnama Ramadhani; Nadya Elya Syahraini Br Saragih; Nazla Ayumna Putri; Ummu Mawaddah Ikrimah Damanik; Audya Putri Az-Zahra; Nur Indah Hasibuan
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 4: October-2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.8867

Abstract

The quality of healthcare is one of the main indicators of the success of a national healthcare system. However, to date, many healthcare facilities still face challenges in maintaining service quality and patient satisfaction due to weak human resource management. This study aims to analyze the role of effective human resource management in improving healthcare quality and patient satisfaction. The method used is a literature study by reviewing eight national and international journals published in the last five years. The results of the review show that the effectiveness of HR management has a significant influence on the quality of health services. The main factors that contribute to increased patient satisfaction include the competence of health workers, professional attitudes, work motivation, continuous training, performance appraisal systems, and good HR management. Effective HR management has been proven to increase productivity, improve communication between health workers and patients, and create a positive work environment. Conversely, weak HR management has an impact on low service quality and patient satisfaction. Therefore, the implementation of planned, sustainable, and competency-based HR management strategies is an important step in realizing quality, efficient, and patient-oriented health services.
PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KINERJA PERAWAT DI RUMAH SAKIT: KAJIAN LITERATUR Dewi Agustina; Putri, Putri; Salsabila Lubis; Azrina Febriyani Nasution; Afifa Tohira; Sukma Hadisti Nasution; Nadiyah Azka Salsabilla Azizah; Annysha Maharani Harahap; Sapriya Zahara Larosa; Viola Safitri; Tria Annisa Ramadhani; Syahbrina Misella Damanik
Journal of Innovation Research and Knowledge Vol. 5 No. 6 (2025): Nopember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract: Nurses are health workers who play a vital role in providing health services in hospitals, both in technical and non-technical aspects. Good nurse performance is an important factor in improving service quality and patient safety. One factor that can affect nurse performance is the leadership style applied by superiors. This literature review aims to describe the influence of transformational leadership on nurse performance in hospitals. The research method was conducted through a literature review by examining various scientific articles from national and international journals that discuss the relationship between transformational leadership and nurse performance. The results of the study indicate that transformational leadership contributes positively to improved performance, job satisfaction, motivation, organizational commitment, and even the quality of patient care. The mechanism of influence of this leadership style lies in four main dimensions, namely idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. Through the application of these dimensions, leaders are able to foster self-confidence, stimulate creativity, and pay attention to the individual needs of staff, so that nurses feel valued and more motivated to provide optimal service. However, some studies have also found that the influence of transformational leadership on nurse performance is often mediated by other factors, such as organizational climate, psychological safety, and work culture. This indicates that transformational leadership is indeed important, but its effectiveness is highly dependent on the internal and external conditions of the hospital. Thus, the application of transformational leadership style is a relevant and potential strategy to improve nurse performance and the quality of health services in hospitals in a sustainable manner
Strategi Pelayanan Kesehatan Dalam Peningkatan Kinerja Pegawai Puskesmas Dewi Agustina; Nurhidayah Nurhidayah; Quen Kholisa Purba
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 1 No. 3 (2023): Juli : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v1i3.1972

Abstract

Background: health services with the aim of increasing awareness, willingness and ability to live healthy for everyone in order to realize the highest degree of public health. The role of health workers in dealing with public health is a form of health worker services aimed at the whole community with an emphasis on high-risk groups.The research objective was to determine the role of employee performance in the effectiveness of the service strategy at the health center, in carrying out the best service strategy.research method: This article was written using the article search method using two databases, namely Google Scholar and PubMedd Health with the keywords health service strategy, puskesmas. Results: The performance of the Public Health service strategy at the Community Health Center can be said to be quite good, which can be reflected in the quality of performance, the ability of employees, the timeliness of completing work, cooperation between employees and employee discipline which has been carried out well even though there are still employees who are less conscientious and less disciplined. Factors supporting employee performance are a conducive atmosphere and cooperation between employees, while factors inhibiting employee performance are lack of technical training and lack of awareness of employees in complying with the provisions of working hours. Conclusion: This research suggests that it can be a source of information for related agencies so that they can improve the quality of national health services that are expected to be in accordance with what is received.
Sistem Informasi Manajemen Rumah Sakit (SIMRS) Untuk Meningkatkan Mutu Pelayanan Kesehatan Di Indonesia Maya Saufinah Pane; Nirmaya Fanisya; Silvi Roma Rizkina; Yesy Prinkawati Nasution; Dewi Agustina
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.343 KB) | DOI: 10.55606/detector.v1i3.1980

Abstract

The quality of service at hospitals must always be improved to provide the best service to people in Indonesia. In accordance with Permenkes Number 82 of 2013 it states that every hospital is required to implement and develop a Hospital Management Information System (SIMRS). The Hospital Management Information System (SIMRS) is very important to do to support the efficiency of the management process in hospitals starting from information to patients, data, data processing and all activities in the hospital. By implementing a Hospital Management Information System, it is necessary to know how it is applied in improving the quality of health services in Indonesia. This research was conducted with literature reviews and journal searches using Google Scholar. The research results show that the implementation of the Hospital Management Information System (SIMRS) can improve the quality of health services because it facilitates the management activities of health service institutions.
Pemenuhan Standar Mutu Layanan Kesehatan di Puskesmas Kecamatan Tebing Syahbandar Fadzlikaselly Widyapuspa Handayani Nugroho; Febri Yuanda; Siti Nur Hasanah; Zidratul Gemilang Ahmad; Dewi Agustina
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 3 (2023): Agustus : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.726 KB) | DOI: 10.55606/detector.v1i3.1981

Abstract

Puskesmas as one of the most important health services infrastructure has a task for give health services to the whole of society. Puskesmas is accused to always keep patient’s trust and satisfaction by give quality services. Quality services in the context of the services at Puskesmas mean give services to the patient based on standard quality for fill up necessary and anxiety of the society, so that they can get satisfaction which finally can increase patient’s trust to Puskesmas. This study aims to determine the quality of health services, the causal factors, and the demands and needs of the community. Measurements from service quality using the SERQUAL method and data extraction is done either quantitatively or qualitatively.
Co-Authors Ad Ledy Oftapiani Harahap Ade Fitri Arianti Adelia Andina Adinda Dwi Firia Adinda Mulpira Br Tanjung Afifa Tohira Ahmad Fitrah Raihan Ahmad Rezeki Ramadhan Ainun Jawahir Ajeng Andini Alifa Fatiha Alvina Fauziah Amelia Putri Amanda Ami Manda Atika Putri Ananda Nurmairani Ananda Nurmairani Laoli Anisa Ayu Lestari Annisa Zahra Annysha Maharani Harahap An’nas Tasya Rahmadhani Aprillia Dwi Astuti Aprilyautami Arindi Safina Azhara Arini Aisyahfira Wijaya Assyifa Deswita Mrp Astrid Novitri Ramadhani Hasibuan Atika Arizky Audy Vimala Sari Audya Putri Az-Zahra Aulia Farah Dina Aulia Nazwa Fathurahmi Aulia Purnama Rangkuti Aura Dwi Rahman Aura, Solehah Aura Ramadhin br Sianipar Ayu Diah Aftri Ayu Maulidia Ayu Sukma Putri Sembiring Ayun Mira Aprilina Azkyatul Arifah Rkt Azrina Febriyani Nasution Br Ginting, Hutri Agustina Br Purba, Saskia Khairunnisa Bunga Elvyan Br. Damanik Chablullah Wibisono Chindy Aulia Cici Rahayu Br Damanik Cindy Aulia Pratiwi Citra Aulia Pratiwi Damsar Dea Hamiche Putri Dea Rizka Ananda Pulungan Deddy Surachmad Defani Zasqiyah Putri Deliana S Dellya Silfani Desi Amanda Sari Dessy Nurfiani Dewi syahfitri Dhea Salsabila Br. Sitepu Dia Sari Narulita Br Manurung Difa Adelia Dinda Agus Tantri Dinda Syahbania Dita Chania Tri Irsan Dwi Fanny Amanda Dwi Fanny Amanda Natasya Dwiyana Mawarni Eka Madani Nasution Elisa Apriani Elma Riska Elma Riska Dwiana Eni Karlina Fadhlan Al Hafiz Mrp Fadila Syahrani Purba Fadillah Dwi Putri Fadzlikaselly Widyapuspa Handayani Nugroho Fahmi Idris Siregar Faiqah Adnin Purba Fani Rulianda Ritonga Farah Sabila Fatimah Azzahra Siregar Fatimah Zuhra Fauzan Alhamdi Lubis Fazri Khoirunnisa Purba Febri Yuanda Gana Vige Ortega Gita Indrawan Guru Singa, Rizka Azura Efsa Habibatul Wahidiyah Hafizah Anggraini Hairum Nafsiah Purba Hariyani, Elva Hasibuan, Wulan Hasnah Aullia Hendripides ' Hutagalung Hutagalung , Nurasiyah Dera Marcela Imelita Rahyuni Ritonga Indrayani Indrila Sembiring Isdawati Istifani Nasution Istikhoma Rambe Jesi Wanda Harahap Jihan Auliya Jihan Khalifi Juaidah Agustina Julian Aulia Juliani Karin Keyla Harista Nasution Khairani Natasya Khairuna Pratiwi Lailatul Mahpuja Dasopang Laura Natalia Christin Sinuraya Layla Maznun Br Ginting LETISIA MARSHAFERINE Lilis Karlina Boangmanalu Lutfiyah Nada Salsabila M. Masykur Berawi Mahmudin Hasibuan Maila Rizqi Aulia Makhdalena Makhdalena Marsha Aulia Syaputri Maryaningsih Maryaningsih Maulida Khairiah Maulidya Hanafiah Mawadah Karunia Mawadah Karunia Br Ginting Maya Saufinah Pane Maysyarah Tanjung Mei Linda Meliani Putri Inayah Mely Febriani Mendriani, Putri Mhd Ikhsan Nasution Miftah Chairia Zannah Miftahul Nur Zahrah Muammar Khaddafi Muhammad Nabil Faiz Muhammad Raihan Pratama Muhammad Ramadhan Ginting Muhammad Shofwan Rusdy Nasution Mutiara Rezqiqa Purba Mutiara Sofi Mutya Purnama Ramadhani Nabila Zahrah Nabilah Risti Ameliya Nabilla Suci Ramadhani Nadhilah hasibuan Nadia Amanda Azwa Nadia Maimunah Tarihoran Nadia Savira Nadilla Fitri Yanni Nadiyah Azka Salsabilla Azizah Nadya Elya Syahraini Br Saragih Nasution, Fiola Syfa Azura Nasution, Nursanita Nasywa Azzahra Siregar Nasywa Nazhifah Natasya Aulia Naufal Afriandi Nayla Azzahra Nazla Ayumna Putri Nelsih Adelia Nency Utami Br Barus Nirmaya Fanisya Nur Indah Hasibuan Nur Indah Rahma Dilla Nur Latipah Siahaan Nurhidayah Nurhidayah Nurna billa Nurul Anjaini Oryza Sativa H Sihotang Pane, Jihan Mawaddah Putri Adinda Ramadhani Putri Putri, Putri Putri Sima Quen Kholisa Purba Rabiatul Chazali Rahma Fadhila Rangga Satya Mauladharma Rani Ramadani Ravena Felisha Rehana Nugraha B. Sitorus Restu Amalia Mazid Restu Rahayani Padang Rezki Safitri Harahap Rifanny Ananta Dharma Rika Iyut Tira Rindi Artika Ririn Hasrat Kartika Zalukhu Risca Muril Khairani Risky Andreansyah Rizka Sahilla Rizkya Salsabila Simanjuntak Rosida Sapriani Harahap Rosmala Dewi Sabila Yassarah Safira Zahara Sahkira Nabila Utami Siregar Saidana Wahyudi Putra MS Salsabila Lubis Salwa Salsabila Siregar Sapriya Zahara Larosa Saragih, Nazla Novrinda Sarda Mauliyand Sayyidati Zahira Shasy Kirana Zahrani Shindika Andraini Shopiah Auzi Silvi Roma Rizkina Silvya Rahma Siti Husnah Siti Khodiza Sihombing Siti Nur Hasanah Siti Nurhamidah Harahap Sofia Nabila Soleha Sry Wulan Silaban Suci Maghfirah Suci Ramadhani Rangkuti Suci Ramahdani Sukma Hadisti Nasution Sulaiman Sulaiman Susan Limbong Syahbrina Misella Damanik Syfa Ardhia Putri Tengku Muhammad Faris Nurfikri Tia Wahyuni Dolok Saribu Tiur Dini Hariani Simbolon Tria Annisa Ramadhani Ulfiyah Az-Zahra Dahlan Ummu Mawaddah Ikrimah Damanik Vindy Ammadhea Tanjung Viola Safitri Wahyu Wijanarko Widya Gusmiarni Winda Rika Lestari Wira Anjani Br Sembiring Wulan Andika Wuni Barokah Yadi, Farhan Yayang Nisrina Putri Hasibuan Yeni Vera Yenni Depita Sari Yesy Prinkawati Nasution Yughni Aulia Nabila Yulfani Larasati Yulia Rahmadani Yulia Tri Utami Zahra Andini Zahra Dwi Andini Zahratul Ulya Zaskia Nabilla Zidratul Gemilang Ahmad Zuhra Nazwa Lubis