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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Berkala Ilmiah Kedokteran Duta Wacana SOEPRA Jurnal Hukum Kesehatan Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)

Tjahjono Kuntjoro

Unknown Affiliation

Author-ID : 301189

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Articles

Implementation ff Midwive-Traditional Birth Attendants Partnership by Midwives in Buton District, Southeast Sulawesi, (A Case Study on Wakaokili Primary Healthcare Center) Hermawati Hermawati; Tjahjono Kuntjoro; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Terbatasnya pemahaman pentingnya persalinan Nakes terlatih menjadikan dukun sebagai pilihan penolong persalinan, disamping faktor sosial ekonomi, budaya, dan kinerja bidan, yang berdampak peningkatan AKI di Kabupaten Buton. Cakupan persalinan oleh tenaga kesehatan masih rendah, ditandai rendahnya jumlah dukun bermitra dan rendahnya rujukankehamilan dan rujukan persalinan dukun di Puskesmas Wakaokili. Inilah cermin Program Kemitraan Bidan-Dukun oleh Bidan Desa di Puskesmas Wakaokili. Jenis penelitian deskriptif kualitatif. Pengumpulan data dengan wawancara mendalam pada 4 bidan desa dan 9 dukun bersalin sebagai informan utama. Data dianalisis menggunakan metode content analysis. Penelitian menunjukkan tujuan dan indikator keberhasilan program kurang dipahami, tidak ada aturan tertulis, tidak ada SOP dan pencatatan khusus kemitraan bidan-dukun. Diseminasi program bersifat pengenalan, pelaporan tidak didiskusikan. Pembinaan dan magang dukuntidak ada. Sikap pelaksana terhadap kemitraan cenderung mendua dan sumber daya kurang mendukung. Terbukti lingkungan ekonomi, sosial dan politik mempengaruhi keberhasilan program.Kata Kunci : Puskesmas, Program Kemitraan Bidan-Dukun .The limited knowledge on the importance of health workers deliveries, together with some other factors such as economies, social and culture, made traditional birth attendants became a choice of delivery services. This condition resulted in the increase of Maternal MortalityRate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. It was marked by the low rate of traditional birth attendance-midwives’ partnership and deliveries referral to the midwives, as well as high rates of traditional birth attendancedeliveries. This study was a descriptive qualitative study. Data were collected by in depth interviews on 4 village midwives and 9 traditional birth attendants as the main informants. Data were analyzed by content analysis method. Results showed that the goals and program success indicators were not understood well. Dissemination was only an introduction and the report was not discussed. There was no coaching or internship program. The attitude tended to be ambivalent and the resources were not supportive. It is proven that economic, social and political environment influence the program results.

KEPUASAN PASIEN STROKE PESERTA JKN DI RS LESTARI RAHARJA DAN RSUD MUNTILAN KABUPATEN MAGELANG Eka Ari Wibawa; Tjahjono Kuntjoro; Rizaldy Taslim Pinzon
Berkala Ilmiah Kedokteran Duta Wacana Vol 2, No 1 (2016): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Latar Belakang: Stroke merupakan penyebab kematian nomor tiga, setelah penyakit jantung dan kanker. Stroke juga merupakan penyebab utama kecacatan fisik maupun mental pada usia lanjut dan produktif. Jumlah penderita stroke di Indonesia semakin bertambah dan diderita oleh semua lapisan masyarakat. Keadaan tersebut harus mendapatkan perhatian, sehingga penanganan penderita stroke diharapkan dilakukan dengan suatu standar yang pasti. Pelayanan yang dilakukan dengan standar akan menghasilkan mutu pelayanan rumah sakit yang dapat dipertanggungjawabkan dan pada akhirnya memunculkan kepuasan pasien. Tujuan: Tujuan dari penelitian ini adalah membandingkan kepuasan pasien penderita stroke peserta Jaminan Kesehatan Nasional (JKN) terhadap mutu pelayanan RS Lestari Raharja Magelang dan RSUD Muntilan Kabupaten Magelang. Metode: Penelitian ini merupakan penelitian relational, dengan disain penelitian kombinasi model concurrent embedded. Instrumen yang digunakan dalam penelitian ini adalah menggunakan kusioner tertutup yang telah dipakai oleh peneliti sebelumnya dan pedoman wawancara yang disusun semi struktural, yaitu berupa pertanyaan-pertanyaan yang digunakan untuk mendapatkan informasi lebih mendalam tentang faktor kepuasan pasien secara umum maupun berdasarkan 5 aspek; penampilan fisik, kemampuan pelayanan yang akurat, daya tanggap, jaminan dan empati kepada pasien/ keluarga pasien penderita stroke di rumah sakit. Hasil: Hasil penelitian menunjukkan bahwa 82,4% pasien penderita stroke di RSUD Muntilan Kabupaten Magelang dan 74,2% pasien penderita stroke di RS Lestari Raharja yang merupakan peserta JKN menyatakan puas terhadap pelayanan rumah sakit. Hasil analisa bivariat hubungan jenis rumah sakit terhadap kepuasan pasien menunjukkan tidak ada hubungan yang signifikan (OR 1,63, 95% CI 0,51-4,90 dan p value 0,33). Hasil analisa multivariat pengaruh jenis rumah sakit terhadap kepuasan pasien menunjukkan tidak ada hubungan yang signifikan antara jenis rumah sakit terhadap kepuasan pasien (OR 1,38, 95%CI 0,36-5,28 dan p value 0,63). Kesimpulan: Penelitian ini menunjukkan tidak ada perbedaan kepuasan pasien penderita stroke yang dirawat di RS Lestari Raharja dan RSUD Muntilan Kabupaten Magelang serta tidak ada hubungan antara jenis rumah sakit terhadap kepuasan pasien.

Pain Management Services in Hospital: The Human’s Right to Health Services Jaya, A A Gde Putra Semara; Yustina, Endang Wahyati; Kuntjoro, Tjahjono
Soepra Jurnal Hukum Kesehatan Vol 10, No 1: Juni 2024
Publisher : Universitas Katolik Soegijapranata Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24167/sjhk.v10i1.11666

Pain is suffering for the patient and must be treated immediately. Health professionals need to recognize, assess, understand, and treat pain. Pain management services have not been run optimally in several hospitals. Pain management services are an effort to fulfill the right to health services. This research aims to observe the implementation of pain management services to fulfill the right to health services, especially at the Mangusada Hospital of Badung Regency, Bali, Indonesia. The research method used in this study is the socio-legal approach (empirical legal study) with explanatory specifications. This research was conducted in 2023 as a case study. Primary and secondary data were collected through field and literature studies. Analysis was performed on qualitative and quantitative data. We found that 1) pain management services in Indonesian have legal bases with general and specific technical regulations at the national level, but the specific technical regulations at the Mangusada Hospital are not up-to-date, comprehensive, and harmonious, 2) Mangusada Hospital and its health professionals have not been optimal in providing pain management services to fulfill the right to health services, in terms of the comprehensive legal instruments, the organization of health professionals, and the availability of infrastructure and facilities. Breach of obligations by hospitals and health professionals can be seen as a failure to provide essential services and reduce suffering, substandard service, negligence, a breach of the patient’s human rights, and have legal implications, and 3) legal, social, and technical factors influence the implementation of pain management services in Mangusada Hospital.

Implementasi Kebijakan Subsidi Pelayanan Kesehatan Dasar Terhadap Kualitas Pelayanan Puskesmas di Kota Singkawang R. Hendri Apriyanto; Tjahjono Kuntjoro; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 4 (2013): December
Publisher : Center for Health Policy and Management

Background: Health sector is inseparable from thedecentralized system of local autonomy. Health sector is aresponsibility of the local government, even though it isfrequently included in the political policies of a leader. Thedirection of healthcare service development, particularly atthe level of Health Center, has been maintained in the Mayor'sDecree of Singkawang No. 82/2009 on the subsidiary ofhealthcare in Kota Singkawang.Objective: To find out the quality of healthcare at the HealthCenters in relation to the primary healthcare subsidy based onthe perception of society, control/supervision of Local HealthOffice, management, service time, service capacity/type, andattitude of the health center staffs.Method: A descriptive research with case study design wasconducted in three Health Centers: Singkawang Tengah, SingkawangTimur, and Singkawang Utara Health Centers. Subjectsof the research were 15 health staffs and 111 patients.The data were collected using questionnaire, observation, andinterviews.Results: The research found a score of 3.3 for the healthcarein Singkawang Tengah, Singkawang Timur, and SingkawangUtara Health Centers. It means that the Health Center providedrelatively high quality healthcare. From the Reliability dimension,a score of 2.92 was found for Point 2 quick examinationservice with reference to the standard procedure and a scoreof 2.97 for Point 5, the timeliness of healthcare. From the Responsivenessdimension, a score of 2.77 was found for Point 3– the patients did not wait long to get the healthcare service –and a score of 2.94 for Point 4 – the working hour of the HealthCenter. Qualitative analysis showed that the Local Health Officecontrolled/supervised the Health Centers by means of utilization/visit reports and management. It was found that servicetime was frequently ignored and that service type/capacity atthe Health Centers was constrained by the availability of reagentsand medication. The health staffs tended to ignore servicequality and time and there was an indication of deviation inthe utilization/visit reports sent by the Health Centers.Conclusion: The Local Health Office did not have adequatetools to control/supervise the Health Centers, as evident fromthe aspect of management, service time, service type/capacity,and health staff attitude. Procurement of healthcare supplieswas hampered by bidding process and the health staffs needcontinuous training and development.Keywords: Health Office, Health Centers, Public Perception,and Healthcare quality

KESIAPAN ORGANISASI DALAM IMPLEMENTASI LEAN MANAGEMENT DI RSUD BAGAS WARAS KLATEN Anggita Ratna Damayanti; Andreasta Meliala; Tjahjono Kuntjoro
Journal of Health Service Management Vol 27 No 4 (2024)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v27i4.13016

RSUD Bagas Waras Klaten has some potential wastes of process which leads to the need of lean management to improve service quality and efficiency. Although implementation of lean management has been proven in improving quality, patient safety, effectivity, and cost efficiency, it is also potential to fail if some readiness elements are not met. Lean management readiness assessment is required to describe inhibiting as well as supporting elements in implementing lean management.

Co-Authors Andreasta Meliala Anggita Ratna Damayanti Ariefuddin, M Agus Atikah Proverawati, Atikah Ayun Sriatmi Castro, Toto Eka Ari Wibawa Endang Wahyati Yustina, Endang Wahyati Endy Paryanto Prawirohartono, Endy Paryanto Hermawati Hermawati Jaya, A A Gde Putra Semara Lutfan Lazuardi Marliana Marliana, Marliana Nurlela, Indrawati Prawiningdyah, Yeni R. Hendri Apriyanto Rizaldy Taslim Pinzon Sri Wahyuni Tri Wahyuning Puji Astuti, Tri Wahyuning Trihoni Nalesty Dewi, Trihoni Nalesty Yuristrianti, Nurrekta

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