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All Journal International Journal of Public Health Science (IJPHS) Tropical Medicine Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN snimed Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia International Journal of Advances in Intelligent Informatics JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Belitung Nursing Journal JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik SISFO Jurnal Ilmu Kefarmasian Indonesia Jurnal Kesehatan Indonesia Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Journal of Community Empowerment for Health Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Wellness And Healthy Magazine Jurnal Integrasi Kesehatan dan Sains Indonesian Journal of Global Health research Intan Husada : Jurnal Ilmiah Keperawatan Journal of Information Systems for Public Health Berita Kedokteran Masyarakat Media Informasi Jurnal Sistem Informasi Gema Kesehatan Academic Hospital Journal Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Lutfan Lazuardi

Faculty Of Medicine, Public Health And Nursing, Gadjah Mada University, Yogyakarta, Indonesia

Author-ID : 305419

Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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KEBIJAKAN PEMERINTAH DAERAH DALAM MENINGKATKAN SISTEM RUJUKAN KESEHATAN DAERAH KEPULAUAN DI KABUPATEN LINGGA PROVINSI KEPULAUAN RIAU Ignasius Luti; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 1 (2012)
Publisher : Center for Health Policy and Management

Ignasius Luti1, Mubasysyir Hasanbasri2, Lutfan Lazuardi21 Dinas Kesehatan Kabupaten Lingga, Kepulauan Riau2 Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran,Universitas Gadjah Mada, YogyakartaABSRACTBackground: One of the critical issues in the development ofnational health care is the limited accessibility to health services.Such problems also occur in Linga District of KepulauanRiau Province. It is caused by many factors, such as geographicallocation, cost, number of health personnel and conditionof health care facilities, such as health centers and theirnetworks which are not accessible to the public. Several attemptshave been made, for example, by improving the statusof sub-health centers to be health centers, health centers tobe treatment centers, assinging health workers both medicaland paramedical, improving health financing and making budgetpolicies. However, its implementation has not been maximal.In accordance with the above background, it would requirea study on the role of local government policy in improvingthe referral system which is useful to know the problemsin the field, so that in the future a variety of improvement canbe done.Objective: To determine the referral system in the islandsarea of Linga District.Methods: This was a case-study research. The researchsubjects were head of health centers / health center doctors,nurses/midwife assistants, ambulance drivers/sea ambulancedrivers, patient families, community figures, jamkesmas/Jamkesda managers, head of health care section/head ofhealth office, director of local hospital/mobile hospital and emergencyroom nurses. The variables in this study were independentvariable (referral system) and dependent variable (ambulanceservice). The research location was in Linga Districtof Kepualauan Riau Province.Results: The results showed that policy efforts of the LingaGovernment District in improving the referral system had existed.The existing financing policy had encompassed twoaspects both from the demand side (medical expenses) andfrom the supply side (a system that supported health care).The process of referral from primary care to advanced serviceshad been going well although there was still lack as theunavailability and completeness of services. Most of the healthworkers had received training; there were also specialist doctors(in collaboration with the faculty of medicine), but networkingin the referral process was done partially and notintegrated.Conclusion: The health referral system in Linga District hadrun pretty well, but did not fully involve community participationin an integrated service system. The local government in thiscase Linga District Health Office needs to revitalize as well asaccelerate the development of Desa Siaga (alert villages) readinessto increase community participation in the developmentof a referral system.Keywords: policy, referral systems, islands, ambulance service

ANALISIS UNTUK PENERAPAN KEBIJAKAN: ANALISIS STAKEHOLDER DALAM KEBIJAKAN PROGRAM KESEHATAN IBU DAN ANAK DI KABUPATEN KEPAHIANG Iswarno Iswarno; Mubasysyir Hasanbasri; Lutfan Lazuardi
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 2 (2013)
Publisher : Center for Health Policy and Management

Background: Maternal, neonatal and child health (MNCH)program is a national priority programs in health development.In 2006 the Ministry of Health to provides the largest budgetallocation to the KIA programs. This policy was taken in orderto accelerate the decline in maternal mortality and infant throughthe implementation of the making pregnancy safer strategy(MPS) with focus on some activities that are considered to becost effective. MNCH sustainability of the program dependson political commitment and support from stakeholders in theregion. Therefore, stakeholder analysis is important for theimplementation of policy to support the MNCH program.Objectives:Assessing the political commitment of the localgovernment to MNCH program in Kepahiang Regency.Methods: This research is a descriptive, qualitative designwith a case study. Unit of analysis is a research MNCH programstakeholder. How do the data with the brainstorming, depthinterviews, reports and documents, and direct observation.Results: Political commitment of the local government tomaternal, neonatal and child health program is still low, this isevidenced by the lack of budget allocation maternal, neonataland child health program. Essentially all stakeholders agreeand support the program. The involvement of local stakeholdersin the process of planning and budgeting programs is still lacking.Coordination among health agencies with key stakeholders inthe planning and budgeting also are not running well, so oftenthere are differencesin understanding the program. Besidesthe quality planning activities are still considered low, and thereis still weak advocacy capacity of health district office.Conclusion: The small budget allocation for the programshows the commitment to maternal, neonatal and child healthprogram of the local government is still low. This problem wasmore due to the quality of the program planning (design) that isnot well-developed. Also the role and involvement ofstakeholders in the planning process is still lacking.Keywords: Stakeholder, MNCH policy

Analisis determinan ketersediaan dokter spesialis dan gambaran fasilitas kesehatan di RSU pemerintah kabupaten/kota Indonesia (analisis data rifaskes 2011) Heri Priyatmoko; Lutfan Lazuardi; Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 3, No 4 (2014)
Publisher : Center for Health Policy and Management

Determinants of specialist availability in public hospitals: analysis of 2011 RifaskesABSTRACT Background:Indonesia still faces theproblem of unequal distribution of specialist doctors. The ratio of health workers per 100.000 population has not met the target. In 2008, the ratio of health workers to medical specialist per 100.000 population amounted to 7,73 compared to the target which is 9. Some areas of development in underserved areas, such as low economic power, lack of hospital system capacity and hospital medical equipment, have been neglected by government. Engagement of stakeholder to improve hospital quality system is a critical element to contribute to the policy of specialist doctors dsitribution, typically to increase the number of specialist doctors practising in rural and remote areas. Objective: To assess the determinants ofavailability of specialist doctors in government/public hospitals and to find out the correlation of variable factors. Methods: A cross sectional design was adopted for this study, in which 7 factors were chosen to assess determinant of availability of specialist doctors using a Health Facilities Research (Rifaskes) conducted Bay the HealthMinistry in 2011 and to describe availibility of hospital facilities in the Indonesian public hospitals. Results: Bivariate analysis indicated that level of district, hospital accredited, BLU versus Non-BLU, remuneration, hospital facilities, dan GNP significantly affect to the number of specialist doctors (p <0,05). Logistic regression indicated that the strongest predictors of availibility specialist is accredited public hospital with 12 standard of care (odds ratio 9,32 ; 95% CI: 1,2-72,4) ; p < 0.03). Level of district have significantly associated to availibility specialist in public hospital (odds ratio 2,15 ; (95% CI: 1,36-3,39) ; p = 0,001). Conclusion: The current study makes an important contribution to the literature in finding the determinants of distribution of specialist doctors in public hospital in Indonesia to address maldistribution between urban and rural barriers. Additional research is needed to examine preference to choose rural location and the incorporation of other retention strategies, such as medical educationinitiatives, community and professional support, differential rural fees and alternate funding models. Keywords: Availability,specialist doctors, specialistic facilities

Implementasi Kebijakan Subsidi Pelayanan Kesehatan Dasar Terhadap Kualitas Pelayanan Puskesmas di Kota Singkawang Apriyanto, R. Hendri; Kuntjoro, Tjahjono; Lazuardi, Lutfan
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

Kepuasan Terhadap Layanan Aplikasi PACS Online di RS National Hospital Surabaya Yohanes, Yohanes; Lazuardi, Lutfan
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 1 (2022): March
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.69737

Latar belakang: Aplikasi PACS online merupakan aplikasi yang digunakan oleh RS. National Hospital Surabaya untuk menyimpan data gambar digital Radiologi yang dapat diakses oleh internal rumah sakit dan pasien. Penerapan aplikasi PACS online di RS. National Hospital Surabaya belum maksimal dikarenakan penggunaan pasien masih 50-60%, maka dari itu perlu dilakukan penelitian tentang kepuasan layanan aplikasi PACS online di RS. National Hospital Surabaya.Tujuan: Tujuan dari penelitian ini adalah untuk mengambarkan faktor-faktor yang berpengaruh terhadap kepuasan terhadap layanan aplikasi PACS online di RS. National Hospital Surabaya.Metode: Metode untuk penelitian ini menggunakan teori HOT-Fits dan merupakan penelitian deskriptif dengan pendekatan Mixed Method Research (KUANTITATIF dan kualitatif).Hasil: Populasi penelitian ini adalah pengguna aplikasi PACS online di RS. National Hospital, dengan jumlah sampel 133 responden yang mengisi kuesioner dan 10 responden yang diwawancarai. Hasil penelitian dengan korelasi menunjukkan ada hubungan antara kualitas sistem dengan kepuasan pengguna, kualitas informasi dengan kepuasan pengguna, kualitas layanan dengan kepuasan pengguna dan ada hubungan secara simultan kualitas layanan, kualitas informasi, dan kualitas layanan dengan kepuasan pengguna aplikasi PACS online di RS. National Hospital Surabaya.Kesimpulan: Hasil penelitian dengan analisis regresi linier berganda menunjukkan ada pengaruh secara simultan kualitas sistem, kualitas informasi, dan kualitas layanan dengan kepuasan pengguna aplikasi PACS online di RS. National Hospital dengan nilai sebesar 84,3%. Sedangkan sisanya (100% - 84,3% = 15,7%) dipengaruhi oleh variabel lain di luar persamaan regresi ini atau variabel yang tidak diteliti. Saran yang diberikan yaitu memonitoring dan mengevaluasi kepuasan pengguna aplikasi PACS online, mengevaluasi dan menerapkan masukkan dari pengguna aplikasi PACS online, dan pengoptimalan dukungan manajemen puncak dalam evaluasi penerapan aplikasi PACS online.

Analisis Program Telekolekting di BPJS Kesehatan KC Muara Bungo Tahun 2022 Sari, Permata; Lazuardi, Lutfan
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 3 (2022): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.76225

Latar Belakang: Kolektibilitas iuran peserta segmen PBPU dan BP di BPJS Kesehatan KC Muara Bungo adalah 67,44% yang merupakan kolektibilitas terendah dibanding segmen lain. Telekolekting merupakan salah satu program yang bertujuan untuk memberikan informasi tagihan iuran kepada peserta PBPU menunggak via telepon. Dengan telekolekting diharapkan peningkatan kolektibilitas iuran peserta PBPU. Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pelaksanaan program telekolekting sebagai upaya peningkatan kolektibilitas iuran peserta PBPU di BPJS Kesehatan KC Muara Bungo. Metode: Penelitian ini merupakan penelitian deskriptif kualitatif. Peneliti menggunakan purposive sampling dengan subjek penelitian berjumlah 12 orang. Pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil: Prosedur telekolekting dimulai dari tahap persiapan, aktivitas telekolekting, monitoring dan evaluasi. Monitoring masih belum optimal dilaksanakan. Kendala pelaksanaan telekolekting terdiri dari kendala SDM, kendala sarana prasarana, kendala aplikasi, kendala data dan kendala peserta. Beberapa PTT telekolekting belum mendapatkan pelatihan dasar telekolekting, penempatan ruangan yang masih belum sesuai memerlukan perhatian dari KC Muara Bungo. Kolektibilitas Iuran KC Muara Bungo mengalami peningkatan setelah dilaksanakan telekolekting oleh PTT telekolekting. Kesimpulan: Terdapat peningkatan kolektibilitas iuran sejak dilakukan telekolekting oleh PTT telekolekting BPJS Kesehatan KC Muara Bungo namun perlu dilakukan monitoring secara konsisten dan peningkatan kompetensi PTT telekolekting agar program telekolekting lebih optimal. ABSTRACT Background: The collectibility of contributions for PBPU and BP segment participants in BPJS Kesehatan KC Muara Bungo is 67.44%, which is the lowest collectibility compared to other segments. Telecollective is one of the programs that aims to provide information on contribution bills to PBPU participants in arrears via telephone. With telecollective, it is expected to increase the collectibility of pbpu participants' dues. Objective: This study aims to explore the implementation of the telecollecting program as an effort to increase the collectibility of PBPU participants' contributions at BPJS Kesehatan KC Muara Bungo. Methods: This study is a qualitative descriptive study. Researchers used purposive sampling with 12 study subjects. Data collection was carried out by in-depth interviews and document reviews. Results: Prosedur telecollecting starts from the preparation stage, telecollecting activities, monitoring and evaluation. Monitoring is still not optimally implemented. The obstacles to the implementation of telecollecting consist of HR constraints, infrastructure constraints, application constraints, data constraints and participant constraints. Some telecollecing PTTs have not received basic telecollecting training, the placement of rooms that are still not suitable requires attention from KC Muara Bungo. The collectibility of Muara Bungo KC dues has increased after being carried out telecollecting by PTT telecollecting. Conclusion: There has been an increase in the collectibility of contributions since telecollecting was carried out by PTT telecollecting BPJS Kesehatan KC Muara Bungo but it is necessary to monitor consistently and improve the competence of telecollecting PTT so that the telecollectic program is more optimal.

Co-Authors A.A. Ketut Agung Cahyawan W Abdul Wahab Adi Wibowo Ageng Brahmadhi Agus Kharmayana Rubaya Agustina, Luthfi Ahmad Zacky Anwary Ahmed, Ashir Amalia, Ichlasul Anai, Akane Andaru Dahesihdewi Andri Gustiadi Anindya Wirasatriya Anis Fuad Apriyanto, R. Hendri ARIEF KURNIAWAN NUR PRASETYO Aris Setyawan Arjuna, Tony Astutiany, Denny Auliyah, Fitratun Bagian PKMK, Fakultas Kedokteran UGM Bagian Prodi Kesehatan Masyarakat, FKM UNISKA Bagian Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM Bekti Sukoco Buti Azfiani Azhali Chin, Wei Hong Citra Indriani Doko, Karmelia Intany Dyah Wulan Sumekar Rengganis Wardani Dyah Wulan Sumekar Rengganis Wardani Edy Purwanto Eni Susanti Faisal Mansur Faizah, Noor Faradiba Faradiba Filirida, Meidina Fitri Haryanti GRACE SHALMONT, GRACE Guardian Y. Sanjaya Guardian Yoki Sanjaya Hanifah, Nimah Happy Indah Kusumawati Hari Kusnanto Hari Kusnanto Harry, Sunandar Hartono Hartono Heri Priyatmoko Heryawan, Lukman Hidayah . Hidayati, Ani Hizriansyah I Ketut Agung Enriko Ignasius Luti Ikeda, Subaru Ira Deseilla Pawa Iswarno Iswarno Ivanawati, Anselma Katrina Feby Lestari Khudazi Aulawi Kikuchi, Kimiyo Kubota, Naoyuki Kurnianingsih Kurnianingsih, Kurnianingsih Kusnanto, Hari Kusnanto, Hari Lucia Kris Dinarti Maruf, Rafiqul Islam Mubasysyir Hasanbasri Muhammad Thesa Ghozali Muhammad Zaini Nakashima, Naoki Nastiti Anggraini Ni'mah Ning Rintiswati Ning Rintiswati Nishikitani, Mariko Nugroho, Tri Adi Nurholis Majid, Nurholis Oktaviani, Zakiyah PRADNYA SRI RAHAYU, PRADNYA SRI Prakosa, Hendri K. Prasetyawati, Dini Prastowo, Muhammad Yogie Pratama, Rio Aditya Purnama, Mia Raharjo, Untoro Dwi Rahmadewi, Pama Ratmasari, Dewi Resna, Riksa Wibawa Riris Andono Ahmad Rochady Setianto Rosady, Dony Septriana Sari, Permata Satibi Satibi Satibi Satibi Sato, Yoko Satrisno, Hary Setiawan, Mohammad Yusuf Shinta Prawitasari Siswanto Sastrowijoto Sri Werdati, Sri Sudarta Yabesman Harefa Sugiyanto, Nida Alhusna Sumarni Sumarni Sumunar, Dimas Sunardi, Paul Supriati, Titi Susi Ari Kristina Sutaryana, Beni Mulyadi Sutriana, Vivi Ninda T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro T. Satoto, Tri Baskoro Tita Bariah Siddiq Tjahjono Kuntjoro Tri Baskoro Tunggul Satoto Tyas, Reni Trianing Wasilah Rochmah Widyandana Widyandana Widyastuti, Chatarina Setya Wiwin Lismidiati Wulandari, Hanifah Yodi Mahendradhata Yohanes Yohanes Yokota, Fumihiko Zhu, Ningxin

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