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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia LINK Jurnal Riset Kesehatan Jurnal Administrasi Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Journal of Public Health for Tropical and Coastal Region Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Community Development

Eka Yunila Fatmasari

Bagian Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Diponegoro

Author-ID : 3268985

Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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ANALISIS HUBUNGAN KUALITAS PELAYANAN PUBLIK RAWAT JALAN DENGAN KEPUASAN PASIEN BPJS (STUDI KASUS DI RSUD UNGARAN KABUPATEN SEMARANG) Mela Nofitri; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 1 (2020): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

One form of public service is health services. Ungaran Regional General Hospital is one of the public service providers that aims to provide quality services for the community. Every year Ungaran Regional Hospital always experiences an increase in the number of patients, especially BPJS patients, namely in 2014-2016 as many as 64.8%. The increasing number of outpatient visits is not proportional to the satisfaction obtained by patients. This research is a survey research with quantitative methods. The population in the study were all BPJS outpatient polyclinic at Ungaran District Hospital with a sample size of 100 patients representing each sub-poly outpatient service. The results showed that there was a relationship between the dimensions of outpatient public service quality and patient satisfaction at Ungaran Regional Public Hospital BPJS, namely the tangible dimension of service with a p-value of 0.001 and a correlation of 0.320, the reliability dimension with a p-value of 0.004 and a correlation of 0.201, the responsiveness dimension with the p-value 0.013 and correlation 0.247, assurance dimension with p-value 0,000 and correlation 0.508, empathy dimension with p-value 0,000 with correlation 0.460.Based on the results of the study, the researcher recommends optimizing online registration services that are separated between general patients and BPJS patients, providing adequate seat facilities in the waiting room for registration, creating a service flow scheme that is easy for patients to understand and placing in the registration section, placing suggestion boxes in strategic places and easy to reach, and improving communicative services between officers and patients.

PARENTS’ SATISFACTION WITH MEASLES RUBELLA IMMUNIZATION SERVICES FOR SCHOOLERS DURING THE COVID-19 PANDEMIC Lolita Indah Pradini; Ayun Sriatmi; Eka Yunila Fatmasari
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.41-49

Background: Measles Rubella (MR) immunization coverage for schoolers in Semarang City decreased to 92.7% in 2020 due to the COVID-19 pandemic. However, in practice, many parents still complain about MR immunization services for schoolers. Aims: This study aimed to determine parental satisfaction with MR immunization services during the COVID-19 pandemic. Methods: This quantitative study used a cross-sectional approach. Purposive and proportional sampling was used to select 102 samples. Data collection was done through questionnaire, and data were analyzed using the chi-square test and importance-performance analysis test. Results: The lowest suitability dimension level was tangibility (81.52%), followed by responsiveness (86.6%). The reliability dimension had the highest average conformity level (92.87%). The priority items for improvement were related to health workers’ compliance with the use of complete personal protective equipment (PPE), spacious immunization service rooms, registration officers’ responsiveness in giving directions, punctual immunizations distribution, polite and friendly registration services officers, as well as health workers’ initiative to remind parents about health protocols. Bivariate analysis showed there was no relationship between respondents’ characteristics and their satisfaction level. Conclusion: Parental satisfaction with MR immunization services for schoolers did not match their expectations; therefore, it is necessary to improve future immunization services.

Analisis Kesiapan Puskesmas Dalam Pelaksanaan Program Puskesmas Tanpa Antrian Kota Semarang (PUSTAKA) di Kota Semarang Nidya Diah Prameswati; Antono Suryoputro; Eka Yunila Fatmasari
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 18, No 4 (2019): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Latar Belakang : Pemerintah Indonesia telah melakukan upaya untuk memenuhi kebutuhan masyarakat akan layanan kesehatan. Terdapat inovasi Program yaitu Puskesmas tanpa Antrian Kota Semarang (PUSTAKA). Program ini bertujuan untuk mengurai antrian di Puskesmas. Penelitian ini dilakukan untuk mengetahui kesiapan Puskesmas dalam Pelaksanaan Program PUSTAKA. Penelitian ini berlokasi di Puskesmas Gayamsari, Srondol, Gunungpati, dan Tlogosati Kulon.Metode : Penelitian kualitatif dengan pendekatan deskriptif. Pengumpulan data dilakukan dengan indepth interview dengan purposive sampling. Variabel yang diteliti adalah tenaga, dana, sarana prasarana, kebijakan dan SOP, sosialisasi, perencanaan, organisasi, pelaksanaan, penilaian dan lingkungan.Hasil : Puskesmas dengan pengguna layanan PUSTAKA tinggi dan rendah memiliki kesamaan dalam beberapa variabel. Untuk variabel Kebijakan yang masih belum diimplementasikan secara optimal, untuk sosialisasi hanya menggunakan metode media sosial dan informasi yang diberikan kurang rinci. Variabel perencanaan sendiri, proses perencanaan yang sesuai belum dilakukan. Terkait aspek lingkungan, telah ada dukungan dari masyarakat untuk menggunakan program ini, namun belum ada dukungan dari kader kesehatan maupun tokoh masyarakat. Kendalanya terdapat pada golongan lanjut usia yang terbatas kemampuannya dalam penggunaan teknologi.Simpulan dan Saran : Puskesmas harus mengembangkan, memperbaiki, dan membangun SOP internal, membuat perencanaan yang sesuai, memaksimalkan dan sosialisasi inovatif secara langsung atau dengan media sosial yang inovatif, dan informasi yang disampaikan lebih rinci, serta berkolaborasi dengan kader kesehatan.

Analysis of Patient Safety Culture in Dental and Oral Health Services at RSGM Unimus Dwi Windu Kinanti Arti; Eka Yunila Fatmasari; Retno Kusniati; Juni Arum Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

The Dental and Oral Hospital (RSGM) as a part of health care facilities, especially teeth and mouth, do not rule out unexpected events / near-injury events that have an impact on patient safety. The safety incidents at RSGM are only reported when an incident occurs. Solving this problem requires changing the culture of health care from one in which errors are viewed as the result of individual failure to one in which errors are viewed as opportunities to improve from one in which errors are viewed as the system. This study aims to determine the culture of patient safety in dental and oral health services at RSGM Unimus. This type of research is descriptive research with mixed methods research approaches, namely quantitative and qualitative. The study involved a sample of 65 respondents, where the study was conducted from March to April 2020. Quantitative data collection techniques used AHRQ (Agency for Healthcare Research and Quality instrument questionnaire) and qualitative through interviews. The results of the study show that in all dimensions of the AHRQ questionnaire, the highest positive response results are in the very good/strong category, which means that the level of patient safety at RSGM Unimus is already supportive. This study shows that the dissemination of patient safety has not been routinely carried out, errors in communication often occur, reporting only when unexpected incidents occur, and it is necessary to increase feedback between medical personnel and evaluation of intentional or accidental errors that is related to patient safety still needs to be improved. Abstrak: Rumah Sakit Gigi dan Mulut (RSGM) sebagai bagian dari sarana pelayanan kesehatan khususnya gigi dan mulut tidak menutup kemungkinan terjadinya kejadian yang tidak diharapkan/near injury event yang berdampak pada keselamatan pasien. Pelaporan terkait insiden keselamatan hanya di RSGM hanya dilakukan saat terjadi insiden. Masalah ini dapat dipecahkan dengan perubahan budaya keselamatan pasien dimana kesalahan seorang individu dipandang sebagai sebagai peluang untuk memperbaiki sistem. Penelitian ini bertujuan untuk mengetahui budaya keselamatan pasien dalam pelayanan kesehatan gigi dan mulut di RSGM Unimus. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan penelitian metode campuran, yaitu kuantitatif dan kualitatif. Penelitian ini melibatkan sampel sebanyak 65 responden, dimana penelitian dilakukan pada bulan Maret – April 2020. Teknik pengumpulan data kuantitatif menggunakan instrumen AHRQ (Agency for Healthcare Research and Quality instrument kuesioner) dan kualitatif melalui wawancara. Hasil penelitian menunjukkan bahwa pada semua dimensi kuesioner AHRQ, hasil respon positif tertinggi berada pada kategori sangat baik/kuat yang artinya tingkat keselamatan pasien di RSGM Unimus sudah mendukung. Beberapa indikator yang masih perlu ditingkatkan adalah sosialisasi keselamatan pasien yang belum rutin dilakukan, kesalahan komunikasi yang sering terjadi, pelaporan hanya bila terjadi insiden yang tidak diharapkan, perlu peningkatan umpan balik antar tenaga medis dan evaluasi kesengajaan atau kesalahan kecelakaan yang berkaitan dengan keselamatan pasien masih perlu ditingkatkan.

Customer Path 5A Relations to the Utilization of Dental and Oral Health Services Eka Yunila Fatmasari; Dwi Windu Kinanti Arti; Wulan Kusumastuti; Putri Asmita Wigati; Khoerunnisak Khoerunnisak
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

The decrease in outpatient visits at The Dental and Oral Hospital at RSGM UNIMUS occurred in 2020. The limited number of human resources, restrictions on community activities due to the pandemic, and unstructured marketing activities became obstacles in bringing in patient candidates. The purpose of this study is to analyze the relationship between the paths of customer behavior towards a brand consisting of awareness, appeal, asking, acting, and advocating for the use of dental and oral health services. This research is an observational quantitative research with a cross-sectional approach. The sample in this study was 100 respondents with an accidental sampling technique. Data were analyzed using the chi-square test. The results showed a relationship between awareness, appeal, asking, acting, and advocating using dental and oral health services with the same p-value of 0.000. It is expected that RSGM UNIMUS can manage marketing activities in a more planned and structured way starting from the design of service flow content and service facilities clearly and understandably, monitoring and periodic evaluation of each uploaded content, establishing collaboration with UNIMUS dental students as a network and strengthening the function of the marketing team in increasing cooperation with health insurance to increase patient visits. Abstrak: Penurunan kunjungan rawat jalan di RSGM Unimus terjadi di tahun 2020. Keterbatasan jumlah sumber daya manusia, pembatasan kegiatan masyarakat akibat pandemi, serta kegiatan pemasaran yang belum terstruktur menjadi kendala dalam mendatangkan calon pasien. Tujuan penelitian ini untuk menganalisis hubungan jalur perilaku pelanggan terhadap sebuah brand yang terdiri dari aware, appeal, ask, act, dan advocate terhadap pemanfaatan pelayanan kesehatan gigi dan mulut. Penelitian ini merupakan penelitian kuantitatif observasional dengan pendekatan cross sectional. Sampel dalam penelitian ini sebesar 100 responden dengan teknik pengambilan sampel accidental sampling. Data dianalisis dengan menggunakan uji chi-square. Hasil penelitian menunjukkan terdapat hubungan antara aspek aware, appeal, ask, act, dan advocate dengan pemanfaatan pelayanan Kesehatan Gigi dan Mulut dengan p-value yang sama yaitu 0,000. Diharapkan RSGM Unimus dapat mengelola kegiatan pemasaran lebih terencana dan terstruktur mulai dari desain konten alur pelayanan dan fasilitas pelayanan secara jelas dan dapat dipahami, monitoring dan evaluasi berkala pada setiap konten yang sudah di upload, menjalin kerjasama mahasiswa kedokteran gigi Unimus sebagai jejaring dan menguatkan fungsi dari tim pemasaran dalam meningkatkan kerjasama dengan asuransi kesehatan untuk meningkatkan kunjungan pasien.

Efektivitas Penyelenggaraan Kebijakan Deteksi Dini Kanker Serviks dan Payudara di Puskesmas Kecamatan Kebayoran Lama Fatimah Umar; Eka Yunila Fatmasari; Putri Asmita Wigati
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 22, No 4 (2023): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.22.4.228-237

Latar Belakang: Kanker serviks dan payudara menjadi salah satu masalah kesehatan utama pada perempuan di Indonesia dengan angka kematian yang tinggi. Kebijakan deteksi dini kanker serviks dan payudara melalui pemeriksaan IVA dan SADANIS merupakan upaya dari pemerintah untuk menanggulangi penyakit ini. Kota Jakarta Selatan merupakan salah kota dengan temuan IVA positif tertinggi dan tumor/benjolan payudara yang tinggi. Cakupan pemeriksaan IVA dan SADANIS di Puskesmas Kecamatan Kebayoran Lama pada tahun 2022 menunjukkan bahwa hanya 4,5% Wanita Usia Subur yang melakukan deteksi dini dengan IVA dan SADANIS. Hal ini menunjukkan bahwa penyelenggaraan kebijakan deteksi dini kanker serviks dan payudara belum berjalan optimal. Tujuan dari penelitian ini adalah menganalisis efektivitas penyelenggaraan kebijakan deteksi dini kanker serviks dan payudara di Puskesmas Kecamatan Kebayoran Lama.Metode: Jenis penelitian ini merupakan penelitian kualitatif melalui wawancara mendalam. Pemilihan subjek penelitian dilakukan dengan teknik purposive sampling. Subjek penelitian terdiri dari 3 informan utama dan 4 informan triangulasi. Instrumen yang digunakan adalah pedoman wawancara mendalam.Hasil: Penyelenggaraan kebijakan deteksi dini kanker serviks dan payudara belum berjalan dengan efektif ditunjukkan dari penyebarluasan informasi yang belum rutin dilakukan, rendahnya kesadaran WUS untuk melakukan deteksi dini kanker serviks dan payudara di fasilitas kesehatan, serta pembinaan dan monev yang belum maksimal.Simpulan: Masih terdapat hambatan dalam aspek penyebarluasan informasi, sumber daya manusia, serta sarana dan prasarana.Kata kunci: implementasi; kebijakan deteksi dini; kanker serviks; kanker payudara; IVA; SADANIS Title: The Effectiveness of Early Detection Policy for Cervical and Breast Cancer in Kebayoran Lama District Health CenterBackground: Cervical and breast cancer is one of the main health problems for women in Indonesia with a high mortality rate. The policy of early detection of cervical and breast cancer through VIA and CBE is an effort by the government to tackle this disease. The city of South Jakarta is one of the cities with the highest positive IVA findings and high tumors/breast lumps. The coverage of VIA and CBE at the Kebayoran Lama District Health Center in 2022 shows that only 4.5% of Women of Reproductive Age carry out early detection with VIA and CBE. This shows that the implementation of policies for early detection of cervical and breast cancer has not run optimally. The purpose of this study was to analyze the effectiveness of implementing policies for early detection of cervical and breast cancer at the Kebayoran Lama District Health Center.Method: This type of research is a qualitative research through in-depth interviews. The selection of research subjects was carried out by using purposive sampling technique. The research subjects consisted of 3 main informants and 4 triangulation informants. The instrument used is an in-depth interview guide.Result: The implementation of early detection policies for cervical and breast cancer has not run effectively as shown by the dissemination of information that has not been routinely carried out, the low awareness of WRA to carry out early detection of cervical and breast cancer in health facilities, as well as training and monitoring and evaluation that have not been maximized.Conclusion: There are still obstacles in the aspect of information dissemination, human resources, and facilities and infrastructure.Keywords: implementation; screening policy; cervical cancer; breast cancer; visual inspection with acetic acid (VIA); clinical breast exam (CBE)

Co-Authors Annisa Nida Sakina Antono Suryoputro Arum Prihatiningsih Ayun Sriatmi Deviani Saskia Putri Dwi Windu Kinanti Arti Emi Widiarti Cahyati Fatimah Umar Juni Arum Sari Khoerunnisak Khoerunnisak Lolita Indah Pradini Mela Nofitri Nidya Diah Prameswati Nurhasmadiar Nandini Putri Asmita Wigati Putri Asmita Wigati Rani Tiyas Budiyanti Retno Kusniati Septo Pawelas Arso Sudiro Sudiro Sutopo Patria Jati Syafira Risdanti Syafira Risdanti Syafira Risdanti Tika Purbadiyanti Pranata Wulan Kusumastuti Yuni Adhita Silavati

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