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BUSINESS STRATEGY FOR PRIVATE GENERAL HOSPITAL IN UNIVERSAL HEALTH COVERAGE ERA Nysa Ro Aina Zulfa; Dony Septriana Rosady; Umi Narimawati
JURNAL BISNIS STRATEGI Vol 31, No 2 (2022): Desember
Publisher : Magister Manajemen, Fakultas Ekonomika dan Bisnis Undip

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

Abstract

Indonesia seeks to implement Universal Health Coverage to ensure that all people can access health services. The implementation of this program has an impact on the national health system. The pattern of health services has shifted both in terms of health services and health financing. Hospitals as one health care institution must adapt to these changes in order to remain able to provide the best health services. MAL Hospital as one of the hospitals providing health services faces the impact of decreasing income after implementation of Universal Health Coverage. Facing these conditions required the right business strategy for MAL Hospital to be able to increase its income in order to continue running health services as one of the hospital with social mission. This study uses qualitative methods with primary data obtained from interviews and secondary data obtained from reports, articles, journals, and books. In business exploration, this study analyzes and proposes business strategies for public private hospitals. Analysis begins by analyzing internal and external factors. Internal factors are analyzed based on financial, operational, human resources, and marketing aspects. External factors were analyzed using PESTLE Analysis and Porters Force. All factors are classified as Strength, Weakness, Opportunity, and Threat (SWOT). The analysis is continued by calculating the Internal Factor Analysis Summary (IFAS) and External Factor Analysis Summary (EFAS). Obtained result value IFAS -40 with value EFAS 20. Position of MAL Hospital by using Cartesian diagram is in quadrant of weakness and opportunity. MAL Hospital should choose competitive strategy through differentiation focus by targeting the main target is the participants of Universal Health Coverage. Some alternative business strategies are prepared using TOWS Matrix. Alternative business strategies were analyzed using Analytical Hierarchial Process to obtain priority program sequence. Priority programs with the highest scores were selected and then continued by organizing activities. Estimated cost required and estimated increase in revenues are calculated to obtain Return on Investment value. MAL Hospital as one of the private hospital that has social mission is expected to do the best business strategy for health service can continue.
Model Strategi Pengembangan Implementasi Kebijakan Sistem Penanggulangan Gawat Darurat Terpadu Dony Septriana Rosady; Endang Wirjatmi Trilestari; Teni - Listiani
Jurnal Integrasi Kesehatan dan Sains Vol 5, No 2 (2023): Jurnal Integrasi Kesehatan dan Sains
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v5i2.11625

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AbstrakIndonesia sebagai kawasan dengan potensi bencana yang cukup tingggi sudah seharusnya melakukan persiapan untuk menghadapi kemungkinan terjadi bencana. Rumah sakit memiliki peran penting sebagai salah satu mata rantai Sistem Penanggulangan Gawat Darurat Terpadu (SPGDT). Penelitian ini bertujuan menganalisis implementasi kebijakan sistem penanggulangan gawat darurat terpadu, menganalisis kondisi kekuatan kelemahan peluang dan ancaman, serta merumuskan model strategi pengembangan implementasi kebijakan sistem penanggulangan gawat darurat terpadu. Penelitian dilakukan secara kualitatif di Rumah Sakit Umum Daerah Cibabat periode bulan April–Mei 2020. Metode penelitian dilakukan dengan desain studi kasus secara kualitatif. Data diperoleh dari observasi terhadap implementasi sistem gawat darurat terpadu, wawancara mendalam terhadap pimpinan, pelaksana, dan masyarakat, serta studi dokumen terhadap kebijakan berkaitan dengan sistem penanggulangan gawat darurat. Upaya validasi terhadap hasil dilakukan dengan triangulasi teknik dan triangulasi sumber. Hasil penelitian menunjukkan aspek karakteristik institusi pelaksana, aspek kondisi ekonomi sosial dan politik, serta aspek disposisi pelaksana berada pada kondisi yang baik. Perhitungan nilai Internal Factor Analysis Summary (IFAS) sebesar 0,55 dan External Factor Analysis Summary (EFAS) sebesar 0,23 menempatkan RSUD Cibabat berada pada kuadran I sehingga perlu menerapkan strategi pertumbuhan cepat atau agresif. Model strategi pengembangan dilakukan dengan analisis menggunakan Strength, Weakness, Opportunity, and Threat (SWOT) matriks dan diperoleh 12 alternatif strategi. Strategy Model for the Policy Implementation Development of Integrated Emergency Management SystemAbstractAs a region with a high potential for disaster, Indonesia should have prepared to face the possibility of a disaster. Hospitals have an important role as one of the links in the Integrated Emergency Management System (SPGDT). This study aims to analyze the implementation of integrated emergency response system policies, strengths, weaknesses, opportunities, and threats and formulate a strategy model for implementing an integrated emergency response system policy. The research was conducted qualitatively at the Cibabat Regional General Hospital from April 2020 to May 2020. The research method was carried out using a qualitative case study design. Data were obtained from observing the implementation of the integrated emergency system, in-depth interviews with leaders, implementers, and the community, and studying documents on policies relating to the emergency response system. Efforts to validate the results were carried out through technical triangulation and source triangulation. The results showed that aspects of implementing agencies' characteristics, social and political-economic conditions, and the disposition of executors were in good condition. Calculating the Internal Factor Analysis Summary (IFAS) value of 0.55 and External Factor Analysis Summary (EFAS) of 0.23 places Cibabat Hospital in quadrant I, so applying a fast or aggressive growth strategy is necessary. The strategy model was developed by analysis using the Strength, Weakness, Opportunity, and Threat (SWOT) matrix, and 12 alternative strategies were obtained.
Coping Strategy, Tingkat Kecemasan Sosial, dan Remaja Pengguna Media Sosial Zahra Kamila Fauziyyah; Zulmansyah; Dony Septriana Rosady
Jurnal Riset Kedokteran Volume 3, No.2, Desember 2023, Jurnal Riset Kedokteran (JRK)
Publisher : UPT Publikasi Ilmiah Unisba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jrk.v3i2.2958

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Abstract. In fact, around 39% of Indonesians experience anxiety when they are not on their social media. One of the efforts to reduce that anxiety is the use of coping strategy which includes actions to reduce anxiety or behavioral and mental responses to stress. Based on this phenomenon, the research problems were formulated as follows: (1) How is the level of social anxiety that occurs in adolescents who use social media? (2) How is the coping strategy used by adolescents who use social media? (3) Is there a relationship between coping strategy and level of social anxiety in adolescent social media users? The researcher employed the analytic observational method with SMA Negeri 1 Sukabumi students as the population. The sampling technique used the purposive sampling with a selected sample of 172 respondents. The data was gathered through a google form questionnaire and the data analysis used the Pearson chi-square test. The results of the study have shown that there is a relationship between coping strategies and the level of social anxiety in adolescents who use social media. According to its characteristics, the use of coping strategy that can be used and is more appropriate to use to reduce social anxiety in adolescent social media users is the problem focused coping. Abstrak. Sebanyak 39% warga Indonesia mengalami kecemasan apabila tidak bersentuhan dengan media sosial yang dimiliki karena rasa ketergantungan terhadap media sosial. Upaya dalam mereduksi kecemasan tersebut adalah penggunaan coping strategy yang merupakan suatu tindakan untuk mengurangi kecemasan atau respons perilaku dan pikiran terhadap suatu stres. Berdasarkan fenomena tersebut, maka permasalahan penelitian dirumuskan sebagai berikut: (1) Bagaimana gambaran tingkat kecemasan sosial yang terjadi pada remaja pengguna media sosial (2) Bagaimana gambaran coping strategy yang digunakan oleh remaja pengguna media sosial (3) Apakah terdapat hubungan antara coping strategy terhadap tingkat kecemasan sosial pada remaja pengguna media sosial. Peneliti menggunakan metode observasional analitik. Populasi yang dipilih adalah siswa SMA Negeri 1 Kota Sukabumi. Teknik pengambilan sampel yaitu purposive sampling dengan sampel terpilih sebanyak 172 responden. Pengambilan data melalui kuesioner berbentuk google form dan analisis data yang digunakan adalah uji pearson chi-square. Hasil penelitian menunjukkan terdapat hubungan antara coping strategy terhadap tingkat kecemasan sosial pada remaja pengguna media sosial. Berdasarkan karakteristiknya, maka penggunaan coping strategy yang dapat digunakan dan lebih tepat digunakan untuk mengurangi kecemasan sosial pada remaja pengguna media sosial ialah problem focused coping.
Epidemiologic Spatial Analysis of a Tuberculosis Incidence in Bandung City in 2021 Rosady, Dony Septriana; Zulfa, Nysa Ro Aina; Pratama, Sony Bagja
Global Medical & Health Communication (GMHC) Vol 12, No 1 (2024)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v12i1.12410

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Tuberculosis (TB) is a communicable disease that is a significant cause of ill health and one of the leading causes of death worldwide. Tuberculosis remains a major global health problem. Tuberculosis infection remains one of the biggest health problems in Indonesia, which ranked second in the world on the list of countries with a high burden of TB. This is a cross-sectional study where the research displays population data, population density, and the incidence of TB in Bandung city, which is visualized in the mapping. This research analyzed the relationship between population density and the incidence of TB. The area with the highest TB incidence was the Babakan Ciparay subdistrict, with a total of 469 people and a population density of 205 people/hectare. The study has shown a strong relationship and a positive correlation between population density and the incidence of TB in Bandung city (p<0.001, r=0.603). Tuberculosis cases tend to be higher in areas with high population densities. Besides population density, other factors influence the incidence of TB in an area. House technical factors such as adequacy of windows, air ventilation, and lighting influence TB transmission. Besides that, household sanitation factors and occupancy density also impact the incidence of TB. In conclusion, subdistricts with a high population density show a high incidence of TB. There is a strong and unidirectional relationship between population density and the incidence of TB. 
Gambaran Gejala Pasien Covid-19 dengan Komorbiditas Tuberkulosis di Rumah Sakit Al-Ihsan Kabupaten Bandung 2020-2022 Reynindita Alya Harsyanti; Mia Kusmiati; Dony Septriana Rosady
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.11821

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Abstract. Coronavirus Disease is an acute respiratory infectious disease. COVID-19 cases are rapidly increasing and spreading throughout Indonesia and have an impact on the number of deaths of the population.. The purpose of this study was to understand the differences in COVID-19 symptoms with Tuberculosis and non-Tuberculosis comorbidities at RSUD Al Ihsan Bandung. The purpose of this study was to understand the differences in COVID-19 symptoms with Tuberculosis and non-Tuberculosis comorbidities at RSUD Al Ihsan Bandung. The research method used in this study was descriptive using the Chi –Square statistical test to see the difference between COVID-19 and Tuberculosis and non-Tuberculosis comorbidities. The subjects of this study were patients confirmed with COVID-19 with Tuberculosis and Non-Tuberculosis comorbidities at RSUD Al Ihsan Bandung 2020-2022. Most tuberculosis patients were male 208 people (57.6%) and non-tuberculosis patients dominated by women 183 people (50.7%), The results showed that patients confirmed positive for COVID-19 with the most comorbid tuberculosis with mild symptoms especially shortness of breath were 202 people (55.9%) while 193 people (53.5%) non-tuberculosis comorbid patienst.It was concluded that there were significant differences between COVID-19 with pulmonary tuberculosis comorbidities and COVID-19 patients with non-tuberculosis comorbidities. Abstrak. Coronavirus Disease adalah penyakit infeksi saluran pernapasan akut. Kasus COVID-19 dengan cepat meningkat dan menyebar ke seluruh Indonesia serta berdampak pada jumlah kematian populasi. Tujuan dilakukannya penelitian ini adalah untuk memahami perbedaan gejala COVID-19 dengan komorbiditas Tuberkulosis dan non Tuberkulosis di RSUD Al Ihsan Bandung. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif dengan menggunakan uji statistik Chi –Square untuk melihat perbedaan antara COVID-19 dengan komorbiditas Tuberkulosis dan non Tuberkulosis. Subjek penelitian ini adalah pasien yang terkonfirmasi COVID-19 dengan komorbiditas Tuberkulosis dan Non Tuberkulosis di RSUD Al Ihsan Bandung sebanyak 722 orang. Sebagian besar pasien Tuberkulosis berjenis kelamin laki-laki 208 orang (57,6%) dan pasien non Tuberkulosis didominasi perempuan 183 orang (50,7%), Hasil penelitian menunjukkan pasien terkonfirmasi positif COVID-19 dengan komorbid Tuberkulosis paling banyak yaitu pada gejala ringan terutama pada sesak nafas sebanyak 202 orang (55.9%) sedangkan pada pasien komorbid Non Tuberkulosis 193 orang (53.5%) Disimpulkan terdapat perbedaan yang signifikan antara COVID-19 dengan komorbiditas Tuberkulosis paru dan pasien COVID-19 dengan komorbiditas non Tuberkulosis.
Gambaran Riwayat Bayi Berat Lahir Rendah dan Pemberian ASI Eksklusif pada Balita Stunting Usia 24-59 Bulan di Puskesmas Kecamatan Pamanukan Nabiel Makarim Shafary; Siska Nia Irasanti; Dony Septriana Rosady
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.12106

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Abstract. Stunting is a linear growth disorder in children aged 0–59 months. Pamukanukan District is ranked 1st in Subang Regency which has the highest prevalence of stunting, namely 19.7%. Children aged 24–59 months are vulnerable to experiencing nutritional problems. Main determinant factors for stunting are a history of low birth weight (LBW) and a history of exclusive breastfeeding practices. This study aims to determine the description of LBW and the history of exclusive breastfeeding in stunted toddlers aged 24–59 months at the Pamukanukan District Health Center, Subang Regency. Method in this research is observational analytics with a cross-sectional approach. Subjects in this study were 100 stunted children. The independent variables in this study were history of LBW and history of exclusive breastfeeding. Dependent variable in this research is stunting classification (short and very short). To see a picture of the history of low birth weight babies and the history of exclusive breastfeeding in stunted toddlers, data analysis used descriptive frequency analysis. The results of this study were that the majority of respondents had normal birth weight (90%) and had a history of exclusive breastfeeding (90%). The majority of respondents are stunted toddlers in the stunted category (64%). Exclusive breastfeeding and a history of LBW are not the only factors that cause stunting. The determinants of stunting are multifactorial, such as the child's health history, socioeconomic status, family food security, knowledge and attitudes of caregivers, environmental sanitation, personal hygiene, and balanced nutritional intake. Abstrak. Stunting adalah gangguan pertumbunam liner pada anak usia 0–59 bulan. Kecamatan Pamanukan menempati peringkat ke-1 di Kabupaten Subang yang memiliki prevalensi stunting paling tinggi, yaitu sebanyak 19,7%. Anak usia 24–59 bulan merupakan usia yang rentan mengalami masalah gizi. Faktor determinan utama stunting, yaitu riwayat berat badan lahir rendah (BBLR) dan riwayat praktik ASI eksklusif. Penelitian ini bertujuan mengetahui gambaran BBLR dan riwayat ASI eksklusif pada balita stunting usia 24–59 bulan di Puskesmas Kecamatan Pamanukan, Kabupaten Subang. Metode pada penelitian ini, yaitu analitik observasional dengan pendekatan potong lintang. Subjek pada penelitian ini sebanyak 100 orang anak stunting. Variabel bebas pada penelitian ini, yaitu riwayat BBLR dan riwayat ASI eksklusif. Variabel terikat pada penlitian ini, yaitu klasifikasi stunting (pendek dan sangat pendek). Untuk melihat gambaran riwayat bayi berat lahir rendah dan riwayat ASI Eklusif pada balita stunting analisis data menggunakan analisa deskriptif frekuensi. Hasil pada penelitian ini, yaitu mayoritas responden memiliki berat badan lahir kategori normal (90%) serta memiliki riwayat ASI Eksklusif (90%). Mayoritas responden merupakan balita stunting dalam kategori stunted (64%). Pemberian ASI eksklusif dan riwayat BBLR bukan faktor tunggal yang menyebabkan stunting. Faktor determinan stunting bersifat multifaktorial, seperti riwayat kesehatan anak, status sosioekonomi, ketahanan pangan keluarga, pengetahuan dan sikap pengasuh, sanitasi lingkungan, higienitas personal, dan asupan gizi yang seimbang.
Medical Emergency Response Plan: Case Study in a Mining Company Dony Septriana Rosady
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.12532

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Abstract. Medical emergency condition can occur unexpected and caused by human factors or unsafe actions. Mining companies need to have a system for handling medical emergencies that can be caused by physical, chemical, biological or other forms of danger. Lack of medical emergency response plan led to delay in evacuation and risking more lives to the hazards and harmed.The research uses a qualitative research design with a case study approach. The research was conducted at PRN Mining Company. Data collection was carried out using observation techniques, interviews and documentation studies of company regulations. Data collection and analysis was carried out using a focus group discussion method involving 9 people with proportional representation from HSE management elements, company doctors and practitioners in the field of occupational medicine. The research was conducted in the period January – April 2023. A medical emergency response plan is a set of written procedures that guide emergency actions, facilitate recovery efforts, and reduce the impact of emergency events. In mass medical emergencies, triage is an effort to sort and determine priorities for medical emergency response actions based on treatment needs and availability of resources. This mining company use the Simple Triage And Rapid Treatment (START) method for triage system. The work environment must be maintained in a safe condition for workers by implementing hierarchical control. The company needs to prepare policies and standard operational procedures for handling medical emergencies and prevent worsening of medical emergencies. The medical emergency response plan requires regular monitoring and evaluation to make adjustments based on company needs and scientific developments. Abstrak. Kondisi darurat medis dapat terjadi secara tidak terduga dan disebabkan oleh faktor manusia atau tindakan yang tidak aman. Perusahaan pertambangan perlu memiliki sistem penanganan darurat medis yang dapat disebabkan oleh bahaya fisik, kimia, biologi atau bentuk bahaya lainnya. Kurangnya rencana tanggap darurat medis menyebabkan tertundanya evakuasi dan mempertaruhkan lebih banyak nyawa dalam bahaya dan korban jiwa. Penelitian ini menggunakan desain penelitian kualitatif dengan pendekatan studi kasus. Penelitian ini dilakukan pada Perusahaan Pertambangan PRN. Pengumpulan data dilakukan dengan teknik observasi, wawancara dan studi dokumentasi terhadap peraturan perusahaan. Pengumpulan dan analisis data dilakukan dengan metode diskusi kelompok terfokus yang melibatkan 9 orang dengan keterwakilan proporsional dari unsur manajemen HSE, dokter perusahaan dan praktisi di bidang kedokteran kerja. Penelitian dilakukan pada periode Januari – April 2023. Rencana tanggap darurat medis adalah serangkaian prosedur tertulis yang memandu tindakan darurat, memfasilitasi upaya pemulihan, dan mengurangi dampak kejadian darurat. Dalam kedaruratan medis massal, triage merupakan upaya memilah dan menentukan prioritas tindakan tanggap darurat medis berdasarkan kebutuhan pengobatan dan ketersediaan sumber daya. Perusahaan pertambangan ini menggunakan metode Simple Triage And Rapid Treatment (START) untuk sistem triage. Lingkungan kerja harus dijaga dalam kondisi aman bagi pekerja dengan menerapkan pengendalian hierarki. Perusahaan perlu menyiapkan kebijakan dan standar prosedur operasional untuk penanganan kedaruratan medis dan mencegah memburuknya kedaruratan medis. Rencana tanggap darurat medis memerlukan pemantauan dan evaluasi secara berkala untuk melakukan penyesuaian berdasarkan kebutuhan perusahaan dan perkembangan ilmu pengetahuan.
Perspektif, Pemahaman, dan Keterlibatan Suami dalam Program Keluarga Berencana (KB): Studi Kasus Desa Batununggal, Sukabumi 2023 Agnesa Salsabila; Caecielia Makaginsar; Dony Septriana Rosady
Jurnal Riset Kedokteran Volume 4, No.2, Desember 2024, Jurnal Riset Kedokteran (JRK)
Publisher : UPT Publikasi Ilmiah Unisba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jrk.v4i2.5005

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Abstract. Rapid population increases the potential of social, economic and health problems, making it important to address the related challenges. The active involvement of men in family planning (FP) programs is very important to control population growth and improve the quality of family life. The aim of this research is to explore how men in Batununggal Village, Sukabumi view, understand, and participate in family planning programs. This research was conducted on all husbands in Batununggal Village, Sukabumi Regency totaling 60 respondents with a minimum of 55 sample using a descriptive method with a cross-sectional approach, data was collected via questionnaire and analyzed using SPSS version 25.0 for accuracy of results. The results show that the majority of respondents have a negative view of male family planning (81.7%), the majority (48.3%) understand quite well about it, but participation remains low (25%). Factors such as religion, patriarchal culture, gender, costs, and social impacts influence men's participation in family planning. Their negative perception of family planning programs is a key factor that hinders their participation. Therefore, more efforts are needed to increase men's understanding and knowledge about family planning, which is expected to encourage more active participation in this program. Abstrak. Peningkatan populasi yang cepat berpotensi menimbulkan masalah sosial, ekonomi, dan kesehatan yang serius, sehingga penting untuk mengatasi tantangan yang terkait. Keterlibatan aktif pria dalam program keluarga berencana (KB) sangat penting untuk mengendalikan pertumbuhan populasi dan meningkatkan kualitas hidup keluarga. Tujuan dari penelitian ini adalah untuk mengeksplorasi bagaimana pria di Desa Batununggal, Sukabumi memahami, mengetahui, dan berpartisipasi dalam program KB. Penelitian ini dilakukan kepada seluruh suami yang berada di Desa Batununggal, Kabupaten Sukabumi sebanyak 60 responden dengan minimal 55 sampel, menggunakan metode deskriptif dengan pendekatan cross-sectional, data dikumpulkan melalui kuesioner dan dianalisis menggunakan SPSS versi 25.0 untuk keakuratan hasil. Hasilnya menunjukkan mayoritas responden memiliki pandangan negatif terhadap KB pria (81,7%), meskipun sebagian besar (48,3%) cukup mengerti tentangnya, namun partisipasi suami tetap rendah (25%). Faktor-faktor seperti agama, budaya patriarki, gender, biaya, dan dampak sosial mempengaruhi partisipasi pria dalam KB. Persepsi negatif mereka terhadap program KB merupakan faktor kunci yang menghambat partisipasi mereka. Oleh karena itu, perlu upaya lebih untuk meningkatkan pemahaman dan pengetahuan pria tentang keluarga berencana, yang diharapkan dapat mendorong partisipasi lebih aktif dalam program ini.
Aspek Etikomedikolegal Potensi Pemanfaatan Telemedisin pada Praktik Kedokteran Okupasi di Indonesia Rosady, Dony Septriana; Azhim, Muhammad Fauzul
Jurnal Integrasi Kesehatan dan Sains Vol 7, No 1 (2025): Jurnal Integrasi Kesehatan dan Sains (in progress)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jiks.v7i1.14115

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Penetapan COVID-19 sebagai penyakit global telah menyita perhatian dunia. COVID-19 telah menjangkiti populasi dunia dan menyebabkan jatuh korban jiwa akibat komplikasi COVID-19. Pola pelayanan kesehatan mengalami pergeseran akibat berbagai keterbatasan sumber daya kesehatan. Regulasi yang ada di Indonesia memungkinkan dilakukan pelayanan kesehatan secara telemedisin selama kondisi pandemi COVID-19. Terbuka peluang pengembangan praktik telemedisin pascapandemi COVID-19. Penelitian bertujuan membahas peluang pemanfaatan telemedisin di masa depan dengan mempertimbangkan kaidah bioetika summum bonum dan minus mallum. Penelitian dilakukan secara kualitatif dengan desain penelitian studi kasus. Data diperoleh melalui wawancara terhadap narasumber yang berasal dari Majelis Kehormatan Etika Kedokteran, observasi lapangan, dan studi dokumen. Data yang ada dilakukan triangulasi metode dan triangulasi sumber untuk memastikan data yang diperoleh valid dan reliabel. Hasil penelitian menunjukkan telemedisin menjadi alternatif dengan keburukan lebih minimal selama pandemi dengan potensi pengembangan di masa depan. Sektor industri yang terus berkembang memerlukan layanan kesehatan kerja yang efektif dan efisien. Telemedisin menawarkan solusi untuk menjangkau lebih banyak pekerja, terutama yang berada di daerah terpencil atau sulit dijangkau oleh fasilitas kesehatan. Pengembangan telemedisin pascapandemi COVID-19 menyaratkan pengutaan dari sisi regulasi, penyedia layanan kesehatan, penerima layanan kesehatan, dan ketersediaan infrastruktur pendukung. Diperlukan kolaborasi lintas sektoral agar regulasi yang ada mampu mendorong pengembangan telemedisin di masa depan dan menjadikan praktik telemedisin sebagai bagian dari standar profesi kedokteran di Indonesia.Ethicomedicolegal Aspects of Potential Telemedicine Utilization in Occupational Medicine Practice in IndonesiaAbstractThe designation of COVID-19 as a global disease has attracted world attention. COVID-19 has infected the world's population and caused deaths due to complications from COVID-19. Health service patterns are changing due to various limitations in health resources. Existing regulations in Indonesia allow for telemedicine health services during the COVID-19 pandemic. There are opportunities to develop telemedicine practices after the COVID-19 pandemic. The research aims to discuss opportunities for the use of telemedicine in the future by considering the bioethical principles of summum bonum and minus malum. The research was conducted qualitatively with a case study research design. Data was obtained through interviews with sources from the Honorary Council for Medical Ethics, field observations, and document studies. The existing data was subjected to method and source triangulation to ensure that the data obtained was valid and reliable. The research results show that telemedicine is an alternative with minimal harm during the pandemic and the potential for future development. The industrial sector continues to grow and requires effective and efficient occupational health services. Telemedicine offers a solution to reach more workers, especially those in remote areas or who have difficulty coming by health facilities. The development of telemedicine after the COVID-19 pandemic requires prioritizing regulations, health service providers, health service recipients, and the availability of supporting infrastructure. Cross-sectoral collaboration is needed so that existing regulations are able to encourage the development of telemedicine in the future and make telemedicine practice part of the standards of the medical profession in Indonesia.
Effect of Structured Workers Physical Exercise, Individual Factors, and Work-related Factors on Physical Fitness of Security Officers Rosady, Dony Septriana; Mirtha, Listya Tresnanti; Agustina, Amilya; Soemarko, Dewi Sumaryani; Sugiharto, Agus
Global Medical & Health Communication (GMHC) Vol 13, No 1 (2025)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v13i1.13722

Abstract

Security officers require good physical fitness to perform their duties effectively. Maintaining this level of fitness often involves structured exercise programs that consider the frequency, intensity, duration, and type of activity. This study aims to examine the relationship between a structured physical exercise program, individual factors, and work-related factors on the physical fitness of security officers. This study was conducted in July 2023 and utilized company program data from March to June 2023, focusing on 67 security officers at PT X. Physical fitness data was collected using the Cooper test method and analyzed using SPSS. Data normality was assessed using the skewness/standard error method, with values <2 considered normally distributed. A paired sample t-test revealed a significant relationship between Cooper test distances before and after participation in the structured exercise program (p<0.001). Further analysis demonstrated relationships between changes in physical fitness and several factors: work fatigue (p<0.001), work stress dimensions (specifically work overload, role conflict, quantitative and qualitative workload excess, career development, and responsibility to others, all with p<0.014), and sleep quality (p<0.001). The coefficient of determination (r2) was 0.496, indicating that work fatigue, role conflict, and sleep quality collectively explain 49.6% of the variance in physical fitness changes. The remaining variance is likely influenced by factors not included in the model. Multivariate analysis confirmed that work fatigue (p<0.001), role conflict (p=0.036), and sleep quality (p=0.015) were predictors of changes in physical fitness. In conclusion, a structured physical exercise program has a positive influence on the physical fitness of security officers. Furthermore, work fatigue, work stress (particularly role conflict), and sleep quality are associated with changes in physical fitness among these officers.