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Yusriani, Yusriani
Fakultas Kesehatan Masyarakat, Universitas Muslim Indonesia
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Gambaran Pemberian Metode 20-20-20 Terhadap Penurunan Keluhan Gejala Computer Vision Syndrome (CVS) pada Pekerja Pengguna Komputer di PDAM Kota Makassar: Overview of the Effectiveness of the 20-20-20 Method on Reducing Symptoms of Computer Vision Syndrome (CVS) in Computer Users at PDAM Kota Makassar Rahmadani, Rahmadani; Yusriani, Yusriani; Gafur, Abdul; Idris, Fairus Prihatin; Yuliati, Yuliati; S. , Ikhram Hardi
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 2 (2025): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i2.2128

Abstract

ABSTRAK Latar Belakang: Berdasarkan data World Health Organization (WHO) sekitar 2,2 miliar orang mengalami gangguan penglihatan jarak dekat atau jarak jauh. Data American Optometric Association Tahun 2023 kondisi utama yang menyebabkan gangguan penglihatan jarak jauh atau kebutaan adalah katarak (94 juta), kelainan refraksi (88,4 juta), degenerasi makula terkait usia (8 juta), glaukoma (7,7 juta), retinopati diabetik (3,9 juta). Prevalensi Computer Vision Syndrome (CVS) mencapai 64-90% dengan jumlah penderita di seluruh dunia diperkirakan sebesar 60 juta orang dan setiap tahun muncul 1 juta kasus baru. Tujuan: Untuk menganalisis Pengaruh Intervensi Metode 20-20-20 Terhadap Kejadian Computer Vision Syndrome (CVS) pada Pekerja Pengguna Komputer di PDAM Kota Makassar. Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian Quasi Eksperimen dengan pendekatan Pre-Post Test with Control Group Design. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan jumlah kelompok eksperimen 22 responden dan kelompok kontrol 22 responden di PDAM Kota Makassar. Data penelitian dianalisis dengan uji Independent Sample T-Test dengan tingkat kepercayaan 95% (α=0,05). Hasil: Hasil uji Independent Sample T-Test menunjukkan terdapat perbedaan yang signifikan keluhan gejala Computer Vision Syndrome (CVS) antara kelompok eksperimen dan kelompok kontrol dengan nilai signifikan ρ = 0,000 (< 0,05). Saran: Diharapkan untuk instansi menerapkan metode 20-20-20 sebagai bagian dari kebijakan Kesehatan dan Keselamatan Kerja (K3) dan pekerja diharapkan secara mandiri dan konsisten menerapkan metode 20-20-20 untuk mencegah berkembangnya Computer Vision Syndrome (CVS) serta menjaga kesehatan mata selama bekerja di depan layar computer. ABSTRACT Background: Based on World Health Organization (WHO) data, approximately 2.2 billion people experience near or distance vision impairment. Data from the American Optometric Association in 2023, the main conditions that cause distance vision impairment or blindness are cataracts (94 million), refractive errors (88.4 million), age-related macular degeneration (8 million), glaucoma (7.7 million), diabetic retinopathy (3.9 million). The prevalence of Computer Vision Syndrome (CVS) reaches 64-90% with the number of sufferers worldwide estimated at 60 million people and 1 million new cases appearing every year. Objective: To analyze the Effect of the 20-20-20 Method Intervention on the Incidence of Computer Vision Syndrome (CVS) in Computer User Workers at PDAM Makassar City. Method: This study uses a type of quantitative research with a Quasi Experiment research design with a Pre-Post Test with Control Group Design approach. The sampling technique used purposive sampling technique with the number of experimental groups 22 respondents and control groups 22 respondents at PDAM Makassar City. The research data were analyzed using the Independent Sample T-Test test with a confidence level of 95% (α = 0.05). Results: The results of the Independent Sample T-Test test showed that there was a significant difference in complaints of Computer Vision Syndrome (CVS) symptoms between the experimental group and the control group with a significant value of ρ = 0.000 (<0.05). Suggestion: It is expected that agencies apply the 20-20-20 method as part of the Occupational Health and Safety (OHS) policy and workers are expected to independently and consistently apply the 20-20-20 method to prevent the development of Computer Vision Syndrome (CVS) and maintain eye health while working in front of a computer screen.
Hubungan Pendidikan Ibu Balita dengan Kejadian Stunting di Puskesmas Marusu Kabupaten Maros : The Relationship between Education of Mothers of Toddlers with the Incidence of Stunting at Marusu Health Center, Maros Regency Setiawati, Elis; Yusriani, Yusriani; Sumiaty, Sumiaty
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 1 (2025): JANUARY-JUNE
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i1.1905

Abstract

ABSTRAK Latar Belakang: Data World Health Organization (WHO) kurang lebih 144 juta anak balita menderita stunting. Indonesia termasuk Negara ketiga dengan prevalensi tertinggi kasus stunting di Regional Asia Tenggara/South-East Asia Regional (SEAR). Puskesmas Marusu prevelensi stunting pada tahun 2022 sebanyak 64 kasus dan pada tahun 2023 yaitu sebanyak 41 kasus, terjadi penurunan sebanyak 23 kasus. Tujuan: Untuk mengetahui hubungan pendidikan ibu balita terhadap kejadian stunting. Metode: Desain penelitian adalah Cross Sectional study. Jumlah populasi sebanyak 2231, Adapun tehnik pengambilan sampel yang digunakan adalah purposive sampling yaitu sebanyak 341 responden. Instrument pada penelitian ini kuesioner Analisis data menggunakan uji statistic chi square dengan tingkat kemaknaan 95% (α: 0,05). Penelitian ini dilaksanakan di Puskesmas Marusu Kabupaten Maros pada bulan Agustus-September. Hasil: Tingkat pendidikan ibu terhadap kejadian stunting memiliki hubungan signifikan (p value=0.000). ABSTRACT Background: World Health Organization data approximately 144 million children under five suffer from stunting. Indonesia is among third country with the highest prevalence of stunting cases in the South-East Asia Region (SEAR). Southeast Asia/South-East Asia Regional (SEAR). Marusu Health Center stunting prevalence in 2022 was 64 cases and in 2023 was 41 cases, there was a decrease of 23 cases. Objective: To determine the relationship between education of mothers of toddlers to the incidence of stunting. Method: The research design is Cross Sectional study. The total population was 2231, the sampling technique used was purposive sampling, which was 341 respondents. The instrument in this study was a questionnaire. Data analysis used the chi square statistical test with a meaning level of 95% (α: 0.05). This research was conducted at the Marusu Health Center, Maros Regency in August-September. Results: The level of maternal education on the incidence of stunting has a significant relationship (p value = 0.000).
Pengaruh Self Care Management Terhadap Kualitas Hidup Lansia dengan Hipertensi yang Mengikuti Prolanis di Puskesmas Moncongloe Kabupaten Maros : The Effect of Self Care Management on the Quality of Life of Elderly with Hypertension who Follow Prolanis at Moncongloe Health Center, Maros Regency H. , Reny Amalia; Yusriani, Yusriani; Hamzah, Wardiah
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 2 (2025): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i2.2100

Abstract

ABSTRAK Latar Belakang: Hipertensi merupakan salah satu penyakit kronis yang paling banyak dialami oleh lansia dan dapat berdampak pada penurunan kualitas hidup. Penanganan hipertensi pada lansia tidak hanya berfokus pada pengobatan, tetapi juga memerlukan keterlibatan aktif lansia dalam hal self care management dan pengendalian stres. Tujuan: Untuk mengetahui pengaruh self care management terhadap kualitas hidup lansia dengan hipertensi yang mengikuti Prolanis di Puskesmas Moncongloe Kabupaten Maros. Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross-sectional. Sampel terdiri dari 45 lansia hipertensi serta diambil menggunakan teknik random sampling. Hasil: Hasil penelitian menunjukkan bahwa self care management berpengaruh secara signifikan terhadap kualitas hidup lansia yang mengikuti prolanis (p-value = 0.002). Kesimpulan: Kegiatan prolanis bagi lansia memiliki dampak positif terhadap peningkatan self care management serta pengendalian stres bagi lansia dengan hipertensi sehingga dapat meningkatkan kualitas hidup mereka. Disarankan agar tenaga kesehatan lebih aktif dalam memberikan edukasi terkait self care management serta melakukan skrining dan manajemen stres secara rutin terhadap lansia dengan hipertensi.   ABSTRACT Background: Hypertension is one of the most prevalent chronic conditions affecting the elderly and is strongly associated with a decline in quality of life. Effective management extends beyond pharmacological treatment and requires active patient involvement through self-care practices and stress regulation. Objective: This study aimed to determine the effect of self-care management on the quality of life of elderly people with hypertension who participated in Prolanis at the Moncongloe Community Health Center, Maros Regency. Method: A quantitative, cross-sectional research design was employed. The study involved 45 elderly participants diagnosed with hypertension selected using random sampling techniques. Results: The findings revealed that self-care management had a statistically significant effect on quality of life among both Prolanis participants (p value= 0.002). Conclusion: In conclusion, participation in the Prolanis program contributes positively to improved self-care behaviors and stress management among elderly individuals with hypertension, thereby enhancing their quality of life. These findings underscore the importance of integrating health education, regular stress screening, and tailored self-care support into community-based chronic disease programs.
Gambaran Kejadian Kecelakaan Kerja pada Petani Sayur di Desa Mooat Sulawesi Utara: Overview of Work Accidents Among Vegetable Farmers in Mooat Village, North Sulawesi Rismayani, Besse; Yusriani, Yusriani; S. , Ikhram Hardi; Idris, Fairus Prihatin; Yuliati, Yuliati; Gafur, Abdul
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 2 (2025): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i2.2135

Abstract

ABSTRAK Latar Belakang: Sektor pertanian, secara global, memainkan peran yang tak terhindarkan dalam kehidupan manusia, melibatkan sekitar setengah dari angkatan kerja dunia. Namun risiko di sektor ini, termasuk tingkat kematian dan cedera yang tinggi, menjadikannya salah satu sektor paling berbahaya di dunia. Sumber data International Labour Organization (ILO) menyatakan bahwa tahun 2018 sekitar 2,78 juta pekerja mengalami kematian setiap tahun akibat kecelakaan dan penyakit ditempat kerja. Badan Asuransi Cedera Kerja Pemerintah Italia (INAIL) mengatakan bahwasanya kurang lebih 50.000 kecelakaan yang melibatkan mesin terdapat pada sektor industri pertanian di tahun 2010, dalam data tersebut, termasuk lebih dari 100 kecelakaan fatal yang menyeret pekerja professional dimana 80 di antaranya dalami oleh petani paruh waktu. Tujuan: Untuk mengetahui gambaran kejadian kecelakaan pada petani sayur di Desa Mooat Sulawesi Utara. Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dengan metode observasi analitik dan rancangan cross sectional study. Populasi sebanyak 168 petani sayur dengan menggunakan total sampling. Data penelitian dianalisis menggunakan uji Chi Square dan regresi linear berganda. Hasil: Terdapat hubungan antara tindakan tidak aman (0,000), dengan kejadian kecelakaan kerja pada petani sayur di Desa Mooat Sulawesi Utara. Saran: Diharapkan edukasi yang lebih intensif mengenai potensi risiko kecelakaan kerja yang dapat muncul akibat tindakan tidak aman, termasuk kebiasaan bersenda gurau selama bekerja. Sosialisasi yang melibatkan petani secara langsung di lapangan diharapkan dapat meningkatkan kesadaran mereka akan dampak jangka panjang dari kebiasaan tersebut terhadap keselamatan kerja. ABSTRACT Background: The agricultural sector, globally, plays an unavoidable role in human life, involving about half of the world's workforce. However, the risks in this sector, including high death and injury rates, make it one of the most dangerous sectors in the world. Data from the International Labor Organization (ILO) states that in 2018 around 2.78 million workers died each year due to accidents and diseases in the workplace. The Italian Government's Work Injury Insurance Agency (INAIL) said that approximately 50,000 accidents involving machines occurred in the agricultural industry sector in 2010, in the data, including more than 100 fatal accidents involving professional workers, 80 of which were experienced by part-time farmers. Objective: To determine the circumstances surrounding accidents involving vegetable farmers in Mooat Village, North Sulawesi. Method: This study uses a quantitative research type with an analytical observation method and a cross-sectional study design. The population was 168 vegetable farmers using total sampling. Data the study was analyzed using the Chi Square test and multiple linear regression. Results: There is a relationship between unsafe actions (0.000) and work accidents among vegetable farmers in Mooat Village, North Sulawesi. Suggestion: More intensive education is expected regarding the potential risks of work accidents that can arise due to unsafe actions, including the habit of joking while working. Socialization that directly involves farmers in the field is expected to increase their awareness of the long-term impacts of these habits on work safety.
Analisis Implementasi Kebijakan Integrasi Pelayanan Kesehatan Prime di Puskesmas Lanrisang Kabupaten Pinrang: Analysis of the Implementation of Prime Health Service Integration Policy at Lanrisang Community Health Center, Pinrang Regency Rahmawati, Rahmawati; Yusriani, Yusriani; Rusydi, Arni Rizqiani
Journal of Aafiyah Health Research (JAHR) Vol. 6 No. 2 (2025): JULY-DECEMBER
Publisher : Postgraduate Program in Public Health, Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52103/jahr.v6i2.2140

Abstract

ABSTRAK Latar Belakang: Pelaksanaan transformasi layanan primer melalui kebijakan Integrasi Pelayanan Kesehatan Primer (ILP) merupakan upaya strategis Kementerian Kesehatan dalam meningkatkan cakupan layanan berbasis siklus hidup secara komprehensif dan berkesinambungan hingga ke tingkat desa dan dusun. Tujuan: Untuk menganalisis implementasi kebijakan ILP di Puskesmas Lanrisang, Kabupaten Pinrang, sebagai puskesmas lokus perluasan ILP tahun 2024. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Data diperoleh melalui wawancara mendalam, observasi lapangan, dan telaah dokumen. Analisis dilakukan berdasarkan tiga komponen implementasi: input, proses, dan output, dengan mengacu pada Petunjuk Teknis PMK No. 2015 Tahun 2023 tentang Integrasi Pelayanan Kesehatan Primer. Hasil: Pelaksanaan ILP di Puskesmas Lanrisang belum sepenuhnya berjalan optimal. Pada aspek input, ketersediaan sarana prasarana, pendanaan serta infrastruktur sebagian besar sudah memadai, namun distribusi SDM terutama dokter belum merata pada seluruh klaster. Dari aspek proses, pelaksanaan pelayanan berbasis klaster telah dilakukan sesuai SOP, namun pada Klaster 3 ditemukan ketidaksesuaian dalam sasaran layanan. Pendekatan jejaring di Pustu dan Posyandu telah berjalan baik sesuai juknis, tetapi kunjungan rumah masih dilaksanakan oleh tim dari inovasi puskesmas, bukan oleh kader bersama petugas pustu sebagaimana diatur dalam KMK NO. HK.01.07/MENKES/2015/2023. Sementara itu, penguatan digitalisasi telah berjalan baik di tingkat puskesmas pada proses pelayanan namun belum sepenuhnya berjalan optimal pada pencatatan dan pelaporan secara digitalisasi di Pustu sehingga masih menggunakan pencatatan manual. Dari sisi output, ketersediaan layanan cukup lengkap, namun pemanfaatannya belum optimal, tercermin dari penurunan kunjungan dalam beberapa bulan terakhir. Kesimpulan: Implementasi ILP di Puskesmas Lanrisang menunjukkan kemajuan, namun belum sepenuhnya sesuai dengan juknis. Diperlukan penguatan pemahaman tim pelaksana, pemerataan tenaga kesehatan, serta percepatan digitalisasi di seluruh jejaring pelayanan agar integrasi pelayanan primer dapat berjalan efektif dan berkelanjutan. ABSTRACT Background: The implementation of primary care transformation through the Primary Health Care Integration (ILP) policy is a strategic effort of the Ministry of Health in increasing the coverage of life cycle-based services comprehensively and continuously to the village and hamlet levels. Objective: To the implementation of ILP policy in Puskesmas Lanrisang, Pinrang Regency, as the locus of ILP expansion in 2024. Method: This research used a qualitative approach with a case study design. Data were obtained through in-depth interviews, field observations, and document review. Analysis was conducted based on three components of implementation: inputs, processes, and outputs, with reference to the Technical Guidelines of PMK No. 2015 Year 2023 on Primary Health Care Integration. Results: The implementation of ILP at Lanrisang Health Center has not fully run optimally. In the input aspect, the availability of infrastructure, funding and infrastructure is mostly adequate, but the distribution of human resources, especially doctors, is not evenly distributed throughout the cluster. From the process aspect, the implementation of cluster-based services has been carried out according to the SOP, but in Cluster 3 there are discrepancies in service targets. The network approach in Pustu and Posyandu has worked well according to the technical guidelines, but home visits are still carried out by the puskesmas innovation team, not by cadres together with pustu officers as stipulated in KMK NO. HK.01.07/MENKES/2015/2023. Meanwhile, the strengthening of digitalization has been running well at the puskesmas level in the service process, but it has not been fully optimized in the recording and reporting of digitalization at Pustu so that they still use manual recording. In terms of output, the availability of services is quite complete, but utilization is not optimal, reflected in the decline in visits in recent months. Conclusion: The implementation of ILP at Lanrisang Health Center shows progress, but not yet fully in accordance with the technical guidelines. Strengthening the understanding of the implementation team, equitable distribution of health workers, and accelerating digitization in all service networks are needed so that primary care integration can run effectively and sustainably.
Exploring English Language Learning via ChatGPT: A Case Study from A Self Determination Theory Perspective Yusriani, Yusriani; Fithriani, Rahmah
Journal of Educational Sciences Vol. 9 No. 4 (2025): Journal of Educational Sciences
Publisher : FKIP - Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31258/jes.9.4.p.3064-3076

Abstract

This study aims to explore students' perceptions of using ChatGPT as a tool for learning English grammar, particularly in academic writing. Using a qualitative case study approach, twenty undergraduate students majoring in English education at a state university in North Sumatra were selected through purposive sampling based on their prior experience with ChatGPT, especially in completing assignments for courses like Basic Structure. Data were collected through a Likert-scale questionnaire and semi-structured interviews with four selected participants. The questionnaire data were analyzed quantitatively using frequency counts, while the interview transcripts were analyzed thematically through a three-stage coding process. The findings indicate that ChatGPT supports students’ understanding of grammar by providing instant feedback, contextual explanations, and a flexible learning environment, which in turn boosts their confidence in using English. Within the framework of Self-Determination Theory (SDT), ChatGPT fulfills the needs for competence and autonomy; however, it still falls short in addressing the need for relatedness, which requires meaningful human interaction in the learning process.
Length of Stay Pasien IGD ke Rawat Inap dengan Pendekatan Value Stream Mapping di RS Ibnu Sina Makassar Ali Seppo, Muthia Ditasya; Yusriani, Yusriani; Batara, Andi Surahman
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2123

Abstract

Instalasi Gawat Darurat (IGD) RS Ibnu Sina Makassar menghadapi Length of Stay (LOS) yang panjang, menyebabkan crowding dan menurunkan kualitas pelayanan. Penelitian ini bertujuan mengidentifikasi waste dalam LOS pasien dari IGD ke rawat inap menggunakan Value Stream Mapping (VSM). Penelitian kualitatif ini menggunakan observasi, wawancara, dan analisis VSM untuk memetakan alur pelayanan, mengidentifikasi aktivitas value-added (VA) dan non-value-added (NVA), serta mendeteksi bottleneck. Hasil menunjukkan lead time LOS 6 jam 24 menit 12 detik, dengan 65,8% VA dan 34,2% NVA. Waste utama adalah waste waiting (91,79%) dan waste transportation (8,21%). Bottleneck terbesar meliputi menunggu advis DPJP (41,9%), hasil pemeriksaan penunjang (35,42%), dan transfer pasien (9,89%). VSM efektif mengidentifikasi waste dan bottleneck, mendukung efisiensi pelayanan. Rekomendasi meliputi lean tools seperti standardized work dan visual management, termasuk SOP pelayanan dan koordinasi antarunit, untuk meminimalkan waste dan meningkatkan kualitas layanan.
Penerapan Teknologi Budidaya Kedelai Desa Binaan Sentra Penghasil Kedelai di Leang-leang Kecamatan Bantimurung Aminah, Aminah; Yusriani, Yusriani; Sabahannur, St.; Palad, Marliana S; Akbar, Abd.; Fadel, Muhammad
Sipakaraya : Jurnal Pengabdian Masyarakat Vol 4 No 1 (2025): Sipakaraya : Jurnal Pengabdian Masyarakat
Publisher : Universitas Sulawesi Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31605/sipakaraya.v4i1.5563

Abstract

This community service program aimed to apply research findings in the food sector to ensure soybean availability, enhance community independence and welfare, expand farmers’ knowledge of standardized soybean cultivation, and raise awareness of the nutritional importance of soybean milk in preventing stunting. The activity was carried out on September 10, 2025, in Leang-leang Village, Bantimurung District, Maros Regency, South Sulawesi, through counseling and technology guidance. The partners’ main problems included limited knowledge of cultivation, excessive use of chemical fertilizers, inefficient fertilization, repeated use of farm-saved seeds, limited capacity in seed production, and the inability to process harvests into value-added products. The results showed improved knowledge and skills of the Siparingerrang and Borongpaoe farmer groups in standardized soybean cultivation. Partners received a seed sorting machine to separate large and small seeds, as well as a push-type planter with 12 holes to increase efficiency. In addition, product diversification such as soybean milk, soybean flour, and tempe/tofu chips has the potential to increase farmers’ income and strengthen community food security.
Analisis Biaya Berdasarkan Unit Cost pada Instalasi Rawat Inap Igusti, Nuryanggi; Amelia, A Rizki; Arman, Arman; Yusriani, Yusriani; Suharni, Suharni; Multazam, A M; Muchlis, Nurmiati
Wal'afiat Hospital Journal Vol. 6 No. 1 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/whj.v6i1.201

Abstract

Cost analysis serves as a critical tool for hospital management in evaluating the efficiency of resource utilization. One commonly employed method is unit cost analysis, which supports the assessment of service production processes, determination of break-even points, and formulation of strategic decisions related to service volume and cost control. This study aimed to analyze fixed costs, fixed operational (semi-variable) costs, variable operational costs, total costs, and unit costs in the Inpatient Unit of a Private Hospital in Makassar in 2023. This research adopted an operational research design with a descriptive quantitative approach. The population comprised all financial transactions at the hospital in 2023, with the sample including all transactions associated with inpatient services. The findings showed that the fixed cost amounted to IDR 5,216,229,922, fixed operational cost to IDR 2,811,580,099, and variable operational cost to IDR 3,727,281,560. Total costs, calculated using three different approaches, were IDR 2,915,361,139 (Total Cost I), IDR 1,136,844,781 (Total Cost II), and IDR 650,882,586 (Total Cost III). Unit costs based on the double distribution method were identified as follows: Super VIP – IDR 1,087,677; VIP – IDR 870,775; Class 1 – IDR 654,674; Class 2 – IDR 532,583; and Class 3 – IDR 330,577. The results indicated that unit costs exceeding service tariffs posed a risk of financial loss. Therefore, the study recommends the application of the Activity-Based Costing (ABC) method, the implementation of clinical pathways, and the development of superior service units. Hospitals are encouraged to conduct periodic unit cost analyses and to establish service tariffs rationally, grounded in the outcomes of cost calculations.
ANALISIS FAKTOR ATP (ABILITY TO PAY) DAN WTP (WILLINGNESS TO PAY) DALAM MEMBAYAR IURAN BPJS MANDIRI DI RSP IBNU SINA MAKASSAR Sudirman, Farah Zhafirah; Amelia, A. Rizki; Abbas, Hasriwiani Habo; Yusriani, Yusriani; Ikhtiar, Muhammad; Muchlis, Nurmiati
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49203

Abstract

Program BPJS Kesehatan merupakan bagian dari sistem Jaminan Kesehatan Nasional yang bertujuan memberikan akses layanan kesehatan yang adil dan merata bagi seluruh masyarakat Indonesia. Namun demikian, tingkat partisipasi peserta mandiri (Pekerja Bukan Penerima Upah) dalam membayar iuran masih tergolong rendah, yang diduga dipengaruhi oleh kemampuan dan kemauan peserta dalam memenuhi kewajiban finansial tersebut. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan Ability to Pay (ATP) dan Willingness to Pay (WTP) dalam membayar iuran BPJS Kesehatan peserta mandiri di RSP Ibnu Sina. Penelitian yang digunakan adalah kuantitatif dengan desain deskriptif, untuk mengetahui faktor ATP dan WTP peserta BPJS Mandiri dalam membayar iuran di RSP Ibnu Sina berdasarkan tingkat pendapatan, tabungan kesehatan, jumlah anggota keluarga, tingkat pengetahuan, tingkat kepuasan. Hasil penelitian menunjukkan bahwa tingkat pendapatan memiliki pengaruh signifikan terhadap ATP, di mana peserta dengan pendapatan tinggi mayoritas mampu membayar iuran, sedangkan peserta berpendapatan rendah lebih banyak yang tidak mampu membayar. Tabungan kesehatan berasosiasi positif dengan ATP, di mana kepemilikan tabungan yang memadai meningkatkan ATP. Jumlah anggota keluarga memengaruhi ATP, di mana keluarga dengan jumlah anggota kecil cenderung memiliki kemampuan membayar lebih baik dibandingkan keluarga besar. Tingkat pengetahuan BPJS Kesehatan berpengaruh terhadap WTP, di mana pengetahuan yang baik mendorong kesediaan membayar. Kepuasan terhadap pelayanan juga memengaruhi WTP, dengan peserta yang merasa puas menunjukkan tingkat WTP yang lebih tinggi. Temuan ini mengindikasikan bahwa faktor ekonomi dan persepsi terhadap program BPJS merupakan determinan penting dalam keberlanjutan pembayaran iuran BPJS Mandiri. Kata Kunci: Ability to Pay, Willingness to Pay, BPJS Mandiri, Faktor Sosioekonomi, Kepuasan Peserta
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