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Perbandingan Benefit Cost Analysis Laboratorium Dengan Metode KSO Reagen Rental dan Cost per Reportable Result Shinta Dewi, Viola; Astiena, Adila Kasni; Semiarty, Rima; Yurniwati, Yurniwati; Yulia, Dwi; Putra, Abdi Setia
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2171

Abstract

Healthcare financing is the foundation of sustainable hospital services, including laboratory units that have high needs for equipment, reagents, and maintenance. Inefficient financing can hinder service quality and reduce the hospital's capacity to meet patient needs. Dr. M. Djamil Padang General Hospital, as a national referral hospital, faces these challenges, particularly in hematology testing, which dominates the laboratory service load. Although the number of tests decreased in 2024, laboratory costs actually increased beyond the budget ceiling, forcing a change in the financing method from CPRR back to Reagent Rental Operational Cooperation. This condition emphasizes the need for a comprehensive evaluation of the laboratory financing scheme through Benefit Cost Analysis to determine the most efficient and sustainable method. Methods: This study used a mixed method approach with a sequential explanatory strategy to analyze the financing of hematology laboratory tests. Quantitative research was conducted through benefit and cost analysis. The qualitative approach was conducted through in-depth interviews with informants from various hospital units. Results: The monetary benefit of the reagent rental KSO was Rp12.903.315.976 and the CPRR was Rp12.229.845.066. The total cost of the reagent rental KSO was Rpp2.485.694.024,- and the CPRR was Rp3.159.164.934. The Benefit Cost Ratio for the KSO reagent rental is 4.44, while that for the CPRR is 3.84. The selection of a laboratory operational cooperation model is not only a matter of cost efficiency but also considers the clinical context, internal capacity, and long-term strategy of the hospital. All informants felt that both the reagent rental KSO and the CPRR KSO had their own advantages and disadvantages, and in choosing a KSO, they looked more at its use and the hospital's current financial condition. Conclusion: Both KSO models are feasible because they generate positive NPV and BCR > 1. Financially, KSO Reagen Rental is more profitable than KSO CPRR
Analisis Kualitatif Health Belief Model terhadap Keinginan Berhenti Merokok pada Mahasiswa Laki-Laki Fakultas Xxx Universitas Yyy El Vinta Rahmi; Adila Kasni Astiena; Husna Yetti
KOLONI Vol. 5 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i2.814

Abstract

Smoking among health students reflects a gap between academic knowledge and personal health behavior. This article reports the qualitative component of a study that explored Health Belief Model constructs related to the intention to quit smoking among male students at Faculty xxx, University yyy. A qualitative descriptive approach was used through semi-structured in-depth interviews with 15 male student smokers from aaa, bbb, and ccc study programs, supported by one key institutional informant. Informants were selected using snowball sampling because smoking behavior in the campus context was sensitive and not formally recorded. Data were analyzed thematically through data reduction, data display, and conclusion drawing. The findings showed that students understood the health risks and severity of smoking, but perceived susceptibility was not always internalized personally. The perceived benefits of quitting included improved health, better stamina, psychological relief, economic savings, and professional credibility as future health workers. However, nicotine dependence, craving, academic stress, emotional regulation, peer pressure, and smoking routines were strong barriers to quitting. Cues to action emerged from family reminders, health information, clinical exposure, and smoke-free campus rules, while self-efficacy remained unstable. The study highlights that smoking cessation interventions should go beyond risk education by integrating psychological support, peer-based assistance, personal risk communication, and consistent institutional policy.
Analisis Biaya Penggunaan Rekam Medis Elektronik di Instalasi Gawat Darurat Rumah Sakit Universitas Andalas Deyana Fricia; Adila Kasni Astiena; Febrian febrian
Jurnal Rekam Medis dan Informasi Kesehatan Vol. 8 No. 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i1.11990

Abstract

Rumah sakit UNAND sudah menerapkan rekam medis elektronik pada tahun 2023. Dimana unit yang baru menerapkan rekam medis elektronik adalah instalasi gawat darurat, ruang intensive dan rawat inap. Jenis penelitian ini adalah penelitian kuantitatif berupa perhitungan biaya investasi, biaya operasional dan biaya pemeliharaan. Hasil penelitian menunjukkan bahwa total biaya investasi sebesar Rp 30.272.582,6, biaya operasional sebesar Rp 128.421.834 dan biaya pemeliharaan sebesar Rp 1.990.000. Total biaya pada penggunaan rekam medis elektronik di instalasi gawat darurat rumah sakit UNAND sebesar Rp 160.684.417. 
Pendampingan Kompetensi Failure Mode Effect Analysis (FMEA) Sebagai Upaya Deteksi Dini Permasalahan Pelayanan Kesehatan di RSUD Sadikin Kota Pariaman Adila Kasni Astiena; Rizanda Machmud; Rima Semiarty; Yuniar Lestari; Firdawati; Husna Yetti; Rosfita Rasyid; Ida Rahmah Burhan; Hardisman; Abdiana; Zurayya Fadilla; Nelmi Silvia; Anung Respati; Dyanti Oktalina
Warta Pengabdian Andalas Vol 33 No 2 (2026)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jwa.33.2.146-155.2026

Abstract

Hospitals are not systematically designed to detect service errors as in non-healthcare products, thus increasing risks to patient safety. RSUD Sadikin in Pariaman City, which has been operating for only seven years, has not yet established mechanisms or training to detect service errors. This community service activity aimed to enhance managerial competence in managing the risk of healthcare service errors through the application of Failure Mode and Effect Analysis (FMEA). The activity was conducted in the form of a workshop involving 30 participants from top, middle, and lower management levels in Oktober-November 2025 at Sadikin Hospital. FMEA competence was assessed before and after the workshop using a paired t-test. The results showed that the mean pre-test score was 70.67 (SD±17.604) and the post-test score was 84.67 (SD±14.794), with an improvement of 14.00 points (SD±14.004), which was statistically significant (p=0.000). These findings indicate that the FMEA workshop effectively improved participants’ managerial competence in early detection and mitigation of service risks. Follow-up mentoring is recommended to evaluate the sustainability of training effects at 3, 6, and 9 months after the activity.
Program Penguatan Literasi Kesehatan Reproduksi dan Keluarga untuk Meningkatkan Pengetahuan Masyarakat dengan Edukasi Digital, Parenting, Promosi Skrining IVA, dan Sirkumsisi di Kelurahan Gates Nan XX, Kecamatan Lubuk Begalung Kota Padang Henni Fitria; Ida Rahmah Burhan; Zurayya Fadila; Elly Usman; Elmatris SY; Abdiana Abdiana; Eka Nofita; Desy Nofita Sari; Rahmadini Faricha Hakim; Annisa Rusdi; Etriyel Etriyel; Rauza Sukma Rita; Yulistini Yulistini; Westi Permata Wati; Roza Silvia; Selfi Renita Rusjdi; Lili Irawati; Feni Andriani; Husni Husni; Uliy Iffah; Yuniar Lestari; Nur Afrainin Syah; Nora Harminati; Adila Kasni Astiena
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27382

Abstract

ABSTRAK Kegiatan Family Oriented Medical Education (FOME) Lapangan Mahasiswa Fakultas Kedokteran Universitas Andalas di Kelurahan Gates Nan XX, Kecamatan Lubuk Begalung, Kota Padang, mendapatkan beberapa permasalahan prioritas. Permasalahan berupa rendahnya literasi kesehatan reproduksi, kurangnya pemahaman orang tua mengenai penggunaan gadget yang sehat pada anak, rendahnya kesadaran perempuan usia subur untuk melakukan skrining kanker serviks, serta masih perlunya peningkatan pemanfaatan pelayanan sirkumsisi yang dilakukan sesuai standar medis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan literasi kesehatan reproduksi dan kesehatan keluarga melalui edukasi, promosi kesehatan, dan pelayanan kesehatan preventif berbasis komunitas. Kegiatan dilaksanakan dengan pendekatan pemberdayaan masyarakat yang melibatkan pemerintah kelurahan, kader kesehatan, tenaga kesehatan, dosen, mahasiswa, dan masyarakat sebagai mitra. Intervensi yang dilakukan meliputi edukasi penggunaan gadget yang sehat pada anak (digital parenting), edukasi kesehatan reproduksi dan promosi skrining IVA, serta pelayanan sirkumsisi. Evaluasi dilakukan menggunakan pre-test dan post-test untuk mengukur perubahan pengetahuan peserta. Sebanyak 30 perempuan usia subur mengikuti kegiatan edukasi dan 22 anak mengikuti pelayanan sirkumsisi. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta mengenai kesehatan reproduksi dan penggunaan gadget yang sehat pada anak, dengan rata-rata skor meningkat 27,9% dibandingkan sebelum intervensi. Masyarakat juga menunjukkan antusiasme yang tinggi selama pelaksanaan kegiatan, ditandai dengan partisipasi aktif dalam sesi tanya jawab saat edukasi. Program pengabdian yang terintegrasi dengan kegiatan FOME mampu meningkatkan pengetahuan masyarakat mengenai kesehatan reproduksi dan pengasuhan digital serta memperluas akses terhadap pelayanan kesehatan preventif.  Kata Kunci: Literasi Kesehatan Reproduksi, Digital Parenting, Skrining IVA, Sirkumsi.  ABSTRACT The Family Oriented Medical Education (FOME) field activity conducted by students from the Faculty of Medicine at Andalas University in Gates Nan XX Village, Lubuk Begalung Subdistrict, Padang City, identified several priority issues. These issues include low reproductive health literacy, parents’ lack of understanding regarding healthy gadget use among children, low awareness among women of childbearing age regarding cervical cancer screening, and the continued need to increase the utilization of circumcision services performed in accordance with medical standards. This community service activity aims to improve reproductive health and family health literacy through education, health promotion, and community-based preventive health services. The activities were carried out using a community empowerment approach that involved the sub-district government, health cadres, health workers, faculty members, students, and the community as partners. The interventions included education on healthy gadget use for children (digital parenting), reproductive health education and promotion of IVA screening, as well as circumcision services. An evaluation was conducted using pre-tests and post-tests to measure changes in participants knowledge. A total of 30 women of childbearing age participated in the educational activities, and 22 children received circumcision services. The results of the intervention showed an increase in participants’ knowledge of reproductive health and healthy gadget use among children, with average scores rising by 27.9% compared to pre-intervention levels. The community also demonstrated high enthusiasm during the activities, as evidenced by their active participation in the question-and-answer sessions during the educational sessions. This community service program, integrated with FOME activities, successfully increased the community’s knowledge of reproductive health and digital parenting and expanded access to preventive health services. Keywords: Reproductive Health Literacy, Digital Parenting, IVA Screening, Circumcision.