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All Journal BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia e-Journal Pustaka Kesehatan Jurnal Ilmu Kesehatan Masyarakat Jurnal Kesehatan Jurnal Administrasi Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Jurnal Penelitian Kesehatan Suara Forikes JI-KES (Jurnal Ilmu Kesehatan) Jurnal Kesehatan Afiasi : Jurnal Kesehatan Masyarakat ARTERI : Jurnal Ilmu Kesehatan Indonesian Journal of Health Sciences Research and Development (IJHSRD) Public Health and Preventive Medicine Archive PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Unnes Journal of Public Health JI-KES (Jurnal Ilmu Kesehatan)
Christyana Sandra
Bagian Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember
Computer Science & IT Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Mechanical Engineering Medicine & Pharmacology Nursing Public Health Other

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Hubungan Bauran Pemasaran dan Faktor Psikologis dengan Proses Pengambilan Keputusan Pasien dalam Pemanfaatan Rawat Jalan (Relation of Marketing Mix and Psychological Factors with Patient's Decision-Making Process in Outpatient Services Utilization) Fathur Rachman Hakim; Nuryadi Nuryadi; Christyana Sandra
Pustaka Kesehatan Vol 3 No 3 (2015)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Based on the results of preliminary study have been found decrease in the number ofoutpatient visits in Balung Regional Hospital every years at 2010-2013 with an averageby 5.41%. Considering that indicators of outpatient utilization rate based on the numberof visits per day (within a period of 1 year), and utilization rate of the patient depends onthe decision to use it, therefore concluded that patient's decision to utilize outpatientservices in Balung Regional Hospital were less good. The purpose of this research wasanalyze the relation of marketing mix and psychological factors with patient's decisionmaking process in outpatient services utilization in Balung Regional Hospital, Jember.This research was an analytical design by cross sectional, with number of sampleswere136 of public patients who use outpatient services in 2014. The data were analyzedstatistically by using association Somer's D test. The results showed relationshipbetween place, product, price, promotion, people and process with patient's decisionmaking process. But there was no relationship between physical evidence with patient'sdecision making process. Furthermore, there was relationship between perception,motivation, and attitude with patient's decision making process in outpatient services.Keywords: Marketing Mix, Psychological Factor, Decision Making Process
Mutu Pelayanan Voluntary Counseling and Testing (VCT) di Klinik VCT Puskesmas Puger dari Perspektif Provider Indah Ernawati; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 7 No 2 (2019): Volume 7 No. 2, 2019
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v7i2.19121

Abstract

Voluntary Counseling and Testing (VCT) is an entry point to help everyone in utilizing services related to HIV-AIDS prevention, care, support and treatment. Puger Primary Health Care is a primary health care located in the work area with the highest number of HIV-AIDS sufferers in Jember Regency, experiencing a decrease in client visits, and there are some management services that are still not in accordance with VCT guidelines. This study aimed to describe the quality of VCT services at the VCT Clinic Puger Primary Health Care from the perspective of provider. This study was descriptive study using questionnaire, documentation study, and observation. The study respondents were 7 VCT clinic officers. The results indicated that in input parameter showed a lack of human resources, insufficient funding, lack of availability and material conditions that meet the VCT guidelines. In planning indicators related to the human resources, improvements of infrastructure facilities had not been written in the POA, the job description was sufficient based on duties and competences of staff and there were coordination, supervision and evaluation. In the dimensions of technical competence, access to services, efficiency, human relations, continuity and safety of VCT clinics in good categories, but sufficient and less categories for dimensions of effectiveness and comfort dimensions.
Kemampuan Membayar Iuran Jaminan Kesehatan Nasional Bagi Nelayan di Kabupaten Jember (Ability To Pay The Premium Of National Health Insurance For Fisherman in Jember) Widya Noormalasari; Nuryadi Nuryadi; Christyana Sandra
Pustaka Kesehatan Vol 3 No 1 (2015)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

National Health Insurance is an Indonesian government program which mandates by social Insurance that required for all Indonesian citizens through BPJS. Coverage by independent participation in Jember is still very small that equal to 0.75 % of all participants registered. The results of a preliminary survey on the fisherman shows that 72.5 % of respondents thought unable to pay contribution JKN. The objective of this study was to calculate the ability to pay contribution of JKN for fishermen in Jember. This study was a quantitative descriptive study conducted in 3 villages, there are Puger Wetan village subdistrict Puger, Sumberejo village subdistrict Ambulu, and Lojejer village subdistrict Wuluhan. Results showed that most of respondents monthly income was middle which was in the interval ≥Rp.3.100.000,- to ≤Rp.7.750.000,- by the average was Rp.6.200.000,-; while the average household expenditure reached up to Rp.6.077.424,-. The calculation formula has got to calculate ability to pay is ΣRevenue – (-63880+ 0,8653X + ₁ 0,6361X3+ 1,277X4+ 1,081X5+ 0,6571X6+ 1,269X7+ 1,151X8+ 1,165X9+ 0,9445X10+ 1,307X11+ 1,540X12+ 0,9707X13+ 1,007X14+ 1,159X15+ 0.9988X16+ 1,047X17+ 1,064X18+ 3,517X19+ 1,015X20). Most of respondents (54,5%) were able to pay the premium of National Health Insurance. Most of respondents (61,11%) were only having ability to paid the premium for inpatient care grade 3 (Rp.25.500,- for one person every month). Keywords : Ability To Pay, National Health Insurance, Fisherman
Faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Peduli Remaja (PKPR) oleh Remaja Sekolah di Wilayah Kerja Puskesmas Bondowoso Citra Al Karina; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 8 No 2 (2020): Volume 8 No. 2, 2020
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v8i2.15812

Abstract

Abstract PKPR is a program developed since 2003 at the primary care level aimed as well as for access by teenagers to improve the health status of adolescents since. PKPR implemented since 2007 in 11 health centers in the regency and already strata. Visit data utilization in the 15-19 age PKPR, KIE activities amounted to 14.26%; health care amounted to 76.75%; and counseling by 1.71%; as well as with the achievements of PKPR utilization of 92.72% (33 224 adolescents) who has yet to reach the expected target is equal to 100%.The purpose of this study to analyze the factors that affect the utilization PKPR by school adolescents (15-19 years) in the working area of ​​the regency health centers in 2019. This research is an analytic research with cross sectional design where data collection is done at one time. The research samples 96 adolescent proportioned Tlogosari health center, tamanan and Maesan the regency with the technique multistage sampling, Data were obtained through a questionnaire and documentation study. Data was analyzed using statistical test of chi-square or fisher's exact test and logistic regression in the form forward with a significance level α = 0.05. The results showed that the statistical chi-square test and Fisher's exact test for the predisposing characteristics, namely there is no influence of age (p = 0.554); gender (p = 0.853); level of education (p = 0.348); and knowledge (p = 0.584). Enabling characteristics of no effect, the ownership of health insurance (p = 0.784) and accessibility to health care (p = 1.000); and there are significant variables is the availability of health workers (p = 0.002) and health care (p = 0.000), the competence of health professionals (p = 0.002), and the time/speed of service (p = 0.012). Factors needs (perceived need) no effect (p = 1.000). The test results of multivariate logistic regression with forward stepwise method (likelihood ratio) is the most influential factor on the utilization PKPR is not available health facilities (p = 0.045) and less competent health workers (p = 0.001). Keywords: PKPR program, utilization PKPR, youth, access Abstrak PKPR ialah suatu program yang dikembangkan sejak tahun 2003 di tingkat puskesmas yang ditujukan serta untuk diakses oleh remaja guna meningkatkan status kesehatan remaja sejak. PKPR dilaksanakan sejak tahun 2007 pada 11 puskesmas di Kabupaten Bondowoso dan sudah strata. Data kunjungan pemanfaatan PKPR usia 15-19 tahun pada kegiatan KIE sebesar 14,26%; pelayanan kesehatan sebesar 76,75%; dan konseling sebesar 1,71%; serta dengan capaian pemanfaatan PKPR sebesar 92,72% (33.224 remaja) yang masih belum mencapai target yang diharapkan yaitu sebesar 100%. Tujuan penelitian ini untuk menganalisis faktor yang mempengaruhi pemanfaatan PKPR oleh remaja sekolah (15-19 tahun) di wilayah kerja puskesmas Kabupaten Bondowoso tahun 2019. Penelitian ini merupakan penelitian analitik dengan desain cross sectional dimana pengambilan data dilakukan pada satu waktu. Sampel penelitian 96 remaja yang diproporsikan pada Puskesmas Tlogosari, Tamanan dan Maesan Kabupaten Bondowoso dengan teknik multistage sampling. Data diperoleh melalui angket kuesioner dan studi dokumentasi. Analisis data dilakukan dengan uji statistik chi-square atau fisher’s exact test dan regresi logistik berupa forward dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan bahwa uji statistik chi-square dan fisher’s exact test untuk karakteristik predisposisi tidak terdapat pengaruh yaitu umur (p=0,554); jenis kelamin (p=0,853); tingkat pendidikan (p=0,348); dan pengetahuan (p=0,584). Karakteristik enabling tidak terdapat pengaruh yaitu kepemilikan asuransi kesehatan (p=0,784) dan aksesibilitas menuju pelayanan kesehatan (p=1,000); serta variabel yang terdapat pengaruh ialah ketersediaan tenaga kesehatan (p=0,002) dan fasilitas kesehatan (p=0,000), kompetensi tenaga kesehatan (p=0,002), dan waktu/kecepatan pelayanan (p=0,012). Faktor kebutuhan (perceived need) tidak terdapat pengaruh (p=1,000). Hasil uji multivariat regresi logistik dengan metode forward stepwise (likelihood ratio) faktor yang paling berpengaruh terhadap pemanfaatan PKPR adalah tidak tersedia fasilitas kesehatan (p=0,045) dan tenaga kesehatan kurang kompeten (p=0,001). Kata Kunci: program PKPR, pemanfaatan PKPR, remaja, akses
Hubungan Citra Pelayanan dengan Pemanfaatan Layanan Rawat Inap di Rumah Sakit Jember Klinik Tahun 2018 Agustin Dwi Rahayu; Christyana Sandra; Sri Utami
Pustaka Kesehatan Vol 9 No 2 (2021): Volume 9 No.2, 2021
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v9i2.12609

Abstract

The role of the hospital’s image greatly influences the success of activities in acting as a hospital. There are five dimensions to measure the image of service through the company image (corporate image): corporate identity, physical environment, contact personnel, service offering, and corporate individuality. The study is a quantitative study aimed at analyzing the image of service and utilization of inpatient services at Jember Klinik Hospital. Results showed that of the 90 respondents, respondents had good ratings of corporate identity (60%), physical environment (68.9%), contact personnel (97.8%), service offering (74.4%), corporate individuality (70%), and service utilization (77.8%). Data analysis showed that the variables which have a significant correlation with the utilization of inpatient services at Jember Klinik Hospital are corporate identity (0.007), physical environment (0.010), service offering (0.009), corporate individuality (0.043), and contact personnel (0.065) has no correlation with the utilization of inpatient services at Jember Klinik Hospital. The study concluded that the assessment of service images at Jember Klinik Hospital is good, but the physical environment variable has a low rating regarding inadequate parking facilities. The strategic location and type of service provided by the hospital are essential factors in the utilization of health services.
Analisis Kebutuhan Pelatihan bagi Tenaga Administrasi di Instalasi Rawat Jalan RSD dr.Soebandi Jember (Training Need Analysis for Administratrive Staffs in Outpatient Installation at RSD dr.Soebandi Jember) Anita Krisdiyanti; Nuryadi Nuryadi; Christyana Sandra
Pustaka Kesehatan Vol 2 No 2 (2014)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Training need analysis is the process of collecting and analyzing data to identify the factors that need to be improved with training. In 2009, RSD dr.Soebandi Jember has conducted a training needs analysis for administrative staffs using based Job Competencies Based Need Analysis approach. However, it would be appropriate if the RSD dr.Soebandi Jember uses Person Competencies Based Need Analysis approach so can be identified that the gap between the standard and actual competency. The objective of these study was to analyzed the training needs for administrative staffs in Outpatient Installation at RSD dr.Soebandi with Person Competencies Based Need Analysis approach. These study used a descriptive research. Based on these research, competency standards of knowledge, attitude, and skill consist of excellent service, administrative, computer, and SIM-RS. In addition, it was determined those all or 100% of administrative staffs in Outpatient Installation must met the standards of competency in both categories. In actual competency was found that the administrative sttafs who had good knowledge are 43%, good attitude are 91%, and good skill are 45%. Based on results of the identification of standard competency and actual competency can be concluded that on average there was a gap on all competency. Keywords: Training Need Analysis, Person Competencies Based Need Analysis
Analisis Biaya Satuan (Unit Cost) Dengan Metode Activity Based Costing (ABC) (Studi Kasus di Poli Mata RSD Balung Kabupaten Jember) Anis Tri Sugiyarti; Nuryadi Nuryadi; Christyana Sandra
Pustaka Kesehatan Vol 1 No 1 (2013)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Hospital is a government environment agency stablished to provide health services to the community. Therefore, hospitals desperately need input in the form of complete information, about is cost of a unit (unit cost). RSD Balung Jember that are required to perform the calculation of unit costs (unit cost) by of activity based costing (ABC) method. The purpose research is the calculation of unit costs (unit cost) by of activity based costing (ABC) method in Eyes at RSD Balung Jember. These research used descriptive with case study. Results sowed that, extraction corpus alienum Rp. 42.695; epilasi eyelash Rp. 36.579; incisi hordeolum or chalazion Rp. 41.956; tonometri Rp. 19.883; funduscopy Rp. 39.642; fluorosence Rp. 41.200; slyt lamp Rp. 14.119; visus Rp. 13.674; eye irrigation Rp. 60.544; extraction granuloma and ptyrigium Rp. 63.685; lift statches Rp. 36.507; anel test Rp. 60.288; prescription glasses Rp. 30.249; colour blind test Rp. 17.332; and health KIR Rp. 17.332;.The type of action that has a unit cost above tariff is funduscopy, fluorosence, lift stitches, anel test, and prescription glasses, while under the tariff is the extraction corpus alienum, epilasi eyelash, incisi hordeolum or chalazion, tonometri, slyt lamp, visus, eye irrigation, extraction granuloma and ptyrigium, color blind tests and health KIR. Keywords: Unit Cost, Activity Based Costing (ABC)
Identifikasi Pelayanan Promotif pada Fasilitas Kesehatan Tingkat Pertama Program Jaminan Kesehatan Nasional (Identification of Promotive Services In Primary Health Care Facility of National Health Insurance Program) Ratih Kumala Dewi; Nuryadi Nuryadi; Christyana Sandra
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Promotive services is important to support the enactment of the National Health Insuranceprogram, for any medical expenses that are collected through dues, it will run out if notaccompanied by increased promotional efforts. Based on preliminary studies were conductedto the Primary Health Care Facility in Jember district, data obtained 6 (40%) Primary HealthCare Facility who carry out services Promotive, It indicate that Primary Health Care Facilitydoing promotive still low in Jember district, The purpose of this study was to identify Promotiveservices in Primary Health Care Facility of the National Health Insurance Program. Thisresearch is descriptive. This study was conducted in Primary Health Care Facility in Jemberdistrict in November 2015. The samples were 30 Primary Health Care Facility. The resultsshowed a large majority has not made promotive, Input Element, human resources PrimaryHealth Care Facility no one had a special officer to promotive services. The level of knowledgeof the entire head Primary Health Care Facility had a high level of knowledge. No PrimaryHealth Care Facility that allocate costs to promotive services. Funds used for service prolanisof funds claim to the Social assurance agency. Most goals Primary Health Care Facility thatindividuals and groups using the method of counseling and lectures as well as the majority useprint media that leaflet. While the place promotive services carried out in the institution building.Most of the elements of the process had not been doing.Keywords: Promotive services, National Health Insurance.
Gambaran Input Program Pelayanan Obstetri dan Neonatal Emergensi Dasar (PONED) di Puskesmas Silo I Jember Anis Satu Rohmah; Christyana Sandra; Yennike Tri Herawati
Pustaka Kesehatan Vol 11 No 1 (2023): Volume 11 No.1, 2023
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v11i1.19208

Abstract

Complications in pregnancy and childbirth can not be predicted. One of the efforts to improve obstetric complications prevention services is strengthening PONED. A Primary Health Care that experienced of an increase in Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) cases is Silo I Primary Health Care. The study aimed to describe the input of the Basic Emergency Obstetric and Neonatal Service (BEONEC) program at the Silo I Primary Health Care in Jember. The result showed that the availability of human resources has not been in accordance with established guidelines. The PONED team has not been in service for 24 hours. The financing does not have special PONED fund allocation. The availability of medicines for obstetrical and neonatal consumables in the category is sufficiently available. The available room is limited. Medical and non-medical equipment are complete enough to carry out emergency services. Supporting facilities are available in full at the health center. Silo I Health Center has a Standard Operating Procedure (SOP) with a complete category.
Co-Authors Abdul Syakur Abu Khoiri Adinda Dwi Lestari Agita Brastila Esti Agung Dwi Laksono Agung Dwi Laksono Agustin Dwi Rahayu Akbar, Kurnia Adriansyah Akbar, Kurnia Ardiansyah Andrei Ramani Anis Satu Rohmah Anis Tri Sugiyarti Anita Krisdiyanti Arta, Magdalena Yuni Aulia Windi Shaharany Aulia Windi Shaharany Baroya, Ni’mal Candra Bumi Citra Al Karina Daniel Happy Putra Dewi Rokhmah Dwi Novita Sari Eka Lutfiatul Hasanah Eka Lutfiatul Hasanah Eri Witcahyo Eri Witcahyo Fadli Thoriq Alfaris Fadli Thoriq Alfaris Farida Wahyu Ningtyias Farida Wahyu Ningtyias, Farida Wahyu Fathur Rachman Hakim Hermawati, Ema Hidayah, Barika Isti’anatil Indah Ernawati Irsya Gresyana Fitria Irsya Gresyana Fitria Iswari Hariastuti Kurnia Novita Putri Leily Dita Sari Leily Dita Sari Naddratul Huda Ningsi Ningsi Ni’mal Baroya Novita Anggraeni Nur Fitri Widya Astuti Nur Fitri Widya Astuti Nuryadi Nuryadi Perwita, Febri Diah Pratiti Swesti Komala Dewi Prehatin Trirahayu Ningrum Purwoko, Agus Putra, Dewa Ngakan Gde Wahyu Mahatma Ragil Ismi Hartanti Rifdatun Nurul Huwaidah Hasan Fahmi Rochmawati, Ajeng Humami Saiful, Brima Sahwa Sukma Sandra, Ratna Dwi Wulandari Solikha Tri Cahyati Sri Utami Sudhasni, Yuliavira SULISTIYANI SULISTIYANI Tri Herawati, Yennike Tumaji Tumaji Vindiarta Ansori, Fara Widya Noormalasari Yennike Tri Herawati Yuliasfa Sirrul Hayati Yuliavira Sudhasni