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Analisis Kepuasan Pasien Gancang Aron dengan Metode Importance Performance Analysis di RSUD Blambangan Yuliavira Sudhasni; Christyana Sandra; Yennike Tri Herawati
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 2 (2022): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v5i2.310

Abstract

AbstrakGancang Aron (Gugus Antisipasi Cegah Antrian Panjang dengan Antar Obat ke Rumah Pasien) merupakan program inovasi RSUD Blambangan untuk mengurangi waktu tunggu pelayanan obat. Penelitian ini bertujuan untuk menganalisis tingkat kepuasan pasien pengguna program Gancang Aron dengan metode Importance Performance Analysis di RSUD Blambangan Kabupaten Banyuwangi. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif. Jumlah sampel sebanyak 96 responden yang ditentukan dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa sebagian besar atribut dianggap penting namun kinerjanya masih ada yang dianggap kurang baik dan belum memenuhi harapan, yaitu petugas kurang tepat waktu dalam melayani pasien, petugas kurang menerima dan mendengarkan keluhan pasien dengan baik, instalasi farmasi memiliki persediaan obat yang kurang lengkap, dan ruang tunggu kurang memadai. Tingkat kepuasan pasien pengguna program Gancang Aron ditinjau dari dimensi kompetensi teknis, akses terhadap pelayanan, kelangsungan pelayanan, keamanan, efektivitas, hubungan antar manusia, dan efisiensi ialah sangat puas, sedangkan ditinjau dari dimensi kenyamanan ialah puas, namun atribut ruang tunggu memadai dan tersedianya AC/televisi/majalah di ruang tunggu belum memenuhi harapan pasien. Berdasarkan diagram kartesius diketahui bahwa atribut tersebar dalam empat kuadran. Atribut yang dianggap penting dan telah baik kinerjanya sebanyak 7 atribut, sedangkan atribut yang dianggap kurang penting dan belum baik kinerjanya sebanyak 8 atribut.Kata kunci: diagram kartesius, gancang aron, kepuasan pasien AbstractGancang Aron (Anticipation Group to Prevent Long Queues by Delivering Medicines to Patients' Homes) is an innovation program at the Blambangan Hospital to reduce waiting time for drug services. This study aims to analyze the level of patient satisfaction using the Gancang Aron program using the Importance Performance Analysis method at Blambangan Hospital, Banyuwangi Regency. This research is a descriptive research with a quantitative approach. The number of samples as many as 96 respondents determined by simple random sampling technique. The results showed that most of the attributes were considered important but their performance was still considered unfavorable and did not meet expectations, namely officers were less punctual in serving patients, officers did not receive and listen to patient complaints properly, pharmacy installations have inadequate drug supplies, and inadequate waiting rooms. The level of patient satisfaction using the Gancang Aron program in terms of the dimensions of technical competence, access to services, service continuity, security, effectiveness, human relations, and efficiency is very satisfied, while in terms of the comfort dimension it is satisfied, but the attributes of the waiting room are adequate and the availability of air conditioning/television/magazines in the waiting room have not met the patient's expectations. Based on the cartesian diagram, it is known that the attributes are spread in four quadrants. Attributes that are considered important and have good performance are 7 attributes, while attributes that are considered less important and have not performed well are 8 attributes. Keywords: cartesian diagram, gancang aron, patient satisfaction
FAMILY PLANNING VILLAGE PROGRAM IN RESPONSE TO THE USE OF LONG-TERM CONTRACEPTIVE METHOD Naddratul Huda; Ni mal Baroya; Christyana Sandra; Iswari Hariastuti
Indonesian Journal of Health Administration Vol. 8 No. 1 (2020): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v8i1.2020.78-89

Abstract

Background: Contraceptive use in Indonesia was still dominated by short-term contraception. Thus, Family Planning Village is created for promoting a Long-Term Contraception Method (LTCM).Aim: This study analyzed the implementation of the Family Planning Village Program for LTCM use in Dukuhsia Rambipuji, Jember.Method: This study was descriptive with a mixed-method approach. All of LTCM users in Dukuhsia amounting to 24 participated in the quantitative study. While there were five informants who were selected purposively in the qualitative research, including a Family Planning field worker, Coordinator of Women Empowerment, Child Protection and Family Planning Office, a midwife, Advocate Assistant for Village Family Planning, and a cadre under the Advocate Assistant for Village Family Planning. Qualitative data were obtained through in-depth interviews while quantitative data through structured interviews using questioner. Data were then analyzed using the Miles and Huberman Models and statistical-descriptive analysis.Results: Most aspects of the input factor were not in accordance with the technical guidelines of Family Planning Village. Whereas the implementation method complies with the guidelines. Most aspects of the process factor were relevant to the guidelines, but there were still many obstacles in the implementation. Good participation in the family planning village program is only 37.5%. Since the program launch, the prevalence of long-term contraceptive use increase from 6.07% to 6.21%. However, it does not significantly increase the use of LTCM because the prevalence was much smaller than the prevalence of LTCM at the village level.Conclusion: The implementation of the Family Planning Village in Dukuhsia could increase LTCM users. However, it could not increase the ideal proportion of LTCM users. Therefore, it is necessary to improve input and process of the Family Planning Village through the Contraceptive Technology Update (CTU) training for midwives and conduct a training of LTCM use for cadres to enhance their communicative skill in campaigning the use of LCTM.Keywords: users, contraception, family planning village, implementation.
Factors Affecting The Quality of Life of Diabetes Mellitus Type 2 Patients: Literature Review: Quality of live of Diabetes Mellitus Type 2 Rifdatun Nurul Huwaidah Hasan Fahmi; Candra Bumi; Christyana Sandra
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 4 No. 2 (2022): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol4.Iss2/128

Abstract

Objectives: Patients with type 2 diabetes mellitus (T2DM) had experienced physical and psychological complications that affect their daily life, and contribute to poor the quality of life. This study aims to determine the factors that affect the quality of life of people withT2DM based on the SF-36 questionnaire, to improve the factors that can be changed to improve the quality of life of people with T2DM. Methods: This literature review search from 3 databases used including google scholar, PubMed, and the garuda portal with the year of publication of the article in 2015-2021. Some of the literature states similar factors that affect the quality of life of people with T2DM.. Results: Factors that affect the quality of life of people with T2DM, include age, gender, education, complications, and duration of diabetes. Influence is given aspect or the overall value of quality of life Conclusion: The education factor can be improved with the intervention given by peers, so that they can manage T2DM well, and have an impact on improving the quality of life of T2DM patients.
Sumber Daya Manusia dan Manajemen Puskesmas dalam Mencapai Indikator Rasio Peserta Prolanis Terkendali (RPPT) di Kabupaten Situbondo Adinda Dwi Lestari; Eri Witcahyo; Christyana Sandra
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 4 (2022): Oktober 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13418

Abstract

The achievement of the controlled prolanis participant ratio indicator as one of the three indicators in the implementation of the Performance-Based Capitation payment system at public health center is considered not optimal because several puskesmas in Situbondo Regency have not been able to meet the target indicator. This research was a qualitative study, where data collection was carried out through in-depth interviews by examining more deeply matters related to human resources and health center management in achieving a controlled prolanis participant ratio indicator. The results showed that problems related to achieving the target ratio of controlled prolanis participants were caused by informants' knowledge that still referred to the number of visiting prolanis participants, not to the number of controlled prolanis participants. This has an impact on the planning of puskesmas related to strategy formulation in achieving the targets and objectives of the implementation of prolanis activities which are not optimal because they are not in accordance with the applicable capitation regulations, lack of coordination and low participation of participants.Keywords: controlled prolanis participant ratio indicator; performance-based capitation; public health center ABSTRAK Pencapaian indikator rasio peserta prolanis terkendali sebagai salah satu dari tiga indikator dalam pelaksanaan sistem pembayaran Kapitasi Berbasis Kinerja pada puskesmas dinilai belum maksimal karena beberapa puskesmas di Kabupaten Situbondo belum mampu memenuhi target indikator tersebut. Penelitian ini merupakan studi kualitatif, dimana pengambilan data dilakukan melalui wawancara mendalam dengan mengkaji lebih dalam hal-hal terkait sumber daya manusia dan manajemen puskesmas dalam mencapai indikator rasio peserta prolanis terkendali. Hasil penelitian menunjukkan bahwa permasalahan terkait pemenuhan pencapaian target rasio peserta prolanis terkendali disebabkan karena pengetahuan informan yang masih mengacu pada jumlah peserta prolanis berkunjung, bukan pada jumlah peserta prolanis terkendali. Hal tersebut berdampak terhadap perencanaan puskesmas terkait penyusunan strategi dalam mencapai target dan tujuan dari pelaksanaan kegiatan prolanis tidak maksimal karena tidak sesuai dengan peraturan kapitasi yang berlaku, kurangnya koordinasi serta rendahnya partisipasi peserta.Kata kunci: indikator rasio peserta prolanis terkendali; kapitasi berbasi kinerja; puskesmas
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.
Implementasi Kebijakan Pembayaran Kapitasi Berbasis Kinerja (KBK) di Puskesmas Kabupaten Nganjuk Christyana Sandra; Solikha Tri Cahyati; Yennike Tri Herawati
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 3 (2023)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.87474

Abstract

KBK has a role as one of the quality control efforts to control costs in FKTP, based on the results of a preliminary study at the Nganjuk District Health Office, it is known that there are 5 Primary Health Care in Nganjuk District that cannot meet the indicators in the KBK so that the capitation received is not 100% full during 2018-2021. This study aims to describe how the KBK payment policy is implemented based on standard variables and policy objectives, resources, communication, and social conditions. This was a qualitative study. Results showed that the standards and objectives of the KBK payment policy are well understood, but the RPPT standards have been difficult to meet so far. Based on the aspect of facility resources, puskesmas are still often constrained by the information system used for data input. Communication in implementing policies has been going well starting from the process of distributing information, clarity of information, and consistency of information. The social conditions of the community around the puskesmas, especially the type of work and age, also influence the achievement of the contact number target at the puskesmas. The KBK payment policy has been implemented, but it is necessary to evaluate the policy so that further improvements and policy developments can be carried out.
Availability of information and standard operating procedures affects the implementation of cigarette billboard regulation in Jember, East Java, Indonesia Saiful, Brima Sahwa Sukma; Sandra, Christyana; Rokhmah, Dewi; Rochmawati, Ajeng Humami; Hidayah, Barika Isti’anatil
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p05

Abstract

Background and purpose: Jember District has adopted a tobacco control policy, Jember Regent Regulation No. 27 Year 2013 that includes provision on regulating tobacco advertisement. This study aims to evaluate the policy implementation based on the availability of information and standard operational procedures (SOPs). Methods: This was a qualitative case study which was conducted in Jember District in 2020. Eleven informants were interviewed, consisted of policy actors, billboard building owner, tobacco factory, and student group for tobacco control. Data were collected through in-depth interview, observation, documentation, and triangulation. The data was then analysed thematically. Results: Information related to the policy was well comprehended by the implementers, but not by the community. The information is usually conveyed in conjunction with the coordination process between agencies, which is during field assessment. The observation for monitoring and evaluation in 2020 showed that there were tobacco billboards placed around the health facilities and government agencies, and one of them did not include the “18+” information. The SOP for this policy is the same as the standards for billboard installation permits in general. The barriers to this policy implementation were in regard to clarity of the main duties and functions of each implementer, especially when there was a violation, since it yet been outlined in the current SOP. Conclusion: Implementation of the regulation yet optimal from the availability of information and SOPs aspects. Policy dissemination as well as improvement on the SOP is needed to improve coordination process, monitoring, and evaluation.
KESIAPAN PUSKESMAS MENUJU BADAN LAYANAN UMUM DAERAH (BLUD) DI WILAYAH KABUPATEN JEMBER Herawati, Yennike Tri; Baroya, Ni’mal; Sandra, Christyana; Sulistiyani, Sulistiyani; Ramani, Andrei; Ningrum, Prehatin Trirahayu; Akbar, Kurnia Adriansyah
Jurnal Ilmu Kesehatan Masyarakat Vol 18 No 2 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v18i1.31491

Abstract

Badan Layanan Umum Daerah yang selanjutnya disingkat BLUD adalah Satuan Kerja Perangkat Daerah di lingkungan pemerintah daerah yang dibentuk untuk memberikan pelayanan kepada masyarakat berupa barang dan/atau jasa yang dijual tanpa mengutamakan mencari keuntungan, dan dalam melaksanakannya kegiatan didasarkan pada prinsip-prinsip efisiensi dan produktivitas. Peraturan Menteri Dalam Negeri Nomor 79 Tahun 2018 suatu Unit Pelaksana Teknis Daerah dapat menerapkan BLUD apabila meyelenggarakan pelayanan umum baik sebagai penyediaan barang maupun jasa layanan umum kepada masyarakat terutama untuk penyedia pelayanan kesehatan. Unit – unit di bidang kesehatan yang dapat menerapkan BLUD diantaranya adalah puskesmas, rumah sakit, dan Laboratorium Kesehatan Daerah (Labkesda). Penyelenggaraan BLUD di Puskesmas bertujuan untuk memberikan keleluasaan bagi pemberi pelayanan kesehatan dalam memberikan dan meningkatkan pelayanan kesehatan sesuai dengan kebutuhan masyarakat di wilayah puskesmas. Akan tetapi untuk dapat menerapkan kebijakan BLUD tersebut puskesmas harus memenuhi persyaratan yang telah ditentukan baik itu persyaratan substantif, teknis, maupun administratif serta kesiapan struktur birokrasi, sumber daya organisasi, dan budaya organisasi. Analisis dilakukan terhadap 10 puskesmas terpilih di wilayah Kabupaten Jember yaitu Puskesmas Kaliwates, Ajung, Klatakan, Patrang, Sumberbaru, Lojejer, Kalisat, Silo 2, Sukowono, dan Sumberjambe. Hal ini dilakukan mengingat belum adanya puskesmas berstatus BLUD di wilayah tersebut. Mayoritas puskesmas sudah mendapatkan sosialisasi dan siap meningkatkan status mejadi BLUD namun perlu adanya dasar regulasi yang kuat, sumber pembiayaan dan melengkapi fasilitas dan sumber daya manusia terutama tenaga akuntan yang dibutuhkan untuk mendukung terbentuknya puskesmas BLUD. Puskesmas juga diharapkan melakukan survey kepuasan pelanggan sebagai salah satu indikator persyaratan yang harus dipenuhi untuk mengajukan diri sebagai puskesmas BLUD
IMPLEMENTASI KEBIJAKAN PEMBAYARAN KAPITASI BERBASIS PEMENUHAN KOMITMEN PELAYANAN (KBKP) DI KABUPATEN JEMBER Sandra, Christyana; Tri Herawati, Yennike; Baroya, Ni'mal; Sulistiyani, Sulistiyani; Ningrum, Prehatin Trirahayu; Akbar, Kurnia Ardiansyah; Ramani, Andrei
Jurnal Ilmu Kesehatan Masyarakat Vol 17 No 1 (2021)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v17i1.22441

Abstract

Kapitasi berbasis pemenuhan komitmen pelayanan (KBKP) merupakan salah satu sistem pembayaran dalam program jaminan kesehatan nasional pada puskesmas untuk meningkatkan pelayanan yang efektif dan efisien sehingga mutu layanan yang diberikan dapat terjaga. Kabupaten Jember sebagai salah satu kabupaten yang menjalankan kebijakan tersebut, namun diketahui terdapat kendala dalam pelaksanaan kebijakan tersebut. Penilaian terhadap puskesmas melalui KBKP dilihat berdasarkan pencapaian indikator yang meliputi angka contact rate, rasio rujukan rawat jalan non spesialistik, rasio peserta prolanis dan 1 indikator tambahan yaitu kunjungan rumah. Namun pelaksanaan kebijakan ini terdapat beberapa permasalahan yang dapat menghambat pencapaian target. Penelitian ini menggunakan metode Riset Implementasi. Riset ini membahas berbagai masalah implementasi dalam konteks yang beragam dimana pengambilan datanya dilakukan secara kualitatif (indepth interview) dan kuantitatif (analisis data sekunder). Evaluasi pelaksanaan KBKP tahun 2016 menunjukkan masih banyaknya tantangan dan hambatan sehingga BPJS Kesehatan mengeluarkan petunjuk teknis terkait KBKP. Tujuan penyusunan petunjuk teknis tersebut adalah memberikan panduan bersama pelaksanaan pembayaran kapitasi berbasis pemenuhan komitmen pelayanan di FKTP. Pemerintah daerah diketahui kurang terlibat dalam kebijakan KBKP tersebut, tidak terdapat kebijakan yang mendukung kebijakan KBKP di tingkat kabupaten. Pencapaian target indikator yang telah ditetapkan dalam regulasi KBKP masih sulit dicapai oleh puskesmas khususnya pada indikator contact rate, pencapaian target indicator contact rate hanya 15 puskesmas (30%). Pencapaian indikator rujukan non spesialistik yang telah ditetapkan dalam regulasi KBKP selalu dapat dicapai oleh puskesmas (100%), namun indikator prolanis target pencapaiannya hanya 38 puskesmas dari 50 puskesmas yang dapat mencapai (76%). Sulitnya pencapaian target indikator contact rate karena petugas kesehatan di puskesmas tidak sempat meng-entry data kontak sehat dan kontak sakit pada aplikasi P Care. Diketahui KBKP dapat meningkatkan kepuasan peserta karena memaksa puskesmas untuk meningkatkan contact rate dengan peserta JKN dan merasa di ‘spesial’kan dengan program prolanis. Kebijakan KBKP juga dapat meningkatkan mutu pelayanan puskesmas karena puskesmas harus meningkatkan sarana prasarana agar 145 diagnosis tersebut dapat diselesaikan.
Pengaruh Pelayanan Prima Terhadap Kepuasan Pasien di Instalasi Rawat Inap Rumah Sakit Daerah Kalisat Kabupaten Jember Perwita, Febri Diah; Sandra, Christyana; Hartanti, Ragil Ismi
Jurnal Ilmu Kesehatan Masyarakat Vol 16 No 1 (2020)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v16i1.16925

Abstract

Pelayanan prima (service excellent) adalah pelayanan yang sangat baik atau yang terbaik kepada pasien berdasarkan standar mutu untuk memenuhi kebutuhan dan keinginan pasien sehingga pasien dapat memperoleh kepuasan. Penelitian ini bertujuan untuk menganalisis pengaruh pelayanan prima terhadap kepuasan pasien di instalasi rawat inap RSD Kalisat Kabupaten Jember. Metode penelitian yang digunakan adalah analitik observasional dengan desain studi cross sectional. Sampel penelitian berjumlah 75 responden, dimana pengambilan sampel menggunakan teknik systematic random sampling. Hasil analisis menunjukkan bahwa sebagian besar responden menilai pelayanan prima di instalasi rawat inap cukup prima (73,3%). Masing-masing komponen pelayanan prima termasuk dalam kategori cukup, antara lain komponen sikap (74,7%), penampilan (85,3%), perhatian (69,3%), tindakan (69,3%), dan tanggung jawab (72%). Berdasarkan kepuasan pasien, mayoritas responden menilai tidak memuaskan (80%). Terdapat 3 dimensi termasuk dalam kategori tidak puas yaitu dimensi kehandalan, ketanggapan, dan bukti fisik. Sedangkan 2 dimensi lainnya yaitu, jaminan dan empati termasuk dalam kategori puas. Hasil penelitian menunjukkan bahwa ada pengaruh antara pelayanan prima dan kepuasan pasien. Rumah sakit perlu menyediakan pelatihan mengenai pelayanan prima, serta melakukan pengawasan internal secara rutin agar setiap pelayanan yang dilakukan tetap sesuai dengan prosedur dan standar profesinya.