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The Effectiveness Implementation of Package Payment System (INA-CBGs) at Inpatient Installation of RSUD Zainoel Abidin Banda Aceh Herianti Herianti; Said Usman; Irwan Saputra; Safrizal Rahman; Marthonies Marthonies
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1110

Abstract

Regional General Hospital Dr. Zainoel Abidin (RSUDZA) is one of the public service installations that provide direct health services to the community, especially outpatient and inpatient services. RSUD dr. Zainoel Abidin has implemented a package payment system (INA-CBGs) since January 2014. One of the management elements of implementing this system is planning. Planning (planning) is a process that is very important of all other management functions, which specifically includes the actions to be carried out in order to achieve goals. This study uses a mixed method that uses a combination of descriptive quantitative research and qualitative research with a phenomenological approach through in-depth interviews with informants (in-depth interview). The data used to assess the effectiveness of implementing package payment systems (INA-CBGs) is secondary data taken from hospital medical records. The statistical results assess the frequency distribution by comparing the effectiveness before and after the implementation of the package payment system (INA-CBGs) at RSUD dr. Zainoel Abidin Banda Aceh. The results showed the INA-CBG system was more effective than the Fee for Service (FFS) payment system. The results of this study indicate an increase in efficiency based on service indicators before / after the application of the INA-CBG system, namely (BOR: 75% / 72%, AvLOS: 5 days / 4 days, TOI: 2 days / 1 day, BTO: 46 times / 58 times, GDR: 6 per 1000 patients with discharge / 27 per 1000 patients with discharge, and NDR: 8 per 1000/21 per 1000). It can be concluded that the planning process (planning) of the implementation of the package payment system (INA-CBGs) which has been implemented well by the RSUD Dr. Zainoel Abidin Banda Aceh, including the provision of adequate Human Resources (HR), provision of adequate facilities (infrastructure and facilities), the process of formulating and forming strategies and the process of preparing the budget. The implication of implementing this system has been to be able to increase the efficiency of hospital service performance.
FAKTOR RISIKO UNDERWEIGHT PADA BALITA DI PERKOTAAN DAN PERDESAAN INDONESIA [ANALISIS DATA STUDI STATUS GIZI BALITA INDONESIA 2019] Irlina Raswanti Irawan; Sudikno Sudikno; Elisa Diana Julianti; Nuzuliyati Nurhidayati; Rika Rachmawati; Yunita Diana Sari; Herianti Herianti
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 45 No. 1 (2022): PGM VOL 45 NO 1 TAHUN 2022
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v45i1.6041

Abstract

ABSTRACT The problem of underweight needs special attention because is the beginning of chronic nutritional problems such as stunting, it even can lead to death. This study aims to identify risk factors for underweight in children aged 0-59 months in urban and rural Indonesia. Using data from the 2019 Under-five child Nutritional Status Study with a cross-sectional design with a sample of 84,819 toddlers. The highest proportion of underweight children aged 24-35 months (18.9%) and 36-47 months (18.2%), male (17.6%), living in rural areas (18.8%) from the Nusa Tenggara region (26.4%) and had a history of diarrhoeal disease (19.7%). The results of multivariate analysis showed, risk of underweight among children who lived in urban and rural areas was almost the same, which is from the age group 24-35 months (AOR=2.19; 95% CI=1.93-2.50) and (AOR=1.99; 95%CI=1.76–2.26); male (AOR=1.18; 95%CI=1.66–2.15) and (AOR=1.18; 95%CI=1.12-1.24); from the Nusa Tenggara region (AOR =1.89; 95%CI = 1.66-2.15) and (AOR=2.05; 95%CI=1.87-2.26) but children under five in rural areas have extra risk which was a history of diarrhoeal disease (AOR=1.37; 95%CI=1.18-1.58). The risk factors for underweight in under-five children in urban and rural areas are in the age of 24-35 months, male and from the Nusa Tenggara region. The difference is the history of diarrhoeal disease in rural areas. A history of suffering from diarrhoea increases the risk of underweight in children. It is necessary to increase knowledge related to the nutritional needs of children and explore the main causes of nutritional problems based on regional conditions. Keywords: underweight, under-five children, urban and rural ABSTRAK Masalah underweight perlu mendapatkan perhatian khusus karena berat badan kurang (gizi kurang/ buruk) merupakan permulaan masalah gizi kronis seperti pendek (stunted) bahkan jika dibiarkan dapat menyebabkan kematian. Penelitian ini bertujuan untuk mengidentifikasi faktor risiko underweight pada balita usia 0-59 bulan di perkotaan dan perdesaan Indonesia. Menggunakan data hasil Studi Status Gizi Balita Tahun 2019 dengan desain potong lintang pada balita usia 0 – 59 bulan di Indonesia dengan jumlah sampel 84.819 balita. Proporsi balita yang mengalami underweight terbanyak pada kelompok umur 24-35 bulan (18,9%) dan 36-47 bulan (18,2%), laki-laki (17,6%), tinggal di perdesaan (18,8%) berasal dari regional Nusa Tenggara (26,4%) dan memiliki riwayat penyakit diare (19,7%). Hasil analisis multivariat menunjukkan risiko underweight pada balita yang tinggal di perkotaan dan perdesaan relatif sama yaitu dari kelompok umur 24 – 35 bulan (AOR= 2,19; 95%CI= 1,93-2,50) dan (AOR= 1,99; 95%CI= 1,76 – 2,26); laki-laki (AOR= 1,18; 95%CI= 1,66 – 2,15) dan (AOR= 1,18; 95%CI = 1,12-1,24); dari regional Nusa Tenggara (AOR= 1,89; 95%CI= 1,66 - 2,15) dan (AOR= 2,05; 95%CI= 1,87 – 2,26) tetapi balita di wilayah perdesaan memiliki faktor risiko tambahan yaitu riwayat penyakit diare (AOR= 1,37; 95%CI= 1,18 - 1,58). Faktor risiko underweight pada balita di perkotaan dan perdesaan yaitu berada pada kelompok umur 24 – 35 bulan, laki-laki dan dari regional Nusa Tenggara. Yang menjadi perbedaan adalah riwayat penyakit diare balita di perdesaan. Riwayat menderita diare meningkatkan risiko underweight pada balita yang tinggal di wilayah perdesaan. Peningkatan pengetahuan terkait kebutuhan gizi pada balita dan penggalian penyebab utama masalah gizi berdasarkan kondisi wilayah perlu dilakukan. [Penel Gizi Makan 2022, 45(1):47-58]
Analysis of the Influence of Lempu and Temmappasilaingeng Cultural Values and Services on Customer Loyalty through Satisfaction in Laundry Businesses in Watampone Herianti Herianti; Sitti Nikmah Marzuki; Ida Farida
International Journal of Economics, Commerce, and Management Vol. 2 No. 4 (2025): October : International Journal of Economics, Commerce, and Management
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijecm.v2i4.980

Abstract

This study aims to determine the influence of local Bugis cultural values specifically Lempu (honesty and integrity), Temmappasilaingeng (impartial justice), and service quality on customer loyalty through satisfaction in laundry businesses in Watampone. A quantitative approach was employed using Partial Least Square Structural Equation Modeling (PLS-SEM) through SmartPLS 4, involving 120 respondents from three major sub-districts in Bone Regency. The results reveal that Lempu culture does not have a significant effect on customer satisfaction (T = 1.498; p = 0.137) or loyalty (T = 0.542; p = 0.589). Similarly, Temmappasilaingeng does not significantly influence satisfaction (T = 0.746; p = 0.457) or loyalty (T = 1.347; p = 0.180). Service quality, however, significantly affects customer satisfaction (T = 4.984; p = 0.000), but does not directly influence loyalty (T = 0.915; p = 0.362). Meanwhile, customer satisfaction significantly impacts loyalty (T = 2.760; p = 0.007). Mediation analysis also shows that customer satisfaction significantly mediates the relationship between service quality and loyalty (T = 2.437; p = 0.016), but not between Lempu (T = 1.318; p = 0.190) or Temmappasilaingeng (T = 0.702; p = 0.484) and loyalty. In conclusion, customer satisfaction is a key factor in building loyalty, and service quality is the dominant factor driving that satisfaction. Although local culture holds essential moral values, its influence on loyalty needs to be realized in the form of tangible service experiences to be directly felt by customers.