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All Journal Jurnal Kesehatan Masyarakat Indonesia Jurnal Keperawatan Indonesia Media Kesehatan Masyarakat Indonesia Jurnal Kebijakan Kesehatan Indonesia Jurnal Keterapian Fisik Jurnal Kesehatan Vokasional Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Ibu dan Anak Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Syntax Idea J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Journal of Social Science Jurnal Menara Medika Jurnal Health Sains Devotion: Journal of Research and Community Service Narra J Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Berita Kedokteran Masyarakat Journal of Hospital Administration and Management (JHAM) Innovative: Journal Of Social Science Research Journal of Social Science Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Asian Multidisciplinary Research Journal of Economy and Learning Jurnal Ekonomi Kesehatan Indonesia Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Adisasmito, Wiku Bakti Bawono
Department Of Health Administration And Policy, Faculty Of Public Health, Universitas Indonesia
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Determinants of COVID-19 severity and mortality in children: A retrospective and multicenter cohort study in Medan, Indonesia Airlangga, Eka; Wahyuni, Arlinda S.; Siregar, Jelita; Malisie, Ririe F.; Lubis, Bugis M.; Adisasmito, Wiku B.; Zarlis, Muhammad; Pasaribu, Ayodhia P.
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.865

Abstract

This study investigated indicators of the severity and mortality of COVID-19 in children in Medan, Sumatera Utara Province, Indonesia. The aim of this study was to identify determinants of severity and outcome of children with COVID-19 as the lesson learned from the COVID-19 pandemic, particularly the limited health facilities in Indonesia. This retrospective cohort study was conducted in 2020, 2021, and 2022 at multiple centers. Inpatient and outpatient children confirmed to be SARS-CoV-2 positive were randomly recruited in the selected hospitals. Baseline data (demographic, clinical, laboratory and radiological data) were collected, and outcomes were classified as recovered/deceased (for the inpatient group) or returned to the hospital (for the outpatient group). Severity status was identified based on the Indonesia COVID-19 guidelines. The laboratory data were categorized according to international standards, and data were analyzed using univariate analyzes followed by multivariate logistic regression. A total of 303 inpatient and 114 outpatient children were included in the analysis. Out of the total inpatient cases, 11 patients died with 3.6 mortality rate. Our final multivariate indicated that the presence of shortness of breath (SOB), anemia, and abnormal C-reactive protein (CRP) levels were significantly associated with the severity or the presence of emergency signs, while the presence of SOB and comorbidities were significantly associated with mortality in inpatient children with COVID-19. The presence of fever, cough, SOB, muscle ache and diarrhea were the reasons why the children were returned to the hospital from self-isolation at home among outpatient COVID-19 cases; however, the cough was the only significant factor in the final multivariate mode. This study highlights important determinants of COVID-19 severity and mortality in children, which should be considered during clinical decision-making in low-resource settings of healthcare centers in Indonesia.
Analisis Pengaruh Dimensi Fraud Triangle Dalam Kebijakan Pencegahan Fraud Terhadap Program Jaminan Kesehatan Nasional di RSUP Nasional Cipto Mangunkusumo Sadikin, Hasan; Adisasmito, Wiku
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

The National Health Insurance (JKN) held by the Social Security Agency (BPJS) Health started to be implemented from 1 Indonesia’s Health Insurance Program in January 2014. The implementation of a national insurance program found the risk. The risk of occurrence of fraud in Indonesia is very high but it is still difficult to identify its risk. This is supported by the lack of awareness of all parties, including patients, providers and insurance companies although such actions exists. Health fraud is a serious threat to the entire world, which led to financial abuse of scarce resources and the negative impact on access to health care, infrastructure, and social determinants of health. Health fraud is associated with increased health care costs in the United States. This study was to analyze the influence of the dimensions of the fraud triangle in fraud prevention policies towards the National Health Insurance program which is the reason for health fraud. This study used a qualitative approach. Data collection techniques such as interview guides, recorders, written records and documents. The study reported stress analysis, opportunity, and rationalization of the risk of fraud incident and presents examples of how policy has an impact on the National Hospital Dr. Cipto Mangunkusumo. This thesis will then provide advice on how to prevent future fraudulent health to reduce health spending and use of resources for the benefit of the National Hospital Dr. Cipto Mangunkusumo.
AN ANALYSIS ON THE POLICY IMPLEMENTATION OF ANTIBACTERIAL RESISTANCE CONTROL AT THE HOSPITAL Indriana, Nani; Adisasmito, Wiku Bakti B.
Journal of Indonesian Health Policy and Administration Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

In order to control Antibacterial Resistance at the hospital in Indonesia, the Government of Indonesia established an Antibiotics Resistance Control Committee and issued a Regulation from the Ministry of Health, regulation no 8/2015 on an antibiotics resistance control program at the hospital. This is an investigation on the Antibacterial Resistance Control Program (ARCP) at the Hospital, which compares its implementation at a government hospital and a private hospital, Persahabatan Central General Hospital (CGH) and Bogor Indonesian Red Cross Hospital (BIRCH). This was a descriptive study with a qualitative analysis obtained through indepth interviews and documentary research. We discovered that the ARCP was implemented better at Persahabatan CGH compared to BIRCH. Problems include ineffective communication, limited resources, lack of an antibiotic guideline (at BIRCH), lack of coordination between organizations, lack of supervision from the government, and the lack of motivation to implement the policy. These issues can be solved by intensifying the socialization of the policy, conducting more workshops and trainings for private and government hospitals that has not received any, providing an incentive for them to implement the program, such as including ARC into hospital accreditation indicators, and clarifying the benefits of the program to the stakeholders.
An Analysis of the Factors that Influence the Implementation of the Policy for Monitoring Schoolchildren Meals Monitoring at Batam City Rafqi, Ahmad; Adisasmito, Wiku Bakti Bawono
Journal of Indonesian Health Policy and Administration Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Schoolchildren are assets for the development of the nation. Therefore, healthy meals at schools are very important, because for them, it covers about 25-36% of the daily energy requirements. Unhealthy eating habits or consumption of nutrition deficient meals may cause stunting, cardiovascular diseases, cancer, diabetes, and osteoporosis. In the short term it may also cause dental caries, anemia, overweight children and obesity. Around 40-44% of meals at schools do not satisfy the food safety requirements. To increase the quality of the meals at the schools, the community should be empowered to perform independent monitoring of school meals. This is inscribed in the national action policy for safe, good-quality, and nutritious meals for schoolchildren. The aim of this research was to assess the effectiveness of the implementation of the national action policy for the snacks of schoolchildren and the factors that influences it. This was a qualitative research. The data was gathered from in-depth interviews and documentary studies and then analyzed using the policy implementation analysis of Mazmanian and Sabatier. From this research we discovered that the policy did not perform effectively in Batam City. There were no Procedure Standard Norms NSPK on the roles, tasks, and responsibilities of the implementers, there was no implementation structure, and no support from the Government and the Parliament of Batam City for the monitoring.
Analysis of Policy Making Factors on The Prohibition of Hormones and Antibiotics Use for Feed as a Public Health Protection Amalia, Zaima; Adisasmito, Wiku
Journal of Indonesian Health Policy and Administration Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Food safety is one of the current international emerging issues. The danger of using antibiotics in animal husbandry is one of the contributors to human resistance. In Indonesia, antibiotics are commonly used as growth promoters in animal husbandry. Prohibition on the use of hormones and antibiotics mixed into animal feed written in Law No. 18 of 2009 on Animal Husbandry and Health which is then clarified by the Minister of Agriculture Regulation No. 14/Permentan/PK.350/5/2017 on the Classification of Animal Drugs. The purpose of this study is to determine the factors which influence the formation of policy on the prohibition of hormone and antibiotic use as feed additives, especially health, legal, political and economic factors. This research uses descriptive study by qualitative approach. Data were collected using in-depth interviews and literature studies. The result shows that legal factors have a stronger influence than health, economic and political factors. The study recommends that the government should develop monitoring programs, conduct surveillance in feed and breeder entrepreneurs, establish good coordination with local governments, conduct further residue studies on animal source food, and further review the economic impact of the policy. Breeders also need to improve the cleanliness of the cage and try natural feed. While feed entrepreneurs need to find a replacement of antibiotic/hormone mixed feed safely.
Balancing Community and Individual Health Efforts by Utilizing Sub-Primary Health Care at Regions: Analysis for Policy Budi, Rocky Setya; Adisasmito, Wiku Bakti Bawono; Bachtiar, Adang; Rosanti, Elvi
Journal of Indonesian Health Policy and Administration Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Public Health Centers (PHCs) are responsible for organizing public health efforts and individual health efforts. PHCs also serve as FKTP, UPTD, sub-district supervisors, and implementers of policies and programs from the Ministry of Health. The workload of PHCs is increasing because people visit PHCs primarily for treatment, rather than seeking preventive measures to stay healthy. The PHCs have Sub-PHCs to lighten the workload of the PHCs, but there is no policy regulating Sub-PHCs to be used as FKTP. This research aims to analyze the policy of Balancing Community and Individual Health Efforts by utilizing Sub-PHCs such as FKTP. The research uses qualitative methods with a policy analysis process design, using primary data from in-depth interviews and FGDs with 14 informants and secondary data by reviewing documents. The research results indicate that PHCs have a heavy workload, and are more focused on medical services, and access to FKTP for communities in remote areas remains challenging. Sub-PHCs deserve to be used as FKTP on par with Pratama Clinics to increase community access to FKTP, particularly in areas with difficult geographical access, and to help lighten the workload of PHCs. It is recommended that the Ministry of Health conduct a policy analysis to support PHCs becoming FKTP, in line with the Minister of Health Regulation Number 43 of 2019, to change the role of the auxiliary health centers (Sub-PHCs) into FKTP.
The Utilization of Digitalization in Mental Health Screening: Literature Review Farida, Noor; Adisasmito, Wiku
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11652

Abstract

Background: Mental health disorders are one of the contributors to public health problems. Delays in providing mental health services are a major problem in treatment, which is caused by negative stigma from society if someone seeks mental health services. Digitalization in mental health screening is one way that makes early detection of mental health easier. Objective: This paper reviews scientific evidence regarding the use of digitalization in mental health screening. Method: This article was written based on a search for scientific journals carried out through online databases, namely Scopus, Proquest, PubMed, and Scholar, which were published in 2019-2025. Results: Utilization of mental health digitalization can help in early detection and prevent delays in providing mental health services. However, in its use, there are obstacles so that the application is less popular with the public, namely related to lack of trust in the security of personal data in the application, complexity in access, and content that users do not understand. Conclusion: The use of digitalization in mental health screening is an innovation that can improve mental health services, but collaboration from various scientific fields is needed to pay attention to the needs and abilities of users from various aspects.Keywords: Mental Health; Screening; Digitalization.
The Influence of Top Management Team Competencies on Strategic Decision-Making in Hospital Widaya, Theodorus Adrianto; Adisasmito, Wiku
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2556

Abstract

Top management team (TMT) competencies are pivotal in navigating hospitals’ strategic challenges, yet their collective impact remains underexplored amid evolving healthcare complexities. This narrative review synthesizes 15 studies (2010–2025) to analyze how TMT competencies—leadership, communication, strategic thinking, and adaptability—shape strategic decision-making and identifies gaps in cross-cultural applicability. A systematic search across PubMed, Scopus, and ScienceDirect employed PICO criteria, prioritizing peer-reviewed empirical studies. Data were analyzed thematically, integrating quantitative and qualitative findings. TMT competencies significantly enhance decision-making quality, particularly in resource-limited settings. Key themes include: (1) team synergy outweighing individual prowess, (2) adaptive training as a critical enabler, and (3) unmet needs for context-specific competency frameworks. The study underscores the urgency of developing culturally tailored training programs and leveraging mixed-methods research to optimize TMT effectiveness. Policymakers and hospitals must prioritize competency integration to foster resilient, patient-centered leadership.
LITERATUR REVIEW : KESIAPAN RUMAH SAKIT DALAM MENGHADAPI TRANSFORMASI REKAM MEDIS KONVENSIONAL KE REKAM MEDIS ELEKTRONIK Hurruzia, Muhammad Izzan; Adisasmito, Wiku Bakti Bawono
Menara Medika Vol 8, No 1 (2025): VOL 8 NO 1 SEPTEMBER 2025
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v8i1.6933

Abstract

Pendahuluan: Kemajuan teknologi adalah hal yang tidak lagi dapat dihindari. Pada sektor kesehatan, rumah sakit yang merupakan institusi pelayanan kesehatan juga mendapatkan dorongan untuk melakukan digitalisasi. Rekam Medik Elektronik (RME) merupakan teknologi pendukung yang memungkinkan memberikan pelayanan yang berkualitas dan cepat dibandingkan dengan rekam medis berbasis kertas. Penerapan RME ini dipercaya dapat menyempurnakan Sistem Informasi Manajemen Rumah Sakit (SIMRS). Studi ini bertujuan untuk mengetahui kesiapan rumah sakit dalam menghadapi tranformasi rekam medis konvensional ke rekam medis elektronik. Metode: Peneliti menggunakan metode PRISMA 2020 dengan mengambil database dari Scopus dengan istilah pencarian adalah transformasi, rekam medik elektronik, dan rumah sakit. Dari 142 artikel kemudian dilakukan penapisan selanjutnya diseleksi kelayakan menjadi 7 artikel. Hasil: Ditemukan identifikasi mengenai hasil mengenai kesiapan dan ketidaksiapan rumah sakit dalam implementasi RME, ada hasil yang memberikan dampak negatif jika RME di implementasikan, terdapat beberapa faktor yang dapat berpengaruh secara langsung dan tidak langsung terhadap penerimaan teknologi RME pada rumah sakit. Diskusi: Persiapan yang komprehensif sangat penting untuk keberhasilan implementasi rekam medis elektronik, termasuk kapasitas staf, kualitas informasi, kepuasan, dan kondisi fasilitas.  
Analysis of Incentive Policy Implementation For Regional Health Workers Handling Covid-19 In Regional Financial Management In South Tangerang City In 2021 Rahman, Desvanty; Bawono Adisasmito, Wiku Bakti
Devotion : Journal of Research and Community Service Vol. 3 No. 13 (2022): Special Issue
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/dev.v3i13.293

Abstract

There are differences in the results of the implementation of Innakesda policy in the regions carried out by the Regional Government. There are local governments that have succeeded in implementing this policy and there are also local governments that have not succeeded in doing so. The analysis was conducted to see the success of Innakesda policy implementation from the dimensions of actors, content, context and processes in local financial management. The location of the research was carried out in one of the areas that successfully implemented the Innakesda policy, namely South Tangerang City. The conclusion of the study provides an illustration that there are situational context factors in handling the pandemic that rely on the role of health workers as the frontline, structural factors on the principle of decentralization of local government administration and cultural factors. Innakesda policy content in the harmonization of regulations and various efforts to evaluate policy implementation is also carried out by the central government and the results are used as input in making improvements to policy content to accelerate the realization of Innakesda in the South Tangerang City. The Political Will of the Mayor of South Tangerang is a key role in Innakesda policy implementation process in managing regional finances from the planning and budgeting stages through integration and coordination of refocusing and budget reallocation while maintaining conformity/alignment of achieving RPJMD targets and staying focused on the COVID-19 handling program. In the implementation and administration stages, the South Tangerang Government pays attention to the principles of order and compliance in regional financial management supported by a smart reporting system using technology for the Planning, Budgeting and Reporting Management Information System (SIMRAL).
Co-Authors Abdul Gani Hasan Adang Bachtiar Ade Heryana Adik Wibowo Agus Suwandono Agusti Medika Putri Ahmad Rafqi AIRLANGGA, EKA Akbar Yazil Siregar Amalia, Zaima Amir Su’udi Apreh Ristanasari Arda Yunita Arianny, Margaretha Porman Asmawati, Dika Asri C. Adisasmita Ayodhia P. Pasaribu, Ayodhia P. Basabih, Masyitoh Budi, Rocky Setya Bugis M. Lubis, Bugis M. Buyung Nazeli Clementius, Brandon Dewi Basmala Gatot Dewi Nur Aisyah Dewi Nur Aisyah Dika Asmawati Dumilah Ayuningtyas Farida, Noor Fitria Najib Ginting, Novi Anggraini hasan sadikin Hermes Santosa Hurruzia, Muhammad Izzan indriana, Nani Indriani, Sofi Khairunnisa, Atikah Lengkong, Selly Gloria Listya Tresnanti Mirtha Malisie, Ririe F. Mega Purba Sari Mega Purba Sari Muhammad Zarlis, Muhammad Nani indriana Narizma Nova Natalya Angela Natalya Angela, Natalya Nita Surandari Novalino Novalino Nurcandra, Fajaria Nurmala Meilasari Pujiyanto Pujiyanto Rafqi, Ahmad Rahman, Desvanty Retno Arimby Retno Asti Werdhani Robbiatul Afda'tiyah Rocky Setya Budi Rosanti, Elvi sadikin, hasan Salsabila, Anggitaningtyas Dzaky Santoso, Mahar Selly Gloria Lengkong Setya Budi, Rocky Shela Rachmayanti Siregar, Jelita Sofi Indriani Suswandono, Agus Su’udi, Amir Syarif Rahman Hasibuan Theodorus Adrianto Widaya Tiffani Dwiarine Afifa Wachyu Sulistiadi Wahyuni, Arlinda S. Widaya, Theodorus Adrianto Yusi Narulita Zaima Amalia