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All Journal Jurnal Kesehatan Masyarakat Indonesia Jurnal Keperawatan 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) 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 Innovative: Journal Of Social Science Research Journal of Social Science Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration 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
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, 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 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.  
Collaborative Governance in Public Health Policy Implementation: A Literature Review in the Southeast Asia Region Including Indonesia Arianny, Margaretha Porman; Adisasmito, Wiku
Devotion : Journal of Research and Community Service Vol. 5 No. 7 (2024): Devotion: Journal of Community Service
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/devotion.v5i7.760

Abstract

In the context of Indonesia, public health issues necessitate a comprehensive and coordinated strategy involving various stakeholders. Collaborative Governance serves as a means to materialize this approach. The purpose of this study is to identify instances of Collaborative Governance that have been implemented or are currently underway in public health improvement programs. research used a qualitative methodology, with data acquired through an exhaustive literature review. Data reduction, presentation, and conclusion form the three stages of data analysis. Findings from this literature review indicate that Collaborative Governance has been implemented in several public health programs in Indonesia. These programs involve stakeholders from both the government and non-governmental sectors, including communities, non-profit organizations, and industry associations. Collaborative Governance is achieved through regular meetings, coordination committees, and the use of digital platforms to facilitate information exchange and monitor program implementation. Successful examples of Collaborative Governance in public health programs in Indonesia include initiatives for infectious disease control, where the government collaborates with international organizations, pharmaceutical companies, and local communities to enhance health awareness.
Menghadapi Ancaman Pandemi: Analisis Sumber Daya Rumah Sakit Rujukan Avian Influenza di Jakarta Adisasmito, Wiku; Sari, Mega Purba; Su’udi, Amir
Kesmas Vol. 4, No. 2
Publisher : UI Scholars Hub

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Abstract

Hingga kini, di Indonesia, pandemi Avian Influenza (AI) masih menjadi ancaman yang dapat menimbulkan banyak korban manusia dan kerugian ekonomi yang besar. Untuk mengantisipasi hal tersebut perlu persiapan dari rumah sakit rujukan AI secara matang khususnya di Jakarta yang merupakan provinsi dengan jumlah kasus AI terbesar. Tujuan dari penelitian ini adalah untuk mengetahui kemampuan sumber daya yang dimiliki rumah sakit rujukan AI RSPI Dr. Sulianti Saroso, RSUP Persahabatan dan RSPAD Gatot Soebroto dalam menghadapi ancaman pandemi AI. Penelitian ini menggunakan disain cross sectional, mengamati sumber daya rumah sakit meliputi fasilitas tempat tidur, peralatan, alat proteksi diri, dan obat-obatan. Metode perhitungan estimasi kebutuhan sumber daya menggunakan formula Radonovich LJ, et al. Hasil penelitian menunjukkan masih terbatasnya ketersediaan tempat tidur baik ICU maupun non ICU, APD, serta oseltamivir, amoxicillin dan cairan Intravena di rumah sakit rujukan khusus AI apabila terjadi pandemi AI di DKI Jakarta. Dalam rangka siap siaga menghadapi pandemik influenza, disarankan menambahkan rumah sakit rujukan AI di DKI Jakarta dengan mempertimbangkan hasil penelitian ini dan menggunakan pendekatan scenario planning. Avian Influenza (AI) pandemic has been threatening Indonesia people and may cause human fatality as well as huge economic lost. To anticipate any loss, a careful hospital preparation needs to be measured. The objective of this research was to explore the AI referral hospital resource capacity in Jakarta to cope with AI pandemic. The hospitals involved in this resource capacity study were Dr. Sulianti Saroso Infectious Hospital, Persahabatan Hospital, and Gatot Soebroto Hospital. This cross sectional research aimed at measuring the capacity of the hospital beds, ICU, equipments, personal protective equipments (PPE) and drugs. The Radonovich formula was used in the calculation. The results showed that the resource capacity of the AI referral hospitals in Jakarta was limited, especially in the number of ICU and non ICU beds, PPE, oseltamivir antiviral, amoxicillin and normal saline if AI pandemic occurred in Jakarta. In order to increase the capacity of Jakarta for pandemic influenza preparedness, it is suggested to assign more hospitals for AI in Jakarta to consider the data of this research and the scenario planning approach.
Co-Authors Abdul Gani Hasan Adang Bachtiar Agus Suwandono Ahmad Rafqi AIRLANGGA, EKA 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 Farida, Noor Ginting, Novi Anggraini hasan sadikin Hermes Santosa Hurruzia, Muhammad Izzan Indriani, Sofi Khairunnisa, Atikah Malisie, Ririe F. Mega Purba Sari Mega Purba Sari Meilasari, Nurmala Muhammad Zarlis, Muhammad Nani indriana Narizma Nova Natalya Angela Natalya Angela, Natalya Nita Surandari Novalino Novalino Nurcandra, Fajaria Pujiyanto Pujiyanto Rafqi, Ahmad Retno Arimby Retno Asti Werdhani Robbiatul Afda'tiyah 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 Tiffani Dwiarine Afifa Wahyuni, Arlinda S. Widaya, Theodorus Adrianto Yusi Narulita Zaima Amalia