Adi Utarini
Departemen Kebijakan Dan Manajemen Kesehatan Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan Universitas Gadjah Mada

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PEMETAAN DIMENSI KUALITAS PELAYANAN KESEHATAN HEWAN DARI PERSPEKTIF PENYEDIA DAN PENERIMA PELAYANAN MEDIS VETERINER Alan Chandrasaputra; Adi Utarini; Ida Tjahajati
Journal of Health Service Management Vol 24 No 01 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.228 KB) | DOI: 10.22146/jmpk.v24i01.4063

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Background: The increasing demand for veterinary medical service quality from community has been increasing as seen on the raising of lawsuit for veterinary services since 2008. The description of veterinary healthcare service quality in Indonesia was still unclear which part of quality dimension play the role to describe quality in veterinary healthcare service, especially in clinical area. Objective: This study aimed to determine the dimensions that influence the quality of veterinary medical services from the perspective and expectations of clients and providers. Methods: Qualitative Explorative as research design. Data Collection was done by 17 In-Depth Interview with 14 service providers and 3 service clients with addition 1 panel interview with 4 cat owner from cat lovers community and 1 panel interview with 2 dog owner. All respondent must have experienced with providing/receiving veterinary healthcare service. Interview Data then transcribed followed with Coding, Categorizing, and being made into Themes with Atlas.ti application which Themes become the fundamental of Quality Dimension of Veterinary Healthcare service. Results: The interview produced 20 transcripts that were coded subcategory categories-themes. The results of the categories obtained have the capacity as a dimension of the quality of veterinary medical services in the form of: managerial services; internal provider communication; professionalism of the provider; service competency, communication skills; client education, honesty and transparency; service security; service facilities; the dynamics of the world of service; service outputs and outcomes; and client assurance. Conclusion: The category becomes the dimension of service quality in D.I. Yogyakarta contains 11 service quality dimensions which are divided into 3 themes. The theme is the value of service; communication and interaction between service providers and clients; and clients demands. This theme affects the veterinary medical services especially in the D.I area. Yogyakarta.
DAMPAK IMPLEMENTASI APLIKASI PENDAFTARAN DARING PELAYANAN RAWAT JALAN RUMAH SAKIT Yohana Denyka Kurniawati; Hanevi Djasri; Adi Utarini
Journal of Health Service Management Vol 24 No 02 (2021)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.429 KB) | DOI: 10.22146/jmpk.v24i02.4123

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Background: Outpatients at the polyclinic of Dr. Oen Solo Baru Hospital complained to the hospital regarding the waiting time from registration to the specialist clinic. Meanwhile, the policy of a tiered referral system also causes an accumulation of patients. Hospitals have been trying to increase the speed of outpatient services by implementing an online registration application since July 2010. Still, there has never been an evaluation of the implementation of the application. Objective: To assess the impact of using the online registration application on waiting time for outpatients and to identify the constraints in implementing the online registration application and the possibility of developing this application in the future. Methods: A mixed-method with explanatory sequential design. A quantitative approach to measure the difference in waiting time of outpatients before and after implementing the online registration application and the patient’s experience of using the application. Qualitative method to explore application implementation constraints and management’s strategy for application development. Results: There is a difference in outpatient waiting time before and after implementing the online registration application. Before the online registration application, the average waiting time is 1.97 + 0.92 hours. After implementation, 1.49 +1.06 hours for patients who register manually (there is an acceleration of 24.4%) and 1.69 +0.93 hours for patients who use the application (there is an acceleration of 18.8%). Some of the obstacles found were application utilization which was still stagnant, patient problems related to gadgets, and a penalty and blocklist system. The strategy that will be taken by hospital management is to increase the use and development of applications, namely increasing promotions, increasing service ac cess, developing towards e-payments, and commercial benefits. Conclusion: The online registration application can significantly reduce the waiting time for outpatients and meet user expectations. However, the number of users is still stagnant, and there are still obstacles that prevent patients from switching to using the application. Efforts need to increase the number of users and develop online registration applications.
RESPONSIVENESS SISI KESEHATAN DALAM MEMBERIKAN PELAYANAN KESEHATAN Wa Ode Siti Orianti; Mubasysyir Hasanbasri; Adi Utarini
Journal of Health Service Management Vol 23 No 03 (2020)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (135.152 KB) | DOI: 10.22146/jmpk.v23i03.4248

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Background: Responsiveness according to WHO is the result that can be achieved when an institution designed so that they areaware of and respond appropriately to the expectations of a legitimate, based on measurements through eight domains are: dignity,attention immediately, autonomy, choice of health care providers, clear communication, confidentiality, quality of basic amenities, andaccess to social support networks.Objective: To analyze the responsiveness of the hospitals and health centers in providing health services.Methods: A descriptive study with qualitative methods. This research uses descriptive type so that the researcher will analyze howresponsiveness in terms of health in providing health services to the community. This research was conducted in Buru Regency with 22 respondents.Results: The experience of respondents to the responsiveness in hospitals that view based on variable dignity officers have notprovided services to the fullest and less maintain patient privacy. Variable attention in hospitals and health center patients are stillwaiting long in getting service especially in emergency situations because the doctor was not in place. The variable access to thenetwork for the distance from home to health facilities is still very far away and unreached by the public outside the city as well as a drugthat is not yet complete. The variable quality of amenities in hospitals on quality very bad environment that makes the patient feelnot comfortable and safe. Variable trust in hospitals and community health centers are still not so sure about health care because theybelieve in the healing traditions.Conclusion: Responsiveness of the health in Hospitals Buru and Air Buaya Health Centers not responsive that in view based on variablesdignity, attention, access to the network, quality of amenities and trust.
STRATEGI BUSINESS CONTINUITY PLAN UNTUK KEBERLANGSUNGAN RS MATA “DR. YAP” Sandy Febriyanto; Adi Utarini; Ni Luh Putu Eka Putri Andayani
Journal of Health Service Management Vol 25 No 02 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.362 KB) | DOI: 10.22146/jmpk.v25i02.4945

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Abstrak Latar belakang: COVID-19 dilaporkan menginfeksi manusia pertama kali di Wuhan pada Desember 2019. Kejadian COVID-19 menyebar ke seluruh dunia termasuk Indonesia dan dinyatakan sebagai pandemi oleh World Health Organization. Rumah sakit Mata “Dr. YAP” tidak lepas dari dampak pandemi COVID-19. Business Continuity Plan(BCP) merupakan usaha dalam mempertahankan keberlangsungan suatu bisnis dengan menilai risiko yang ada dan mungkin terjadi, sebagai penyelamat aset saat terjadinya bencana, untuk mencapai tujuan bisnis, menjaga kemampuan operasional, reputasi, pandangan pelanggan, dan pendapatan. Melihat hal tersebut diperlukan penyusunan BCP di RS Mata “Dr. YAP” dalam menghadapi dampak pandemi COVID-19 terhadap manajemen dan pengembangan usaha rumah sakit. Tujuan: Menyusun BCP RS Mata “Dr. YAP” dalam menghadapi dampak pandemi COVID-19 terhadap manajemen dan pengembangan usaha rumah sakit. Metode: Kajian studi deskriptif, penyusunan BCP dengan tahapan penilaian risiko menggunakan Checklist Level of vulnerability dan Business Impact Analysis. Hasil: RS Mata “Dr. YAP” memiliki skor penilaian risiko yang menunjukkan area bisnis tetap rentan walaupun sudah melakukan berbagai tindakan untuk kesiapsiagaan. Dampak pandemi COVID-19 dialami oleh RS Mata “Dr. YAP” dilihat dari aspek SDM, pelayanan, sistem informasi dan teknologi, pelayanan penunjang, keuangan, pengembangan bisnis, dan partnership. BCP disusun berdasarkan analisis dampak bisnis yang telah dilakukan dan rekomendasi rencana pemulihan bencana. Kesimpulan: Penyusunan Business Continuity Plan yang dapat diterapkan di Rumah Sakit Mata “Dr. YAP” difokuskan untuk pengaturan SDM, modifikasi pelayanan, peningkatan kemampuan sistem informasi dan teknologi serta kesiapan dana darurat sehingga kelangsungan dan pengembangan bisnis rumah sakit dapat tercapai. Kata kunci: Business Continuity Plan, COVID-19 , Penilaian risiko, Business Impact Analysis
STRATEGI OPTIMALISASI PELAKSANAAN PROGRAM RUJUK BALIK PASIEN DIABETES MELITUS PESERTA BPJS KESEHATAN DI PUSKESMAS KECAMATAN PANCORAN Tita Meitia Dianingsih; Adi Utarini; Haryo Bismantara
Journal of Health Service Management Vol 25 No 4 (2022)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.821 KB) | DOI: 10.22146/jmpk.v25i4.6214

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Background: The Back-Referral Program for Diabetes Mellitus (DM) patients in the health system in Indonesia demands the role of the Community Health Center in its implementation. The Pancoran Community Health Center seeks to answer the need for Referral Program by innovating service development in the form of an optimization strategy for Referral Program implementation, including increasing Prolanis participants and taking Referral Program prescriptions through clinical teleconsultation. Various factors influencing the success of the Referral Program, including the effectiveness of the innovations implemented, have not yet been evaluated in depth. Objective: Exploring the factors influencing the continuity of Back-Referral Program patient visits and evaluating strategies for optimizing Back-Referral Program implementation at the Pancoran Community Health Center. Methods: The research design used is Mixed-Method, sequential explanatory. The research was conducted at the Pancoran Community Health Center, with quantitative research subjects being DM patients who visited to take referral program prescriptions for 2020-2021, with as many as 69 people. The qualitative research subjects were ten patients registered as back-referral program participants in 2021-March 2022, chosen by a purposive sampling technique. In the quantitative study, secondary data were taken from medical records and analyzed in a simple descriptive manner using statistical analysis software. Qualitative research conducted indepth interviews, analyzed through coding, and interpreted descriptively. Results: There is no relationship between increasing the continuity of the Back-Referral Program 2020-2021 and Prolanis participation or taking Back-Referral Program prescriptions through clinical teleconsultation. The increase in the continuity of Back-Referral Program patient visits was not related to the characteristics of the patient’s gender, age, domicile, educational level, and occupation. There are supporting and inhibiting factors in the implementation of The Back-Referral Program. Such as the level of satisfaction of patients consulting general practitioners, staff hospitality, easy access to services and information, patient-staff communication, infrastructure, drug availability, family and work support, budget flexibility, waiting time, and health conditions patient. Conclusion: The increase in the continuity of DM patient visits taking Back-Referral Program prescriptions in 2020-2021 is not significantly related to optimization strategies and variations in patient characteristics. Based on patient perceptions, supporting and inhibiting factors for Back-Referral Program implementation were identified. Comprehensive steps are needed to optimize Back-Referral Program in the short, medium, and long-term stages, including the potential for using new programs based on patient perception.
Partisipasi Pasien di Rumah Sakit Ditinjau dari Perspektif Pasien: Studi Grounded Theory M. Muska Nataliansyah; Trisasi Lestari; Adi Utarini
The Journal of Hospital Accreditation Vol 5 No 01 (2023): Pengalaman dan Kepuasan Pasien
Publisher : Komisi Akreditasi Rumah Sakit (KARS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35727/jha.v5i01.165

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Latar Belakang: Partisipasi aktif pasien dalam pengobatan medis telah diakui secara internasional sebagai elemen kunci dalam meningkatkan kualitas pelayanan kesehatan. Studi menunjukkan bahwa memberikan pilihan perawatan akan memberikan kendali yang lebih baik kepada pasien atas kondisi medisnya, serta biaya perawatan yang lebih efisien. Namun, hubungan dokter-pasien di sebagian besar penyedia layanan kesehatan di Indonesia masih menerapkan model paternalistik, dengan partisipasi pasien yang terbatas.Tujuan: Tujuan penelitian ini adalah mengeksplorasi bentuk partisipasi pasien dan faktor yang mempengaruhinya di rumah sakit (RS) dalam konteks untuk mengusulkan rekomendasi dalam kebijakan peningkatan pemberdayaan pasien.Metode: Penelitian ini menggunakan penelitian kualitatif dengan desain grounded theory. Informan terdiri dari delapan pasien rawat inap dan tujuh pasien rawat jalan dari departemen jantung di Eka Hospital. Pengumpulan data dilakukan melalui wawancara mendalam untuk mengeksplorasi karakteristik pasien, pengetahuan dan pengalaman, riwayat penyakit dan penanganan, proses perawatan kesehatan, peran pasien dalam perawatan kesehatan, peran rumah sakit, dan peran tenaga kesehatan dalam partisipasi pasien. Analisis data menggunakan open coding, axial coding, dan selective coding.Hasil: Dari 15 informan yang diwawancara, didapatkan konsep ”Piramida Partisipasi Pasien” yang menggambarkan hubungan empat komponen utama partisipasi pasien di RS. Dasar piramida dibentuk oleh tiga segitiga yang saling berhubungan yaitu, peran RS, motivasi pasien, dan peran tenaga medis. Posisi atas piramida ditempati oleh bentuk keterlibatan pasien, sebagai puncak dari ketiga komponen yang mendukung.Kesimpulan: Partisipasi muncul apabila motivasi pasien didukung oleh peran serta tenaga medis dan rumah sakit. Motivasi utama dalam partisipasi adalah keinginan untuk sehat, sehingga keterlibatan pasien cenderung lebih terfokus pada penanganan medisnya atau pada tingkat individu. Pasien pada umumnya telah memiliki motivasi untuk berpartisipasi sehingga kemampuan komunikasi para profesional di RS menjadi kunci pengembangan partisipasi pasien.Kata kunci: Partisipasi pasien, grounded theory, manajemen rumah sakit, penelitian kualitatif.
DO WOMEN IN RURAL AREAS STILL PREFER HOMEBIRTH WITH TRADITIONAL BIRTH ATTENDANTS? A QUALITATIVE STUDY OF WOMEN IN RURAL AREA OF KUTAI KERTANEGARA EAST KALIMANTAN Nurrachmawati, Annisa; Hakimi, Moh.; Utarini, Adi
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.629 KB) | DOI: 10.36685/phi.v4i2.198

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Background: There continues to be a gap between facility-based delivery and homebirth. This condition is influenced by various social and cultural factors, which in rural areas could affect childbirth in health facilities.Objective: This study aimed to explore whether there has been a shift from homebirth to facility-based delivery and what factors are associated with the phenomenon.Method: A qualitative longitudinal research with ethnographic study design was conducted in the working area of Muara Kaman Health Center in Kutai Kertanegara District, East Kalimantan. The data were collected using in-depth interviews of 17 pregnant women as informants who were followed from the first or second trimester of pregnancy until delivery, and interviews with four midwives. Data were analyzed with thematic analysis.Results: Nine of the 17 women gave birth at the health facility, while there were still three who had homebirth assisted by traditional birth attendants. The number of women who performed deliveries at health facilities was increased from five in the previous pregnancy to nine in the current pregnancy during study. Women's autonomy and risk awareness were considered as enablers for delivery at health facilities, while perception of homebirth as appropriate for normal labor, unnecessary planning of place and birth attendants, and less optimum partnership between midwife and traditional birth attendants hindered facility-based delivery.Conclusion: Our findings suggest that the shift from homebirth to facility-based delivery has been slow. Efforts to minimize the barriers and improve supportive environment for women to deliver at health facilities should be strengthened.
BahaKajian aspek keamanan nyamuk Aedes aegypti Linnaeus ber-Wolbachia di Yogyakarta, Indonesiasa Indonesia: Assessing the safety of Wolbachia-infected Aedes aegypti Linnaeus mosquitoes in Yogyakarta, Indonesia Saraswati, Utari; Supriyati, Endah; Rahayu, Ayu; Rovik, Anwar; Kurniasari, Irianti; Hermantara, Rio; Kumalawati, Dian Aruni; Daniwijaya, Edwin Widyanto; Fitriana, Iva; Pramuko, Nida Budiwati; Indriani, Citra; Wardana, Dwi Satria; Tantowijoyo, Warsito; Ahmad, Riris Andono; Utarini, Adi; Arguni, Eggi
Jurnal Entomologi Indonesia Vol 20 No 2 (2023): July
Publisher : Perhimpunan Entomologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5994/jei.20.2.117

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Dengue prevention efforts are limited to the control strategies of its vector and the management of breeding sites. New alternatives for dengue vector control that are sustainable and more environmentally friendly are needed to complement the government's current efforts. Research on Wolbachia-infected Aedes aegypti Linnaeus mosquitoes as an alternative biocontrol strategy has been performed in Yogyakarta City. However, one of the concerns of the community members and stakeholders about this technology is the safety aspect regarding the transmission of Wolbachia to other species and the possibility that humans will contract Wolbachia. This study aimed to address these concerns, namely to find out whether horizontal transmission of Wolbachia occurred from A. aegypti that were released to other species and whether residents living in the released areas were infected with Wolbachia. The research was conducted in Dusun Nogotirto and Dusun Kronggahan (Sleman Regency), as well as in Dusun Jomblangan and Dusun Singosaren (Bantul Regency), Yogyakarta Special Province. Wolbachia qPCR screening using the target gene WD0513 was performed on 922 Culex quinquefasciatus Say and 331 Aedes albopictus (Skuse). ELISA test was carried out on 190 pairs of plasma samples, namely the sample before the Wolbachia frequency was established (still <80%) and the sample after it was established (>80%). The results showed no evidence of Wolbachia transfer from Wolbachia-infected A. aegypti to other mosquito species coexisting in the same habitat or to humans. This study corroborates the safety evidence of Wolbachia-infected A. aegypti technology as an alternative to control dengue virus transmission
Timeframe Factors of Door-to-Device Time During Pandemic Situation in a Tertiary Cardiovascular Centre in Indonesia Firdaus, Isman; Juzar, Dafsah Arifa; Dewanggi, Bunga; Nurfitri, Syafira; Utarini, Adi; Djasri, Hanevi
Jurnal Kardiologi Indonesia Vol 44 No 4 (2023): Indonesian Journal of Cardiology: October - December 2023
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1649

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Background: The coronavirus disease 2019 (COVID-19) pandemic has greatly affected every aspect of life, especially in the field of cardiovascular services. This creates many challenges in the treatment of highly time-sensitive and potentially lethal conditions such as ST-elevation acute myocardial infarction (STEMI). STEMI patients at high risk for COVID-19 are recommended to be evaluated with additional testing for COVID-19 and possibly require respiratory support, all of which can delay Door-to-device time (DTDT). Objective: In this study, we sought to determine the DTDT for primary percutaneous coronary intervention (PCI) in acute STEMI, the various timeframes influencing the DTDT, and which time factor has the most significant correlation to DTDT in the COVID-19 pandemic era. Methods: A longitudinal retrospective study was conducted at the largest tertiary referral hospital in Indonesia from March 2020 to February 2021. The following timeframes were measured during the study: Door-to-Diagnosis Time [Δt1], Diagnosis-to-Activation Time [Δt2], Informed Consent Time [Δt3], Preparation at Emergency Room (ER) Time [Δt4], Preparation at Catheterization Laboratory Time [Δt6], and PCI Initiation-to-Balloon Time [Δt7]. Spearman’s correlation (ρ) was used to ascertain the correlation among time factors. Results: 238 patients met the inclusion criteria of this study. The observed DTDT was 110 [47 – 437] minutes. Of the variables, DTDT had a strong positive correlation with preparation at the ER time (median 28,0 (1 – 344) minutes; r = 0.702; p-value < 0.0001). Conclusion: This study sheds light on preparation at the ER time as a significant influencing factor for Door-to-device time in the COVID-19 pandemic era.
Lessons from the Mass Production of Wolbachia-infected Aedes aegypti for Egg Release in the Sleman and Bantul Districts of Yogyakarta Fitriana, Iva; Nurhayati, Indah; Arianto, Budi; Chusnaifah, Defriana Lutfi; Utami, Indira Diah; Purwaningrum, Nabhela Ayu; Saraswati, Utari; Supriyati, Endah; Utarini, Adi; Ahmad, Riris Andono; Indriani, Citra; Arguni, Eggi; Tantowijoyo, Warsito
Journal of Tropical Biodiversity and Biotechnology Vol 9, No 1 (2024): March
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jtbb.84753

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An efficacy study on wMel Wolbachia-infected Aedes aegypti technology conducted by the World Mosquito Program (WMP) Yogyakarta showed the reducing of dengue incidence in Yogyakarta City. Following this successful result, the intervention was scaled up into two neighbouring districts: Sleman and Bantul. This paper describes our experience in mass production for providing release material for a larger area to reach the deployment target, which includes insectary requirements, mass production protocols, and diagnostic screening. This review may serve as a reference guidance for national mass production for wMel Wolbachia-infected Ae. aegypti.