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All Journal Jurnal Kesehatan Hesti Wira Sakti IKRA-ITH EKONOMIKA Indonesian Journal of Health Science KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat
Cahya Arbitera
Universitas Pembangunan Nasional Veteran Jakarta
Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Determinan Pemanfaatan Pelayanan Kesehatan di Kota Tangerang Selatan Tahun 2020 Putri Permatasari; Cahya Arbitera; Dwi Mutia Wenny
IKRAITH-EKONOMIKA Vol 4 No 3 (2021): IKRAITH-EKONOMIKA No 3 Vol 4 November 2021
Publisher : Universitas Persada Indonesia YAI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.271 KB)

Abstract

Warga merupakan masyarakat yang memiliki risiko tinggi terpapar penyakit karena kondisilingkungan yang kurang sehat. Hal tersebut mengharuskan warga untuk memanfaatkanpelayanan kesehatan agarmendapatkan pemeriksaan yang optimal. Tujuan penelitian iniuntuk mengetahui gambaran dan hubungan karakteristik warga, karakteristik pelayanankesehatan dan pemanfaatan pelayanan kesehatan oleh warga di wilayah Kota TangerangSelatan tahun 2020. Metode penelitian kuantitatif dengan design cross- secional,menggunakan teknik random sampling. Jumlah sampel sebanyak 150 KK di wilayah KotaTangerang Selatan. Alat ukur dalam bentuk kuesioner dengan teknik pengambilan databerupa wawancara. Analisis data menggunakan analisis chi-square dan analisis regresilogistik berganda. Hasil menunjukan bahwa variabel yang berhubungan dengan pemanfaatanpelayanan kesehatan yaitu variabel pengetahuan (p=0,001) dan persepsi sakit (p=0,001). DanVariabel yang tidak berhubungan dengan pemanfaatan pelayanan kesehatan yaitutransportasi (p=0,297), jarak (p=0,340), dan informasi kesehatan (p=0,538). Puskesmas danpetugas kesehatan diharapkan dapat lebih banyakmelibatkan kelompokwarga danmasyarakatdi sekitarwilayah dalam program kerjanya, seperti pemberian informasi kesehatan.
ETIKA DALAM ASURANSI KESEHATAN: MENEMUKAN KESEIMBANGAN DAN KEADILAN Annisya Putri Salsabila; Putri Naira Kusuma; Riswandy Wasir; Cahya Arbitera
Jurnal Kesehatan Hesti Wira Sakti Vol. 12 No. 01 (2024): Jurnal Kesehatan Hesti Wira Sakti
Publisher : Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47794/jkhws.v12i01.632

Abstract

Background: Ethics is an important component of business. In the world of health insurance, ethics are needed to support justice and balance for companies and consumers. Companies are obliged to fulfil consumer rights in full, but there are still many companies that prioritize profit alone by committing fraud. This research is expected to provide in-depth insight into ethical issues and help health insurance companies run their businesses in an ethical and responsible manner. Method: The method used in this research is a systematic review using Google Scholar and PubMed databases over the last 5 years. Result: From the results of the analysis, it was found that ethical violations in health insurance still frequently occur. Fraudulent acts are often carried out by insurance companies, such as falsifying documents and rejecting insurance claims. This is certainly not in accordance with health insurance business ethics and does not uphold consumer justice. Conclusion: From the research conducted, it can be concluded that awareness regarding ethics in the health insurance business is still low. However, there are several solutions that can be implemented, such as increasing cooperation between the government, regulators, and insurance companies. Keywords: Health Insurance, Ethics, Justice, Balance
Analysis Of The Number Of General Doctors Needs With The Health Workload Analysis Method At The Public Poli Uptd Puskesmas Jatirahayu, Bekasi City, 2021 Ruth Vivian; Acim Heri Iswanto; Cahya Arbitera
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 8 No 1 (2022): January-June
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v8i1.1367

Abstract

Background: Human resource planning is a series of processes that are useful for investing resources with various information and strategies in order to to achieve agency goals. One of the health human resource planning methods is to use the health workload analysis method issued by BPPSDMK RI in 2015. Objectives: This study aims to analyze the optimal number of general doctors in General Poly at Jatirahayu Primary Health Care of Bekasi City in 2021. Research Methods: This study uses the health workload analysis method. The research design is descriptive qualitative with research instruments, namely, work sampling and interviews. Results: The result of this study indicate that the working time of general doctors is 78.180 minutes/year. Then, the workload standard of the general doctors was 17.373,34 for medical services, 9.984,67 for follow-up services, and 7.474,19 for referral-making services. The supporting task standard was 1,96. The results of the calculation using the health workload analysis method found that there was a shortage of 3 general doctors. Conclusion: Based on the results of the study, it is hoped that it can become a consideration for primary health care regarding the addition of general doctors and evaluations so that the quality of service can be improved.
The use of wearable data in health insurance and ethical challenges in Indonesia Nadia Hafrisa; Sudarningayuti Lintang Wahyu Azahra; Cahya Arbitera; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2215

Abstract

Advances in digital technology in the healthcare sector are driving increased use of wearable data across various services, including health insurance. Data generated by wearable devices such as physical activity, heart rate, and sleep patterns offer opportunities to support more dynamic health risk assessments, the development of more personalized premiums, and the strengthening of preventive approaches within the health insurance system. This trend indicates a shift in the insurance system from a reactive approach toward a data-driven and preventive approach. This study employs a literature review approach by examining relevant scientific articles from databases such as Google Scholar, PubMed, and Garuda. The analysis focuses on literature regarding the utilization of wearable data in health insurance as well as the accompanying ethical considerations. The findings indicate that wearable data holds significant potential in supporting the transformation of a data-driven health insurance system; however, its implementation still faces limitations regarding privacy, data security, and the readiness of regulations specifically governing the use of digital health data. Additionally, the use of wearable data raises ethical challenges, such as the potential for misuse of health data and the possibility of unequal treatment of insurance participants based on their health conditions.In Indonesia, regulations regarding the protection of digital health data are still evolving and do not yet fully address the technical aspects of using wearable data in health insurance systems. Therefore, there is a need to strengthen regulations and policies grounded in digital ethics to ensure that the use of wearable data is safe, fair, and responsible.
Data security and public trust in the digitalization of health insurance in Indonesia: A literature review Amanda Safitri; Nadia Putri Untiami; Siti Aisyah; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2245

Abstract

The digitalization of health insurance in Indonesia, particularly in the implementation of the National Health Insurance (JKN) program, offers significant benefits in improving the efficiency and accessibility of healthcare services. However, this digital transformation also presents serious challenges related to data security and public trust. This study aims to examine the relationship between data security and public trust in the context of health insurance digitalization through a literature review approach. The method used is descriptive-analytical by reviewing relevant scientific articles published between 2020 and 2026, obtained from databases such as Google Scholar, Garuda, and other international sources. The findings indicate that data security risks, including data breaches, cybercrime, and weak data governance, are key factors that may reduce public trust in digital health insurance services. In addition, non-technical factors such as low privacy literacy and human error further increase system vulnerabilities. On the other hand, public trust is influenced not only by technical security but also by perceived benefits, transparency, and ethical governance. Therefore, strengthening data security systems, adopting innovative technologies, and developing trust-based governance are essential to support the sustainability of health insurance digitalization in Indonesia.
The utilization of electronic medical records in improving the quality of healthcare facilities: A literature review Assyifa Ramadhani; Raeesah Wahlullizar; Reynanda Sabrina; Alvamuna Khairani Sudarmaji; Rifa Neisya Azalia Putri; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2253

Abstract

Global health digitalization, supported by WHO’s Global Strategy on Digital Health and Indonesia's MoH Regulation No. 24/2022, mandates Electronic Medical Records (EMR) implementation to achieve Universal Health Coverage. However, its execution faces various technical and non-technical barriers. Objective: This systematic literature review aims to analyze and synthesize empirical evidence regarding EMR utilization in improving healthcare service quality and patient safety in Indonesia. Methods: A systematic literature search was conducted through Google Scholar for full-text articles published between 2020 and 2026. Data synthesis was performed using a narrative descriptive approach. Results: EMR implementation significantly enhances healthcare quality by reducing patient waiting times, accelerating clinical decision-making, and mitigating human errors like medication errors. EMR also ensures operational efficiency and heightens patient satisfaction through well-structured documentation. Nevertheless, challenges persist, including unstable networks, limited infrastructure in primary care, low digital literacy, staff resistance, and incomplete data entry. Public health professionals hold a strategic role as change agents and data analysts to optimize EMR governance. Conclusion: EMR serves as a potent digital transformation tool to foster efficient and safe healthcare. Full realization of its benefits heavily relies on systemic readiness, comprising robust technological infrastructure, continuous training to overcome human resource resistance, strong managerial commitment, and national-level system interoperability.
Organizational culture towards patient safety in hospitals: A literature review Rizky Khaeran; Nadia Putri Untiami; Donna Ndari Santoso Putri; Nirna Dwi Anggraini; Amanda Safitri; Siti Aisyah; Cahya Arbitera
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2259

Abstract

Patient safety is a key indicator of hospital service quality and is strongly influenced by the organizational culture within healthcare settings. An organizational culture that promotes openness, collaboration, and continuous learning contributes to the creation of a safe care environment. This study aimed to examine the relationship between organizational culture and patient safety implementation in hospitals through a literature review. Literature searches were conducted using the Google Scholar, Springer, and Garuda databases. Eligible studies included full-text articles published in Indonesian or English between 2015 and 2024. The review of ten selected articles indicated that organizational culture positively influences patient safety. The dimensions that contributed most significantly to patient safety included teamwork, open communication, management support, organizational learning, and a non-punitive culture. However, staffing issues and inadequate non-punitive responses to errors remain challenges in patient safety implementation. Furthermore, a positive organizational culture was found to enhance incident reporting and strengthen healthcare workers’ commitment to patient safety. These findings suggest that fostering a supportive organizational culture is a strategic approach to improving the quality and safety of hospital care.
Performance contracts in the procurement of primary care services under the national health insurance program and lessons learned from the Netherlands: A literature review Evita Mutiara; Siti Rahima Kiram; Salsabila Firdausi; Cahya Arbitera; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2260

Abstract

Primary health care plays a crucial role in the National Health Insurance (JKN) program, making performance contracts essential for improving the quality and efficiency of services. Lessons learned from the Netherlands can serve as a reference for strengthening their implementation in Indonesia. This study evaluates performance contracts in the strategic procurement of primary health care services under the JKN program and identifies lessons from the Netherlands to improve service quality. This study is a literature review of eight articles published between 2017 and 2026 to analyze performance contracts in the procurement of primary care services under the JKN and lessons from the Netherlands. Performance contracts have proven effective in improving the efficiency and quality of primary care services when designed with balanced incentives between cost control and service quality achievement. The success of their implementation is highly dependent on relevant performance indicators, an integrated information system, and continuous monitoring and evaluation. The Dutch experience demonstrates that a combination of population-based payments, shared savings, contractual flexibility, and strong regulation can provide important lessons for strengthening strategic purchasing and improving the quality of primary care services within the JKN. Performance contracts have the potential to improve the efficiency and quality of primary care services if supported by relevant indicators, an integrated information system, and ongoing monitoring. Lessons from the Netherlands show that population-based payments, shared savings, and strong regulations can serve as a model for strengthening the implementation of performance contracts within the National Health Insurance (JKN) program.
Co-Authors A. Heri Iswanto Alvamuna Khairani Sudarmaji Amanda Safitri Annisya Putri Salsabila Assyifa Ramadhani Donna Ndari Santoso Putri Evita Mutiara Nadia Hafrisa Nadia Putri Untiami Nirna Dwi Anggraini Putri Naira Kusuma Putri PERMATASARI Raeesah Wahlullizar Reynanda Sabrina Rifa Neisya Azalia Putri Riswandy Wasir Rizky Khaeran Ruth Vivian Salsabila Firdausi Siti Aisyah Siti Rahima Kiram Sudarningayuti Lintang Wahyu Azahra