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Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.

Penyebab Pengembalian Klaim BPJS Rawat Inap Triwulan 1 Tahun 2024 di RSI Sultan Agung Semarang Rizki, Julia Nur; Sari, Arum Astika; Yektiningtyastuti, Yektiningtyastuti; Suprihatin, Eni
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Vol 6 No 2 (2025): March
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-remi.v6i2.5853

The process of submitting BPJS Kesehatan reimbursement claims in hospitals often encounters issues related to administration, regulatory discrepancies, and delays, affecting patient services and satisfaction. This study aimed to analyze the factors causing the return of BPJS inpatient claims during the first quarter of 2024 and strategies to reduce claim disputes. Utilizing a descriptive research design, the study examined 282 claim files returned by BPJS Kesehatan to Sultan Agung Islamic Hospital Semarang in the first quarter of 2024. The predominant reasons for claim returns were medical aspects (242 cases), coding issues (25 cases), and administrative factors (15 cases). Coding issues included inaccurate diagnosis codes due to files containing dual diagnoses and errors by BPJS Kesehatan verifiers in reviewing submission data. Medical and administrative returns were primarily due to incomplete supporting documents, as some results were not available at the time of submission, leading to their exclusion. Submissions were still made to avoid rejection due to predetermined deadlines. Improving the claims process is essential to stabilize hospital finances and enhance service quality.

Hubungan Persepsi dan Sikap dengan Motivasi Kader Posyandu untuk Melakukan Vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas Mulyandari, Gesti Augina; Yektiningtyastuti, Yektiningtyastuti
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.20085

ABSTRACT Cervical cancer is a health problem that is the main cause of death from cancer in women. One of the interventions recommended as an effort to prevent cervical cancer is HPV vaccination. This research aimed to determine the relationship between perception and attitude with the motivation of Posyandu cadres to carry out HPV vaccination in Pasinggangan Village, Banyumas District. The research method used a correlational descriptive design. Research data collection was carried out randomly and cross-sectionally. Technique sampling used a technique total sampling, with respondents totaling 70 Posyandu cadres in Pasinggangan Village, Banyumas District. Research data collection used a questionnaire instrument. Data analysis consists of univariate analysis and bivariate analysis. Bivariate analysis used the Chi-Square test. The research results found that the X² of perception = 13,701, with p-value = 0,008, and X² of attitude = 9,959 with p-value = 0,041. Perception and attitude were related to the motivation of Posyandu cadres to carry out HPV vaccination in Pasinggangan Village, Banyumas District. Keywords: Perception, Attitude, Motivation, HPV Vaccination. ABSTRAK Kanker serviks merupakan salah satu masalah kesehatan yang menjadi penyebab utama kematian akibat kanker pada wanita. Salah satu intervensi yang direkomendasikan sebagai upaya pencegahan kanker serviks yaitu dengan melakukan vaksinasi HPV. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi dan sikap dengan motivasi kader Posyandu untuk melakukan vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas. Metode penelitian yang digunakan yaitu desain deskriptif korelasional. Pengambilan data penelitian dilakukan secara cross-sectional. Teknik sampling yang digunakan adalah teknik total sampling, dengan responden sejumlah 70 kader Posyandu di Desa Pasinggangan Kecamatan Banyumas. Pengumpulan data penelitian menggunakan instrumen kuesioner. Analisis data terdiri atas analisis univariat dan analisis bivariat. Analisis bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa nilai X² untuk persepsi = 13,701, dengan p-value = 0,008 dan X² untuk sikap = 9,959 dengan p-value = 0,041. Persepsi dan sikap berhubungan dengan motivasi kader Posyandu untuk melakukan vaksinasi HPV di Desa Pasinggangan Kecamatan Banyumas. Kata Kunci: Persepsi, Sikap, Motivasi, Vaksinasi HPV

Analisis Penyebab dan Kendala Pengajuan Klaim BPJS Kesehatan Pasien Rawat Inap di RSUD Majenang Tahun 2023 Putri, Chaesya Isnaeni; Yektiningtyastuti, Yektiningtyastuti; Hakim, Agya Osadawedya; Gunawan, Gunawan
Health Information : Jurnal Penelitian Vol 17 No 1 (2025): Januari-April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i1.1677

Ringkasan : Latar belakang: Pengajuan klaim BPJS Kesehatan mengalami pengembalian tinggi di RSUD Majenang dengan 1.328 berkas dikembalikan tahun 2023, menimbulkan dampak negatif pada operasional dan keuangan rumah sakit. Tujuan: Menganalisis penyebab dan kendala pengajuan klaim BPJS Kesehatan rawat inap untuk meningkatkan efisiensi dan efektivitas proses klaim. Metode: Desain deskriptif kuantitatif-kualitatif menggunakan data primer (wawancara terstruktur verifikator internal, kepala rekam medis, koder) dan sekunder (laporan pengembalian klaim 2023). Populasi 1.328 berkas, sampel 308 berkas systematic random sampling, analisis 5M (Man, Material, Method, Machine, Money). Hasil: Pengembalian klaim didominasi aspek medis (59,09%) karena ketiadaan tatalaksana dan penunjang, aspek koding (31,17%) karena konfirmasi kode diagnosis, dan administrasi (9,74%) karena konfirmasi readmisi dan episode SEP. Kendala meliputi ketelitian petugas, persepsi DPJP, kelengkapan berkas, ketiadaan SPO khusus, dan keterbatasan teknologi bridging system. Simpulan: Faktor manajemen 5M berkontribusi signifikan terhadap pengembalian klaim, dengan aspek medis sebagai penyebab utama dan perlu perbaikan sistematis. Saran: Evaluasi berkala, penyusunan SPO sistematis, penguatan koordinasi antar unit, optimalisasi teknologi informasi bridging system, dan peningkatan kompetensi SDM melalui pelatihan rutin.

Mekanisme koping sebagai kunci resiliensi pada perempuan dewasa muda dengan kanker ginekologi Syahda, Tiara Maulina; Aniarti, Reni Purwo; Yektiningtyastuti, Yektiningtyastuti; Elsanti, Devita
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1509

Background: The reproductive health of young adult women is vulnerable to disorders, one of which is gynecological cancer, which is the leading cause of death of women in the world and Indonesia. Early detection of cancer, such as through IVA, is still low, including in Central Java. Gynecologic cancer causes physical and psychological distress, so that coping mechanisms and resilience are very important to support patient adaptation. Purpose: To knowing the relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer. Method: This quantitative study used a cross-sectional approach. The sample consisted of 94 respondents aged 20-40 years, using a consecutive sampling method. Data were collected using a questionnaire and analyzed using statistical tests. Data analysis used the chi-square test. Results: The chi square test analysis show that there is a relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer with a p-value of 0.001. Conclusion: There is a relationship between coping mechanisms and resilience in young adult women who experience gynecological cancer. Keywords: Coping Mechanism; Gynecological Cancer; Resilience. Pendahuluan: Kesehatan reproduksi wanita dewasa muda rentan terhadap gangguan, salah satunya kanker ginekologi, yang menjadi penyebab utama kematian wanita di dunia dan Indonesia. Deteksi dini kanker, seperti melalui IVA, masih rendah, termasuk di Jawa Tengah. Kanker ginekologi menimbulkan tekanan fisik dan psikologis, sehingga mekanisme koping dan resiliensi sangat penting untuk mendukung adaptasi. Tujuan: Untuk mengetahui hubungan mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi. Metode: Kuantitatif dengan pendekatan cross sectional. Sampel terdiri dari 94 responden yang berusia 20-40 tahun dengan menggunakan metode consecutive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji statistik. Analisis data menggunakan uji chi-square. Hasil: Analisis uji chi square menunjukan bahwa terdapat hubungan antara mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi dengan hasil p-value 0,001. Simpulan: Terdapat hubungan antara mekanisme koping dengan resiliensi pada wanita usia dewasa muda yang mengalami kanker ginekologi. Kata Kunci: Kanker Ginekologi; Mekanisme Koping; Resiliensi.

Public Health Center Emergency Referral Quality Analysis: Based on National Standard Sasmito, Priyo; Prasetya, Fika Indah; Yektiningtyastuti, Yektiningtyastuti; Rasmita, Dina; Amsyah, Ummul Khairi; Ahmadi, Ahmadi; Aljufri, Salim; Librianty, Nurfanida
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.757

The referral quality will affect the outcome of referred patients. The quality of emergency referrals from the Public Health Center (PHC) in Banten Province has not been examined. This study aims to analyze the quality of emergency referrals from PHC and the factors that influence it. Observational analytics with a retrospective approach to a PHC in Banten Province, Indonesia. The reference data for March-May 2023 is taken consecutively. Data on the demographics of referrers and referral cases are recorded. The quality of referrals is analyzed using national personal referral standards. A total of 52 referral cases were involved in the study. Referrals were made by nurses with an average age of 28.2 years with a range of 23-43 years, men (38/73.1%), and with diploma education (30/57.7%). Most of the referring nurses have a valid Basic Life Support (BLS) certificate (46/88.5), are non-civil servants, and work for an average of 3.3 years. Most of the referred cases are surgical (28/53.8) and urgency cases (32/61.5). Forty-four referral cases (84.6%) did not meet national referral standards. The referring nurse's educational background and the urgency of the case had a significant relationship with the quality of referrals with p values < α values of 0.05 (0.000 and 0.000 respectively). There was no significant relationship between referral quality and patient/family satisfaction. Conclusion: Most PHC's emergency referrals to hospital emergency departments (ED) have not complied with national standards. There was a significant relationship between the education of the referring nurse and the level of urgency of the case with the quality of PHC referrals. There is no relationship between referral quality and patient/family satisfaction. National technical guidelines for individual referrals for emergency cases are needed.

Hubungan Pola Asuh Orang Tua dengan Kepercayaan Diri Mahasiswa Program Studi Keperawatan S-1 Universitas Muhammadiyah Purwokerto Kusumawati, Khadija; Yektiningtyastuti, Yektiningtyastuti; Mujahid, Ikhsan
MAHESA : Malahayati Health Student Journal Vol 4, No 12 (2024): Volume 4 Nomor 12 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i12.18526

ABSTRACT Parenting is intimately tied to an adult's personality. Self-confidence is one of important characteristic of personality in adolescent development. Character building for self-confidence starts with family education and parenting. The amount of self-confidence one has will affect his or her educational and career goals. This investigation aspires to determine the relationship between parenting patterns and self- confidence in S-1 Nursing college students of the Faculty of Health Sciences, Muhammadiyah Purwokerto University. This research design is descriptive correlation with cross sectional approach. A selection of 109 college student was acquired through proportional random sampling technique. Data was gathered using a questionnaire form and research data analysis using the Chi-Square test. The Chi-Square test results showed that the relationship between parental parenting style and the confidence of S-1 Nursing students was obtained with a significance value of p-value = 0.000 (pv < 0.05). There was a significant relationship between parenting patterns and the self-confidence of BSN students. Keywords: Parenting, Self-Confidence, Nursing Students ABSTRAK Pola asuh orang tua sangat erat kaitannya dengan kepribadian seseorang saat dewasa. Rasa kepercayaan diri merupakan salah satu aspek kepribadian yang penting dalam perkembangan remaja. Pembentukan karakter kepercayaan diri dimulai dari pendidikan dan pengasuhan keluarga yaitu orang tua. Rasa Kepercayaan diri yang dimiliki seseorang akan mempengaruhi tujuan pendidikan dan karirnya. Penelitian ini bertujuan untuk mengetahui hubungan antara pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi Keperawatan S-1 di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Purwokerto (FIKES UMP). Desain penelitian yang digunakan adalah deskriptif korelasional dengan menggunakan pendekatan cross-sectional. Sampel sebanyak 109 mahasiswa yang diambil melalui teknik proportional random sampling. Pengambilan data dilakukan dengan menggunakan kuesioner. Analisis data penelitian dibantu melalui uji Chi-Square. Hasil uji Chi-Square hubungan pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi S-1 Keperawatan diperoleh nilai signifikansi p-value = 0,000 (pv < 0,05). Terdapat hubungan yang signifikan antara pola asuh orang tua dengan kepercayaan diri mahasiswa Program Studi S-1 Keperawatan. Kata Kunci: Pola Asuh, Kepercayaan Diri, Mahasiswa S-1 Keperawatan

PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG BAYI BERAT LAHIR RENDAH (BBLR) DI DESA KARANGGUDE KULON DAN PASIR KULON KECAMATAN KARANGLEWAS TAHUN 2024 Amalia, Pety Valeria; Yektiningtyastuti, Yektiningtyastuti
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 4 (2024): Volume 5 No. 4 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i4.33328

Bayi Berat Lahir Rendah (BBLR) adalah bayi yang berat badan lahirnya di bawah 2.500 gram. Bayi baru lahir prematur dan BBLR menyumbang 60-80% dari seluruh kematian neonatal. Dibandingkan bayi cukup bulan, bayi prematur dan BBLR memiliki risiko kematian 2-10 kali lebih tinggi. Kejadian BBLR dapat dipengaruhi oleh beberapa faktor, di antaranya faktor maternal, faktor janin, keadaan sosial ekonomi yang rendah dan kebiasaan. Pengetahuan ibu juga berhubungan dengan kejadian BBLR. Pengabdian masyarakat melalui penyuluhan kesehatan ini bertujuan untuk meningkatkan pengetahuan ibu hamil tentang BBLR. Kegiatan pengabdian diawali dengan melakukan survei dan koordinasi dengan perangkat desa, serta kader kesehatan. Partisipan penyuluhan adalah ibu hamil di Desa Karanggude Kulon dan Pasir Kulon Kecamatan Karanglewas yang berjumlah 31 orang. Teknik pengambilan sampel menggunakan purposive sampling. Pengumpulan data menggunakan lembar kuesioner pre-test dan post-test. Hasil pengabdian masyarakat menunjukkan adanya peningkatan rerata nilai pengetahuan ibu hamil antara pre-tes (sebelum penyuluhan) dan post-test (setelah penyuluhan) sebesar 3,10 point; Hasil uji statistik bivariat menggunakan Uji Wilcoxon diperoleh p-value = 0,000 < 0,005, yang berarti terdapat perbedaan yang signifikan pengetahuan ibu hamil tentang BBLR antara sebelum dan setelah diberikan penyuluhan kesehatan.

Medical Records Study: The Relationship between Pregnancy Complications with the Incidence of Low Birth Weight Baby at Ajibarang General Hospital Yektiningtyastuti, Yektiningtyastuti; Amalia, Pety Valeri
Procedia of Engineering and Life Science Vol. 6 (2024): The 3rd International Scientific Meeting on Health Information Management (3rd ISMoHI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v6i0.1967

Low Birth Weight (LBW) is a baby born with a weight of less than 2500 grams. Based on data from the Indonesian Health Profile (2020), LBW is the largest contributor (32%) to the cause of neonatal deaths. BPS Central Java Province data shows that in 2021 there were 22,240 babies born with LBW, while in Banyumas Regency the number of babies born with LBW was 1,629. Many factors are associated with the incidence of LBW, including complications during pregnancy. This medical record research aims to determine the relationship between pregnancy difficulties/complications and the incidence of LBW at Ajibarang General Hospital in 2022. The research design used a case-control study. The research was carried out from July to August 2023, with a sample of 146 newborn babies at Ajibarang General Hospital consisting of a case sample of 73 LBW babies (PO7.1), and a control sample of 73 babies born with normal weight (Z.38.0). The results of the study showed that of the 146 samples of newborns, 31.5% were born to mothers who experienced the pregnancy complication of preeclampsia (O14.9), gemelli (O30.0) 8.9%, premature rupture of membranes/PROM (O42.9) 30.1%, oligohydramnios (O41.0) 25.3%, and anemia (O99.0) 2.1%. The results of statistical tests show that there was a significant relationship between pregnancy complications and the birth of LBW babies, preeclampsia (p-value = 0.002, OR = 3.289), gemelli (p-value = 0.004, OR = 14.164), PROM (p-value =0.002, OR = 3.407), and oligohydramnios (p-value = 0.008, OR = 0.321). There is no significant relationship between anemia pregnancy complications and the incidence of LBW (p-value = 1.000).

Clarity of Procedures and Satisfaction with Online Registration Services: Kejelasan Prosedur dan Kepuasan terhadap Layanan Pendaftaran Online Mukaromah, Citra Amiliana; Yektiningtyastuti, Yektiningtyastuti; Prodia, Natalia Sabatyaningsih
Procedia of Engineering and Life Science Vol. 9 (2025): Proceedings of the 2025 Annual Meeting of APTIRMIKI
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar

Hospitals play a vital role in providing medical services to the community. In an effort to improve service quality, RSU Aprilia Cilacap has introduced an innovation by implementing an online registration system. This study aims to evaluate the clarity of the registration procedures and patient satisfaction with the online service, as well as to identify obstacles encountered during its implementation. This study used a quantitative approach with a descriptive correlational design. The sampling technique used was consecutive sampling. Data collection was conducted by distributing questionnaires to 38 outpatient respondents. The results indicate that 42.1% of respondents found the online registration procedures unclear, and the same percentage expressed dissatisfaction with the service. Conversely, 34.5% stated that the procedures were very clear, and 39.4% reported being very satisfied with the service. The Rank-Spearman statistical test yielded an r value = 0.835 with a p value = 0.000. This finding indicates a significant relationship between procedural clarity and the level of satisfaction with online outpatient registration at Aprilia Cilacap Hospital. The main obstacles identified include the lack of systematic and comprehensive procedural guidelines and low digital literacy among some patients. Therefore, increasing outreach and education regarding the use of the online registration system is a crucial step in improving the quality of service at Aprilia Cilacap Hospital.

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