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All Journal International Journal of Public Health Science (IJPHS) Archive of Community Health Buletin Udayana Mengabdi Jurnal Kesehatan Masyarakat Jurnal Administrasi Kesehatan Indonesia Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) OISAA Journal of Indonesia Emas Public Health and Preventive Medicine Archive Jurnal Ekonomi Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Luh Putu Sinthya Ulandari
Program Studi Sarjana Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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GAMBARAN PERENCANAAN DAN PENGANGGARAN PROGRAM KESEHATAN IBU DAN ANAK DI DINAS KESEHATAN PROVINSI JAWA TIMUR TAHUN 2022 Ika Ajeng Pratiwi; Luh Putu Sinthya Ulandari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p11

Abstract

ABSTRAKKIA di Provinsi Jawa Timur belum berjalan dengan optimal. Perencanaan dan penganggaran memiliki peranan yang sangat penting dalam keberhasilan suatu program khususnya untuk program KIA yang sangat berpotensi untuk menurunkan AKI dan AKB. Tujuan penelitian ini adalah mengetahui gambaran perencanaan dan penganggaran program kesehatan ibu dan anak di Dinas Kesehatan Provinsi Jawa Timur Tahun 2022. Penelitian ini merupakan penelitian kualitatif melalui studi kasus yang bersifat deskriptif, dengan menggunakan data kualitatif. Teknik analisis data pada penelitian ini menggunakan analisis tematik. Informan dalam penelitian ini ada empat diantaranya Kasubag PPA, Kabid Kesmas, Kepala Seksi KGM, Staf KGM. Hasil penelitian menunjukkan analisis situasi seluruh informan menyatakan dipengaruhi masalah kesehatan, kinerja program, faktor perilaku lingkungan. Penentuan tujuan menyesuaikan dengan tujuan Presiden, Gubernur, dan Dinas Kesehatan. Identifikasi kegiatan dibagi menjadi empat kegiatan seperti modul P2KT versi 3. Perhitungan anggaran dikaitkan dengan target dan SPM. Kecukupan anggaran tidak berbanding lurus terhadap pencapaian target program karena masih ada faktor-faktor lain yang mempengaruhinya.Kata Kunci: Kesehatan Ibu dan Anak, KIA, Perencanaan dan Penganggaran
Determinants of the intention to use National Insurance Mobile Application in Badung District based on Technology Acceptance Model Framework Indrayathi, Putu Ayu; Megayanti, Ni Luh Komang; Ulandari, Luh Putu Sinthya; Kolozsvari, Laszlo Robert
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p02

Abstract

Background and purpose: National Insurance Mobile Application (JKN Mobile) developed by Health Insurance Institution (BPJS Kesehatan) to facilitate the administrative activities of the National Health Insurance (JKN) participants. However, in practice, it has yet to be widely used by JKN participants. This study aims to explore factors determine participants' intention to use the JKN Mobile application based on the Technology Acceptance Model (TAM) Framework. Methods: This cross-sectional study was conducted in April-May 2021. The minimum required sample size was 99. Inclusion criteria were people 18 years of age or older, residing in Badung District, Bali Province and at least having used the JKN Mobile once. Data were collected through a self-administered questionnaire. A multivariable analysis was then conducted to determine the factors of intention to use the JKN Mobile application. Results: The proportion of JKN participants interested in using the JKN Mobile was 50%. Perceived usefulness, ease of use, credibility, and amount of information were correlated with the intention to use the JKN Mobile. The linear regression analysis showed that perceived usefulness is significantly associated with the intention to use JKN Mobile (aOR=9.68; 95%CI: 3.33-28.14; p=0.001). Conclusion: Participants' acceptability to use JKN Mobile is associated with the benefits of using such an application. It is thus imperative for BPJS Kesehatan to simultaneously update the design and features to be readily accepted and used by the public, which will later affect interest in using the application.
Intention to use telemedicine based on the Unified Theory of Acceptance and Use of Technology Model Indrayathi, Ayu; Julyari, Dewa Ayu Vera; Pradnyani, Putu Erma; Luh Putu Sinthya Ulandari; Soukaina Hilal
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p02

Abstract

Background and purpose: Due to COVID-19 pandemic, demand for technology in daily interaction has rapidly grown to ease communication while maintaining physical distance. This study examines the determinants of the intention to use telemedicine using the Unified Theory of Acceptance and Use of Technology (UTAUT) Model. Methods: This cross-sectional study was an online survey using Google Form application conducted from March 11 to May 3, 2021. The inclusion criteria of samples were aged 18 years or older, residing in Bali during the data collection period and knowing telemedicine health services. Variables collected include intention to use telemedicine, demographic characteristics of respondents and UTAUT variables, namely performance expectancy, business expectancy, social influences, and facilitation conditions. The statistical test used is simple and multiple logistic regression analysis. Results: Of 458 survey respondents, 287 were included for analysis due to incomplete data.  Almost half of the respondents (48.8%) was aged <25 years old, the majority were female (80.51%) and around two-thirds, were studying in university, being employed and earning income. We found most respondents (57.14%) were highly interested in telemedicine services. The logistic regression analysis showed that performance expectations, business expectations, social influence, and facilitating conditions were significantly associated with people's interest in telemedicine in Bali. Conclusion: Telemedicine is relatively popular in Bali, Indonesia.  Performance expectancy, effort expectancy, and social influence are the predominant factors influencing the intention to use telemedicine. It shows the potential to employ telemedicine service to cover the inadequate distribution of health professionals and healthcare in Indonesia.
Strategi Implementasi Jaminan Kesehatan Nasional dengan Metode Balanced Scoredcard: Studi Kasus di Rumah Sakit X Tangerang Tahun 2018 Ulandari, Luh Putu Sinthya; Ilyas, Jaslis; Indrayathi, Putu Ayu
Jurnal Ekonomi Kesehatan Indonesia Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

One of the private hospital successful implementation the National Health Insurance with cost efficiency without neglecting the quality of service is X Hospital. This study aimed to finding out the strategy of X Hospital in the implementation of the National Health Insurance with Balanced Scorecard. The research was conducted in May 2018 using qualitative approach. Data was collected through in-depth interview to 7 informants from hospital and 2 informants from BPJS Kesehatan. The subjects were selected purposively and the data was analyzed using thematic analysis. The results show that there are several strategies that have been developed and implemented, including: (1) financial perspective (adding types of services, increasing the capacity of inpatients and polyclinics, increasing doctor practice slots, completing medical equipment, applying the principle of low cost and increasing working capital); (2) customer perspective (choosing target market, develop 5 values propotition, complaint management); (3) internal business processes perspective (develop standard operating procedures, develop drug formulary and clinical pathways, carry out operational and audit controls, build business models, form case mix teams and claim management);(4) learning and growth perspective (develop training, giving reward and good salaries, build a competitive work environments, and pay attention to employee career paths). Through this strategy, X Hospital is able to implement the JKN Program well and still record a surplus without sacrificing service quality.
BARRIER OF REFERRAL–BACK IN SECONDARY HEALTH FACILITIES: PROVIDER AND PATIENT PERSPECTIVES Larasati, Putu Cindy Elisya Intan; Ulandari, Luh Putu Sinthya
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.250-257

Abstract

Background: The referral-back program (RBP) is a program for chronic outpatient patients at hospitals to return to access services at first-level health facilities (Primary Healthcare Centers/ PHC) once their condition has been declared stable by the doctor. However, data indicate that many hospitals and clinics in Denpasar City have not met the RBP target. Aims: This study aimed to explore the implementation of RBP and the challenges faced by providers and patients. Methods: Conducted in March 2023, this study used a qualitative approach with in-depth interviews. The sample was determined purposively, consisting of 13 informants. The data were analyzed using the thematic method. Results: From the provider's perspective, issues included low commitment of medical staff, lack of coordination between the hospital and PHC, limited supply of RBP drugs at the PHC, absence of Standard Operating Procedures (SOPs), and ignorance of notifications regarding potential RBP patients. Moreover, from the patient's perspective, challenges included low patient knowledge about RBP, proximity of the patient's house to the hospital so that patients tend to visit the hospital, difficulty in obtaining RBP drugs at PHC, and ineffective procedures. Conclusion: To overcome these obstacles, coordination, and improvement of RBP are needed through the preparation of SOPs and determination of RBP patient criteria. Keywords: barrier, implementation, referral-back program
Basis for Development of Business Strategic Plan Primary Health Care with Local Public Service Entity Status in Gianyar District Indrayathi, Putu Ayu; Ulandari, Luh Putu Sinthya
Kesmas Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Puskesmas yang berbentuk Badan Layanan Umum Daerah (BLUD) perlu membuat rencana strategi bisnis yang tepat. Penyusunan rencana strategi bisnis perlu memerhatikan pesaing yang beroperasi di sekitar wilayah kerja. Penelitian ini bertujuan untuk mempelajari aspek lingkungan internal dan eksternal di Puskesmas Ubud 1 dan Tegallalang 1 serta mengembangkan model pengembangan rencana strategi bisnis di kedua puskesmas yang berstatus BLUD tersebut. Penelitian ini merupakan penelitian deskriptif eksploratif yang dilakukan pada tahun 2014. Data dikumpulkan melalui penyebaran kuesioner dan studi dokumentasi. Sampel penelitian ditentukan secara purposif dan diambil secara non proporsional, terdiri dari kepala dan staf Puskesmas Ubud 1 dan Tegallalalng 1. Data dianalisis secara deskriptif kuantitatif. Hasil analisis faktor internal dan eksternal kedua puskesmas menunjukkan hasil yang sama. Sebagian besar indikator variabel internal merupakan kekuatan, hanya kuantitas tenaga kerja bidang medis dan nonmedis sebagai kelemahan dalam pengembangan program. Sedangkan hasil analisis faktor eksternal menunjukkan sebagian besar indikator variabel eksternal merupakan peluang dan hanya perilaku masyarakat terhadap lingkungan yang merupakan ancaman dalam pengembangan program. Sebagai kesimpulan, posisi strategis pengembangan di Puskesmas Ubud 1 dan Tegallalang 1 adalah strategi pertumbuhan. Primary health care as Local Public Service Entity needs to make the right business strategic plan. Arranging business plan needs to pay attention to its competitors operating around its working area. This study aimed to determine internal and external environmental factors in Ubud 1 and Tegallalang 1 Primary Health Care and develop model of business strategic plan development in both primary health cares with Local Public Service Entity status. This study was descriptive explorative conducted in 2014. Data were collected through questionnaires, and documentation study. Samples were determined purposively or taken non-proportionally, consisting of Ubud 1 and Tegallalang 1 Primary Health Care heads and staff. Data were analyzed by descriptive quantitative analysis. Results of internal and external factor analysis in both primary health cares showed similar findings. Most indicators of internal variable were strength, only quantities of medical and non-medical workers were the weaknesses in program development. Meanwhile, external factor analysis showed that most indicators of external variable were opportunities and it was only people’s lifestyle toward environment as the threat in program development. In conclusion, the development strategic position in Ubud 1 Tegallalang 1 was growth strategy.
Mutu Pelayanan Puskesmas Perawatan yang Berstatus Badan Layanan Umum Daerah Indrayathi, Putu Ayu; Listyowati, Rina; Nopiyani, Ni Made Sri; Ulandari, Luh Putu Sinthya
Kesmas Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Kebijakan pusat pelayanan kesehatan masyarakat (puskesmas) sebagai Badan Layanan Umum Daerah (BLUD) diimplentasikan untuk meningkatkan kualitas pelayanan kesehatan dasar. Kebijakan BLUD puskesmas telah diterapkan di Kabupaten Gianyar sejak tahun 2010 dan berlaku pada puskesmas perawatan maupun nonperawatan. Pelaksanaan BLUD puskesmas tidak selalu meningkatkan mutu layanan. Penelitian ini bertujuan mengetahui gambaran mutu pelayanan puskesmas perawatan yang berstatus BLUD di Kabupaten Gianyar. Penelitian ini merupakan penelitian potong lintang dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitian ini dilakukan di Kabupaten Gianyar, Agustus hingga Desember 2013. Data kuantitatif dikumpulkan melalui penyebaran kuesioner kepada 105 pengguna layanan di empat puskesmas yang dipilih dengan cara multistage random sampling. Data kualitatif dikumpulkan melalui wawancara mendalam kepada 13 penyedia pelayanan kesehatan yang dipilih secara purposive sampling. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik. Dari hasil penelitian, pelayanan di puskesmas perawatan berstatus BLUD di Gianyar dinilai kurang memuaskan karena keterbatasan peralatan medis dan kurangnya tenaga yang kompeten dalam pengelolaan keuangan. Pelatihan pengelolaan keuangan pada staf puskesmas dan perekrutan tenaga berlatar belakang akuntansi penting untuk dilakukan. The policy of primary health care as local public service agencies (BLUD) was established to improve the quality of basic health care services. The public service agencies primary health care policy has been implemented to all primary health care in Gianyar district since 2010. The implementation does not always improving health service quality. This research was aimed to overview the quality of services in primary health care with general services agency status in Gianyar district. This research was a crosssectional study with mixed of quantitative and qualitative approaches.This research was conducted in Gianyar between August and December 2013. The quantitative data was collected through questionaire survey to 105 patients in four primary health care who were chosen with multistage random sampling technique. The qualitative data was collected through in-depth interviews to 13 health care providers in primary health care who were chosen with pusposive sampling. The quantitative data was analysed descriptively and the qualitative data was analysed using thematic analysis. The result of the study was primary health care quality in BLUD puskesmas with inpatient services was perceived as poor due to the limited availability of medical equipment and lack of staff who major in financial management. Training on financial management and recruitment of staff with accounting background should be conducted.
Co-Authors Anastasia Septya Titisari Benny Tjahjono Desak Putu Yulita Kurniati I.M.S. Adnyana Ika Ajeng Pratiwi Ilyas, Jaslis Indah Aulia Indrayathi, Ayu Istiana Marfianti Julyari, Dewa Ayu Vera Kadek Tresna Adhi Kolozsvari, Laszlo Robert Larasati, Putu Cindy Elisya Intan Laszlo Robert Koloszvari Laszlo Robert Kolozsvari Luh Kadek Ratih Swandewi Megayanti, Ni Luh Komang Monika Sri Yuliarti Ngakan Putu Anom Harjana Ni Ketut Sutiari Ni Luh Saptiaryati Ni Made Putri Widiantari Ni Made Sri Nopiyani Ni Putu Widarini Ni Wayan Rina Andriani Pande Putu Januraga Putu Ayu Indrayathi Putu Erma Pradnyani Rina Listyowati Rina Listyowati, Rina Siluh Ayu Made Dwita Adriani Soukaina Hilal Yaslis Ilyas