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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia Jurnal Administrasi Kesehatan Indonesia JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Multidisiplin West Science Jurnal Abdimas Jatibara JI-KES (Jurnal Ilmu Kesehatan)

Achmad Djunawan

Stikes Yayasan Rumah Sakit Dr. Soetomo, Surabaya, Indonesia

Author-ID : 563236

Humanities Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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CORRELATION OF MIDWIFEâS COOPERATION, MOTIVATION, ATTITUDE AND PERFORMANCE ON ANTENATAL CARE Djunawan, Achmad; Haksama, Setya
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 1 (2015)
Publisher : Universitas Airlangga

ABSTRACTAntenatal care in last three years at Kecamatan Kejayan did not reach the target, 100% for K1 and 95% for K4. This research aims to analyze the correlation of midwifeâs cooperation, motivation, attitude, and performance on antenatal care in non insurance and insurance patients group. This is a quantitative research with cross sectional design. Spearman Correlation and Coeficient Contingency were used in this research to analyze the data. 36 midwifes were interviewed to obtain data.The results show that majority midwifes has cooperation with primary health care. Midwifeâs motivation was high and attitude was positive. Midwifeâs performance to non insurance and insurance patients was very high. There was moderate correlation (r=0,446) between cooperation (midwife with primary health care) and the performance to non insurance patients. There was very weak correlation (r=0,111) between cooperation (mindwife with doctor) and performance to insurance patients, and weak correlation (r=0,311) to non insurance patients. There was weak correlation (r=0,086) between motivation and performance to insurance patients, whereas correlation to non insurance was moderate (r=0,521). There was strong correlation (r=0,707) between attitude and performance to non insurance patient. The conclusion, attitude has most significant with performance in non insurance patient group.Â Keywords: antenatal care, attitude, cooperation, motivation, performance

UPAYA PENCEGAHAN RISIKO PASIEN JATUH DI RAWAT INAP Zarah, Maharani; Djunawan, Achmad
Jurnal Kesehatan Masyarakat (Undip) Vol 10, No 1 (2022): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Patient safety is one of the important things that need to be considered in nursing care in hospitals. Patient safety consists of 6 goals from the six patient safety goals, the incidence of falls is still a worrying thing for all inpatients in hospitals. Prevention efforts can be carried out by obediently carrying out an assessment and preventing the risk of falling in accordance with the high score of the patient's low risk. This literature review study aims to find out how to prevent the risk of falling patients in inpatient care. The method used is a literature review approach with survey paper techniques, searching for journal databases and relevant library sources. This literature review study was obtained from searching research articles from 2011–2020 using Goggle Scholar, Garuda and One Search. There are 10 journals that match the inclusion criteria and according to the research question. The population is inpatient nurses in hospitals. The results based on 10 research journals showed that 9 hospitals with the majority of nurses were obedient in carrying out a patient fall risk assessment and 1 hospital the majority of nurses were not obedient. And efforts to prevent the risk of falling patients have been carried out in hospitals

Benarkah Subsidi Jaminan Kesehatan Meningkatkan Pemanfaatan Pelayanan Kesehatan Primer oleh Penduduk Miskin Perkotaan Achmad Djunawan
Jurnal Kebijakan Kesehatan Indonesia Vol 8, No 1 (2019)
Publisher : Center for Health Policy and Management

Latar Belakang: Pemerintah telah menetapkan peraturan tentang Jaminan Kesehatan Nasional (JKN). Jaminan kesehatan untuk penduduk miskin disubsidi sepenuhnya oleh dana kesehatan pemerintah. Berdasarkan data badan pusat statistik, pada maret 2017 menunjukkan jumlah penduduk miskin di Indonesia mencapai 27,77 juta jiwa (10,64%) sedangkan 10,67 juta jiwa berada di perkotaan. Pada awal diberlakukannya JKN jaminan kesehatan idealnya penduduk miskin lebih banyak memanfaatkan pelayanan kesehatan milik pemerintah dari pada pelayanan kesehatan milik swasta. Tujuan: Dengan asumsi jaminan kesehatan menghilangkan hambatan biaya bagi penduduk miskin perkotaan, maka penelitian ini ingin membuktikan hipotesis bahwa penduduk miskin perkotaan yang memiliki jaminan kesehatan lebih menggunakan pelayanan kesehatan milik pemerintah. Selain itu membuktikan bahwa penduduk miskin perkotaan dengan jaminan kesehatan bersubsidi lebih menggunakan pelayanan kesehatan pemerintah dibandingkan dengan yang tidak. Metode: Penelitian ini menggunakan data Indonesian Family Life Survey (IFLS5) dengan rancangan penelitian cross sectional. Sampel penelitian adalah penduduk miskin perkotaan di 13 provinsi Indonesia yang berusia 15 tahun ke atas. Penelitian ini menggunakan analisis regresi logistik. Hasil: Hasil menunjukkan bahwa pelayanan kesehatan pemerintah tetap menjadi pilihan bagi masyarakat miskin ketika merasakan gejala tetapi penduduk miskin masih lebih kecil kemungkinan untuk terjamin oleh asuransi kesehatan dibandingkan penduduk kaya. Jaminan kesehatan terbukti meningkatkan pemanfaatan pelayanan kesehatan pemerintah terutama saat adanya pemberian subsidi terhadap penduduk miskin perkotaan. Kesimpulan: Perlu adanya peningkatan cakupan jaminan kesehatan ke seluruh masyarakat khususnya masyarakat miskin. Harus ada subsidi bagi masyarakat miskin untuk meningkatkan pelayanan kesehatan. Perlu adaya penelitian lebih lanjut tentang mekanisme pembayaran biaya pelayanan kesehatan non-pemerintah dan penelitian tentang efektifitas jaminan kesehatan bersubsidi sebagai proteksi finansial pada rumah tangga miskin.

Hubungan Kerjasama, Motivasi, Sikap, dan Kinerja Bidan Dalam Pelayanan Antenatal Achmad Djunawan; Setya Haksama
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 3 No. 1 (2015)
Publisher : Universitas Airlangga

ABSTRACTAntenatal care in last three years at Kecamatan Kejayan did not reach the target, 100% for K1 and 95% for K4. This research aims to analyze the correlation of midwife’s cooperation, motivation, attitude, and performance on antenatal care in non insurance and insurance patients group. This is a quantitative research with cross sectional design. Spearman Correlation and Coeficient Contingency were used in this research to analyze the data. 36 midwifes were interviewed to obtain data.The results show that majority midwifes has cooperation with primary health care. Midwife’s motivation was high and attitude was positive. Midwife’s performance to non insurance and insurance patients was very high. There was moderate correlation (r=0,446) between cooperation (midwife with primary health care) and the performance to non insurance patients. There was very weak correlation (r=0,111) between cooperation (mindwife with doctor) and performance to insurance patients, and weak correlation (r=0,311) to non insurance patients. There was weak correlation (r=0,086) between motivation and performance to insurance patients, whereas correlation to non insurance was moderate (r=0,521). There was strong correlation (r=0,707) between attitude and performance to non insurance patient. The conclusion, attitude has most significant with performance in non insurance patient group. Keywords: antenatal care, attitude, cooperation, motivation, performance

Pengaruh jaminan kesehatan terhadap pemanfaatan pelayanan kesehatan primer di perkotaan Indonesia: adilkah bagi masyarakat miskin? Achmad Djunawan
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Tujuan: Studi ini memberikan gambaran pengaruh jaminan kesehatan terhadap pemanfaatan pelayanan kesehatan primer perkotaan di Indonesia. Metode: Penelitian ini menganalisis data (IFLS 5) dengan rancangan penelitian cross sectional menggunakan uji regresi logistik. Sampel penelitian adalah penduduk kota di 13 provinsi Indonesia yang berusia 15 tahun ke atas. Hasil: Total responden yang didapat sebesar 2.563 responden, 35% responden menggunakan pelayanan kesehatan pemerintah. 39,72% responden belum memiliki jaminan kesehatan. Jaminan kesehtatan mempunyai pengaruh terhadap pemanfaatan pelayanan kesehatan (p<0,05). Simpulan: Perlu adanya kebijakan untuk meningkatkan pemanfaatan pelayanan kesehatan milik pemerintah sebagai fasilitas kesehatan propoor dan meningkatkan cakupan jaminan kesehatan yang berkeadilan ke seluruh masyarakat khususnya masyarakat miskin.

PENGHEMATAN BIAYA PERSEDIAAN OBAT MENGGUNAKAN METODE HYBRID DI RSIA PERDANA MEDICA SURABAYA Astri Widya Krisyunita; Achmad Djunawan; Khoirul Umam
Journal of Health Service Management Vol 25 No 01 (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

Background: Based on drugs inventories data at pharmacy unit Perdana Medica Maternal and Child Hospital Surabaya in March 2020, 35 items of drugs and medical devices were expired and damaged. In addition, stock out caused an Rp11,295,500.00 profit loss (estimated). Based on these problems, research is needed to find how much savings can be achieved in planning the procurement of drugs using the hybrid method. Objective: Find out how much savings can be made by RSIA Perdana Medica in planning the procurement of drugs using the hybrid method. Methods: This research is quantitative descriptive research. The ABC-VED method is used to classify drug inventories based on their use and investment levels. Inventory policy is searched using the hybrid method by comparing actual costs with expected total costs. Result: Perdana Medica Maternal and Child Hospital could save Rp4,440,457.85 expenses based on the calculation results. Conclusion: The hybrid method can be used as a new method in inventory planning at Perdana Medica Maternal and Child Hospital.

Hubungan Kualitas Layanan terhadap Kepuasan Pelanggan dan Loyalitas Pelangan di Rawat Inap Rumah Sakit Wiyung Sejahtera Surabaya Nadifa Nadifa; Achmad Djunawan; Fajar Nazri
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 21, No 5 (2022): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.21.5.329-332

Latar Belakang: Penelitian dilakukan karena pada data kepuasan pelanggan diindikasikan ada kualitas yang belum mencapai Standar Pelayanan Minimal Rumah Sakit Wiyung Sejahtera Surabaya, sedangkan pada loyalitas ada kemungkinan jika kepuasan pelanggan turun maka loyalitas pelanggan akan terjadi penurunan. Tujuan penelitian ini untuk mengetahui hubungan kualitas layanan terhadap kepuasan pelanggan dan loyalitas pelanggan di Rawat Inap Rumah Sakit Wiyung Sejahtera.Metode: Penelitian ini menggunakan metode penelitian kuantitatif dengan tipe penelitian deskriptif dan menggunakan desain cross sectional. Populasi dalam penelitian sebanyak 983 pasien rawat inap dan untuk menentukan sampel disini peneliti menggunakan metode simple random sampling sebanyak 87 responden.Hasil: Hasil penelitian pada hasil deskriptif tentang kualitas layanan termasuk dalam kategori sangat baik (33%), pada kepuasan pelanggan termasuk dalam kategori sangat puas (9%), sedangkan pada loyalitas pelanggan termasuk dalam kategori sangat loyal (13%).Simpulan: Terdapat hubungan antara kualitas layanan dan kepuasan pelanggan, serta terdapat hubungan antara kualitas layanan dan loyalitas pelanggan. Perlu adanya peningkatan kualitas layanan pada fasilitas dan gedung rumah sakit, dan mempertahankan kepuasan serta loyalitas pelanggan.Kata kunci: hubungan; kualitas layanan; kepuasan pelanggan; loyalitas pelangganABSTRACTTitle: The Relationship of Service Quality to Customer Satisfaction and Customer Loyalty in Inpatient at Wiyung Sejahtera Hospital SurabayaBackground: The research was conducted because the customer satisfaction data indicated that there was quality that had not reached the Minimum Service Standards at Wiyung Sejahtera Hospital Surabaya, while on loyalty there was a possibility that if customer satisfaction decreased, customer loyalty would decrease. The purpose of this study was to determine the relationship between service quality and customer satisfaction and customer loyalty at the Wiyung Sejahtera Hospital Inpatient.Methods: This study uses quantitative research methods with descriptive research type and uses a cross sectional design. The population in the study was 983 hospitalized patients and to determine the sample here the researchers used a simple random sampling method of 87 respondents.Results: The results of the research on descriptive results about service quality are included in the very good category (33%), customer satisfaction is included in the very satisfied category (9%), while customer loyalty is included in the very loyal category (13%).Conclusion: There is a relationship between service quality and customer satisfaction, and there is a relationship between service quality and customer loyalty. It is necessary to improve the quality of services in hospital facilities and buildings, and to maintain customer satisfaction and loyalty. Keywords: relationship; service quality; customer satisfaction; customer loyalty

Gambaran Penanganan Keluhan di Rumah Sakit Amal Sehat Wonogiri Alfi Alifatul Maklufah; Achmad Djunawan
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 22, No 1 (2023): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.22.1.7-11

Latar belakang: Komplain dapat diartikan sebagai suatu ekspresi ketidakpuasan terhadap layanan yang harus dianggap sebagai indikator penilaian kinerja organisasi bahkan ketika organisasi melakukan upaya terbaik untuk melayani pelanggan.Metode: Metode penulisan artikel yang digunakan adalah deskriptif dengan telaah dokumen dan wawancara terhadap pelaksanaan penanganan komplain di Rumah Sakit Amal Sehat. Data dianalisis dengan analisis univariat berbentuk tabel. Hasil: Hasil penanganan komplain menunjukkan terdapat 78 komplain yang masuk pada tahun 2021 terdapat 54 komplain ditangani dengan tepat sehingga pasien dan keluarga pasien merasa puas sedangkan sisanya merasa ragu-ragu, tidak puas dan tidak tahu. Komplain tidak tahu berasal dari media sosial dengan identitas pengguna tidak jelas dan komplain ringan yang tidak dilaporkan kepada tim care solution.Simpulan: Mayoritas keluhan yang tersampaikan kepada tim care solution telah ditangani dengan baik.Kata kunci: rumah sakit, manajemen komplain, penanganan keluhan ABSTRACTTitle: Overview of Complaint Handling at Wonogiri Amal Sehat HospitalBackground: Complaints can be interpreted as an expression of dissatisfaction with a service that should be considered an indicator of an organization's performance appraisal even as the organization makes its best efforts to serve customers.Method: The method of writing the article used is descriptive with a review of documents and interviews on the implementation of complaint handling at Amal Sehat hospital. Data were analyzed by univariate analysis in the form of tables.Result: The results of complaint handling showed that there were 78 complaints that entered in 2021 there were 54 complaints handled appropriately so that patients and patients' families felt satisfied while the rest felt hesitant, dissatisfied and did not know. Complaints do not know come from social media with the identity of users unclear and mild complaints that are not reported to the care solution team.Conclusion: The majority of complaints submitted to the care solution team have been handled properly.Keywords: hospital, complaint management, complaint handling

Analisis Penyebab Pending Claim Berkas BPJS Kesehatan Pelayanan Rawat Inap Rumah Sakit Universitas Airlangga Erlia Safa Maulida; Achmad Djunawan
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 21, No 6 (2022): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.21.6.374-379

Latar belakang: Klaim BPJS Kesehatan merupakan penyerahan biaya pengobatan peserta BPJS Kesehatan oleh Rumah Sakit kepada BPJS Kesehatan yang dilakukan secara kolektif dan ditagihkan kepada BPJS Kesehatan setiap bulan. Pembiayaan kesehatan merupakan bagian terpenting dari implementasi Jaminan Kesehatan Nasional yang diselenggarakan di Rumah Sakit oleh BPJS Kesehatan melalui pengajuan klaim. Namun, hasil akhir pengajuan klaim berupa status klaim layak atau status klaim tidak layak (Pending Claim), oleh karena itu tidak semua berkas yang diajukan dapat terklaimkan, sehingga status klaim dinyatakan tidak layak atau pending klaim terjadi apabila berkas klaim yang diajukan oleh Rumah Sakit belum lengkap. Tujuan penelitian ini menganalisis penyebab pending claim berkas BPJS Kesehatan pelayanan rawat inap berdasarkan pengumpulan data.Metode: Metode penelitian ini kuantitatif desain crosectional yaitu pendekatan yang berdasarkan pengumpulan data yang dapat menyajikan informasi dalam waktu yang singkat. Periode 02 Februari 2022 sampai dengan 02 Maret 2022.Hasil: Hasil dari penelitian ini adalah 720 berkas pengajuan klaim pada pelayanan rawat inap RS Universitas Airlangga dengan tiga (3) status klaim yaitu, terdapat 720 berkas dengan status klaim layak, 88 berkas dengan status klaim tidak sesuai atau pending, dan 0 dengan status klaim dispute.Simpulan: Penyebab terjadinya pending klaim di Rumah Sakit Universitas Airlangga dikarenakan 4 faktor yaitu: Berkas tidak lengkap, kurang tepatnya coding, kurangnya pemeriksaan penunjang dan kurangnya eviden terapi.Kata kunci: klaim BPJS kesehatan; status klaim; penyebab pending klaimABSTRACT Title: Analysis of the Causes of Pending BPJS Health Claims on Inpatients at the Airlangga University HospitalBackground: BPJS Health claims are medical expenses for BPJS Health participants by the Hospital to BPJS Health which are carried out collectively and billed to BPJS Health every month. Health financing is the most important part of the implementation of the National Health Insurance which is held in hospitals by BPJS Health through filing claims. However, the final result of submitting a claim is in the form of a proper status or an improper claim status (Pending Claim), therefore not all files submitted can be claimed, so that the claim status is declared inappropriate or a claim pending occurs if the claim file submitted by the Hospital is incomplete. The purpose of this study was to analyze the causes of delayed claims for BPJS Health files for inpatient services based on data collection.Method: This research method is quantitative with a cross-sectional design, namely an approach based on data collection that can present information in a short time. Period 02 February 2022 to 02 March 2022.Result: The results of this study were 720 submissions for claims for inpatient services at Universitas Airlangga Hospital with three (3) claim statuses, namely, there were 720 files with proper claim status, 88 files with inappropriate or pending claim status, and 0 with claim status dispute.Conclusion: The cause of claims at the Airlangga University Hospital was due to 4 factors, namely: incomplete files, lack of precise coding, lack of examination and evidence of therapy.Keywords: BPJS health claims; claim status; causes of pending claims

The Relationship Between Complaint Handling To Patient Loyalty At Wonogiri Amal Sehat Hospital Alfi Alifatul Maklufah; Achmad Djunawan
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 9, No 3 (2022): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v9i3.13926

The services that are considered lacking by some people will affect community dissatisfaction with hospital health services. Good complaint handling can change dissatisfied patients to satisfied or conversely. Complaints that are handled properly can build patient loyalty to the hospital. This study aimed to analyze the relationship between complaint handling and patient loyalty at Wonogiri Amal Sehat Hospital in 2022. This study used a quantitative method with a cross-sectional approach. This study has a total sample of 65 respondents. Complaint handling at the hospital in 2022 has 90.8% good category and 9.2% fair category, then patient loyalty at the hospital in 2022 has 73.8% high category and 26.2% medium category. The Spearman Rank Correlation coefficient value is 0.726 which is between 0.60-0.799. Between complaint handling and patient loyalty at the Wonogiri Amal Sehat Hospital has a strong relationship. As a suggestion, the hospital should improve the quality of the complaint handling speed.

Co-Authors Alfi Alifatul Maklufah Alfi Alifatul Maklufah Amalo, Kevin Daniel Anggraini, Risti Ninda Anif Prasetyorini Ardhana, Aulia Putri Astri Widya Krisyunita Enny Mar’atus Sholihah Erlia Safa Maulida Fajar Nazri Fariz Abdullah Fariz Abdullah Firmansyah, Alvin Hisyam Firzanah, Afiqatul Frida Drastyana, Serlly Hadiyahtullah, Imeldilyza Dhuhaika Hasanah Hasanah Hasanah Imam Yuadi Indahyati, Emilia Ira Puspitasari Isnaini, Evanda Isnaini, Evanda Nadhilah Kamila, Alfi Najah kamilah, alfi Kamilah, Alfi Najah Khoirul Umam Kilasworo, Dewi M Risya Rizki Muhammad Risya Rizki Mujiburrahman, M. Alexander Nadifa Nadifa Nanggala, Vanrista Prima Ninda Anggraini, Risti Nishfiana Rachma, Natasya Oktavia, Chindy Pradhana, Andrea Thrisiawan Puriyanti, Puriyanti Puryanti Puryanti, Puryanti Putri Arifin, Novita Anggraeni Rachma, Natasya Nishfiana Ramadhan, Mohammad Ilham Ramadhani, Ratna Amaliya Rizki, M Risya Rizki, M. Risya Setya Haksama Sjaaf, Amal Chalik Syamsiddar, Aryanti Lutfiana Verdinata, Fiernandio Wulansari S., Risna Yunita Ratnasari, Yunita Zarah, Maharani

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