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All Journal Program Kreativitas Mahasiswa - Kewirausahaan Indonesian of Health Information Management Journal (INOHIM) Darmabakti Cendekia: Journal of Community Service and Engagements J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan Jurnal Sistim Informasi dan Teknologi Indonesian Journal of Health Information Management Services (IJHIMS) Innovative: Journal Of Social Science Research JAKADIKSI: JURNAL VOKASI JOURNAL OF HEALTH MANAGEMENT RESEARCH The Journal of Management Information and Health Technology Jurnal Ekonomi Kesehatan Indonesia Miracle Get Journal
Gede Wirabuana Putra
Politeknik Kesehatan Kartini Bali
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Evaluation of the Implementation of the Puskesmas Management Information System (SIMPUS) on Primary Health Care Efficiency Khaeriah B; Antik Pujihastuti; Gede Wirabuana Putra
Miracle Journal Get Press Vol 2 No 3 (2025): August, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i3.169

Abstract

The implementation of health information systems is crucial to enhancing efficiency in primary health care centers, yet systems like the Puskesmas Management Information System (SIMPUS) are not fully optimized in many Indonesian health centers. Ideally, SIMPUS should enable faster, more accurate, and integrated services, but inefficiencies persist. This study evaluated SIMPUS implementation and its effect on service efficiency in several Puskesmas in Padang City, Indonesia. A cross-sectional descriptive quantitative study was conducted using a structured questionnaire based on the Human-Organization-Technology Fit (HOT-Fit) framework and the Technology Acceptance Model (TAM). Eighty health workers with varying roles and SIMPUS usage experience participated. Descriptive statistics assessed respondent characteristics and perceptions of service effectiveness. Results showed that among 40 respondents, 37 (92.5%) who rated SIMPUS highly (score >4.0) also reported high satisfaction with service effectiveness. Chi-Square and simple linear regression analyses found a significant relationship between system perception and service efficiency. Higher perceived efficiency was noted among users with over two years of experience, administrative and medical record staff, and female health workers. These findings highlight the gap between SIMPUS’s potential and actual outcomes, emphasizing the need for technological readiness, continuous training, system updates, and committed leadership to advance digital transformation in primary health care.
Relationship of Family Economic Status to Complete Basic Immunization Coverage Gede Wirabuana Putra; Rus Andraini
Miracle Journal Get Press Vol 2 No 4 (2025): November, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i4.258

Abstract

Complete basic immunization is a key public health intervention to prevent infectious diseases in children. However, coverage remains suboptimal in parts of Indonesia, including Padang. One factor influencing this is family economic status, which can impact access, awareness, and compliance with immunization programs. Purpose: This study aimed to analyze the relationship between family economic status and complete basic immunization coverage among children aged 12–24 months in the Ambacang Health Center working area, Padang. Methods: A quantitative cross-sectional design was used. The sample included 50 mothers with children aged 12–23 months, selected through purposive sampling. Data were collected using structured questionnaires and immunization records, and analyzed using the Chi-square test. Results: Of the respondents, 58% came from low-income families, while 42% were from middle-to-upper economic backgrounds. The coverage of complete basic immunization was 66%. Statistical analysis showed a significant relationship between family economic status and immunization coverage (p = 0.021). Children from higher-income families were more likely to be fully immunized. Implications: These findings underscore the need for public health programs to consider socioeconomic factors when planning interventions. Targeted education and improved access to immunization services are especially needed for low-income communities. Conclusion: There is a significant correlation between family economic status and complete basic immunization coverage, highlighting the importance of equity-based approaches in immunization programs.
STANDARDISASI ALUR PELAYANAN TUBERKULOSIS DI PUSKESMAS PEMBANTU KELURAHAN SERANGAN: Program Pengabdian Masyarakat untuk Penguatan Kapasitas Tenaga Kesehatan dalam Penanganan Terduga TB di Denpasar Wirabuana Putra, Gede; Erma Pradnyani, Putu; Wijaya Widiyanto, Wahyu
Indonesian Journal of Health Information Management Services Vol. 5 No. 2 (2025): Indonesian Journal of Health Information Management Services (IJHIMS)
Publisher : APTIRMIKI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33560/ijhims.v5i2.150

Abstract

Tuberculosis (TB) remains a public health challenge in Indonesia with an incidence of 391 per 100,000 population. Kelurahan Serangan Sub-Health Center (Pustu) lacks standardized TB service flow, causing practice variations and suboptimal coordination. This activity aims to improve suspected TB case service quality through evidence-based service flow socialization and standardization. Methods included existing condition analysis, SOP development, socialization and training, guided implementation, and evaluation. Results showed 100% of health workers (6 people) participated in training with 90% satisfaction rate. SOP implementation achieved 85% adherence in daily practice. There was a 45% increase in TB service practice standardization and 35% reduction in inter-staff variations in case management. Coordination with referral facilities improved by 40% through structured communication system implementation. This activity successfully standardized TB service flow and enhanced health worker capacity in TB early detection at primary care level.
Determinan Keberhasilan Pengobatan Pasien Tuberkulosis di Kota Denpasar Tahun 2021 Putra, Gede Wirabuana; Pradnyani, Putu Erma
Indonesian of Health Information Management Journal (INOHIM) Vol 10, No 2 (2022): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v10i2.429

Abstract

AbstractTuberculosis (TB) is the top 10 causes of death in the world and the success rate of TB treatment has not yet reached the 85% success target. Indonesia is one of the countries with the highest TB burden. Denpasar City is one of the cities that contributes the most TB case data in Bali Province. The purpose of this study was to determine the factors that could affect the success of treatment for TB patients in Denpasar City in 2021.This study uses secondary data from the Denpasar City Health Office in 2021 on Form TB.03. The success of treatment becomes the dependent variable and the independent variable is gender, age, ownership of health insurance (JKN), occupation, history of diabetes mellitus, and history of previous treatment. The analysis used multiple logistic regression. The results showed that there were 826 patients with pulmonary TB patients whose treatment history was recorded in Denpasar City and as many as 697 (84%) treatment was successful. The factors found to have a significant influence on the success of treatment of TB patients in Denpasar City were JKN ownership and patient age. The older the patient, the less aware of the importance of health that affects the success of TB treatment. JKN ownership shows a negative influence on the success of TB patient treatment in Denpasar City, this situation indicates the need for better coordination in the management of TB treatment flow in Denpasar City using JKN and management of recording and reporting later.Keyword: tuberculosis, JKN, success, treatment  AbstrakTuberkulosis (TB) merupakan 10 besar penyebab kematian teratas di dunia dan tingkat keberhasilan pengobatan TB belum mencapai target keberhasilan 85%. Indonesia merupakan salah satu negara dengan beban TB tertinggi. Kegagalan pengobatan TB dapat meningkatkan munculnya kasus resisten obat. Kota Denpasar adalah salah satu kota yang menyumbang data kasus TB terbanyak di Provinsi Bali. Tujuan penelitian ini adalah mengetahui faktor yang dapat mempengaruhi keberhasilan pengobatan pasien TB di Kota Denpasar Tahun 2021. Penelitian ini menggunakan data Sekunder dari Dinas Kesehatan Kota Denpasar tahun 2021 di Form TB.03. Keberhasilan pengobatan menjadi variabel terikat dan variabel bebas yaitu jenis kelamin, umur, kepemilikan jaminan Kesehatan, pekerjaan, Riwayat penyakit DM, dan Riwayat pengobatan sebelumnya. Analisis menggunakan uji regresi logistik berganda untuk melihat faktor yang mempengaruhi keberhasilan pengobatan. Hasil penelitian menunjukkan pasien TB Paru yang tercatat riwayat pengobatannya di Kota Denpasar adalah 826 pasien dan sebanyak 697 (84%) pengobatan berhasil (sembuh dan pengobatan lengkap). Faktor yang ditemukan memiliki pengaruh bermakna terhadap keberhasilan pengobatan pasien TB di Kota Denpasar yaitu kepemilikan JKN (p=0,005) dan umur pasien (p=0,005). Rata-rata umur pasien TB di Kota Denpasar yaitu 41 tahun dan sebagian besar pasien TB tidak menggunakan JKN untuk pengobatan (82,4%). Semakin bertambahnya umur pasien semakin kurang sadar akan pentingnya kesehatan yang mempengaruhi keberhasilan pengobatan TB. Kepemilikan JKN menunjukkan pengaruh negatif terhadap keberhasilan pengobatan pasien TB di Kota Denpasar, situasi ini menunjukkan perlu adanya koordinasi lebih baik dalam manajemen alur pengobatan TB di Kota Denpasar menggunakan JKN dan manajemen pencatatan dan pelaporan nantinya.Kata Kunci: tuberkulosis, JKN, keberhasilan, pengobatan 
Analisis Financial Losses Akibat Under-reporting Kasus Tuberkulosis di Klinik Swasta Kota Denpasar: Pendekatan Economic Burden dari Perspektif Provider Putra, Gede Wirabuana; Farmani, Putu Eka; Aditya, Made Wahyu; Putri, Putu Chrisdayanti Suada
Indonesian of Health Information Management Journal (INOHIM) Vol 13, No 2 (2025): INOHIM
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/inohim.v13i2.741

Abstract

Abstract Tuberculosis under-reporting in private healthcare facilities creates substantial economic burden that has not been systematically quantified in Indonesia, despite private sector handling 47% of TB cases in Denpasar with discrepancy rate reaching 29.1% between Tuberculosis Information System (SITB) and BPJS Healthcare P-Care. This study aimed to analyze and quantify financial losses due to TB under-reporting in Denpasar private clinics using economic burden approach from provider perspective. Descriptive quantitative study with single case study design and mixed-method approach was conducted at Klinik Pratama Karya Prima during August-December 2025. Data collection included comprehensive economic surveys, in-depth interviews with 5 key informants, SITB data extraction (2022-2024), financial document audits, and 16-hour time-motion study observation. Bottom-up costing analysis was applied to calculate cost components including direct medical costs, direct non-medical costs, indirect costs, and hidden costs. The study revealed significant financial losses of Rp 1,419,500 per unreported TB suspected case, with total annual cost of Rp 1,510,000 while revenue only Rp 90,500 per case (16.7-fold gap). Main cost components included diagnostic examinations (52%), hidden costs (19.9%), and staff time allocation (18.2%). Projection for 147 private clinics in Denpasar reached Rp 17.42 billion annually with estimated 3,260 TB cases systematically unreported. The massive gap between capitation payment system and actual cost requirements demonstrates fundamental misalignment justifying urgent investment in integrated reporting systems and improved incentive mechanisms to optimize TB program economic efficiency in private sector. Abstrak Under-reporting tuberkulosis di fasilitas kesehatan swasta menimbulkan beban ekonomi substansial yang belum dikuantifikasi secara sistematis di Indonesia, padahal sektor swasta menangani 47% kasus TB di Kota Denpasar dengan discrepancy rate mencapai 29,1% antara Sistem Informasi Tuberkulosis (SITB) dan P-Care BPJS Kesehatan. Penelitian ini bertujuan menganalisis dan mengkuantifikasi kerugian finansial akibat under-reporting kasus TB di klinik swasta Kota Denpasar menggunakan pendekatan economic burden dari perspektif provider. Penelitian deskriptif kuantitatif dengan rancangan studi kasus tunggal dan pendekatan mixed-method dilaksanakan di Klinik Pratama Karya Prima periode Agustus-Desember 2025. Pengumpulan data meliputi survei ekonomi komprehensif, wawancara mendalam dengan 5 narasumber kunci, ekstraksi data SITB (2022-2024), audit dokumen keuangan, dan time-motion study selama 16 jam observasi. Analisis bottom-up costing diterapkan untuk menghitung komponen biaya meliputi direct medical costs, direct non-medical costs, indirect costs, dan hidden costs. Penelitian mengungkap kerugian finansial signifikan sebesar Rp 1.419.500 per kasus terduga TB yang tidak dilaporkan, dengan total biaya tahunan Rp 1.510.000 sementara pendapatan hanya Rp 90.500 per kasus (kesenjangan 16,7 kali lipat). Komponen biaya utama meliputi pemeriksaan diagnostik (52%), biaya tersembunyi (19,9%), dan alokasi waktu staf (18,2%). Proyeksi untuk 147 klinik swasta di Denpasar mencapai Rp 17,42 miliar per tahun dengan estimasi 3.260 kasus TB tidak dilaporkan secara sistematis. Kesenjangan massive antara sistem pembiayaan kapitasi dengan kebutuhan biaya aktual menunjukkan ketidaksesuaian mendasar yang membenarkan investasi mendesak dalam sistem pelaporan terintegrasi dan mekanisme insentif yang diperbaiki untuk mengoptimalkan efisiensi ekonomi program TB di sektor swasta.
Co-Authors Anantadjaya, Samuel PD Andraini, Rus Antik Pujihastuti Deva Eddy Romansyah Dewi, Kadek Rosi Arista Erma Pradnyani, Putu Farmani, Putu Eka I Dewa Gede Ari Dharmayoga I Made Endra Priantono I Wayan Septa Malan Vergantana Ida Ayu Putu Feby Paramita Ida Bagus Putra Mahardika Isna Juwita Iwan Henri Kusnadi Khaeriah B Kusumawati, Diana Anggraini Luh Yulia Adiningsih Luh Yulia Adiningsih Made Wahyu Aditya Arta Muhammad Reza Aulia Nawangwulan, Irma M Ni Ketut Juliantari Nofirman Pujianto Pujianto Pujiyanto Pujiyanto Punarbawa, Ida Bagus Wikrantha Putri, Putu Chrisdayanti Suada Putu Chrisdayanti Suada Putri Putu Chrisdayanti Suada Putri Putu Erma Pradnyani Putu Erma Pradnyani Tanti Widia Nurdiani Widiyanto, Wahyu Wijaya Yuniati, Maria Gabriela