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All Journal Hearty : Jurnal Kesehatan Masyarakat
Kiswanto Kiswanto
Universitas Hang Tuah Pekanbaru
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ANALYSIS OF THE LOW UTILIZATION OF MOBILE JKN ADOPTION FOR PATIENT REGISTRATION AT DUMAI GENERAL HOSPITAL IN 2025 Suci Badriyana; Emy Leonita; Kiswanto Kiswanto; Reno Renaldi; Doni Jepisah
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21777

Abstract

Digital transformation in healthcare has become a major focus of the Indonesian government through the development of the Mobile JKN application by BPJS Kesehatan. However, at Dumai General Hospital (RSUD Dumai), the utilization rate of this application remains low. This study aims to analyze the factors contributing to the low adoption of Mobile JKN in patient registration using the Innovation Resistance Theory (IRT) by Ram and Sheth (1989), which includes five dimensions: Usage Barrier, Value Barrier, Risk Barrier, Tradition Barrier, and Image Barrier. The research applied a qualitative case study approach involving key informants consisting of both users and non-users of Mobile JKN, as well as hospital registration staff. Data were collected through in-depth interviews and field observations, then analyzed thematically. The findings show that low adoption is influenced by limited digital literacy among elderly patients (Usage Barrier), perceptions that manual registration is faster (Value Barrier), concerns about data security and technical issues (Risk Barrier), strong preference for face-to-face interactions (Tradition Barrier), and the negative image of the application due to system errors and insufficient socialization (Image Barrier).
OPTIMIZATION OF CADRE PERFORMANCE AND SKILLS TOWARD ACHIEVING HYPERTENSION SCREENING TARGETS AT TELUK BELITUNG COMMUNITY HEALTH CENTER Despitasary Despitasary; Kiswanto Kiswanto; Apriadi Saputra; Kamali Zaman
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22367

Abstract

The low coverage of hypertension screening in the working area of the Teluk Belitung Community Health Center poses a serious challenge in controlling Non Communicable Diseases, with data showing that routine community participation is only 36.5%. This study aims to analyze the low coverage of hypertension screening and to formulate strategies for optimizing the performance of health cadres as the frontline of early detection in the community. Using a qualitative approach with a descriptive design, data were collected through in depth interviews, observations, and document review. Data were analyzed using the Urgency, Seriousness, Growth method to determine problem priorities and SWOT analysis for strategy formulation. The results of the Urgency, Seriousness, Growth analysis identified that suboptimal cadre skills were the main root problem with the highest priority score of 15. Based on the SWOT matrix, this study recommends intervention strategies in the form of transforming guidance methods through a peer-coaching system (Core Cadres) supported by Health Operational Assistance, intensification of outreach services (Mobile Integrated Health Posts), integration of services into community socio cultural activities, and strengthening cross sectoral advocacy to obtain village level regulatory support and village funding. This strategy is expected to change the paradigm of cadre development from a centralized approach to community empowerment supported by local policies as a fundamental step to ensure program sustainability and the achievement of Minimum Service Standard targets in hypertension control.
Co-Authors Agus Alamsyah Apriadi Saputra Dekrial Dekrial Despitasary Despitasary Hajrawati Hajrawati Irwan Muryanto Irwandi Irwandi Isrin Isrin Jepisah, Doni Kamali Zaman Leonita, Emy Nopriadi Nopriadi Renaldi, Reno Suci Badriyana Zainal Abidin