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All Journal Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK)
Rahmad Gurusinga
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Health Professions Nursing Public Health

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Workload Analysis of Pharmacists at Tanjung Selamat General Hospital, Langkat, 2025 Nemas Adelina Lubis; Rahmad Gurusinga; Chandra Pranata
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/r470a461

Abstract

Pharmaceutical personnel play a crucial role in ensuring the quality of healthcare services in hospitals. A high workload, if not properly managed, can negatively affect performance, patient safety, and service quality. This study aims to analyze the workload of pharmacists at the Pharmacy Installation of Tanjung Selamat General Hospital, Langkat, focusing on four main variables: the type and number of tasks, limitations in human resources, duration and work shift patterns, and work adjustment strategies.This study employed a qualitative approach using a descriptive method. Data were collected through in-depth interviews with one key informant (Head of the Pharmacy Installation) and three triangulation informants (Pharmaceutical Technical Personnel and Pharmacy Assistants). Data analysis was conducted through data reduction, data presentation, and conclusion drawing.The results indicate that pharmacists and pharmaceutical personnel at Tanjung Selamat General Hospital handle various types of tasks, including administrative and non-clinical duties such as medical waste management. The limited number of staff leads to task overlap, uneven shift distribution, and an increased risk of work fatigue. The 24-hour shift system has not been optimally implemented due to the disproportionate distribution of personnel. Work adjustment strategies, such as task prioritization and teamwork, have been applied; however, they remain individual-based and are not yet supported by a structured managerial system.In conclusion, the workload of pharmaceutical personnel is considered high and complex. The hospital needs to increase staffing levels, evaluate the shift system, and strengthen supporting systems such as standard operating procedures (SOPs) and information technology. Adjustments in human resource management policies are essential to maintain work efficiency and the quality of pharmaceutical services
Comparison of the Implementation of the Role of the Family Assistance Team (TPK) in the Prevention and Reduction of Stunting in Pulau Simardan and Bunga Tanjung Villages, Datuk Bandar Timur District, Tanjungbalai City in 2024 Aisiyah Hasibuan; Rahmad Gurusinga; Ahmad Hafizullah Ritonga
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/z0j4pf03

Abstract

This study aims to compare the implementation of the role of the Family Assistance Team (TPK) in the prevention and reduction of stunting in Pulau Simardan and Bunga Tanjung Villages, and to identify the supporting and inhibiting factors in its implementation. The study employed a qualitative approach with a comparative phenomenological design. Data were collected through observation, document review, and in-depth interviews with 13 informants consisting of TPK cadres, target families, Family Planning Field Officers (PLKB), and neighborhood heads. Data were analyzed thematically and validated through source and method triangulation.The results indicate that TPK has carried out its mentoring functions routinely and systematically, including nutrition and health education, surveillance of at-risk families, facilitation of health service and social assistance referrals, psychosocial support, as well as recording and reporting through the Elsimil application. Home visits were conducted one to three times per month. Differences in regional characteristics influenced implementation strategies, where collective-based approaches were more effective in areas with strong social cohesion, while individual approaches were more suitable in areas with high population mobility. Supporting factors included basic training, the use of digital applications, and support from community leaders. The main obstacles were limited facilities and infrastructure, low incentives, and uneven digital literacy. This study recommends strengthening the technical and institutional capacity of TPK and integrating cross-sector coordination based on local data to enhance the effectiveness of stunting reduction acceleration programs.
Factors Associated with the Utilization of the National Health Insurance Mobile Information System Virta Filantropi Zebua; Rahmad Gurusinga; Barita Aritonang
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/43zrp107

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate participants in accessing various administrative services and information related to the National Health Insurance program, such as participant registration, updating membership data, and obtaining information on healthcare services at primary healthcare facilities and referral hospitals. Although the application was designed to improve access to healthcare services, its utilization among participants remains relatively low. This study aimed to analyze factors associated with the utilization of the Mobile JKN information system among National Health Insurance participants at Grandmed Hospital. This study used a quantitative approach with a cross-sectional design. The study population consisted of 100.040 National Health Insurance participants registered at Grandmed Hospital, and a sample of 100 respondents was determined using the Lemeshow formula. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using multiple logistic regression. The results show that the majority of respondents (60%) have not utilized the Mobile JKN application. Bivariate analysis shows significant associations between the utilization of Mobile JKN and system quality, information quality, service quality, frequency of use, and net benefits (p < 0.05). Multivariate analysis shows that information quality is the most dominant factor associated with the utilization of Mobile JKN after controlling for system quality and service quality. These findings indicate that improving the quality of information within the applicati on and strengthening outreach to participants are necessary to enhance the utilization of Mobile JKN and improve access to healthcare services.
Analysis of the Quality of Healthcare Services in the Emergency Department of Permata Hati Hospital, Asahan Regency, 2026 Dewi Ramayani; Rahmad Gurusinga; Sri Melda Br Bangun
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pys2xp97

Abstract

The Emergency Department (ED) is an essential unit within hospital services that plays a crucial role in handling patients experiencing emergency situations. The quality of care provided in the ED greatly influences patient safety, the satisfaction of patients’ families, and the overall reputation of the hospital. This study aimed to examine the quality of healthcare services in the Emergency Department of Permata Hati Hospital, Asahan Regency, in 2026 by applying the five SERVQUAL dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. This research used a quantitative method with a cross-sectional study design. The population consisted of family members who accompanied patients in the Emergency Department of Permata Hati Hospital during the research period. A sample of 97 respondents was obtained through probability sampling using an accidental sampling technique. Data collection was conducted using a structured questionnaire, and the data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis through logistic regression. The findings indicated that the majority of respondents considered the quality of healthcare services in the Emergency Department to be good. The bivariate analysis showed that reliability, responsiveness, assurance, and empathy were significantly associated with the quality of healthcare services, while the tangible dimension did not demonstrate a significant relationship. Furthermore, the multivariate analysis identified responsiveness as the most influential factor affecting the quality of healthcare services in the Emergency Department. In summary, the quality of healthcare services in the Emergency Department of Permata Hati Hospital is determined by several dimensions of service quality, particularly the responsiveness of healthcare professionals. Therefore, hospital management is encouraged to improve service responsiveness, strengthen effective communication, and foster empathetic attitudes among healthcare staff in order to continuously enhance the quality of emergency care services.
Promotion Mix Strategy to Increase Inpatient Visits at F.L. Tobing General Hospital, Sibolga in 2025 Afifah Aliyah, Ade; Rahmad Gurusinga; Sri Melda Bangun; Rahmadani Sitepu; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/m2crmb33

Abstract

The implementation of hospital promotion strategies through public relations and brand management at F.L. Tobing General Hospital, Sibolga, is influenced by various inhibiting and supporting factors. The main inhibiting factors include limited marketing budgets, a lack of competent human resources in public relations and brand management, suboptimal use of digital media, intense competition from more aggressive private hospitals, and weak promotional effectiveness evaluation mechanisms. Meanwhile, supporting factors include F.L. Tobing General Hospital's status as a government referral hospital, support from local government policies, opportunities for collaboration with various institutions, and increasing management awareness of the importance of promotion and strengthening brand image to increase hospital competitiveness. This study used a descriptive qualitative approach with triangulation of data sources within the F.L. Tobing General Hospital's work area, involving one key informant and 11 triangulation informants, and data collection techniques through observation, interviews, and documentation. The results showed that the advertising strategy was still dominated by internal media such as banners, posters, and brochures. Inpatient sales promotion is conducted through non-tariff promotions due to regulations, including simplified BPJS and insurance administration, service package information, and supporting facilities. Personal selling through empathetic interactions with healthcare workers, oriented toward patient-centered care, is the most influential strategy in building trust and inpatient care decisions. Direct digital marketing through WhatsApp and a reservation system supports rapid information access and increases patient satisfaction and loyalty. Public relations strategies play a crucial role in building image, encouraging positive word of mouth, and increasing inpatient visits. Continuous improvement of interpersonal communication skills, optimization of digital media, and contextual health education for patients' families are recommended.
The Influence of Emergency Service Management Policies on Response Time and Service Quality at RSUD Bangun Purba, Deli Serdang Regency, in 2026 Ariza, Rieska; Rahmad Gurusinga; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xgr2w111

Abstract

Emergency services represent the frontline of hospital care and require optimal response time and high-quality service delivery, with response time and service quality serving as key performance indicators. The achievement of these indicators is strongly influenced by the implementation of effective emergency service management policies. This study aimed to analyze the effect of emergency service management policies on response time and service quality at Bangun Purba Regional General Hospital, Deli Serdang Regency, in 2025. This study employed a quantitative analytical design, with the study population consisting of patients and/or patients’ families who received services at the Emergency Department of Bangun Purba Regional General Hospital. Data were collected through questionnaires and observation, and analyzed using univariate analysis to describe the distribution of study variables and bivariate analysis to examine the relationships between variables. The univariate analysis indicated that emergency service management policies were generally perceived as moderate to good, while response time performance had not fully met the minimum service standards. Bivariate analysis revealed a statistically significant relationship between emergency service management policies and response time (p < 0.05), as well as between management policies and service quality (p < 0.05). Response time was also significantly associated with service quality (p < 0.05), indicating that faster response time was associated with better perceived service quality. In conclusion, emergency service management policies play a crucial role in improving response time and service quality in the emergency department, highlighting the need for strengthened policy implementation, improved adherence to standard operating procedures, and continuous evaluation to enhance service quality and patient safety.
Analysis Of Response Time In The Comprehensive Emergency Obstetric Neonatal Care (PONEK) Unit At Sultan Sulaiman Regional General Hospital In 2026 Samsinar; Rahmad Gurusinga; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/fqm6vd64

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain significant challenges in Indonesian healthcare. The speed of medical intervention, or response time, in the PONEK unit is a critical factor in saving the lives of mothers and newborns. As a 24-hour PONEK service provider, Sultan Sulaiman Regional General Hospital must ensure that emergency response times meet established standards to prevent fatal complications. This study aims to analyze the implementation of response time in the Comprehensive Emergency Obstetric Neonatal Care (PONEK) unit at Sultan Sulaiman Regional General Hospital in 2025, examined through aspects of human resource availability, competence, shift distribution, and specialist coordination. This research employs a descriptive qualitative method. Data collection was conducted through in-depth interviews with key informants (ER doctors, PONEK midwives, nurses) and triangulation informants (Head of Medical Services, Head of PONEK). Data analysis was performed thematically to provide an in-depth overview of the supporting and inhibiting factors of response time. The study identified that response time is influenced by the availability of 24-hour on-call specialists, the number of team members on each shift, and the effectiveness of coordination between the ER and the PONEK unit. Identified obstacles include unbalanced workloads at certain times and the need for regular competency training updates for the PONEK team.
Co-Authors Abdi Lestari Sitepu Afifah Aliyah, Ade Aisiyah Hasibuan Andriana Saragih, Mona Anuhgera, Diah Evawanna Aritonang, Barita Ariza, Rieska Balqis Wasliati Bintang Kasih Manurung Chandra Pranata Dewi Ramayani Dian Anggriyanti Herlina Humayroh Iskandar Markus Iskandar Markus Sembiring Karokaro, Tati Murni Lastiurma Manurung Layari Tarigan Lubis, Basyariah Marihot Manurung, Togu Mif Zannah Mila Gustia Munthe, Novita Br Ginting Nemas Adelina Lubis Novita Br Ginting Rahmadani Sitepu Raisha Octavariny Rosita Ginting Rotua Sumihar Sitorus Sabar Menanti Samran, Samran Samsinar Sianturi, Laostiar Siregar, Tanti Alarma Sri Melda Bangun Sri Melda Br Bangun Sri Wulan Sri Wulan Virta Filantropi Zebua Yunita Sari