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Perspektif Pasien dan Manajemen tentang Mutu Pelayanan IGD Fachriza, Dicky; Aulia, Destanul; Rochadi, Kintoko
Jurnal Kesehatan Vol 10, No 1 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.574 KB) | DOI: 10.26630/jk.v10i1.1195

Abstract

The basic principle of a hospital is fulfilling the needs and demand of patients who hope that their health problems can be settled in a hospital. They expect ready, quick, responsive, and comfortable services. Patient satisfaction can be influenced by the health care quality of health care providers who sympathize, respect, and respond to their needs. The research used a qualitative method. The data were gathered by conducting participant observation, and in-depth interviews. The research subjects were 4 informants, IGD (emergency room) personnel and  IGD patients in Prima Inti Medika hospital. The result of the research, in the pre-service, showed that nurses’ response was quick, complaints were responded well, the process of inpatient and outpatient was good, nurses’ cooperation was good, and the personnel was accredited; but, the facility was inadequate and incentives were lower than the government’s standard. From the patients’ perspectives, it was found that pre-service was in accordance with SOP, the process of doctors’and pharmacy’s service was good, but nurses’ service and IGD facility were unsatisfactory, nurses’ cooperation was good, but their competence and quality were inadequate.
PENGARUH KARAKTERISTIK DAN PERSEPSI INDIVIDU TENTANG PERINGATAN BAHAYA MEROKOK PADA BUNGKUS ROKOK TERHADAP PERUBAHAN SIKAP PEROKOK AKTIF DI LINGKUNGAN XXVII KELURAHAN PEKAN LABUHAN KECAMATAN MEDAN LABUHAN Hutabarat, Eva Nirwana Natalia; Rochadi, R. Kintoko; Aulia, Destanul
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 1 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i1.1539

Abstract

Prevalensi merokok pada orang Indonesia sangat tinggi, terutama pada pria; mereka terdiri dari anak-anak, remaja, dan orang dewasa. Peraturan Pemerintah tentang Peringatan Kesehatan Bergambar (PHW) pada bungkus rokok berakhir untuk melindungi orang dan mengubah sikap mereka terhadap kebiasaan merokok dengan berhenti. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh karakteristik individu dan persepsi tentang peringatan bahaya merokok pada bungkus rokok pada perubahan sikap perokok aktif. Penelitian ini menggunakan metode survei analitik dengan desain cross sectional dilakukan di Lingkungan XXVII, Kelurahan Pekan Labuhan, Kecamatan Labuhan Medan. Populasi adalah 324 orang, dan 248 dari mereka digunakan sebagai sampel. Data dianalisis dengan menggunakan analisis univariat, analisis bivariat dengan uji chi square, dan analisis multivariat dengan analisis regresi logistik ganda. Hasil penelitian menunjukkan bahwa pendidikan, pengetahuan, dan persepsi tentang peringatan bahaya merokok di iklan memiliki pengaruh. tentang perubahan sikap perokok aktif (p <0,05) di Lingkungan XXVII, Kelurahan Pekan Labuhan, sedangkan usia, pekerjaan, dan kebiasaan merokok tidak (p> 0,05). variabel yang memiliki pengaruh paling dominan adalah variabel pendidikan. Perokok aktif yang memiliki pendidikan tinggi, pengetahuan yang baik, dan memiliki persepsi yang baik tentang peringatan akan bahaya merokok pada bungkus rokok dalam iklan memiliki peluang 57% untuk mengubah sikap mereka yang mengindikasikan bahwa sangat sulit untuk mengubah sikap perokok terhadap merokok karena sudah menjadi kebiasaan. Disarankan agar pemerintah, melalui Dinas Kesehatan, mengevaluasi iklan tentang peringatan bahaya merokok pada bungkus rokok karena banyak perokok tidak mengubah sikap mereka walaupun peringatan itu jelas terlihat dan dapat dimengerti. The prevalence of smoking in Indonesian people is very high, especially in males; they consist of children, adolescents, and adults. Government Regulation on Pictorial Health Warning (PHW) on cigarette packs is it ended to protect people and change their attitude toward smoking habit by quitting it. The purpose of this study was to analyze the influence of individual characteristics and perceptions about the warning of smoking hazard on cigarette packs on changing the attitude of active smokers. The research used analytic survey method with cross sectional design. It was conducted at Lingkungan XXVII, Kelurahan Pekan Labuhan, Medan Labuhan Subdistrict. The population was 324 people, and 248 of them were used as the samples. The data were analyzed by using univariate analysis, bivariate analysis with chi square test, and multivariate analysis with multiple logistic regression analysis.The result of the research showed that education, knowledge, and perception on warning for the danger of smoking in advertisements had the influence on the change in active smokers’ attitude (p<0.05) at Lingkungan XXVII, Kelurahan Pekan Labuhan, while age, occupation, and smoking habit did not (p>0.05). the variable which had the most dominant influence was the variable of education. Active smokers who had high education, good knowledge, and had good perception on the warning for the danger of smoking on cigarette packs in the advertisements had the oppurtunity of 57% to change their attitude which indicated it was very difficult  to change smokers’ attitude toward smoking since it has become a habit.It is recommended that the government, through the Health Agency, evaluate advertisements about warning for the danger of smoking on cigarette packs since many smokers do not change their attitude although the warning is clearly visible and understandable.
KUALITAS PELAYANAN ANC DAN PERILAKU IBU HAMIL DALAM MENCEGAH TERJADINYA BBLR DI RUMAH SAKIT UMUM CUT MEUTIA KABUPATEN ACEH UTARA TAHUN 2019 Andayani, Nelly; Asfriyati, Asfriyati; Aulia, Destanul
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 5: No. 2 (November, 2019)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.814 KB) | DOI: 10.29103/averrous.v5i2.2084

Abstract

Kejadian bayi lahir denganberat badan lahir rendah (BBLR) disebabkan oleh banyak faktordan masih sering terjadi serta menjadi masalah kesehatan reproduksi. Hal tersebut sebenarnya dapat dicegah melalui perilaku ibu selama masa kehamilan. Kualitas pelayanan ANC diduga menjadi faktor yang berhubungan dengan perilaku ibu hamil dalam pencegahan BBLR. Tujuan penelitian ini untuk menganalisis kualitas pelayanan ANC dan perilaku ibu hamil dalam pencegahan BBLR. Jenis penelitian ini survei analitik dengan desain cross sectional. Penelitian ini dilakukan di Rumah Sakit Umum Cut Meutia. Populasi dalam penelitian ini sebanyak 58 orang dan seluruhnya dijadikan sampel. Data yang digunakan adalah data primer dan data sekunder. Analisis data dilakukan dengan cara analisis univariat dan analisis bivariat dengan uji chi-squaredengan tingkat kepercayaan 95% (?=0,05). Hasil penelitian menunjukkan bahwa responden yang menyatakan kualitas pelayanan ANC baik (55,2%), menyatakan kurang baik (44,8%). Perilaku pencegahan BBLR pada bayi menunjukkan bahwa sebagian besar perilaku responden baik (60,3%), kurang baik (39,7%). Kualitas pelayanan ANC dengan perilaku ibu hamil dalam pencegahan BBLR pada bayi di Rumah Sakit Cut Meutia Kabupaten Aceh Utara, p = 0,000< 0,05. Disarankan kepada pihak Rumah Sakit Cut Meutia Kabupaten Aceh Utara membuat leaflet yang disebarkan kepada setiap ibu yang melakukan pemeriksaan kehamilan, atau membuat poster yang ditempel di dinding sehingga mudah dibaca oleh pengunjung (ibu hamil) tentang pencegahan BBLR.
The Analysis of Implementation of Specific and Sensitive Nutritional Intervention Programs in Reducing Stunting Toddler in Langkat District 2018 Purba, Risma Oktoria; Siagian, Albiner; Aulia, Destanul
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1220

Abstract

There are five districts with the highest stunting rate in North Sumatra and in Langkat district by 38.7 percent in 2017. This research looks at the analysis of the implementation of specific and sensitive nutrition intervention programs to reduce stunting rates in langkat. This research is a qualitative study with a phenomological design using purposive sampling method with 8 informants with the criteria of program implementers and field implementers and the community using CFIR tools to see the implementation of specific and sensitive nutrition intervention programs to reduce stunting in toddlers in Langkat. From the analysis of 31 CFIR constructs, there are 6 strong constructs of influence, where 4 constructs have a positive effect, namely the characteristics of the agency structure, pressure to change, self-confidence, program adoption and 2 constructs have a negative effect, namely external networks and external needs and incentives. There are 4 constructs that have a weak but very impactful effect where 3 constructs have a negative effect, namely the impact and desired change, the involvement of the leader and available resources and 1 construction has a positive effect, namely the level of individual change on the reduction of stunting rates in children under five in Langkat. However, improvements are needed in terms of cooperation between agencies, budgeting, additional special programs outside the specific and sensitive nutrition intervention program, the appointment of a special program leader and support for facilities, infrastructure and human resources for the implementation of the specific and sensitive nutrition intervention program in Langkat district.
HKBP HIV-AIDS Committee Balige Coordination with the Regional Government HIV-AIDS Handling Program in Toba Samosir Regency 2018 Tambunan, Martinus S; Aulia, Destanul; Rochadi, Kintoko
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 2 (2020): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i2.1003

Abstract

The increase in the number of HIV-AIDS cases in the last ten years from 2008 to 2017 in Toba Samosir Regency with an average HIV growth of ≥ 7% and AIDS growth of ≥ 31%, has to be handled by implementing a special program. The lack of coordination between HKBP AIDS Committee Balige and Regional Government has to be made since there is no similar opinion about HIV-AIDS, the government agencies which are joined in the Committee of Regional AIDS Handling are not focused on prioritizing HIV- AIDS problems, and coordination in planning has not been optimal so that the budget is limited. The objective of the research was to find out the coordination between HKBP AIDS Committee, Balige and the Regional Government in HIV-AIDS Handling program in Toba Samosir Regency. The research used qualitative method (phenomenology design) which was aimed to get information about the coordination in preventing and handling HIV-AIDS in Toba Samosir Regency, with 20 informants. The data were gathered by conducting in-depth interviews and documentary study and analyzed by using content analysis. The result of the research showed that coordination, involvement, and active participation of all agencies in the KPAD (Regional AIDS Handling Committee), the implementation of budget planning, and activity planning were inadequate. It is recommended that formal meetings be increased in order to develop communication and to create good coordination, either from budget planning or from the implementation of handling HIV-AIDS in Toba Samosir Regency. 
Analysis of Time and Frequency of Implementation of Non-Communicable Disease Integrated Guidance Posts in the New Normal Era in Binjai City Hartatik, Hartatik; Aulia, Destanul; Lubis, Rahayu
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 4 (2021): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i4.3520

Abstract

The purpose of this study was to determine and analyze of time and frequency of implementation of non-communicable disease integrated guidance posts in the new normal era in Binjai City. This type of research is an analytic survey with a cross sectional design. The total population in this study was 179,650 with a total sample of 174 respondents obtained by purposive sampling. This research instrument uses a questionnaire that is used in the form of a google form. The data obtained in this study were analyzed by conjoint analysis. Based on the results of research on the people of Binjai City, the attribute activities of the non-communicable disease integrated guidance posts in the new normal era in Binjai City, the most important thing is the time of the implementation of the non-communicable disease integrated guidance posts, then the attribute activities of the non-communicable disease integrated guidance posts which are not too important are the frequency implementation of the non-communicable disease integrated guidance posts.
Analisis Perbandingan Biaya Langsung (Direct Cost) dan Biaya Tidak Langsung (Indirect Cost) pada Pasien Stroke Di Rumah Sakit Aulia, Destanul; Ayu, Sri Fajar; Ritonga, Nefonafratilova
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stroke is divided into two categories, ischemic and hemorrhagic. Each year there are 15 million people around the world who suffer a stroke. Stroke treatment requires a high cost. The burden of heart disease and stroke from 2012 to 2030 reaches Rp. 1,7 trillion. This study aimed to analyze the comparison of direct and indirect costs of stroke patient in X hospital in 2017. The results showed that the number of ischemic stroke patients more than hemorrhagic stroke patients. The average cost of hemorrhagic stroke patients is greater at Rp 3,763,750 than the average cost of ischemic stroke patients. The total direct cost of stroke patients is Rp. 527,895,000 (54.7%) and the total indirect cost of Rp. 437,295,000 (45.3%). It is recommended that the public more actively to monitor health, blood pressure movements, and symptoms of stroke.
Analisis Upaya Rumah Sakit dalam Menutupi Kekurangan Biaya Klaim Indonesia Case Base Group (INA-CBGs) Yang Dihitung dengan Metode Activities Base Costing pada Rumah Sakit Swasta Kelas C di Kota Medan Tahun 2017 Aulia, Destanul; Ayu, Sri Fajar, Universitas Sumatera Utara
Jurnal Ekonomi Kesehatan Indonesia Vol. 1, No. 4
Publisher : UI Scholars Hub

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Abstract

Indonesia has developed the National Social Insurance System with the establishment of the National Health Insurance program and organized by BPJS Kesehatan. One of payment way of health services for the hospital in the era of JKN is Indonesian Case Base Group (INA-CBG’s), that is the payment of claims from BPJS to hospital on a package of services based on the packet of disease diagnosis and procedure.This study aims to analyze efforts by hospitals to cover the cost deficiency of INA CBG’s claims in Privat Hospital in Medan. This research type is descriptive with qualitative and quantitative. Qualitative is done by in-depth interview, and quantitative is done by calculating real cost and cost of INA-CBG’s claim and by Activity Based Cost method. The counting result with ABC system,The results showed that the efforts made by hospitals to cover INA-CBG’s claim cost deficits are utilizing the help of health professionals from students from private hospital schools / academies, length of service delivery, setting out service packages for general patients, and providing patient pickup facilities. Suggested to to the Hospital to evaluate the financial risks the hospital receives from services, practice student performance, and distribute the cost of INA CBG’s claims well in order to improve the quality of health services in accordance with the standards.
Needs assessment: occupational health effort post in the informal sector in Pakpak Bharat District, Indonesia Utami, Tri Niswati; Manik, Hubban Fathani; Acob, Joel Rey U; Aulia, Destanul; Sillehu, Sahrir
Journal of Community Empowerment for Health Vol 8, No 1 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86388

Abstract

Introduction: The majority of workers in the informal sector have not received occupational health services. This study aims to explore health issues and assess the community's need for Occupational Health Services within the group of farmers.Methods: The activities are categorized into three parts: 1) Self-Assessment Survey (ASA). Data collection for the Self-Assessment Survey (SAS) activity is conducted using a questionnaire instrument, with a total of 10 farmer respondents collected to answer the questionnaire consisting of 5 assessments: work environment, personal protective equipment and safety, work performance, farmer’s health, and workplace hazards. 2) Village Community Assembly. Data collection for the Village Community Assembly activity is done through a Focus Group Discussion (FGD) with 35 study participants determined using a purposive sampling technique. 3) Establishment of occupational health effort posts. The implementation of the establishment of occupational health effort posts is done through a joint assembly with the village community and a facilitator team. Data analysis is conducted descriptively based on a Needs assessment. Musculoskeletal complaints, inadequate pesticide use for health requirements, and insufficient use of personal protective equipment were found.Results: The components of a needs analysis are based on considerations such as problem gaps, resource availability, support, and funding. The establishment of occupational health effort posts provides an appropriate platform for farmers to become acquainted with, prevent, early detect, and improve workers' health.Conclusion: Healthcare personnel needs to continuously provide support and health services through enhancement, guidance, and training to the farming community so that they can prevent and improve their health.
Stunting Risk Factors For Children Aged 6 - 36 Months in The Region of Sambirejo Health Center, Langkat, North Sumatera Harahap, Juliandi; Amelia, Rina; Andayani, Lita Sri; Lubis, Nenni Dwi Aprianti; Aulia, Destanul
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 3 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i3.121

Abstract

Introduction: Stunting is a chronic malnutrition condition caused by a numeuros of factors, including inadequate maternal nutritional nutrition during pregnancy, inadequate exclusive breastfeeding, and infectious diseases. There are also some indirect factors .Objective: The objective of this study was to investigate the risk factors for stunting in children aged 6-36 months in the Sambirejo Health Center area. study. Method: This study is an observational analytic study using a cross-sectional approach that gathers data via a questionnaire. Sampling Techniques using the Non- Probability Sampling technique, and the sample size was estimated using the Lemeshow formula. The Prevalence Ratio (PR) was calculated to evaluate the strength of the link between the factors assumed to be linked with stunting. Result and Discussion: Of the 65 samples,  Four children were stunted, while 61 were not. Infants who were not exclusively breastfed, infants with a history of LBW, infants with a history of SBL, and family planning of 2 years both were risk factors for stunting in this study. Conclusions: Some variables in this study had no impact on the incidence of stunting. In this study, the risk factors for stunting were LBW, SBL, and infants without exclusive breastfeeding, and child spacing was a neutral factor for the occurrence of stunting in children aged 6-36 months.