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All Journal Medical and Health Science Journal Jurnal Kesehatan Tambusai PELS (Procedia of Engineering and Life Science)
Pangestuti, Ayu
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Computer Science & IT Control & Systems Engineering Dentistry Electrical & Electronics Engineering Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Health Care Access and Equity Among Migrants: A Literature Review Nur, Zilvi Fuadiyah; Suryadarma, Antonius Yansen; Mengistu, Assaye Girma; Pangestuti, Ayu; Ariza, Nahya Rahmatul; Mahmudiono, Trias
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.4272

Abstract

Background: Health inequality often occurs among disadvantaged population groups, including migrants. Currently, the migrant population does not always receive adequate health services. In addition, the health care system is not optimized for migrants, especially in terms of language, access, genomic data and the expertise of medical personnel. The health condition of these migrants is a global problem that needs attention if countries want to meet the Sustainable Development Goals (SDGs) targets by 2030. Purpose: to map the latest existing research on the topic of migrant health, both qualitative and quantitative. Methods: narrative literature review and literature search were carried out using an electronic database with the automatic selection feature used in the electronic database according to the specified inclusion criteria. Results: Obtained an overview of inequality in [1] access to health services for migrants in general, [2] utilization of health services and health-seeking behavior, [3] health literacy, [4] health services related to the COVID-19 pandemic, and [5] maternal and child health services. All authors agree on this division of groups. Conclusion: Migrants who do not have documents or are illegal, skin color (black migrants) who migrate to western countries, languages ​​that are not the same, and do not understand their own health conditions due to lack of health education due to language barriers, these factors are obstacles for migrants to achieve equality in countries where migrants have migrated.
Analysis of the Accuracy of Diagnosis and Action Codification with Reconfirmation of BPJS Inpatient Patient Claims for the January-April Period of 2024 at SLG Kediri Hospital: Analisis Keakuratan Kodifikasi Diagnosis dan Tindakan dengan Konfirmasi Ulang Klaim Pasien BPJS Rawat Inap Periode Bulan Januari-April Tahun 2024 di RSUD SLG Kediri Puspitasari, Syndia; Hidayat, Andra Dwitama; Pangestuti, Ayu
Procedia of Engineering and Life Science Vol. 7 (2025): Prosiding Seminar Nasional dan Rakernas PORMIKI X
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/pels.v7i0.2095

Abstract

The accuracy of the coding of diagnoses and procedures is determined based on the completeness of the medical record documents. A dispute case or dispute claim is a claim submitted by a hospital that is declared Dispute by BPJS Health if there is a discrepancy or disagreement between BPJS and the hospital regarding claims involving services or clinical actions that impact payment of patient claims. Accurate disease and procedure coding is very important to support the smooth submission of health service claims health service cost claims. The purpose of this study was to analyze the accuracy of coding diagnoses and actions with reconfirmation of claims for inpatient BPJS patients for the period January-April 2024. The research method used is a case study approach. Techniques data collection techniques in the form of observation, literature study and interviews. The population in this study is the number of BPJS patient claim files returned in January-April 2024. The sample used in this study is the number of BPJS inpatient claim files that are returned with coding inaccuracies in January-April 2024. The research results show that from January to April 2024, reconfirmation of inpatient BPJS patients tends to fluctuate. The highest reconfirmation was in April with a total of 89 documents. Meanwhile, reconfirmation with the highest codification inaccuracy was in January with a total of 26 documents. This reconfirmation is sent in Excel form which must be confirmed by the hospital. From the results of the research conducted, the cause of re-confirmation of inpatient BPJS patients related to coding inaccuracies is still high. Accurate coding can minimize hospital losses and the risk of fraud in health service facilities.
PENERAPAN METODE CLASSIFICATION AND REGRESSION TREE (CART) DALAM KLASIFIKASI STROKE DI RS X Pangestuti, ayu; Indawati, Rachmah; Indriani, Diah
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.41257

Abstract

Metode klasifikasi, baik parametrik maupun non-parametrik, sering digunakan dalam penelitian untuk mengelompokkan data secara sistematis. Namun metode parametrik memiliki keterbatasan seperti pemenuhan asumsi dan penyederhanaan interpretasi. Metode non-parametrik, meskipun lebih mudah diinterpretasikan. Prevalensi stroke di Indonesia meningkat, dengan data rekam medis pasien stroke menunjukkan pentingnya penerapan metode klasifikasi dalam memahami dan mengelola risiko stroke untuk penanganan yang lebih cepat dan tepat. Penelitian ini menggunakan data rekam medis pasien stroke yang dirawat inap di RS X dan mengaplikasikan metode CART untuk klasifikasi faktor risiko dengan jumlah 480 kasus stroke pertama kali dengan 14 variabel prediktor. Metode yang digunakan dalam analisis menggunakan Classification and Regression Tree (CART). Tahapan analisis CART meliputi pembentukan pohon klasifikasi maksimal, pemilahan variabel prediktor, perhitungan keberagaman data, pemilahan simpul berdasarkan indeks gini, dan pemangkasan pohon untuk mendapatkan pohon optimal. Setelah dilakukan analisis, maka dapat dihitung akurasi, sensitivity, specivity, APER, dan presisi dalam metode yang dihasilkan CART. Berdasarkan hasil analisis, dapat diketahui bahwa ada 8 variabel yang penting, yaitu GCS UGD, gejala klinis muntah, tekanan darah sistolik rawat inap, riwayat diabetes mellitus, tekanan darah diastolik rawat inap, GDA dan kolesterol total. Hasil prediksi untuk metode CART pada akurasi sebesar 81%, sensitivity 82%, specivity 75%, APER 19%, dan presisi 95%. Simpulan dari penelitian ini menunjukkan metode CART efektif dalam klasifikasi faktor risiko stroke dengan akurasi 81%. Delapan variabel utama telah diidentifikasi, menunjukkan pentingnya penerapan metode klasifikasi untuk memahami dan mengelola risiko stroke guna meningkatkan efektivitas penanganan pasien.
HUBUNGAN KARAKTERISTIK INDIVIDU DAN TINGKAT PENGETAHUAN TERHADAP PENGGUNAAN ALAT PELINDUNG DIRI DI RUANG RAWAT INAP RUMAH SAKIT X KEDIRI Zuliana, Nimatu; Cahyani, Rosita Gita; Pangestuti, Ayu
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.47174

Abstract

Pendahuluan : Rumah sakit merupakan tempat dengan risiko tinggi kecelakaan kerja dan infeksi, terutama bagi perawat yang paling banyak terlibat langsung dalam pelayanan pasien. Data dari International Labour Organization (ILO) menunjukkan tingginya angka kematian dan penyakit akibat kerja secara global, termasuk di sektor kesehatan yang memiliki risiko kecelakaan kerja 41% lebih tinggi dibandingkan industri lain, dengan perawat sebagai kelompok tenaga kesehatan yang paling rentan mengalami cedera seperti tertusuk jarum dan terpeleset. Penelitian ini bertujuan menganalisis hubungan tingkat pengetahuan dan sikap perawat terhadap penggunaan APD di ruang rawat inap Rumah Sakit X. Kediri sebagai upaya meningkatkan keselamatan kerja dan pencegahan infeksi. Metode : Penelitian kuantitatif dengan desain cross sectional. Populasi sebanyak 50 orang dan sampel yang digunakan adalah keseluruhan populasi dengan menggunakan total sampling. Pengumpulan data menggunakan kuesioner dan observasi, analisis menggunakan uji chi square. Hasil : Tidak adanya hubungan antara karakteristik individu terhadap penggunaan APD di ruang rawat inap dengan nilai p-value usia 0, 223, p-value pendidikan 0,460 dan p-value masa kerja 0,451. Terdapat hubungan sikap perawat terhadap penggunaan APD di ruang rawat inap dengan nilai p-value 0,016. Simpulan : Sikap perawat di ruang rawat inap RS X. Kediri berhubungan signifikan dengan penggunaan Alat Pelindung Diri (APD) dan mayoritas perawat memiliki sikap baik dan menggunakan APD secara tepat.
Co-Authors Antonius Yansen Suryadarma Ariza, Nahya Rahmatul Cahyani, Rosita Gita Diah Indriani Hidayat, Andra Dwitama Mengistu, Assaye Girma Nur, Zilvi Fuadiyah Puspitasari, Syndia Rachmah Indawati Trias Mahmudiono Zuliana, Nimatu