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Health insurance service model on the basis of patient-centered care: a scoping review Imron, Moh Ali; Astuti, Andari Wuri; Faidullah, Hilmi Zadah; Wantonoro; Fatimah, Siti; Manurung, Khaterina Kristina; Febriyanti, Maya; Siregar, Dedy Revelino; Baros, Wan Aisyah
Journal of Health Technology Assessment in Midwifery Vol. 7 No. 1 (2024): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.3607

Abstract

Health insurance provides access to every color of the country to get access to health services in the form of promotive, preventive, curative, and rehabilitative efforts at affordable costs. Integrated health services that focus on patient needs (patient-centered care) will increase the active role of families and communities in making decisions related to health services to be provided and are often associated with health financing and insurance used. This Scoping review aims to explore and map the scientific evidence related to the health insurance model in patient-centered care-based health services. This study uses Arkshey & O'Malley Framework and PRISMA-ScR Checklist. In the identification of articles used using PubMed, EBSCO, ProQuest, Wiley Online Library, and Grey supporting literature such as Google Scholar and appropriate databases. The article inclusion criteria used in the search are primary articles in 2012-2022, articles from relevant Gray literature and databases, scientific articles in English and/ or Indonesian, and scientific articles that focus on the health care insurance model and patient-centered care-based health services. While the exclusion criteria used are articles in the form of guidelines, standard operating procedures, opinion papers, reviews, commentaries, research articles that do not use English and Indonesian, and research articles that focus on medicine-centered care are not included in this review. The keywords used are patient-centered care and health insurance. Assessment of Article quality using the Critical Appraisal Skills Program (CASP) and Joanna Bridge Institute Tools (JBI). A total of 6,388 articles were selected and 14 articles were reviewed. Research articles were reviewed from 8 countries with 12 articles using quantitative research design and 2 articles using qualitative research design. From the review article, the author identified 2 main themes, namely the use of health insurance and the application of patient-centered care. Patient satisfaction among Health Insurance users is higher than patients who do not use health insurance because health insurance provides financial protection for health services. The use of health insurance based on patient-centered care is expected to provide positive benefits to health services such as improving patient healing, reducing unnecessary actions/ care, and reducing the length of hospital treatment so that it is expected to reduce the financing made by patients and health insurance used.
Differences in the Effect of Ankle Pumping and Kinesio Taping on Pitting Oedema in Hypertensive Patients Juwita, Ade Lina; Wardhani, Riska Risty; Faidullah, Hilmi Zadah
FISIO MU: Physiotherapy Evidences Vol. 6 No. 2 (2025): Integrating Local Wisdom into Sustainable Physiotherapy Practices
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v6i2.8935

Abstract

Introduction: Hypertension is the first cause of death in the world and the fifth leading cause of death in Indonesia. The Special Region of Yogyakarta (DIY) ranks as the fourth province with the highest prevalence of hypertension. A consistent increase in blood pressure is known as hypertension. One method of controlling hypertension is the consumption of amlodipine, a drug that increases capillary hydrostatic pressure and functions as an antihypertensive agent. This study aims to determine the difference in the effect of ankle pumping and kinesio taping on piting oedema in hypertensive patients. Methods: This study is a quasi-experimental study with a pretest and posttest two group design. This study compares the treatment groups given ankle pumping and kinesio taping. Before treatment, both sample groups measured pitting oedema using a modified oedema ruler. Sampling in this study used purposive sampling technique. The data processing method in this study was descriptive analysis on age, body mass index (BMI), and pre and post pitting oedema values. Normality test using sahiro wilk test, hypothesis testing to test the difference between two groups using wilcoxon signed-ranks test and mann whitney test. Results: The results of pre and post values in groups 1 and 2 showed changes from degrees II and III down to degrees I and II. The sig value of p= 0.000 in ankle pumping exercises which means it can reduce piting oedema, for a p value = 0.083 which means that in the installation of kinesio taping there is no decrease in piting oedema. Conclusion: There is a difference in the effect of ankle pumping and kinesio taping on piting oedema in hypertensive patients.
Latihan Dual Task Berbasis Permainan Terhadap Kualitas Hidup dan Aktivitas Fisik Warga Binaan Pemasyarakatan Lansia Bella, Alfia Nor; Faidullah, Hilmi Zadah; Imron, Moh. Ali
Jurnal Impresi Indonesia Vol. 5 No. 1 (2026): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v5i1.7429

Abstract

Pemenjaraan pada usia lanjut menimbulkan dampak kompleks terhadap kesejahteraan fisik, mental, dan sosial yang berpotensi menurunkan kualitas hidup serta aktivitas fisik Warga Binaan Pemasyarakatan (WBP) lansia. Penelitian ini bertujuan untuk mengevaluasi penerapan Cognitive Motor Dual Task (CMDT) berbasis Exercise Game Therapy (EGT) terhadap kualitas hidup dan aktivitas fisik WBP lansia di Lapas Kelas IIB Sleman. Penelitian menggunakan desain intervensi one-group pre–post test yang melibatkan 12 WBP lansia laki-laki. Intervensi CMDT berbasis EGT dilaksanakan selama delapan minggu. Kualitas hidup diukur menggunakan Short From-36 (SF-36), sedangkan aktivitas fisik diukur menggunakan Physical Activity Scale for the Elderly (PASE). Analisis data dilakukan menggunakan paired t-test dan Wilcoxon Signed Rank Test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan peningkatan skor pada seluruh domain SF-36 setelah intervensi, dengan peningkatan terbesar pada fungsi sosial, vitalitas, dan peran emosional. Persepsi perubahan kondisi kesehatan berdasarkan item Health Transition juga menunjukkan kecenderungan perbaikan. Selain itu, skor aktivitas fisik berdasarkan PASE meningkat secara bermakna setelah intervensi (p < 0,05). Temuan ini menunjukkan bahwa CMDT berbasis EGT berpotensi menjadi pendekatan yang efektif, aplikatif, dan berkelanjutan untuk meningkatkan kualitas hidup dan aktivitas fisik lansia di lingkungan pemasyarakatan.
Inovasi Cognitive Motor Dual Task Berbasis Exercise Game Therapy Untuk Peningkatan Kualitas Hidup dan Kognitif Lansia di Lapas Na’ima Adawiyah Rahmatullah, Putri; Faidullah, Hilmi Zadah; Arifin, Asyhara Naela
Jurnal Impresi Indonesia Vol. 5 No. 1 (2026): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v5i1.7482

Abstract

Peningkatan populasi lansia, termasuk di lembaga pemasyarakatan, menimbulkan tantangan serius terhadap kualitas hidup, fungsi kognitif, dan kesejahteraan psikososial. Warga Binaan Pemasyarakatan (WBP) lansia menghadapi keterbatasan aktivitas fisik, ruang gerak, serta interaksi sosial yang berpotensi mempercepat penurunan fungsi fisik dan kognitif. Program ini bertujuan untuk meningkatkan kualitas hidup dan fungsi kognitif WBP lansia melalui penerapan inovasi Exercise Game Therapy berbasis Cognitive Motor Dual Task (CMDT) di Lapas Kelas IIB Sleman. Metode pelaksanaan meliputi observasi dan Focus Group Discussion (FGD), sosialisasi program, pemeriksaan awal, pelaksanaan intervensi, serta evaluasi program. Intervensi dilakukan melalui tiga komponen utama, yaitu Apik Raga, Apik Rasa, dan Apik Rengkuh, yang mengintegrasikan latihan fisik, stimulasi kognitif, dan interaksi sosial secara bertahap dan menyenangkan. Evaluasi menggunakan instrumen SF-36 untuk kualitas hidup, Mini Mental State Examination (MMSE) untuk fungsi kognitif, serta pemeriksaan tanda vital. Hasil menunjukkan adanya peningkatan signifikan pada skor kualitas hidup, khususnya pada aspek fungsi fisik, kesejahteraan emosional, dan fungsi sosial, serta perbaikan fungsi kognitif dan kesejahteraan psikologis WBP lansia. Program ini terbukti efektif, aplikatif, dan berpotensi berkelanjutan sebagai model intervensi kesehatan lansia di lingkungan pemasyarakatan.