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All Journal Indonesian Journal of Geography Media Penelitian dan Pengembangan Kesehatan Health Science Journal of Indonesia Jurnal Preventia Journal of Socioeconomics and Development Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Jurnal Ilmiah Kesehatan NERSMID: Jurnal Keperwatan dan Kebidanan Societas : Jurnal Ilmu Administrasi dan Sosial PREPOTIF : Jurnal Kesehatan Masyarakat Aspirasi : Jurnal Masalah-masalah Sosial Indian Journal of Forensic Medicine & Toxicology CENDEKIA : Jurnal Ilmu Pengetahuan Jurnal EduHealth Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Masyarakat Sehat Indonesia Health & Medical Sciences Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) JARSI Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Hartono, Risky Kusuma

Sekolah Tinggi Ilmu Kesehatan Indonesia Maju

Author-ID : 766012

Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Analisis Pola Layanan Kesehatan Rawat Jalan pada Tahun Pertama Implementasi Program Jaminan Kesehatan Nasional (JKN) Nugraheni, Wahyu Pudji; Hartono, Risky Kusuma
Media Penelitian dan Pengembangan Kesehatan Vol 27, No 1 (2017)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Outpatient treatment is one of the benefits guaranteed by the National Health Insurance (JKN) program. The main objective of JKN program is to increase public accessibility to health services that suits their needs. Utilization of outpatient services are getting better by all levels of society is an indicator to the ideal image of the JKN program. The purpose of this study was to determine the pattern of outpatient health care at health facilities (physician practices/clinics, public health center, public and private hospitals) in the first year implementation of JKN program. This study used secondary data to analyze the data of Indonesia Family Life Survey (IFLS) in 2014 as the first year of implementation JKN program. The data in this study using a descriptive analysis which was deeply reviewed.The results showed that in the span of one year of JKN program implementation, the age population who get access to outpatient health care at the most in the range 0-18 years, the people of the urban areas more access outpatient health services compared to rural residences, and the population in the range of quintile (rich economic status) as much as 26.73%. Health facilities are the most widely used for outpatient services is physician practice or clinic amounted to 4.55%. The results of this study can be used as an evidence-based evaluation of the improvement of health care access for the public to pay more attention to the economic status of poor and be a proactive improvement of access to health services for people in rural areas. Â Abstrak Pelayanan rawat jalan merupakan salah satu manfaat yang dijamin oleh program Jaminan Kesehatan Nasional (JKN). Tujuan utama program JKN adalah meningkatkan aksesibiltas masyarakat terhadap pelayanan kesehatan yang sesuai dengan kebutuhan. Pemanfaatan layanan rawat jalan yang semakin baik oleh semua lapisan masyarakat merupakan gambaran ideal dan indikator tercapainya program JKN. Tujuan penelitian ini adalah untuk mengetahui pola pelayanan kesehatan rawat jalan pada fasilitas kesehatan (dokter praktik/klinik, puskesmas, RS pemerintah, dan swasta) di tahun pertama implementasi program JKN. Penelitian ini menggunakan data sekunder dengan menganalisis data Indonesia Family Life Survey (IFLS) 2014 sebagai tahun pertama implementasi program JKN. Teknik analisis dalam penelitian ini menggunakan analisis deskriptif yang diulas secara mendalam. Hasil penelitian menunjukkan bahwa pada rentang satu tahun implementasi program JKN, usia penduduk yang melakukan akses ke pelayanan kesehatan rawat jalan paling banyak pada rentang usia 0â18 tahun,masyarakat daerah perkotaan lebih banyak mengakses pelayanan kesehatan rawat jalan dibandingkan dengan penduduk pedesaan, dan penduduk pada kisaran kuintil 5 (status ekonomi kaya) sebanyak 26,73%. Fasilitas kesehatan yang paling banyak digunakan untuk layanan rawat jalan adalah dokter praktik/klinik sebesar 4,55%. Hasil penelitian ini dapat digunakan sebagai evidence based evaluasi perbaikan akses pelayanan kesehatan untuk lebih memperhatikan masyarakat berstatus ekonomi miskin dan jemput bola peningkatan akses pelayanan kesehatan bagi masyarakat di daerah pedesaan.

The Experience of Health Services in Handling Covid-19 Pandemic in Nine Provinces of Indonesia Wahyu Pudji Nugraheni; Risky Kusuma Hartono; Hasbullah Thabrany
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17665

Background: Indonesia’s experience in handling the Covid-19 pandemic is essential to prepare for future pandemic.Aim: This research aims to know the experience of health services in handling Covid-19 pandemic in nine provinces of Indonesia.Methods: This research used qualitative and case study approach, with a total of 94 informants coming from all levels of health service agencies from nine provinces in Indonesia. The data collection process was carried out by in-depth interviews, and data analysis were done by means of triangulation of sources between informants.Results: Each province has a variety of local policies with the addition of varying amouns of the budget for handling Covid-19. In addition, the workload of health workers increased after the pandemic, and the availability of facilities, medicines, and single-usage medical materials were deemed inadequate in dealing with the Covid-19 pandemic.Discussions: Accounting for the use of funds for handling Covid-19 as well as increasing surveillance capacity needed to prepare for future pandemic in Indonesia.

The Risk of Non-Communicable Diseases after being Exposed to the Urban Flood; A Literature Review and Meta-Analysis Renny Nurhasana; Risky Kusuma Hartono
Indonesian Journal of Geography Vol 53, No 3 (2021): Indonesian Journal of Geography
Publisher : Faculty of Geography, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijg.65401

Background: Risk mapping for the various types of non-communicable diseases (NCDs), which lead to the cause of death due to the impact of the urban flood, is rarely conducted. The study aimed to conduct a Systematic Literature Review (SLR) and meta-analysis of the risk of various NCDs after the community experienced the urban flood disaster. Methods: The data was taken from PubMed, ScienceDirect, Taylor and Francis, and ProQuest from June 2010 to June 2020 by searching for the words of flood and NCDs that only occurred in urban areas. This study refers to the guideline that is widely used to conduct meta-analysis research, namely PRISMA. The procedure was started by searching, screening, and validating the original articles through meta-analysis using R Studio. Result: Twenty-six original articles were selected for SLR, and only two articles were not eligible for meta-analysis. Mental illness (0.53, 95% CI, 0.33-0.68), heart problems (0.39, 95% CI -0.11-0.73), and respiratory problems (0.53, 95% CI, 0.02-0.82) are the NCDs categories occurring after the community, predominantly female and the community aged >40 years, was exposed to the urban flood. This risk magnitude finding complements the previous studies that only did a literature review. The heterogeneous result (tau^2 p-value>0.05) and bias effects of publication (Egger test p-value>0.05) indicated that immediate assistance for victims is essential to prevent the onset of NCDs. Conclusion: Without early prevention and urban planning, the urban flood disaster can contribute to mental illness, heart problems, and respiratory problems.

[WITHDRAWN] The importance of increasing cigarette prices on National Health Insurance financing in Indonesia Renny Nurhasana; Risky Kusuma Hartono; Faizal Rahmanto Moeis; Suci Puspita Ratih
JOURNAL OF SOCIOECONOMICS AND DEVELOPMENT Vol 4, No 1 (2021): April
Publisher : Publisher of Widyagama University of Malang (UWG Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31328/jsed.v4i1.1739

Indonesia faces the combined challenges of a high prevalence of active smokers and an increased financial burden of smoking-related Non-Communicable Diseases (NCDs) on National Health Insurance (NHI). This study aims to assess the importance of increasing cigarette prices for NHI funding. It was a cross-sectional study conducted through a phone survey. The survey was administered to 1,000 respondents aged 18 and over from various telecommunications operators in Indonesia. We performed the multivariate analysis and the framework of the importance of increasing cigarette prices for funding NHI. The result shows that the majority of the public supports the increase of cigarette price for funding NHI except for active smokers at Odds Ratio=0.529. The importance of increasing cigarette prices for funding NHI is supported by society, able to reduce the prevalence of active smokers, and it raises the government’s tax income. With the current strong public support, cigarette prices should be increased which will then be tagged to fund the NHI consistently. This is also seen as a means to compensate the high NCD-related claims of the NHI which are caused by smoking behavior.JEL Classification H51; I13; I18

Kesiapan Kader Posyandu dalam Edukasi Program Jaminan Kesehatan Nasional kepada Masyarakat Risky Kusuma Hartono; Rahmat Supriyatna
Jurnal Ilmu Kesehatan Masyarakat Vol 8 No 04 (2019): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Target universal kepesertaan Jaminan Kesehatan Nasional (JKN) belum terpenuhi sedangkan kader posyandu belum banyak dilibatkan untuk membantu proses edukasi kepada masyarakat. Penelitian ini bertujuan untuk menganalisis kesiapan kader posyandu dalam melakukan kegiatan edukasi seputar program JKN kepada masyarakat. Jenis penelitian ini adalah kualitatif dengan pendekatan studi kasus. Informan penelitian yaitu kader posyandu. Analisis data dilakukan dengan mengulas hasil wawancara mendalam antar informan kader posyandu. Hasil penelitian menunjukkan bahwa edukasi terkait program JKN kepada masyarakat terbatas pada obrolan, di sela-sela kegiatan posyandu, diantara rapat RT dan pemanfaatan grup telekomunikasi. Dukungan yang diberikan dari Puskesmas masih terbatas dan kurangnya pelatihan informasi seputar program JKN kepada kader Posyandu. Penelitian ini menyimpulkan bahwa Belum ada kegiatan terencana, formal dan rutin yang diselenggarakan oleh kader untuk melakukan edukasi program JKN kepada masyarakat. Puskesmas bekerjasama dengan BPJS Kesehatan sebaiknya memberikan pelatihan rutin kepada kader posyandu mengenai informasi seputar program JKN agar edukasi yang disampaikan oleh kader kepada masyarakat semakin komprehensif.

Penurunan Produktivitas pada Pengguna Rokok Elektronik di Daerah Urban Risky Kusuma Hartono; Saiful Gurnadi
Jurnal Ilmiah Kesehatan Vol 20 No 2 (2021): Jurnal Ilmiah Kesehatan terbitan Agustus Volume 20 Nomor 02 Tahun 2021
Publisher : STIKIM Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikes.v20i2.1032

Jakarta sebagai salah satu pusat wilayah urban di Indonesia memiliki jumlah konsumen perokok elektronik terbanyak. Kelompok usia terbesar ada pada kelompok usia kerja. Tujuan dari penelitian untuk menganalisis penurunan produktivitas pada pengguna rokok elektronik kelompok usia produktif yang telah bekerja di wilayah urban (Jakarta). Jenis penelitian ini merupakan penelitian mix methods (kuantitatif dan kualitatif) yang dilakukan secara cross-sectional. Penelitian ini mendapatkan 44 sampel pengguna rokok elektronik. Karakteristik sampel penelitian ini sebagian besar bertempat tinggal di wilayah Jakarta Selatan, dengan sebagian besar jenis kelamin informan adalah laki-laki dengan beberapa responden perempuan dan pendidikan terakhir pada tingkat lulusan SMA. Hasil penelitian kualitatif menunjukkan bahwa perilaku merokok elektronik memiliki dampak negatif berupa keluhan terganggunya pekerjaan, peningkatan absensi kerja karena sakit, dan dampak yang disadari berupa penurunan kesehatan. Hasil penelitian kuantitatif menunjukkan bahwa perokok elektronik merasakan terganggunya pekerjaan karena sakit sebesar 56%, produk yang dihasilkan selama bekerja hanya sebesar 45%, dan merasakan terkena sariawan sebesar 31,8%. Penelitian ini menyimpulkan bahwa penurunan produktivitas kerja berpotensi terjadi pada pengguna rokok elektronik di daerah urban.

The Implications of The Covid-19 Pandemic on The Utilization and Catastrophic Costs of National Health Insurance Wahyu Pudji Nugraheni; Syarifah Nuraini; Risky Kusuma Hartono
Health Science Journal of Indonesia Vol 13 No 1 (2022): (In Press)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v13i1.6028

Background: The COVID-19 pandemic in Indonesia has significantly impacted the health care system and insurance schemes. Social distancing policies during the pandemic have led to changes in utilization in health facilities, especially those related to catastrophic diseases that cost a lot of money. This study aims to analyse the impact of the Covid-19 pandemic on the utilization and financing of catastrophic diseases in the National Health Insurance (NHI) program. Methods: The research design is quantitatively and qualitatively. The quantitative study analysed secondary data obtained from the Social Security Administrator for Health and the nat. This study also has qualitative data from in-depth interviews with government and private hospital informants, health economists, and social health insurance experts. Results: COVID-19 pandemic has impacted decreasing the utilization of National Health Insurance participants to health facilities and significantly affecting the financing of catastrophic diseases. Before pandemic, the disease with the highest claim fee was ischemic heart disease, and after the pandemic, the disease with the highest claim fee was chronic kidney disease. There is also a change in the ranking diseases pattern before and during the covid-19 pandemic. Conclusion: In the future, National Health Insurance financing needs to expand the scope of the benefits of preventive and promotive services, especially the prevention of catastrophic diseases, to reduce the burden of NHI claims. Health facilities provided by National Health Insurance providers need to prepare for better management of health services after the pandemic.

Policy Implementation of Health Coverage for Indonesian Migrant Workers Hartono, Risky Kusuma; Hidayat, Budi; Pujiyanto, Pujiyanto
Journal of Indonesian Health Policy and Administration Vol. 1, No. 2
Publisher : UI Scholars Hub

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

The purpose of this research is to analyze the policy implementation of health coverage for TKI. This research uses a qualitative method with in-depth interview. The framework of this research consists of the aspect of the advisable policy, the implementation factors, and the schematic representation of the problem by using SWOT. The result of this research is the health insurance owned by TKI comes from TKI insurance, the membership of JKN, and insurance during their employment abroad. TKI insurance policy is the instruction of Law No. 39 of 2004 which regulates the obligation of the ownership of the social security and or insurance policy for TKI. However, TKI insurance has not been involved with the social aspect because the agency commercializes the coverage of TKI and it is not included a social security. The change of consortium may have decreased the ratio of claim’s values to the annual premium which is attributable to the decreasing complaint cases from TKI. In the implementation, TKI insurance has been assisted by a lot of agencies. However, the bilateral cooperation related to the coordination of health coverage among countries has not been maximized. This research concludes that the coverage of health insurance for TKI is still lower (curative) and the government's attempt to integrate the social security for TKI is important. The researcher suggests the government should comprehensively implement the health coverage for TKI by incorporating the principle of promotion and prevention.

Pengaruh Pemberian Jus Mentimun Mix Air Kelapa Muda Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi di Posbindu Srikndi Rt.004/Rw.07 Kelurahan Lenteng Agung Tahun 2023 Julien A.Nifmaskossu; Risky Kusuma Hartono; Bambang Suryadi
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 3 No. 1 (2024): April : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v3i1.2806

With an unhealthy lifestyle such as having a smoking habit, irregular and unhealthy eating patterns will have an impact on hypertension or high blood pressure, which later on from the bad habits above will have further impacts, namely complications of heart disease, heart failure, stroke. , and damage to the kidneys. Problems that can cause an increase in blood pressure can be controlled or prevented by using cucumber and young coconut water.To determine the effect of giving cucumber juice mixed with young coconut water on reducing blood pressure in hypertensive patients. This type of research is in the form of an experiment with a Pre Test and Post Test With Control Group Design research design. The sample in this study was 50 respondents who were divided into two groups, namely 25 samples of treatment group respondents who were given 200 grams of cucumber juice mixed with young coconut water and 25 samples of control group respondents who were not given treatment. The statistical test used to determine the effect uses the T-test. The results of this study indicate that there was an influence on blood pressure in the treatment group given cucumber juice mixed with young coconut water in hypertension sufferers, namely that the results of statistical tests obtained an average value of pre-systolic blood pressure of 161.12 mmHg and an average value of post-systolic blood pressure. systolic blood pressure was 128.48 mmHg and the average value of pre-diastolic blood pressure was 91.16 mmHg and the average value of post-diastolic blood pressure was 80.00 mmHg. A p-value of 0.000 (< 0.05) for systolic blood pressure obtained a p-value of 0.000 (< 0.05) and diastolic blood pressure obtained a p-value of 0.000 (< 0.05). Due to the benefits of cucumber and young coconut water which are beneficial for lowering blood pressure. There is an effect of giving cucumber juice mixed with young coconut water on changes in systolic and diastolic blood pressure in the treatment group and can reduce blood pressure in patients suffering from hypertension aged 40 - 70 years at Posbindu Srikandi RT.004/RW.07 Kel. Lenteng Agung.

Sistem Keamanan dan Kerahasiaan Rekam Medis di Rumah Sakit Umum Daerah Pasar Minggu Tahun 2023 Daeli, Joverius; Ramadhani, Malihah; Hartono, Risky Kusuma
Health & Medical Sciences Vol. 1 No. 2 (2024): Februari
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v1i2.213

Untuk melindungi rekam medis pasien, ruang yang memenuhi kriteria keamanan dan kerahasiaan harus ditetapkan untuk penyimpanan rekam medis. Ruang penyimpanan rekam medis dapat dikatakan baik jika dapat mencegah bahaya yang dapat menimpa dokumen rekam medis, seperti kehilangan, kerusakan, atau bencana. Tujuan penelitian untuk mengetahui sistem keamanan dan kerahasiaan rekam medis di Rumah Sakit Umum Daerah Pasar Minggu. Dengan menggunakan desain penelitian observasional dan pendekatan kualitatif, penelitian deskriptif adalah metodologi penelitian yang digunakan. Instrument yang digunakan dalam penelitian ini menggunakan wawancara, observasi dan telaah dokumen. Hasil penelitian untuk keamanan rekam medis adalah penanganan kebakaran sudah terdapat APAR, fire smoke detector dan peringatan dilarang merokok. Sedangkan dalam penanganan kebanjiran posisi lemari lebih tinggi dari lantai dan sudah ada selokan untuk menampung air hujan. Menggunakan tinta yang seragam, jelas dan mudah dibaca. Kertas yang digunakan HVS A4 70 gram yang tidak mudah sobek. Map rekam medis terbuat dari bahan karton tebal dan sudah cukup kuat. Rak sudah roll o’pack yang terbuat dari besi sehingga tahan air, api dan panas, Menjaga kelembahan dan suhu secara berkala, dengan suhu berkisar antara 27oC dan kelembaban sebesar 56%. Untuk kerahasiaan rekam medis adalah terdapat peringatan di depan pintu masuk “Selain Petugas Rekam Medis Dilarang Masuk!”, Pintu ruangan rekam medis menggunakan finger print, hanya petugas rekam medis yang bisa membuka dan masuk kedalam ruangan. Seluruh petugas yang ada di rumah sakit disumpah untuk menjaga kerahasiaan informasi rekam medis baik itu informasi identitas pasien, diagnosis, riwayat penyakit, riwayat pemeriksaan maupun riwayat pengobatan.

Co-Authors Astrid Novita, Astrid Bambang Suryadi Budi Hidayat Chairil Huda Daeli, Joverius Desi Rini Astuti Eka Rokhmiati Wahyu Purnamasari Erlinda, Vivi Gus Faizal Rahmanto Moeis Gulo, Rivortus Famonaha Gunanti Khairunnisa Hafizurrachman Hafizurrachman Halma Zahro Mukhlida Hasbullah Thabrany Hasbullah Thabrany Hilma Hasro Maulida Hutapea, Evita Rosdiana Julien A.Nifmaskossu Kana, Merice Diana Novita Khairani Niska Khairunnisa, Gunanti Laksono Trisnantoro Lekatompessy, Ransta L LUKMAN, LUKMAN Mahdaniar, Allin Hendalin Malawat, Ipa Haryanti Mantrono, Margaretha Josephine Manzilah, Tasmiati Marbun, Julia Margaretha Josephine Mantrono Maulida, Hilma Hasro Meirawan, Rizky Fajar Muhammad Rifki El Muammary Mukhlida, Halma Zahro Muskita, Nevile Rymon Nugraheni, Wahyu Pudji Nugraheni, Wahyu Pudji Nurul Ainul Shifa Oci Etri Nursanty Pujiati, Purwani Pujiyanto Pujiyanto Purnamasari, Eka R W Rahmat Supriyatna Ramadhani, Malihah Ratih, Suci Puspita Renny Nurhasana Rindu Rindu Rindu, Rindu Rizky Fajar Meirawan Saiful Gurnadi Situmorang, Chazali Syarifah Nuraini Wahyu Pudji Nugraheni Wahyu Pudji Nugraheni Yulyati, Fitria Yunitasari Yunitasari, Yunitasari

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