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IDENTIFICATION OF MALARIA INCIDENCE IN LANGKAT REGENCY NORTH SUMATERA PROVINCE Rahmadani Sitepu; Irnawati Marsaulina; Nurmaini; Taufik Ashar
Muhammadiyah International Public Health and Medicine Proceeding Vol. 4 No. 1 (2024): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v4i1.641

Abstract

Malaria was transmitted through the bite of female Anopheles mosquitoes which is still a threat to global health including Indonesia which is a tropical country. This study aimed to identify the number of malaria cases in Langkat Regency, North Sumatera province. This research used a descriptive approach using secondary data on malaria at the North Sumatra Provincial Health Office and the Langkat District Health Office. Secondary data was viewed and identified based on the annual report on malaria incidence from 2016 to 2021. There were 125 cases of malaria in Langkat Regency in 2016. In 2017 a total of 93 cases of malaria were recorded with the highest cases in Kuala District (41.9%) and the lowest in Bahorok District (3.2%). There were 51 confirmed cases of malaria in 2018, with Kuala District having the greatest number of cases (54.9%) and the lowest in Padang Tualang District (2%). In 2019, there were 10 malaria cases with the highest cases in Kuala District (40%) and the lowest in Kutambaru District (10%). There were 26 cases of malaria reported in 2020, with Kutambaru District having the greatest percentage of infections (84.6%), and in 2021 Kutambaru District had a highest cases of malaria (91.2%) from 34 total cases. There was a decrease in the incidence of malaria from 2016 to 2019, but it increased again in 2020 and 2021. Serious attention is needed from all related parties, such as the Langkat Regency government, the North Sumatra Provincial Hhealth Office, or the Langkat Regency health office.
Analysis Of The Implementation Of The National Health Insurance Standard Inpatient Class Program (KRIS) At Grandmed Hospital Lubuk Pakam Br.Tarigan, Maria haryanti; Rahmadani Sitepu; Novita Br Ginting Munthe
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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/br4mxr60

Abstract

Background: The Standard Inpatient Class (KRIS) Program in the National Health Insurance (JKN) aims to ensure fair and equitable health services for all BPJS Kesehatan participants. The implementation of KRIS still requires readiness of facilities and infrastructure in accordance with the standards set by the government. In terms of planning. Objective: to analyze the implementation of the KRIS program carried out at Grandmed Lubuk Pakam Hospital. The type of research used is qualitative research with a case study approach that focuses on collecting information. Research method: The type of research used is qualitative research with a case study approach that focuses on collecting information. This research will be conducted at Grandmed Lubuk Pakam Hospital located on Jalan Raya Medan-Lubuk Pakam. The triangulation method used is method triangulation involving several key informants and triangulation. The results of this interview provide important insights that not only strengthen observational data, but also help formulate recommendations to improve the implementation of KRIS in hospitals. The informants in this study were the Head of Hospital, Staff, and patients at Grandmed Lubuk Pakam Hospital. The results of the study indicate that improvements are still needed in various lines to fulfill the implementation of KRIS so that patients get maximum service. Input components, including human resources, funds and infrastructure in the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program at Grandmed Lubuk Pakam Hospital have been provided, but staff qualifications according to their scientific fields are still not met. Nursing and professional qualifications are expected to fulfill the work section. Process components, including policies implemented, recording and reporting, monitoring, inspection and assessment of the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program at Grandmed Lubuk Pakam Hospital have been implemented and evaluated. Conclusion: there are still some that have not been implemented related to the timeliness of implementation. Output components, including the coverage figures for the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program have met health requirements. However, the monitoring commitment must still be maintained and improved.
Analysis of the Casemix Team Performance on the Quality of Health Services and Outpatient Patient Satisfaction at Grandmed Hospital in 2025 Anggi Kurnia Ningsih; Rahmadani Sitepu; Tati Murni Karo Karo
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: 10.35451/6mxgnr55

Abstract

The The implementation of the Casemix system through INA-CBG’s as part of the National Health Insurance (JKN) program requires hospitals to improve efficiency while maintaining service quality. The performance of the Casemix team plays a crucial role in ensuring coding accuracy, claim timeliness, and cost control. This study aimed to analyze the factors influencing the performance of the Casemix team and its relationship with service quality in the Outpatient Unit of RS Grandmed Lubuk Pakam in 2025.This research used a mixed methods approach with a sequential explanatory design. Quantitative data were collected from 93 JKN outpatient respondents selected using the Slovin formula and accidental sampling technique. Data were analyzed using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. Qualitative data were obtained through in-depth interviews with five key informants selected purposively and analyzed using thematic analysis.The results showed that most respondents rated human resources (62.4%), SIMRS-based Casemix system (65.6%), facilities and infrastructure (59.1%), financing (67.7%), service quality (64.5%), and Casemix team performance (63.4%) in the good category. Bivariate analysis indicated that all independent variables had a significant effect on Casemix team performance (p < 0.05). Multivariate analysis revealed that service quality was the most dominant factor influencing Casemix team performance (OR = 6.46; p = 0.000), followed by human resources (OR = 4.10; p = 0.002) and financing (OR = 3.44; p = 0.006). In conclusion, the success of Casemix implementation in the outpatient unit is influenced by a combination of human resources, information systems, financing mechanisms, and service quality. Strengthening human resource competence and improving service quality are key strategies to optimize Casemix team performance and enhance hospital service efficiency
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.
Analysis of Service Response Time in the Emergency Department (ED) of Grandmed Hospital Ayu Siti Chadijah Nasution; Rahmadani Sitepu; Novita Br Ginting Munthe
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/g94t8q49

Abstract

The Emergency Department (ED) serves as the frontline of hospital services and requires a rapid response time to ensure patient safety. This study aimed to analyze the service response time in the Emergency Department of Grandmed Hospital Lubuk Pakam in 2025, as well as the factors influencing it. This research employed a quantitative analytic observational method with a cross-sectional approach. The sample consisted of 97 respondents selected using a consecutive sampling technique from the population of ED patients in 2025. Data were obtained from medical records and hospital information systems and analyzed using univariate, bivariate, and multivariate methods. The results showed that triage category (p = 0.001), compliance with response time standards (p = 0.000), number of medical personnel (p = 0.003), availability of treatment rooms (p = 0.002), and patient arrival time (p = 0.004) had a significant effect on service response time. Multivariate analysis indicated that compliance with response time standards was the most dominant factor, with an odds ratio (OR) of 5.21 (95% CI: 2.10–12.95; p = 0.000).In conclusion, service response time is influenced by patient-related factors, human resources, infrastructure, and service management systems. Therefore, it is recommended to improve compliance with response time standards, optimize the number of medical personnel, and enhance ED management to improve service quality and patient safety.