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All Journal Jurnal Keperawatan Indonesian Journal of Hospital Administration Journal of Language and Health INDOGENIUS Indonesian Journal of Nursing and Health Sciences (IJNHS) Jurnal Kabar Masyarakat Asmara
Pangestika, Shafitri Nire
Universitas Muhammadiyah Gombong
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Nursing Public Health Social Sciences Other

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Patient Perceptions of the BPJS Health Patient Referral System at the Bayan Purworejo Community Health Center Nire Pangestika, Shafitri; Like Johana, Petricia; Nadia Sari, Lulu
INDOGENIUS Vol 4 No 1 (2025): INDOGENIUS
Publisher : Department of Publication of Inspirasi Elburhani Foundation Desa. Pamokolan, Kecamatan Cihaurbeuti, Kabupaten Ciamis, Provinsi Jawa Barat, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/igj.v4i1.730

Abstract

Background & Objective: Bayan Community Health Center, with a total of 156,868 referrals during the period of January to December and a total of 1,056,436 visits. This number has increased, whereas in 2022, the number of BPJS referral patients was only 53,065 with a total of 392,868 visits. To determine patients' perceptions of the implementation of the BPJS Health Patient Referral System at Bayan Community Health Center in Purworejo, an observational descriptive study was conducted. Method: A cross-sectional approach was used, and the data were analyzed quantitatively. Result: Patient perceptions regarding the BPJS referral system at the Bayan Health Center were categorized as high on the following indicators: ease of the referral process (average index of 68.1), satisfaction with referral services (average index of 67.8), effectiveness and appropriateness of referrals (average index of 67.3), and challenges in referral implementation in the moderate category with an average index of 61.8. Conclusion: Patients' perceptions of the BPJS referral system at the Bayan Community Health Center are high in terms of ease, satisfaction, and effectiveness of referrals. However, there are still obstacles in its implementation, which are in the moderate category.
Analisis Pengaruh Cost Awareness, Cost Monitoring, dan Cost Management terhadap Pengendalian Biaya Tindakan Bedah Orthopedi di Rumah Sakit Pangestika, Shafitri Nire; Supriyantoro, Supriyantoro; Pamungkas, Rhian Adi
Indonesian Journal of Nursing and Health Sciences Vol 5 No 2 (2024): Indonesian Journal of Nursing and Health Sciences: October 2024
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v5i2.5514

Abstract

Kenaikan selisih antara tarif rumah sakit dan tarif Ina CBG's untuk tindakan bedah orthopedi, yang berisiko menyebabkan kerugian rumah sakit akibat kenaikan biaya operasional jika tidak ada efisiensi pengendalian biaya. Tujuan penelitian ini untuk menganalisa pengaruh cost awareness, cost monitoring, dan cost management terhadap pengendalian biaya tindakan bedah orthopedi di rumah sakit. Metode penelitian menggunakan metode kombinasi (mixed method) dengan desain Sequential Explanatory, penelitian ini melibatkan wawancara mendalam dengan enam informan kunci dan survei terhadap 46 dokter bedah ortopedi. Data kualitatif dianalisis dengan analisa tema. Hasil penelitian didapatkan pada tahap I Hasil analisis kuantitatif menunjukkan pengaruh positif yang signifikan dari ketiga variabel independen terhadap pengendalian biaya, dengan nilai R² sebesar 0.811. Tahap II Temuan kualitatif mengungkapkan praktik-praktik efektif seperti rapat rutin antara manajemen dan dokter, standarisasi implant "joglo semar", dan evaluasi penggunaan bahan habis pakai. Penelitian ini menyimpulkan bahwa pendekatan holistik dalam pengendalian biaya, yang melibatkan kesadaran biaya, pemantauan aktif, dan manajemen yang efektif, sangat penting dalam mengoptimalkan efisiensi biaya tindakan bedah ortopedi. Kesimpulan dalam penelitian ini yaitu peningkatan edukasi finansial untuk tenaga medis, implementasi sistem informasi terintegrasi, dan penguatan kolaborasi antara manajemen dan staf medis dalam perencanaan dan pengendalian biaya perlu dilakukan untuk pengendalian biaya tindakan bedah orthopedi di rumah sakit.
Efektivitas Sistem Rujukan Berjenjang Jaminan Kesehatan Nasional pada Fasilitas Kesehatan Tingkat Pertama: Tinjauan Sistematis Aspek Manajerial dan Operasional Shafitri Nire Pangestika; Aidatul Mufidah; Riski Yudhi Prasongko
Journal of Language and Health Vol. 6 No. 4 (2025): Journal of Language and Health: December 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i4.1381

Abstract

Sistem rujukan berjenjang dalam program Jaminan Kesehatan Nasional merupakan komponen strategis dalam menjamin kontinuitas pelayanan kesehatan yang efektif dan efisien, khususnya pada Fasilitas Kesehatan Tingkat Pertama sebagai gerbang awal pelayanan. Dalam implementasinya masih ditemukan berbagai kendala baik dari sisi manajerial maupun operasional yang berpotensi mempengaruhi efektivitas sistem rujukan. Tujuan untuk menganalisis efektivitas sistem rujukan berjenjang Jaminan Kesehatan Nasional  pada Fasilitas Kesehatan Tingkat Pertama ditinjau dari aspek manajerial dan operasional melalui pendekatan tinjauan sistematis literatur. Penelitian ini menggunakan literature review dengan penelusuran artikel ilmiah yang relevan pada basis data nasional dan internasional, seperti Google Scholar, PubMed, ScienceDirect, Garuda (Garba Rujukan Digital) dan Portal jurnal nasional terakreditasi (SINTA) yang dipublikasikan dalam rentang waktu tahun 2010 sampai tahun 2020 dan didapatkan 13 artikel. Seleksi artikel dilakukan berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil seleksi didapatkan 6 artikel yang dianalisa. Analisis dilakukan secara deskriptif dan tematik. Tinjauan menunjukkan bahwa efektivitas sistem rujukan berjenjang di Fasilitas Kesehatan Tingkat Pertama dipengaruhi oleh faktor manajerial, meliputi perencanaan, kebijakan, ketersediaan sumber daya manusia, serta sistem informasi rujukan, dan faktor operasional yang mencakup kepatuhan terhadap alur rujukan, kelengkapan sarana prasarana, koordinasi antar fasilitas kesehatan, serta pemahaman peserta Jaminan Kesehatan Nasional  terhadap prosedur rujukan. Ketidakefisienan pada aspek tersebut berdampak pada tingginya rujukan yang tidak sesuai indikasi medis dan beban pelayanan di fasilitas kesehatan rujukan lanjutan. Sistem rujukan berjenjang Jaminan Kesehatan Nasional pada Fasilitas Kesehatan Tingkat Pertama belum berjalan optimal. Tingginya angka rujukan dipengaruhi oleh keterbatasan sumber daya manusia, ketidakoptimalan penerapan standar operasional prosedur, keterbatasan sarana prasarana dan obat-obatan, serta rujukan yang tidak sepenuhnya didasarkan pada indikasi medis.
Transformasi Digital Layanan Kesehatan Berbasis SIMRS dalam Meningkatkan Efisiensi dan Kualitas Pelayanan di Fasilitas Kesehatan: Systematic Literature Review Shafitri Nire Pangestika; Endah Setianingsih; Lazuardi Fatahillah; Aidatul Mufida; Eka Oktavia
Indonesian Journal of Hospital Administration Vol 9 No 1 (2026)
Publisher : Universitas Alma Ata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijhaa.2026.9(1).90-100

Abstract

Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) merupakan bentuk konkret transformasi digital di sektor kesehatan yang berpotensi meningkatkan efisiensi operasional dan kualitas pelayanan. Meskipun literatur nasional menunjukkan dampak positif, masih terdapat kesenjangan berupa minimnya sintesis kritis berbasis bukti yang membandingkan hasil dari berbagai konteks implementasi di Indonesia. Studi internasional mengenai Health Information Systems (HIS) telah mengidentifikasi bahwa keberhasilan implementasi sangat bergantung pada kesiapan sumber daya manusia, infrastruktur teknologi, dan dukungan organisasi dimensi yang belum dikaji secara komprehensif dalam konteks rumah sakit Indonesia. Mensintesis bukti dari literatur yang tersedia mengenai dampak implementasi SIMRS terhadap efisiensi operasional rumah sakit dan kualitas pelayanan kesehatan, serta mengidentifikasi faktor pendukung dan penghambat implementasinya. Systematic Literature Review (SLR) dilakukan menggunakan panduan pelaporan PRISMA 2020. Pencarian literatur dilakukan pada database Google Scholar, PubMed, ResearchGate, dan snowballing untuk periode 2019–2025. Penilaian kualitas studi menggunakan Mixed Methods Appraisal Tool (MMAT) dan CASP. Sintesis dilakukan secara naratif menggunakan thematic analysis. Dari 223 artikel yang teridentifikasi, sebanyak 16 memenuhi kriteria inklusi (5 studi empiris primer, 11 tinjauan literatur). Penilaian kualitas: 2 tinggi, 7 sedang, 7 rendah. Mayoritas (n=14) melaporkan dampak positif SIMRS terhadap efisiensi dan kualitas pelayanan, namun dengan kekuatan bukti yang bervariasi. Faktor penghambat utama: keterbatasan infrastruktur, rendahnya kompetensi digital SDM, dan lemahnya tata kelola. Implementasi SIMRS secara konsisten dikaitkan dengan peningkatan efisiensi operasional dan kualitas pelayanan, meskipun kekuatan bukti terbatas akibat dominasi studi deskriptif berbasis sumber non-terindeks. Diperlukan studi empiris primer dengan desain lebih ketat untuk mengonfirmasi hubungan ini secara kausal. Kata Kunci: Transformasi Digital; SIMRS; Sistem Informasi Rumah Sakit; Efisiensi Pelayanan; Kualitas Pelayanan.
PEMBERDAYAAN KADER KESEHATAN DALAM SOSIALISASI SISTEM RUJUKAN JKN DI PUSKESMAS GOMBONG Shafitri Nire Pangestika; Eka Oktavia
Aspirasi Masyarakat Vol 3 No 1 (2026): Maret
Publisher : ICON Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71154/1ty4c426

Abstract

The National Health Insurance Program aims to improve equitable access to health services through a tiered referral system. However, many people still do not understand the referral mechanism, so they often go directly to advanced health facilities without first visiting primary health facilities. This community service activity aims to increase public understanding of the National Health Insurance referral system and to strengthen the role of health cadres in delivering health information. The implementation method was carried out through health education activities for community members visiting the Bayan Community Health Center in Purworejo Regency. The activities were conducted using lectures, discussions, and question-and-answer sessions with simple, easy-to-understand language, supported by basic educational media. The participants totaled 50 people, consisting of housewives, fathers, pregnant women, adolescents, and parents of toddlers. The analysis technique was descriptive, based on evaluating participants’ understanding after the health education sessions. The results showed that participants were enthusiastic, and most were able to better understand the flow of the health service referral system. Around 95 percent of participants demonstrated improved comprehension of health service procedures and the correct referral steps. This activity indicates that direct health education through counseling can enhance community health literacy and support the proper utilization of health services in accordance with the applicable referral system.
Pendampingan Digitalisasi Arsip, Penataan Kelengkapan Dokumen dan Sosialisasi Pemasaran Produk BUMDes di Desa Rogodono, Kecamatan Buayan, Kabupaten Kebumen Tiyan Fatkhurrokhman; Shafitri Nire Pangestika; Riski yudhi Prasongko; , Hanni Rahma Junaedi; Rochmah Tri Alfiyah; Rasya Nabil Annafi
Jurnal Kabar Masyarakat Vol. 4 No. 2 (2026): Mei: JURNAL KABAR MASYARAKAT
Publisher : Institut Teknologi dan Bisnis Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jkb.v4i2.4743

Abstract

This community service program aims to assist Rogodono Village-Owned Enterprise (BUMDes) in Buayan District, Kebumen Regency, in digitalizing physical archives, organizing document completeness, and promoting its products through digital marketing. The background of this activity is the limited archiving system of BUMDes, which still relies on printed documents that are difficult to search, duplicate, and are vulnerable to damage, as well as the low utilization of digital media for product marketing. The method used includes a participatory approach through document identification, scanning and digital filing, document completeness verification, and marketing socialization training for the BUMDes management. The results show that all identified physical documents have been converted into digital format and systematically organized, the completeness of BUMDes legal and administrative documents has improved, and the management gained new knowledge and skills in promoting BUMDes products through digital platforms. This activity is expected to strengthen administrative order, data security, and product competitiveness of Rogodono BUMDes, and to serve as a model for similar community service activities in other villages.
Digitalization of National Health Insurance (JKN) claims and hospital operational efficiency in BPJS Kesehatan partner hospitals: A Systematic Literature Review with Conditional Meta-Analysis Shafitri Nire pangestika; Ernawati Ernawati; Rita Rahmawati; Lazuardi Fatahilah Hamdi; Cahyu Septiwi
Jurnal Keperawatan Vol. 17 No. 2 (2026): May
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v17i2.45167

Abstract

Introduction: Digitalization of National Health Insurance (JKN) claims is a major administrative health reform in Indonesia; since JKN's 2014 launch, transaction volumes have exceeded 1.37 million claims per day, straining conventional paper-based systems. No prior review has systematically synthesized digitalization's cumulative impact on operational efficiency in BPJS Kesehatan partner hospitals.Objectives: This study aimed to synthesize evidence on the relationship between JKN claim digitalization and hospital operational efficiency, and to estimate the pooled effect on claim cycle time where study homogeneity permits.Methods: A Systematic Literature Review using the PRISMA 2020 protocol searched five databases—PubMed/MEDLINE, Scopus, Web of Science, Google Scholar, and Garuda—for publications from January 2014 to December 2024. Quality was assessed using STROBE, CASP, MMAT, and AMSTAR 2, and a conditional random-effects meta-analysis targeted claim cycle time, the outcome with adequate homogeneity across studies.Results: From 438 records, 25 articles met the inclusion criteria, reporting six efficiency dimensions: claim cycle time, first-pass rejection rate, cash flow/days in accounts receivable, staff utilization, ICD coding accuracy, and administrative cost per claim. Meta-analysis of 11 homogeneous studies showed a pooled mean reduction in claim cycle time of 19.6 days (95% CI: 14.2–25.1) post-implementation, with high heterogeneity (I² = 78.4%).Conclusions: The integrated TAM-UTAUT-RBV framework explains this evidence: systems combining automated bridging with real-time validation outperform partial digitalization, with human resource competency and IT infrastructure as key contextual factors. Findings carry implications for future research and for BPJS Kesehatan, the Ministry of Health, and hospitals in prioritizing capacity-adjusted digitalization strategies.
Pengolahan Sampah Organik menjadi Pupuk Organik Cair (POC) sebagai Upaya Pemanfatan Limbah Organik di Desa Peniron Shafitri Nire Pangestika; Siti Mutoharoh; Dwiki Fitri; Fauzan Yoga Pratama; Dian Nur Pratiwi; Rahyuni Meylani Asmarayani; Zalfa Uniqha Salsabilla; Riska Tri Marlina Bisaroh; Angga Gilang Pambudi; Juanka Bagus Fathurrahman; Bimantaka Cahyo Yonanda; Khaleda Handy Widiastuti
Jurnal Kabar Masyarakat Vol. 4 No. 3 (2026): Agustus: JURNAL KABAR MASYARAKAT
Publisher : Institut Teknologi dan Bisnis Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jkb.v4i3.4899

Abstract

Household waste, particularly organic waste, remains an environmental problem that requires appropriate management and utilization. Organic waste generated from household activities has the potential to be reused as a useful product, one of which is through the production of liquid organic fertilizer (LOF). This community service activity aimed to introduce the utilization of household organic waste as a raw material for producing LOF to the community of Peniron Village. The activity began with observations and interviews to identify the existing conditions of household waste management in Peniron Village. This was followed by education on organic waste management and a demonstration of LOF production, followed by post-activity monitoring to determine the utilization of the LOF produced. The educational and demonstration activities introduced an alternative method of utilizing household organic waste to produce LOF, as well as the use of organic materials available in the surrounding environment. The monitoring results showed that the LOF produced was still being utilized by the community after the activity. The findings indicated that some community members continued producing LOF independently after the activity by utilizing household organic waste. The resulting LOF was then used for watering plants. These findings indicate that the utilization of organic waste continued to be practiced by the community after the community service activity. This activity can serve as an alternative approach to introducing simple household organic waste management by utilizing materials readily available in the surrounding environment.
Co-Authors , Hanni Rahma Junaedi Aidatul Mufida Aidatul Mufidah Angga Gilang Pambudi Bimantaka Cahyo Yonanda Cahyu Septiwi Dian Nur Pratiwi Dwiki Fitri Eka Oktavia Endah Setianingsih Ernawati Ernawati Fauzan Yoga Pratama Juanka Bagus Fathurrahman Khaleda Handy Widiastuti Lazuardi Fatahilah Hamdi Lazuardi Fatahillah Like Johana, Petricia Nadia Sari, Lulu Pamungkas, Rhian Adi Rahyuni Meylani Asmarayani Rasya Nabil Annafi Riska Tri Marlina Bisaroh Riski Yudhi Prasongko Rita Rahmawati Rochmah Tri Alfiyah Siti Mutoharoh Supriyantoro Supriyantoro Tiyan Fatkhurrokhman Zalfa Uniqha Salsabilla