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All Journal Jurnal Kesmas dan Gizi (JKG)
Balqis Wasliati
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Public Health

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ANALYSIS OF THE IMPLEMENTATION OF DENTAL AND ORAL HEALTH SERVICE STANDARDS FOR BPJS PARTICIPANTS AT THE BINJAI VILLAGE HEALTH CENTER IN 2022 Sabar Menanti; Balqis Wasliati; Rahmad Gurusinga
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): 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/jkg.v6i1.1774

Abstract

On January 1, 2014, the Indonesian government has implemented the BPJS health insurance program to ensure and support healthcare services. In the Binjai Village Health Center, the healthcare facilities (equipment and consumables) are not complete. For example, the dental unit is damaged or not functioning properly, the competence of dentists and dental nurses is not well coordinated, and there is a lack of communication patterns between healthcare personnel and patients. This research was conducted using a qualitative approach with eight informants. Data collection was done through observation and in-depth interviews. The results of the study indicate that the healthcare facilities in the dental and oral health department are not complete; dentists and dental nurses have professional licenses (SIK and SIP), but they need to be extended; the Binjai Village Health Center does not have specific standard operating procedures for the dental and oral health department; and the dental and oral health services for BPJS patients have not met expectations due to actions that have not been taken. It is highly expected that the Binjai Village Health Center promptly improves its healthcare facilities and conducts a registration of personnel with professional licenses (SIK and SIP). Program planning for the department should consider dental and oral health personnel participating in activities or training to update their knowledge in accordance with current developments.
Implementation Of Patient Safety Culture By Nurses Sri Rahayu Saragi; Balqis Wasliati; Ika Nur Saputri
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: 10.35451/4pn82x61

Abstract

Background: Patient safety in hospitals involves the participation of all health workers, especially nurses. Not only implemented by nurses, but also support from all parties involved either directly or indirectly towards the patient. Objective: This study aims to describe the implementation of patient safety culture at Wira Husada General Hospital. Research method: The research method uses qualitative descriptive. The subjects in the study consisted of main informants and triangulation informants. The main informant is 1 person from the hospital management, 5 technical implementers in the implementation of patient safety (IT 1-5). Then the triangulation informants are 3 patients (IT 6-8). Research results: Efforts made in the implementation of patient safety culture Based on Patient Identification at Wira Husada General Hospital have been running well. The implementation of a program policy will run smoothly when supported by the availability of resources, both human resources, facilities and financial resources (funds). However, on the contrary, if there is a lack of resources in a program policy, its implementation will tend to be ineffective. Conclusion: Efforts made in implementing patient safety culture Based on Effective Communication at Wira Husada General Hospital have been implemented well, the safety of High Alert drugs, based on the risk of infection, based on the risk of patient falls at Wira Husada General Hospital has been implemented well. Therefore, improvements are still needed from the Hospital to be able to optimize resources in services, especially human resources.
Factors Influencing Preparation for Integration of Primary Health Services in the Work Area of ​​the Asahan District Health Office Lumban Gaol, Nourma Yenthi; Balqis Wasliati; Ika Nur Saputri
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: 10.35451/6m7z6t05

Abstract

The Government of Indonesia is currently undertaking a health systemtransformation through the Integration of Primary Health Care Services (ILP) to improve access, quality, and efficiency of services at the Puskesmas (community health center) level. However, the readiness for ILP implementation still faces various challenges, particularly in the working area of the Asahan District Health Office. This study aims to analyze the factors influencing the readiness for ILP implementation in three Puskesmas in Asahan Regency: Puskesmas Rawang Pasar IV, Puskesmas Meranti, and Puskesmas Binjai Serbangan. This research used a quantitative approach with a cross-sectional design. A total of 105 respondents were selected using a stratified random sampling technique. Data were collected through questionnaires and analyzed using chi-square tests and logistic regression. Bivariate analysis showed that human resources (p=0.016).and digital information systems (p=0.004) significantly influenced ILP readiness. Meanwhile, facilities and medical equipment (p=1.000) and stakeholder involvement (p=0.495) did not have a significant effect. Multivariate analysis revealed that the digital information system was the most dominant factor (Exp(B)=6.893), followed by human resources (Exp(B)=3.888). Human resources and digital information systems significantly influence ILP readiness. Therefore, enhancing the competence of health personnel and strengthening digital information systems are strategic priorities to support the successful implementation of ILP at the Puskesmas level.
Analysis of Challenges and Barriers in the Implementation of Standard Inpatient Wards at Hospital Putra Harahap, Bahdi Mandala; Balqis Wasliati; Tati Murni Karo Karo
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/pwyksc03

Abstract

Background: RSU Wira Husada Kisaran faces challenges in implementing the Standard Inpatient Class (KRIS) in accordance with the applicable regulations. Despite planning efforts, obstacles such as the absence of a formal organizational structure, uneven distribution of medical personnel, and limited funding continue to hinder KRIS implementation. Research Objective: This study aims to analyze the current implementation of KRIS at RSU Wira Husada Kisaran, identify the existing obstacles, and explore policy alternatives to improve the incident reporting system for patient safety and the overall KRIS implementation.Research Method: This research employs a qualitative approach with Grounded Theory to uncover the factors that hinder KRIS implementation. Data was collected through interviews with hospital management, medical staff, and nursing personnel. To develop alternative policies, the study used the Analytical Hierarchy Process (AHP). Results: The results show that while the hospital has developed a KRIS plan, challenges such as uneven distribution of nurses, slow funding management, and the absence of a specific SOP for KRIS persist. The facilities and infrastructure meet most standards; however, maintenance and facility improvements still need to be enhanced. Conclusion:RSU Wira Husada Kisaran has taken steps to overcome these obstacles. However, strengthening the formal organizational structure, maintenance systems, and transparency in financial management are still necessary to improve the effectiveness of KRIS.
Co-Authors Ika Nur Saputri Lumban Gaol, Nourma Yenthi Putra Harahap, Bahdi Mandala Rahmad Gurusinga Sabar Menanti Sri Rahayu Saragi Tati Murni Karo Karo