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All Journal Jurnal Kesehatan Komunitas Science Midwifery
Ruliyandari , Rochana
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Dentistry Health Professions Nursing Public Health Veterinary

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Penilaian Keberhasilan Pos Upaya Kesehatan Kerja Wisata Hutan Pinus Mangunan, D.I. Yogyakarta Agustin, Helfi; Ruliyandari , Rochana; Ridwan Ansari, Muhammad; Kodriati, Nurul
Jurnal Kesehatan Komunitas Vol 10 No 3 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss3.2091

Abstract

Puskesmas Dlingo has initiated Basic Occupational Health Services (BOHS) in the Mangunan forest tourism village since 2019. To develop the BOHS, the program manager of the BOHS at the health centre is to carry out mentoring functions during the initiation of formation, coaching tasks after the UKK post is formed, and monitor and evaluate the implementation of the UKK post. Since its establishment, this UKK post has never been assessed for its activity. The purpose of this study was to assess BOHS in Mangunan forest tourism. This study is qualitative research with a case study approach. The informants consisted of nine people: the BOHS program manager and the head of the Puskesmas Dlingo, workers/cadres, the BOHS supervisor from the Bantul Regency Health Office, and the tourism manager.  All informants were selected purposively. Data were collected using in-depth interview methods and analyzed thematically. The components to assess are the number of cadres, integrated health service activities, promotive and preventive activities, BOHS facilities, recording and reporting, and revolving funds. The study found that all components indicate the BOHS is currently less active and tends to be inactive. Puskesmas policies are needed through budgets, necessary training in occupational health empowerment, and networking.
Analysis of hospital costs and insurance reimbursement systems for pneumonia patients: A literature review Pujokusuma, Nopriyan; Hidayat, Muhammad Syamsu; Ruliyandari , Rochana
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2225

Abstract

Pneumonia has remained one of the leading causes of global morbidity and mortality and has imposed a substantial clinical and financial burden on healthcare systems. The high cost of pneumonia care was influenced by disease severity, comorbidities, length of hospital stay, and the use of therapeutic and diagnostic interventions. The implementation of prospective payment systems, such as Diagnosis Related Groups (DRGs) and INA-CBG’s, aimed to improve cost efficiency; however, it often resulted in gaps between actual hospital costs and reimbursement tariffs. This literature review aimed to analyze hospital costs and insurance reimbursement systems for pneumonia patients. A Systematic Literature Review was conducted following PRISMA guidelines through searches of PubMed and Google Scholar for publications from 2020 to 2025. Eleven articles met the inclusion criteria and were analyzed narratively. The findings indicated that length of stay, clinical complexity, and the use of broad-spectrum antibiotics were the main determinants of high costs. Package-based payment systems improved efficiency but continued to face underfunding challenges. This study concluded that optimizing pneumonia cost management required clinical efficiency, accurate claims coding, and technological support to ensure hospital financial sustainability.
Co-Authors Amalia, Dian Riskha Helfi Agustin Hidayat, Muhammad Syamsu Kodriati, Nurul Muhammad Ridwan Ansari PUJOKUSUMA, NOPRIYAN Rosyidah Rosyidah, Rosyidah