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All Journal Jurnal Kesehatan Komunitas Jurnal SOLMA Jurnal Epidemiologi Kesehatan Komunitas Jurnal Kreativitas PKM PREPOTIF : Jurnal Kesehatan Masyarakat An-Nadaa: Jurnal Kesehatan Masyarakat JUMANTIK: Jurnal Mahasiswa dan Peneliti Kesehatan Jurnal Promotif Preventif Gemakes: Jurnal Pengabdian Kepada Masyarakat JUMANTIK (Scientific Journal of Health research) Borneo Community Health Sevice Journal Gaster Jurnal Inovasi Pengabdian dan Pemberdayaan Masyarakat GEMASSIKA: Jurnal Pengabdian kepada Masyarakat Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal)
Siti Halimatul Munawarah
Fakultas Kesehatan Masyarakat Universitas Sriwijaya
Humanities Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Sumber Daya Terhadap Pencapaian Indikator Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (KBPKP) di Puskesmas Kota Palembang Siti Halimatul Munawarah; M. Misnaniarti; I. Isnurhadi
Gaster Vol 18 No 1 (2020): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (681.021 KB) | DOI: 10.30787/gaster.v18i1.415

Abstract

Pencapaian target indikator Kapitasi Berbasis Pemenuhan Komitmen Pelayanan (KBPKP) di Puskesmas Kota Palembang dinilai belum optimal karena sebagian besar Puskesmas belum menerima pembayaran kapitasi 100% karena tidak dapat memenuhi ketiga indikator komitmen layanan. Sebanyak 63% Puskesmas tidak memenuhi indikator Angka Kontak; 44% Puskesmas tidak memenuhi indikator Rasio Peserta Prolanis Rutin Berkunjung dan 5% Puskesmas tidak memenuhi indikator Rasio Rujukan Non Spesialistik. Tujuan penelitian ini untuk menganalisis Faktor Pencapaian Indikator KBPKP di Puskesmas Kota Palembang. Desain penelitian cross sectional. Populasi penelitian ini total sampling, yaitu 41 pemegang program KBPKP Puskesmas Kota Palembang. Data dalam penelitian ini diambil melalui penyebaran kuesioner, wawancara, observasi dengan analisis univariat dan bivariat. Hasil penelitian menunjukkan staf (p=0,000); informasi (p=0,001); wewenang (p=0,001); sarana prasarana (p=1,000). Ada hubungan antara staf, informasi, wewenang terhadap Pencapaian Indikator KBPKP di Puskesmas Kota Palembang. Tidak ada hubungan antara sarana prasarana terhadap Pencapaian Indikator KBPKP di Puskesmas Kota Palembang.
Optimization of Infrastructure and Medical Equipment Application (ASPAK) at Bumi Arjo Health Center Using the HOT-Fit Model Setria Nur Afifah; Siti Halimatul Munawarah Siti; Iwan Stia Budi; Indah Fasha Palingga
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2089

Abstract

Background: Technology is vital in improving healthcare quality through effective management of facilities, infrastructure, and medical equipment via the ASPAK system. At Bumi Arjo Health Center, ASPAK performance reached only 41.52%, far below the national target of 60%, indicating the need for optimization. Objective: This study analyzed the optimization of ASPAK implementation at Bumi Arjo Health Center using the HOT-Fit framework (Human, Organization, Technology, and Environment). Method: A qualitative descriptive approach was applied to explore factors influencing ASPAK implementation. Data were obtained through in-depth interviews, observation, and document review with six informants. Credibility was ensured through triangulation of sources, methods, and data. Analysis used content analysis aligned with HOT-Fit dimensions. Result: ASPAK optimization was influenced by several interrelated factors. In the human aspect, limited technical understanding and workload hindered data consistency. Organizationally, leadership supervision and role clarity were essential, though inter-unit coordination remained weak. Technological barriers included system errors, unstable networks, and limited supporting devices. Environmentally, weak cross-sector collaboration and inadequate external support constrained resources. Nevertheless, ASPAK improved documentation quality, data accuracy, and evidence-based planning. Conclusion: ASPAK optimization relies on leadership commitment, inter-sectoral collaboration, and strengthened digital capacity among users. Theoretically, this study refines the HOT-Fit model by highlighting environmental and policy dimensions, while practically providing recommendations to enhance digital health governance in Indonesia’s primary healthcare system.
Co-Authors Agita Diora Fitri Agustin, Sherly Dwi Alvera Noviyan Alvera Noviyani Anita Camelia Asmaripa Ainy Chendra, Rudy Dea Aulia Handayani Dedi Sandra Desmonda F, Maria Dian Safriantini Dian Safriantini, Dian Haerawati Idris Hotmauli, Arnita I. Isnurhadi Iche Andriyani Liberty Imelda Gernauli Purba, Imelda Gernauli Indah Fasha Palingga Indah Fasha Palingga Isnurhadi Isnurhadi Isnurhadi, I. Iwan Stia Budi Iwan Stia Budi Kelara, Anggun M. Misnaniarti Misnaniarti Misnaniarti Misnaniarti Misnaniarti, M. Nabella, Luthfiana Nafisah Shakira Putri Yarna Najmah Maulaya Najmah Najmah Najmah, Najmah Ningsih, Windi Indah Fajar Nurul Rahma Palingga, Indah Fasha Poppy Fujianti, Poppy Putri, Adisty Maharani Putri, Dini Arista Rahmatillah Razak Ramanda, Dea Fadhilah Ratna Dewi Rizky Putri Pratiwi Rizma Adlia Syakurah Rudy Chendra Safirah, Salwa Sakinah, Ambar Sahnanta Setria Nur Afifah Syafitri, Syafitri Tari, Putri Inrian Tarisha Kahla Sabitha Tuzzuhro, Siti Nuraziza Wardhani, Adelia Kesuma Yudhi Setiawan