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All Journal Jurnal Penelitian Kesehatan Suara Forikes Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Girsang, Ermi
Universitas Prima Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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fast track: The Influance of Predisposing, Enabling, and Reinforcing Factors on Patient Behaivor in The Care and Treatment Plan of Inpatients at Baiturrahim Jambi Hospital Oktavia, Melani; Girsang, Ermi; Nasution, Ali Napiah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 2 (2025): April-Juni 2025 (up coming)
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i2.6137

Abstract

One of the main problems in the management of inpatients is the low behavior and noncompliance of patients with the care and treatment plan that has been prepared by the medical team. This is thought to be influenced by predisposing, enabling, and reinforcing factors. This study aims to analyze the influence of Predisposing, Enabling, and Reinforcing factors on the behavior of inpatients in the care and treatment plan. This research is quantitative research with a cross sectional study approach. The research was conducted at Baiturrahim Jambi Hospital. The population of this study were all 380 inpatients, while the sample obtained was 258 people. Sample withdrawal by purposive sampling. Data were analyzed through the stages of univariate analysis, then bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression tests. The results showed that the variables of knowledge, attitude, trust, access to health facilities, hospital facilities, health worker feedback, and previous experience had a significant effect on the behavior of inpatients at Baiturrahim Jambi Hospital, while the availability of information and family support had no significant effect. Of all the variables, knowledge had the greatest influence, where patients with good knowledge had a 21.7 times higher chance of behaving well in following the care and treatment plan.
Evaluating SIMPUS Implementation at Teladan Community Health Center: a HOT-Fit Framework Analysis Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Nasution, Ahmad Fuadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25522

Abstract

Community Health Centers are required to implement a Community Health Center Information System (SIP) in accordance with Minister of Health Regulation No. 31 of 2019. Medan Teladan Community Health Center has implemented various information systems, one of which is e-Puskesmas, but still found obstacles. This study aims to evaluate the implementation of the Management Information System (SIMPUS) at Medan Teladan Community Health Center using the Human Organization Technology (HOT)-Fit method. This type of research is descriptive qualitative research. The study was conducted at Medan Teladan Community Health Center starting from December 2024 - July 2025. Informants in this study were 5 people consisting of the head of the community health center and medical record officers as key informants, registration officers, SP2TP officers and pharmacy service officers as supporting informants. Data analysis was carried out by data reduction, data presentation and drawing conclusions to identify relevant finding patterns in each aspect of HOT-Fit. The results of the study obtained an evaluation of the implementation using the HOT-Fit method on the human aspect, the user side has problems with input errors, where around 60% of informants reported data input. Organizational aspects, the organizational structure is in place, monitoring and evaluation have been carried out and guidelines for using the information system are in place even though they only adopt those from the Ministry of Health. Technology aspects, the quality of the system is still not optimal because the system has not been integrated with all programs and frequent server disruptions or data bridging failures, differences were also found between drug data in the system and actual stock in the pharmacy warehouse. Net benefit aspects, this system has succeeded in reducing dependence on manual processes and increasing data accuracy, but data integration across all programs is still an obstacle. It is recommended to the Medan City Health Office to encourage the integration of information systems between programs into one platform and ensure server stability. Keywords: System evaluation, information system, HOT-Fit
Performance Evaluation of Internal Verifier in Reducing Pending Inpatient Claims of BPJS Kesehatan at Muhammadiyah Hospital North Sumatra 2022 Hasibuan, Amalia; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25036

Abstract

This study evaluates the effectiveness of internal verifiers at Muhammadiyah Hospital North Sumatra in minimizing delayed inpatient claims submitted to BPJS Kesehatan, Indonesia’s national health insurance agency. A mixed-methods sequential explanatory design was employed, combining quantitative data from 2020 (prior to verifier recruitment) and 2022 (post-recruitment) with qualitative insights from interviews with internal verifiers, coders, and other stakeholders, as well as a review of claim files processed by the hospital’s BPJS Unit. Interview protocols were adapted from a 2018 study at Koja Hospital, North Jakarta, and data were analyzed using the Miles and Huberman approach, with findings integrated across methods. Source triangulation ensured validity and reliability. Results showed that internal verifiers significantly reduced the proportion of delayed claims despite an overall increase in submissions, with the highest rate of pending claims dropping from 25.6% in 2020 to 17.9% in 2022. Of the 2022 delays, 31.2% were due to BPJS Kesehatan system errors or confirmation processes, indicating that only two-thirds stemmed from hospital-related issues. Qualitative analysis identified key contributors to delays, including diagnostic coding errors, inconsistent understanding among BPJS verifiers, incomplete documentation, limited staff knowledge, and human resource inaccuracies. The presence of internal verifiers improved claim management and hospital revenue by increasing eligibility and accelerating approvals. To further optimize claim processing, strategies such as enhancing coding accuracy, improving staff competency, ensuring documentation completeness, and adopting electronic systems with supportive incentives are recommended. Keyword:  Internal verifier, pending claims, performance
Co-Authors Hasibuan, Amalia Nasution, Ahmad Fuadi Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Oktavia, Melani