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Savitri, Mieke
Proceedings of the International Conference on Applied Science and Health
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ANALYSIS IMPLEMENTATION OF BACK REFERRAL PROGRAM DIABETES MELLITUS AND HYPERTENSION IN HOSPITAL X, JAKARTA Ambari, Riza; Savitri, Mieke
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Since morbidity rate of Diabetes Mellitus and Hypertension in Indonesia increased, the number of referral in hospital automatically high. National Health Insurance and hospital burden also increase if the Back- Referral Program (BRP) has not been implemented yet. The impact of the ineffectiveness of Back-Referral Program also felt by Hospital "X" in Jakarta. This study aims to analyze the effectiveness implementation of Back-Referral Program (BRP) Diabetes Mellitus and Hypertension in Hospital "X". Methods: This research was conducted in Hospital "X" of East Jakarta by using Qualitative Method. The informant are considered influential with Back-Referral Program (BRP) in Hospital "X" , consisting of Head of Medical Service Section, Internist Doctors, Nurses in internist station, Diabetes mellitus and Hypertension patients in Hospital “X”, Doctor’s in first health facility (FKTP) , BPJS pharmacy partner and Head of Health Services Primary Management Unit (MPKP) BPJS East Jakarta. Results: This study found an indication of medicine shortage in first health facility (FKTP). Lack of communication and coordination between BPJS, Hospitals, FKTP and BPJS pharmacy partner, and also less of monitoring and evaluation of Back-Referral Program (BRP) in hospital. Conclusions: Since Back-Referral Program (BRP) has not been implemented yet in Hospital “X” will induce long queue in internist station and caused the internist cannot examine and verify patients with properly. 
THE INCIDENCE OF PHLEBITIS AMONG INPATIENT IN THE HOSPITAL: SYSTEMATIC REVIEW Muchamad, Muchamad; Savitri, Mieke
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Plebitis causes increase in medical cost and decreasing motivation in health workers and patients. One of the important issues in phlebitis can be found in the treatment process and has a great risk for the occurrence of a complication that can cause thrombus which subsequently becomes thrombophlebitis, causing the need to increase infuse therapy Methods: Eligible studies for this systematic review constitute results that summarize influence factors related causes plebitis. We systematically searched ProQuest, Springer, Google Scholar from 7 days on 23-30 April 2018 for eligible systematic reviews with language limitation in English and Indonesian. Results: The literature search and screening process resulted in 21 full text articles. We found all 21 studies results proved influence factors that can cause plebitis and can be categorizes to 4 major factor which are: procedure and techniques,place and position,people,and types of fluids and medicines factors. Influence factors that mostly cause plebitis occurring in the 7 countries are from procedures and techniques, and people factors. Many are caused by violation the procedures and low soft skill in health workers. Conclusions: Plebitis incidence has become major issue in nosocomial infection at the hospital many countries. There should be new policy for monitoring and evaluation, supervision, documentation, analysis in plebitis sign with patient condition, increased competence knowledge and soft skill of health workers, fluid analysis and medicines, and nurse compliance for implementation of procedures and protocol. Plebitis is of particular concern because it can hurt many sectors ranging from patient, hospital, government and countries. It can cause increased length of hospital stay, increased medical cost and decreased motivation of work. 
Co-Authors Ambari, Riza Muchamad, Muchamad