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All Journal Miracle Get Journal Sustainable Applied Modification Evidence Community Journal of Health Service Administration and Hospital Management
Agnes Ratna Saputri
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Health Professions Public Health

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The Role of Information and Communication Technology in Increasing Awareness and Practice of Healthy Nutrition in the Community Yoanita Hijriyati; Agnes Ratna Saputri; Putri Erlyn; Ni Nyoman Murti; Rufidah Maulina
Miracle Journal Get Press Vol 1 No 4 (2024): November, 2024
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v1i4.70

Abstract

Nutritional problems remain a serious challenge in global public health, including in Indonesia. Malnutrition and unbalanced nutritional consumption often contribute to various health problems, such as stunting in children, obesity, and non-communicable diseases such as diabetes and hypertension.The Internet, social media, health apps, and other digital tools provide opportunities to inform the public about the importance of proper nutrition and offer practical strategies for adopting healthy eating patterns.This study aims to explore the role of ICT in improving community nutrition awareness and practices, and to analyze how the use of technology can support nutrition interventions more effectively.This study uses a quantitative approach. The qualitative approach was used to gain a deeper understanding of the experiences, perceptions, and barriers experienced by the community and health workers in using ICT for nutrition education.The sample of this study included 10 respondents for the quantitative part, which were divided into 5 treatment groups and 5 control groups. The study was conducted at the Batang Kuranji Health Center which was implemented in June 2024. The results in both groups before the provision of educational media tended to be lower in the control group (infographics) and the treatment group (web), with a comparison of poor attitude results of 60%-40%. Community attitudes towards the use of IT in improving nutrition practices showed varied responses.
Analysis of Patient Satisfaction with Health Services in Ambacang Padang Health Center Based on Electronic Derry Trisna Wahyuni S; Hilda Harun; Agnes Ratna Saputri; Khaeriah B; Wibowo Hanafi Ari Susanto
Miracle Journal Get Press Vol 2 No 4 (2025): November, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i4.254

Abstract

Quality health services and satisfying patients are the main factors in increasing trust and effectiveness of services at puskesmas. The implementation of electronic-based service system is expected to improve the quality of Service and patient satisfaction. Objective: This study aims to analyze the level of patient satisfaction with electronic-based health services in Ambacang Padang Health Center. Methods: this study uses a quantitative approach with descriptive survey design. Data were collected through questionnaires distributed to 150 patients who had used electronic services at the Ambacang Health Center. Data analysis was conducted using descriptive statistics and regression analysis to determine the effect of Service variables on patient satisfaction. Results: the results showed that patients were satisfied with electronic-based services at the Ambacang Padang Health Center with an average satisfaction score of 4.1 on a scale of 5. The main factors contributing to patient satisfaction include ease of access to services, speed of Service, and quality of communication between health workers and patients. Implication: This finding gives an idea that the implementation of electronic service system is able to improve the quality of health services in puskesmas, so that it can be used as a reference for further service development, both in terms of technology and human resources. Conclusion: electronic-based health services in Ambacang Padang Health Center are effective in increasing patient satisfaction. Therefore, it is necessary to make continuous improvements to the system and training of officers so that the quality of service can be maintained and improved.
Education and Assistance for Pregnant Women in Preparing for Safe Delivery to Reduce the Risk of Pregnancy Complications in Health Prone Areas Trimulya Village Sri Wahyuni; Deddy S Razak; Erni; Agnes Ratna Saputri; A. Wardah Muzfah
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 1 (2025): June, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i1.156

Abstract

Background. One of the main barriers to antenatal care is poor knowledge about pregnancy danger signs and the importance of regular ANC visits. This study used a descriptive qualitative approach with a Community-Based Participatory Research (CBPR) design to describe and evaluate the effectiveness of educational activities and assistance for pregnant women in preparing for safe childbirth in health-prone areas. Methods. Data were collected through participatory observation, in-depth interviews, and focus group discussions (FGDs) with pregnant women, health cadres, and local medical personnel. Pre- and postintervention evaluations were conducted using questionnaires that measured changes in pregnant women's knowledge, readiness, and anxiety levels towards childbirth. Results. After the educational intervention, there was a significant increase in the readiness of pregnant women to face childbirth, with the average score increasing from 46.1 before the intervention to 79.2 after the intervention. The level of anxiety decreased from an average score of 71.5 to 43.9. Maternal knowledge about planning for delivery places increased from 49.3 to 81.5 after the education intervention. Husband/family participation in childbirth preparation increased from a mean score of 38.7 to 72.0 after the program. Conclusions. The educational and mentoring program implemented at the community level has shown effectiveness in increasing knowledge and readiness, as well as reducing anxiety. It is recommended that this program be integrated into the primary health care system and supported by policies that encourage active family participation in maternal and child health.
Effect of the SISRUTE Online Referral System on Reducing Inappropriate Referrals at Advanced-Level Healthcare Facilities in Indonesia Sulaiman Putra Nagaring; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.399

Abstract

This study addresses the widespread administrative inefficiency caused by inappropriate referrals within Indonesia’s tiered healthcare system, threatening the sustainability of the Jaminan Kesehatan Nasional (JKN) program. The purpose of this research was to quantitatively evaluate the impact of the Online Referral System (SISRUTE) implementation on reducing the inappropriate referral rate at Advanced-Level Healthcare Facilities (FKRTLs). Using a quantitative Segmented Time Series Regression Model (SRM), the analysis utilized national aggregated secondary data, defining the High Utilization Threshold (HUT) (75% adoption) as the intervention point. The results show a highly significant structural improvement post HUT, confirmed by a sustained decline in the inappropriate referral rate (β₃ = -1.15, p < 0.001), leading to a 55.2% overall decrease. Key administrative failures, such as incomplete data entry and mismatched service tiers, dropped by 79.4% and 72.2% respectively, validating SISRUTE’s role as a digital administrative gatekeeper. This evidence establishes SISRUTE’s effectiveness in optimizing resource allocation and enhancing patient flow, thereby directly supporting the financial sustainability of the JKN system. The study strongly recommends prioritizing and expanding mandatory digital referral systems like SISRUTE as a core strategy for robust national health governance and efficiency.
Operational Efficiency and Profitability: A Comparative Financial Performance Analysis of Listed Hospital Corporations (MIKA, SILO, HEAL) on the Indonesia Stock Exchange During the JKN Era Made Dewi Sariyani; Agnes Ratna Saputri
Journal of Health Service Administration and Hospital Management Vol. 1 No. 2 (2025): July, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/jhsah.v1i2.407

Abstract

This study analyzes the operational efficiency and profitability of three leading hospital corporations listed on the Indonesia Stock Exchange: PT Mitra Keluarga Karyasehat Tbk (MIKA), PT Siloam International Hospitals Tbk (SILO), and PT Medikaloka Hermina Tbk (HEAL) during the National Health Insurance (JKN) era. The research addresses the empirical gap where, despite a 20-30% surge in patient volume under JKN, hospitals face a potential 15-20% margin compression due to INA-CBG’s fixed-rate tariffs. The study focuses on the impact of cost structure (Operating Expense Ratio/OER) and capital efficiency (Asset Turnover Ratio/ATR) on profitability. Using a quantitative approach over the 2019–2023 period, the study employs secondary data and applies descriptive and non-parametric statistical analyses (Kruskal-Wallis). Results reveal two distinct strategic models: MIKA’s margin quality strategy, achieving a superior Net Profit Margin (average 18.5%) and the lowest OER (48.34%) through selective non-JKN focus. Conversely, SILO and HEAL adopted a volume-driven strategy, evidenced by higher ATR (0.85x and 0.81x respectively) and BOR (up to 72.1%), but with lower profit margins. Statistical tests confirm significant differences in Return on Assets (p < 0.01) among the three corporations. These findings highlight the critical trade-off between cost control and asset utilization. The study suggests future research focus on granular cost factors and strategic decision-making processes to navigate financial sustainability under universal health coverage systems.
Co-Authors A. Wardah Muzfah Deddy S Razak Derry Trisna Wahyuni S Erni Hijriyati, Yoanita Hilda Harun Khaeriah B Made Dewi Sariyani Maulina, Rufidah Ni Nyoman Murti Putri Erlyn Sri Wahyuni Sulaiman Putra Nagaring Wibowo Hanafi Ari Susanto