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All Journal Jurnal Kolaboratif Sains Usada Nusantara: Jurnal Kesehatan Tradisional
Fazri Khoirunnisa Purba
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Menelaah Sebelas (11) Hukum Sistem Dalam Fifth Discipline (Peter Senge): Examining The Eleven (11) Laws Of The System In The Fifth Discipline (Peter Senge) Dewi Agustina; Ravena Felisha; Syfa Ardhia Putri; Ayu Maulidia; Wira Anjani Br Sembiring; Alifa Fatiha; Miftahul Nur Zahrah; Fatimah Zuhra; Shasy Kirana Zahrani; Natasya Aulia; Fauzan Alhamdi Lubis; Khairani Natasya; Fazri Khoirunnisa Purba
Jurnal Kolaboratif Sains Vol. 8 No. 11: November 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i11.9189

Abstract

Pemahaman terhadap sistem berpikir menjadi landasan penting dalam upaya membangun organisasi pembelajar di berbagai bidang, termasuk kesehatan masyarakat. Konsep The Fifth Discipline yang dikemukakan oleh Peter Senge menekankan pentingnya kemampuan melihat keterkaitan antar elemen dalam suatu sistem. Penelitian ini bertujuan untuk menelaah secara mendalam sebelas (11) hukum sistem sebagaimana dijelaskan oleh Senge dalam konteks pengelolaan organisasi dan pembelajaran berkelanjutan. Metode penelitian yang digunakan adalah studi literatur dengan menelaah buku The Fifth Discipline serta berbagai literatur pendukung lainnya, baik nasional maupun internasional. Hasil kajian menunjukkan bahwa sebelas hukum sistem tersebut mengandung prinsip berpikir sistematis, seperti keterlambatan umpan balik, akumulasi sebab-akibat, serta dinamika antara tindakan jangka pendek dan jangka panjang. Penerapan hukum sistem ini dapat memperkuat efektivitas organisasi, meningkatkan kemampuan adaptasi terhadap perubahan, dan mendorong kolaborasi lintas sektor. Dalam konteks kesehatan masyarakat, pemahaman hukum sistem dapat membantu dalam perencanaan dan evaluasi program kesehatan yang lebih terintegrasi dan berkelanjutan. Dengan demikian, pendekatan berpikir sistem menurut Senge relevan untuk diterapkan dalam manajemen dan kebijakan kesehatan di Indonesia
Analisis Komparatif Ketimpangan Akses Pelayanan Kesehatan Peserta JKN di Sumatera Utara Berdasarkan Data BPS Periode 2021–2025 Alya Najwa; Fazri Khoirunnisa Purba; Fitri Annisa; Nabilla Suci Ramadhani; Fitriani Pramita Gurning
USADA NUSANTARA : Jurnal Kesehatan Tradisional Vol. 4 No. 2 (2026): USADA NUSANTARA : Jurnal Kesehatan Tradisional
Publisher : Institut Nalanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47861/usd.v4i2.2441

Abstract

In an era marked by the expanding coverage of the National Health Insurance (JKN), the utilization of health services remains influenced by disparities in access and the availability of health facilities across various regions. This study aims to analyze whether the expansion of JKN coverage has been accompanied by equitable access to health services in North Sumatra Province during the 2021–2025 period, based on the socioeconomic conditions of the population and the availability of health facilities. This study employs a quantitative approach with a comparative study design based on secondary data sourced from the Central Statistics Agency (BPS) publications for the years 2021–2025. The results indicate that JKN enrollment has increased in areas with high poverty rates, yet the availability of healthcare facilities in those regions tends to remain stagnant or decline. Conversely, regions with higher per capita expenditure exhibit relatively stable or increasing availability of health facilities. This disparity is reflected in the rising unmet health care needs in North Sumatra Province, which increased from 3.83% in 2021 to 5.07% in 2025. Based on the research findings, it can be concluded that the increase in JKN coverage in North Sumatra Province has not been fully accompanied by equitable access to health services. This situation is particularly prevalent in areas with high poverty rates, such as the Nias Islands and Gunungsitoli, which still face limitations in the availability of health facilities and access to adequate healthcare services.
Co-Authors Alifa Fatiha Alya Najwa Ayu Maulidia Dewi Agustina Fatimah Zuhra Fauzan Alhamdi Lubis Fitri Annisa Fitriani Pramita Gurning Khairani Natasya Miftahul Nur Zahrah Nabilla Suci Ramadhani Natasya Aulia Ravena Felisha Shasy Kirana Zahrani Syfa Ardhia Putri Wira Anjani Br Sembiring