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All Journal JURNAL PENDIDIKAN TAMBUSAI Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan
Fadliyah Fadliyah
Universitas Indonesia Timur
Health Professions Nursing Public Health Social Sciences

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Prinsip Akuntabilitas Pending Klaim Dana Pada Badan Penyelenggara Jaminan Sosial terhadap Layanan Kesehatan di Rumah Sakit Andi Sri Rezky Wulandari; Hasliani Hasliani; Fadliyah Fadliyah; Lisa Mery; Nurmiati Nurmiati
Jurnal Pendidikan Tambusai Vol. 9 No. 3 (2025): Desember
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

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Abstract

Pending klaim BPJS Kesehatan merupakan persoalan krusial dalam penyelenggaraan pelayanan kesehatan nasional karena berdampak pada stabilitas finansial rumah sakit dan mutu layanan yang diterima pasien. Kajian ini bertujuan menganalisis hubungan kontraktual BPJS-rumah sakit,kewajiban para pihak dalam perjanjian kerja sama, serta akibat hukum pending klaim dalam perspektif hukum perdata, khususnya terkait wanprestasi dan perbuatan melawan hukum.Penelitian ini menggunakan metode hukum normatif dengan pendekatan perundang-undangan,pendekatan konseptual,dan pendekatan kasus. Hasil penelitian menunjukkan bahwa pending klaim dapat menimbulkan tanggung jawab hukum bagi BPJS apabila pembayaran klaim tidak dilaksanakan setelah berkas dinyatakan lengkap,sementara bagi rumah sakit dapat menimbulkan tanggung jawab akibat menurunnya mutu layanan yang berdampak pada hak pasien.Kajian ini menegaskan perlunya penguatan regulasi dan klausul kontraktual untuk menjamin kepastian hukum serta perlindungan pasien dalam sistem JKN.
Hubungan Partus Lama dan Berat Badan Lahir Bayi dengan Robekan Perineum Pada Ibu Bersalin di Puskesmas Wara Kota Palopo Fitri H. Sudiamin; Fadliyah Fadliyah
Jurnal Ventilator Vol. 1 No. 2 (2023): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i2.1314

Abstract

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.
Co-Authors Andi Sri Rezky Wulandari Fitri H. Sudiamin Hasliani Hasliani Lisa Mery Nurmiati Nurmiati