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All Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat Paramacitra : Jurnal Pengabdian Masyarakat NMI THE JOURNAL OF Nursing Management Issues
Zulkifli Walangadi
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Humanities Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Analisis Komparatif Biaya Klaim Pasien Diabetes Melitus Berdasarkan Tingkat Keparahan: Studi Big Data Jaminan Kesehatan Nasional Zulkifli Walangadi; Usu, Siti Qomaria; Marhawati, Marhawati; Ardila, Cici Nila; Nur, Luthfiana
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7316

Abstract

Diabetes Mellitus (DM) poses a substantial financial burden on Indonesia’s National Health Insurance (JKN), particularly for inpatient services at Advanced Referral Health Facilities (FKRTL). The INA-CBGs payment system classifies cases by severity level to determine BPJS Kesehatan reimbursement. This study aimed to examine differences in BPJS Kesehatan claim costs according to DM severity levels among hospitalized patients. A quantitative comparative design was applied using the 2025 BPJS Kesehatan Sample Data. A total of 58,101 inpatient DM claims were analyzed using total sampling. The independent variable was INA-CBGs severity level, and the dependent variable was total BPJS Kesehatan claim cost. Data were analyzed descriptively and inferentially using the Kruskal–Wallis test followed by post-hoc Mann–Whitney U tests with Bonferroni correction. The results indicated a consistent increase in length of stay and median claim costs with higher severity levels. Median claim costs were IDR 4,038,200 for mild cases, IDR 5,748,650 for moderate cases, and IDR 8,627,650 for severe cases. Differences in claim costs across severity levels were statistically significant (p < 0.05). In conclusion, DM severity level is significantly associated with BPJS Kesehatan claim costs, indicating that the INA-CBGs system adequately differentiates reimbursement based on case complexity.
Pengelolaan Sampah Rumah Tangga Berbasis Pemberdayaan Masyarakat Melalui Program PILAH Yasinta Indah Widyaningsih; Zulkifli Walangadi; Rezki Ramdani; Azharatul Jannah; Salwah Suardi
Paramacitra Jurnal Pengabdian Masyarakat Vol. 3 No. 02 (2026): Volume 03 Nomor 02 (Mei 2026)
Publisher : PT Ininnawa Paramacitra Edu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62330/pjpm.v3i02.512

Abstract

Waste management remains a major environmental challenge in Bonto Perak Village, Pangkajene and Islands Regency. Low community awareness and unequal collection services contribute to environmental pollution. This community engagement program aimed to enhance residents’ knowledge and skills in waste segregation and composting through the PILAH (Integrative Waste Management Guide) program. The method included problem identification, root cause analysis, goal setting, activity design, field implementation, and monitoring and evaluation. Data were collected through field observations and interviews with 262 residents for baseline identification, as well as pre-test and post-test assessments of 17 key participants to measure behavioral changes. Results showed significant improvements in the intervention group, with average scores increasing for knowledge (5.35 to 6.41), attitude (22.29 to 22.47), and action planning (10.64 to 11.17). Participants demonstrated higher motivation for composting and reducing waste burning. The PILAH program proved effective in improving sustainable waste management behaviors and has high replication potential with local adaptations.
Pemanfaatan ramuan daun sirih (piper betle l.) sebagai pengobatan tradisional pada masyarakat suku bugis dan dampaknya terhadap perilaku pencarian layanan kesehatan Muhammad Ridha Afdhal; Zulkifli Walangadi
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3437

Abstract

Background: Traditional medicine practices remain heavily prominent across rural Indonesia. Among the Bugis tribe in Kajuara District, Bone Regency, betel leaf (Piper betle L.) preparations are firmly relied upon for initial physical care, which sequentially alters modern healthcare utilization. Purpose: To structurally identify the socio-cultural variables behind the use of betel leaf preparations among the Bugis community in Kajuara District and its multi-level consequences on health seeking behavior. Method: A qualitative descriptive design was employed. Data were gathered through in-depth interviews with 9 key informants, field observations, and documentation in Kajuara District. Results: Culturally, the Bugis community preserves betel leaf use owing to cosmological views of body-nature balance and ancestral pabbura practices. While providing basic antibacterial support, this reliance poses an individual risk of delaying crucial clinical care. Economically, families experience immediate cost efficiency, yet suffer from unstandardized dosage protocols. Structurally, it produces dualistic health behaviors that reduce formal primary health center attendance. Conclusion: Socio-cultural dynamics dictate healthseeking paths in rural Bugis clusters, requiring structured integration between local knowledge systems and objective primary clinical guidelines.   Keywords: Betel Leaf; Bugis Tribe; Health Seeking Behavior; Pabbura.   Pendahuluan: Praktik pengobatan tradisional tetap mendominasi realitas kesehatan masyarakat di wilayah perdesaan Indonesia. Pada masyarakat Suku Bugis, ramuan daun sirih (Piper betle L.) secara konsisten diandalkan sebagai penanganan awal, yang secara sekuensial mengubah utilisasi pelayanan medis modern. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi secara struktural variabel sosial budaya di balik penggunaan ramuan daun sirih pada masyarakat Bugis di Kecamatan Kajuara serta konsekuensi multi-levelnya terhadap perilaku pencarian layanan kesehatan (health seeking behavior). Metode: Desain kualitatif deskriptif. Pengumpulan data dilakukan melalui wawancara mendalam terhadap 9 informan kunci, observasi lapangan, dan studi dokumentasi di Kecamatan Kajuara. Hasil: Secara kultural, masyarakat Bugis melestarikan penggunaan daun sirih akibat pandangan kosmologis mengenai keseimbangan alam-tubuh dan praktik pabbura leluhur. Meskipun menyediakan dukungan antibakteri dasar, ketergantungan ini memicu risiko penundaan (delay) penanganan klinis krusial pada tingkat individu. Secara ekonomi, keluarga merasakan efisiensi biaya langsung, namun lemah dalam protokol standarisasi dosis. Secara struktural, fenomena ini melahirkan perilaku kesehatan dualistik yang mereduksi angka kunjungan Puskesmas formal. Simpulan: Dinamika sosial budaya mendikte jalur pencarian kesehatan di klaster perdesaan Bugis, sehingga memerlukan integrasi terstruktur antara sistem pengetahuan lokal dan panduan klinis primer yang objektif.   Kata kunci: Daun Sirih; Suku Bugis; Perilaku Pencarian Kesehatan; Pabbura.
Co-Authors Ardila, Cici Nila Azharatul Jannah Marhawati, Marhawati Muhammad Ridha Afdhal Nur, Luthfiana Rezki Ramdani Salwah Suardi Usu, Siti Qomaria Yasinta Indah Widyaningsih