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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Ners Jurnal Pengelolaan Kesehatan Berkelanjutan berbasis Kearifan Lokal
mardia habel
universitas bumi hijrah tidore
Health Professions Medicine & Pharmacology Nursing Public Health Other

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FACTORS RELATED TO THE PRACTICE OF SELLING LIMITEDRESTRICTED OTC DRUGS IN SMALL SHOPS IN NORTH OBA DISTRICTIN 2025 Sitti Hartinah; mardia habel; Sulviati Fidia Ningsih
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/763

Abstract

Based on data obtained from the Tidore Islands City Health Office, an inspection was conducted on kiosks/small stalls/stalls in several areas of North Oba District in 2023. The inspection results showed that of the 96 kiosks/small stalls in North Oba District, 74 (77%) were found to be selling restricted over-the-counter drugs despite not having a permit as a legal drug kiosk. The purpose of this study was to determine the factors related to the practice of selling restricted over-the-counter drugs in small stalls. This type of research used quantitative research with a descriptive design.cross sectional.There are four variables that have a relationship with the practice of selling restricted over-the-counter drugs: knowledge (p = 0.001), social environment (p = 0.003), economy (p = 0.000), supervision (p = 0.000). The knowledge of business actors and residents in the social environment greatly influences the practice of selling restricted over-the-counter drugs by business actors in small shops. Poor knowledge of both sellers and buyers about the dangers of restricted over-the-counter drugs sold without a doctor's prescription is still very high. In addition, low economic conditions and government supervision of the distribution of restricted over-the-counter drugs in small shops without official permits are among the factors that continue to be widespread in the practice of selling restricted over-the-counter drugs.
Faktor Yang Berhubungan Dengan Kepuasan Pasien Rawat Jalan Terhadap Pelayanan Kesehatan Di Rsud Weda Kabupaten Halmahera Tengah Tahun 2025 Mardia Habel; Hary Chandra; Osnawati Marsaoli; Sitti Hartinah
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60803

Abstract

Kepuasan pasien adalah pernyataan tentang persepsi pasien terhadap jasa pelayanan kesehatan yang diberikan rumah sakit. Kepuasan pasien dapat dicapai apabila pelayanan yang diberikan sesuai atau melampaui harapan pasien. Kepuasan pasien adalah indikator utama dari standar suatu fasilitas kesehatan dan merupakan suatu ukuran mutu pelayanan. Penelitian ini bertujuan untuk mengetahui hubungan beberapa variabel terhadap kepuasan pasien rawat jalan terhadap kualitas layanan kesehatan di RSUD Weda Kabupaten Halmahera Tengah. Jenis penelitian ini adalah kuantitatif deskriptif dengan menggunakan pendekatan crossectional. Jumlah sampel yang digunakan pada penelitian ini adalah sebanyak 98 orang dan dilakukan kosekutif sampling dengan menggunakan kriteria inklusi dan eksklusi. Variabel independent pada penelitian ini adalah kecepatan dan ketepatan, keramahan, kenyamanan, dan biaya layanan. Sedangkan variabel dependent adalah kepuasan pasien. Hasil penelitian menunjukkan adanya hubungan yang signifikan secara statistik antara variabel kecepatan dan ketepatan terhadap kepuasan pasien (p = 0,023). Ada hubungan antara variabel keramahan terhadap kepuasan pasien (p = 0,035). Ada hubungan yang signifikan secara statistik antara variabel kenyamanan terhadap kepuasan pasien (p = 0,000). Ada hubungan yang signifikan secara statistik antara variabel biaya layanan terhadap kepuasan pasien (p = 0,000). Manajemen rumah sakit perlu meningkatkan kepuasan pasien rawat jalan dengan menerapkan pendekatan yang holistik, yang mencakup pelatihan keramahan untuk staf, perbaikan lingkungan fisik, serta pengawasan terhadap kualitas pelayanan. Selain itu, manajemen rumah sakit perlu mempertimbangkan penggunaan teknologi informasi dalam sistem pelayanan kesehatan seperti sistem antrian berbasis digital dan aplikasi mobile untuk memantau status pelayanan dapat membantu mengurangi waktu tunggu dan meningkatkan pengalaman pasien.
Evaluation Of The Multi Level Referral System Policy In Health Service Facilities Mardia Habel; Gunawan Hi Ibra; Liskha Ayuningrum; M Awaluddin; Feby Triadi; Hana Humayrah
Jurnal Pengelolaan Kesehatan Berkelanjutan berbasis Kearifan Lokal Vol. 1 No. 1 (2025): Jurnal Pengelolaan Kesehatan Berkelanjutan berbasis Kearifan Lokal
Publisher : Universitas Cahaya Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65943/pqxkr462

Abstract

Access to equitable health services in Indonesia is supported by a tiered referral system within the National Health Insurance (JKN) program, which regulates service continuity between primary and advanced healthcare facilities. Although this system has expanded service access and reduced financial barriers, its implementation remains challenged by infrastructure limitations, unequal distribution of health workers, weak inter-facility coordination, and low public understanding of referral procedures. This study aimed to evaluate the implementation of the multi-level referral system policy within the JKN framework in Indonesian health service facilities. A structured literature review was conducted using the Google Scholar database. Articles published between 2020 and 2025 were screened and selected using predefined inclusion and exclusion criteria. A total of six eligible studies were analyzed using thematic analysis to identify recurring patterns related to implementation effectiveness, resource availability, coordination mechanisms, and public understanding. The results show that the JKN program has improved access to healthcare services and reduced financial barriers; however, the referral system has not functioned optimally due to disparities in infrastructure, limited human resource capacity, weak coordination between service levels, and insufficient program socialization. The novelty of this study lies in its integrative synthesis of structural, organizational, and behavioral dimensions in evaluating referral system performance. This study provides evidence-based insights to support policy strengthening aimed at improving efficiency, equity, and sustainability of health services and accelerating the achievement of universal health coverage in Indonesia.
Co-Authors Feby Triadi Gunawan Hi Ibra Hana Humayrah Hary Chandra Liskha Ayuningrum M Awaluddin Osnawati Marsaoli Sitti Hartinah Sulviati Fidia Ningsih