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Factors Associated with the Utilization of the National Health Insurance Mobile Information System Virta Filantropi Zebua; Rahmad Gurusinga; Barita Aritonang
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/43zrp107

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate participants in accessing various administrative services and information related to the National Health Insurance program, such as participant registration, updating membership data, and obtaining information on healthcare services at primary healthcare facilities and referral hospitals. Although the application was designed to improve access to healthcare services, its utilization among participants remains relatively low. This study aimed to analyze factors associated with the utilization of the Mobile JKN information system among National Health Insurance participants at Grandmed Hospital. This study used a quantitative approach with a cross-sectional design. The study population consisted of 100.040 National Health Insurance participants registered at Grandmed Hospital, and a sample of 100 respondents was determined using the Lemeshow formula. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using multiple logistic regression. The results show that the majority of respondents (60%) have not utilized the Mobile JKN application. Bivariate analysis shows significant associations between the utilization of Mobile JKN and system quality, information quality, service quality, frequency of use, and net benefits (p < 0.05). Multivariate analysis shows that information quality is the most dominant factor associated with the utilization of Mobile JKN after controlling for system quality and service quality. These findings indicate that improving the quality of information within the applicati on and strengthening outreach to participants are necessary to enhance the utilization of Mobile JKN and improve access to healthcare services.
Analysis of the Relationship between Risk Management of Laboratory Test Errors and the Quality of Laboratory Personnel Services at GrandMed Lubuk Pakam Hospital Selda manullang; Barita Aritonang; Chandra Pranata
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/753ef675

Abstract

Risk management is an essential component of a laboratory quality system to prevent errors in examination results and to improve service quality. This study aimed to analyze the relationship between risk management of laboratory result errors and the service quality of laboratory personnel at GrandMed Hospital Lubuk Pakam. This study employed a quantitative method with a cross-sectional design. A total of 30 respondents were recruited using a total sampling technique. Data were collected using questionnaires and analyzed using the Spearman Rank correlation test. The results show that the type of error is significantly associated with service quality (r = 0.389; p = 0.034), risk identification has a very strong and significant association (r = 0.752; p = 0.000), and risk analysis is significantly associated with service quality (r = 0.382; p = 0.037). However, risk control is not significantly associated (r = 0.156; p = 0.410), and user satisfaction is also not significantly associated (r = 0.052; p = 0.784). Overall, risk management of laboratory errors shows a very strong positive correlation with the service quality of laboratory personnel (r = 0.823; p = 0.000). In conclusion, risk identification and risk analysis are the main factors associated with improving the service quality of laboratory personnel. Therefore, strengthening standard
Analysis of Factors Influencing Laboratory Turnaround Time (TAT) at Grandmed Hospital Lubuk Pakam Dian Hastari Ningrum; Barita Aritonang; Sa'adah Siregar
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/62hphc52

Abstract

Turnaround Time (TAT) is an important indicator of laboratory service quality that supports accurate diagnosis and clinical decision-making. Delays in laboratory results may be influenced by pre-analytical, analytical, and post-analytical phases. This study aimed to analyze the factors influencing laboratory Turnaround Time (TAT) at Grandmed Hospital Lubuk Pakam. This study used a quantitative approach with an analytical observational design and a cross-sectional method. The population consisted of 32 clinical laboratory personnel selected using total sampling. Data were collected through validated and reliable questionnaires and secondary data from laboratory information system records. Data were analyzed using univariate and bivariate analysis with Spearman’s rank correlation test at a 95% confidence level. The results showed that most TAT values met the standard (87.5%). The average TAT for emergency services was 87 minutes, outpatient services 118 minutes, and inpatient services 130 minutes, all within the minimum service standard (≤140 minutes). Pre-analytical factors (r = 0.604; p = 0.000) and analytical factors (r = 0.545; p = 0.001) had significant effects on TAT, while post-analytical factors were not significant (r = -0.098; p = 0.595). In conclusion, pre-analytical and analytical factors are the main determinants of TAT, indicating the need to improve these stages to enhance laboratory service quality.
Analisis Fasilitas Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di RSUD Sultan Sulaiman Tahun 2026 Rianta rianta; Barita Aritonang; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s95b3z36

Abstract

Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di rumah sakit merupakan ujung tombak dalam upaya penurunan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Sebagai rumah sakit rujukan di Kabupaten Serdang Bedagai, RSUD Sultan Sulaiman wajib menyelenggarakan pelayanan PONEK 24 jam yang didukung oleh fasilitas yang memadai sesuai dengan standar nasional guna menangani kasus kegawatdaruratan secara cepat dan tepat. Penelitian ini bertujuan untuk menganalisis fasilitas pelayanan PONEK di RSUD Sultan Sulaiman Tahun 2025, yang mencakup ketersediaan, kelengkapan, dan kelayakan sarana dan prasarana dalam mendukung pelayanan kegawatdaruratan obstetri dan neonatal. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Data dikumpulkan melalui wawancara mendalam kepada informan utama dan informan triangulasi, observasi lapangan, serta telaah dokumen. Analisis data dilakukan dengan teknik analisis isi untuk mengevaluasi kesesuaian antara kondisi fasilitas di lapangan dengan standar dan regulasi yang berlaku. Hasil penelitian menunjukkan bahwa fasilitas PONEK di RSUD Sultan Sulaiman secara umum telah tersedia dan mendukung pelayanan, namun masih terdapat beberapa keterbatasan. Ketersediaan alat kesehatan, bahan medis, serta dukungan fasilitas penunjang seperti laboratorium dan bank darah 24 jam menjadi faktor krusial dalam menunjang pelayanan. Selain itu, masih diperlukan peningkatan dalam pemenuhan standar fasilitas dan pemeliharaan sarana prasarana agar pelayanan PONEK dapat berjalan secara optimal.
Formulation and Evaluation of Body Lotion Preparation from Ethanol Extract of Avocado Leaves (Persea americana Mill.) as Antioxidant with DPPH Method Putri Nuraimun Simanjuntak; Herlina Herlina; Barita Aritonang; Hasni Yaturramadhan Harahap
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hf00qs72

Abstract

Skin damage is a common problem that can affect appearance and health. Excessive exposure to free radicals from UV rays is one of the main causes of skin damage, the use of body lotions containing natural antioxidant compounds is very important to protect the skin from these effects. Avocado leaves (Persea americana Mill.) have been known to contain antioxidant chemicals that are good for skin protection, one of which is flavonoids. The purpose of this study was to determine whether avocado leaf body lotion preparations can function as antioxidants and to develop body lotion preparations that meet the evaluation test requirements. The research stages included the preparation of simple drugs, the preparation of avocado leaf extract, the test of antioxidant functional groups with UV-Vis and FTIR spectroscopy, the preparation of avocado leaf ethanol extract body lotion, the evaluation of body lotion preparations, and the testing of antioxidant activity of body lotions using the DPPH method. The results of the phytochemical analysis revealed the presence of tannins, alkaloids, saponins, and flavonoids. Avocado leaf extract body lotion was formulated in four concentration variations (0%, 2%, 4%, and 6%). All formulas meet SNI, with a pH of 7 and a spreadability of between 5-7 cm. Antioxidant activity tests showed a decreasing IC50 value with increasing extract concentration: 12.4643 µg/mL (2%), 4.6300 µg/mL (4%), and 1.1065 µg/mL (6%), which are categorized as very strong. The formulation with a concentration of 6% showed stronger activity. The conclusion of this study indicates that lotion made from avocado leaf extract has the potential as a skin care product with very strong antioxidant capabilities.
The Effect of a Combination of Activated Carbon and Bentonite on Reducing COD, BOD, and TSS Levels in Tofu Industry Wastewater Barita Aritonang; Ahmad Hafizullah Ritonga; Karnirius Harefa; Dicky Yuswardi Wiratma; herlina herlina
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/cbxjb379

Abstract

Wastewater produced from tofu manufacturing typically contains substantial amounts of organic substances and suspended particles. The concentrations of Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and Total Suspended Solids (TSS) frequently surpass the permissible thresholds established in the Regulation of the Minister of Environment and Forestry (Permen LHK) No. P.16 of 2019. Such high levels of pollutants may degrade water quality and pose risks to both aquatic ecosystems and public health in nearby areas. This study investigates the efficiency of combining activated carbon and bentonite, in both raw and activated forms, for reducing BOD, COD, and TSS concentrations in wastewater originating from tofu industries. The BOD test was performed using a five-day incubation at 24 °C, COD was analysed via the closed reflux method, and TSS was quantified using the gravimetric approach. Adsorbent characteristics were examined in accordance with the Indonesian National Standard (SNI), supported by functional group analysis using Fourier Transform Infrared (FT-IR) spectroscopy and morphological observation with Scanning Electron Microscopy (SEM). The results demonstrated that activation enhanced pore development and improved the adsorption capability of both materials. The combined activated carbon and bentonite effectively decreased BOD from 3,600 mg/L to 140 mg/L, COD from 1,500 mg/L to 185 mg/L, and TSS from 320 mg/L to 270 mg/L. All treated parameters met the regulatory quality standards, indicating that the activated mixture of these adsorbents provides an efficient and environmentally sound method for treating tofu processing wastewater.
Anti-Inflammatory Potential of Combined Turmeric Rhizome Extract (Curcuma longa L.) and Hydroxyapatite in Male White Mice (Mus musculus) Ahmad Hafizullah Ritonga; Fatma Amelia; Herlina Herlina; Barita Aritonang; Karnirius Harefa
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/garnbm90

Abstract

Inflammation is a protective response of the body to tissue injury that needs to be controlled to prevent further damage. The use of nonsteroidal anti-inflammatory drugs is effective; however, it has the potential to cause side effects, so safer alternatives are needed. Turmeric rhizome (Curcuma longa L.) is known to have anti-inflammatory activity, while hydroxyapatite (HA) is biocompatible and has the potential to enhance the effectiveness of the combination. This study aims to evaluate the anti-inflammatory potential of the combination of turmeric rhizome ethanolic extract and HA in male white mice (Mus musculus). This research method uses an experimental design with an acute inflammation model induced by intraplanar injection of 1% carrageenan. A total of 25 mice were divided into five groups: negative control (0.5% Na-CMC), positive control (diclofenac sodium), and three treatment groups at 0.5%, 1%, and 1.5%. Edema volume was measured every 1 hour for 6 hours and analyzed using the Kruskal-Wallis test followed by a post hoc test. The results of this study showed that all treatment groups exerted anti-inflammatory effects compared to the negative control, as indicated by decreases in edema volume and the percentage of inflammation and increases in the percentage of inhibition of inflammation, with the 1.5% concentration showing the most optimal effect. These findings indicate that the combination of turmeric rhizome ethanolic extract and HA has potential as an effective anti-inflammatory agent in male white mice.
The Influence of Activated Carbon Produced from Duck Eggshells as an Adsorbent for Free Fatty Acid Content of Used Cooking Oilc Barita Aritonang; Ahmad Hafizullah Ritonga; Karnirius Harefa; Herlina Herlina; Dicky Yuswardi Wiratma
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/r6vzyw08

Abstract

The repeated use of cooking oil can lead to a decline in oil quality and an increase in free fatty acid (FFA) levels, which may pose adverse health effects when consumed continuously. Therefore, an effective, safe, and sustainable purification method is required to improve the quality of used cooking oil. This study aims to evaluate the effectiveness of activated carbon derived from duck eggshell waste in reducing FFA levels in used cooking oil. The research employed a laboratory experimental method with a post-test only control group design. Samples of used cooking oil were selected purposively based on a level of degradation representative of real conditions. The preparation of activated carbon began with the carbonisation of duck eggshells, followed by chemical activation using a 3 M phosphoric acid (H₃PO₄) solution to enhance surface area and adsorbent porosity. The resulting activated carbon was then applied in the adsorption process of used cooking oil. FFA levels were analysed using the alkalimetric titration method. The results showed that the activated carbon significantly reduced FFA levels from 1.57% to 0.22%, with a reduction efficiency of 75%. This final value complies with the quality standard for cooking oil according to SNI 3741:2013 (≤0.3%). Furthermore, the produced activated carbon exhibited favourable characteristics, as indicated by a high iodine adsorption capacity and well-developed pore structure. In conclusion, activated carbon derived from duck eggshells is effective as an adsorbent for reducing FFA levels in used cooking oil and shows strong potential as an environmentally friendly and economically valuable solution.
Formulation and Evaluation of Bioactive Gelatin from Tilapia (Oreochromis niloticus) Scales as an Antioxidant-Based Anti-Aging Cream Herlina Herlina; Suci Wulandari; Barita Aritonang; Amelia Putri Eflynia; Lasmaryna Sirumapea
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/nnzg2676

Abstract

The increasing demand for sustainable, bioactive cosmetic ingredients has driven the use of marine by-products as alternative raw materials. Tilapia (Oreochromis niloticus) scales, an abundant aquaculture waste, are rich in collagen that can be converted into gelatin with potential dermatological applications. This study aimed to develop and evaluate bioactive gelatin derived from tilapia scales as an antioxidant-based anti-aging cream. Gelatin was extracted with 15% acetic acid and characterized by physicochemical parameters, including yield (4.6%), moisture content (12%), and ash content (2.2%), all of which met SNI standards. Antioxidant activity was determined using the DPPH method, yielding an IC₅₀ value of 139.46 ppm, indicating moderate to weak antioxidant activity. The gelatin was formulated into cream preparations at concentrations of 1%, 1.5%, and 2%, and the formulations were evaluated for stability, homogeneity, pH, spreadability, and irritation. Anti-aging efficacy was assessed using a skin analyzer, showing improvements in skin moisture and sebum balance, with the 1% formulation demonstrating optimal performance. Although the antioxidant activity was relatively low, topical application of gelatin contributed to measurable anti-aging effects. These findings highlight the potential of tilapia scale-derived gelatin as a sustainable bioactive ingredient for cosmeceutical applications.
Evaluation of the Effectiveness of Risk Management in Addressing Patient Safety Incidents Barita Aritonang
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/7cz0f255

Abstract

Background: Patient safety incidents are a serious issue affecting healthcare quality and public trust in hospitals. Effective risk management implementation is crucial to reduce adverse events. Objective: This study aimed to evaluate the effectiveness of risk management in mitigating patient safety incidents at Granmed Hospital, Lubuk Pakam. Methods: The study was conducted from September 2023 to February 2024 using a descriptive quantitative and qualitative approach. Data were collected from 50 healthcare worker respondents via questionnaires, incident report reviews, and in-depth interviews. Results: Findings showed that 78% of respondents believed risk management systems were well implemented, especially in risk identification and analysis stages. However, incident reporting was still low (43%), due to fear of punishment and lack of training. Document analysis revealed a 27% decrease in reported incidents compared to the previous year. Conclusion: Risk management at Granmed Hospital is relatively effective in reducing patient safety incidents. Nevertheless, there is a need to improve the safety culture and develop a more transparent reporting system.
Co-Authors Abdi Lestari Sitepu Ahmad Hafizullah Ritonga Amelia Putri Eflynia Asvia Rahayu Chandra Pranata Chatarina Umbul Wahyuni Cut Masyitah Thaib Cut masyithah Debi Meilani DIAN HASTARI NINGRUM Dicky Yuswardi Wiratma Dicky Yuswardi Wiratma Eka Margareta Sinaga Eka Margareth Faisal, Hendri Fatma Amelia Ginting, Desideria Yosepha Gultom, Erdiana Harahap, Hasni Yaturramadhan Hasni Yaturramadhan Harahap Hasni Yaturramadhan Harahap Herlina Herlina . Herlina H Hermansyah Aziz Hestina . Hestina Hestina Hestina, Hestina Imel Santika Irmayani Irmayani Karnirius Harefa Karo-Karo, Julyenni Khairiah, Khairiah Lasmaryna Sirumapea Lenny Novita Liver Iman Putra Zai Melda Astrika Sianipar Munthe, Novita Br Ginting Nova Florentina Nova Florentina Nova Florentina Ambarwati Novesar Jamarun Novita Br Ginting Nur Mala Sari Nurainun Badriani Panjaitan, Delita Pitriani, Pitriani Putri Nuraimun Simanjuntak Putri, Gusliani Eka Rahmad Gurusinga Rahmad Gurusinga RAMAWATI, NURVITA Rianta rianta Rima Anggeraini Riri Safitri Romaulianna Theresia Marbun Rotua Sumihar Sitorus Sa'adah Siregar Salomo Sijabat Saragih, Eriani Senaya Selda manullang Shofian Syarifuddin Siagian, Ernita Siahaan, Enzo W.B Sijabat, Salomo Sinaga, Eka M Sinaga, Evi Yuni Sintia Sinaga, Sri Lestari Sitepu, Rahmadani Sitorus, Elly Sri Melda Bangun Sri Ulina Sri Wulan, Sri Suarnikan Hulu Suci Erawati Suci Wulandari Supartiningsih - - Syarifuddin, Shofian Syukri Arief Tamrin Tamrin Virta Filantropi Zebua Widyaningsih, Fadlilah Yanti, Rahma Yaturramadhan Harahap, Hasni Yosi Darmirani Yossy Silalahi Yulidar Laila Safitri Yunita Sari