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All Journal JPP Jurnal Kesehatan Poltekkes Palembang JURNAL PENELITIAN KESMASY Jurnal Kesehatan Tambusai Ekasakti Jurnal Penelitian dan Pengabdian (EJPP) KESANS : International Journal of Health and Science Jurnal Salam Sehat Masyarakat (JSSM) GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh PubHealth Jurnal Kesehatan Masyarakat Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Riset Informasi Kesehatan International Journal of Health, Engineering and Technology JOURNAL OF Qualitative Health Research & Case Studies Reports
Muldiasman, Muldiasman
Universitas Jambi
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Library & Information Science Mechanical Engineering Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary

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ANALISIS PENERAPAN REKAM MEDIS ELEKTRONIK DI PUSKESMAS PUTRI AYU KOTA JAMBI DENGAN TECHNOLOGY ACCEPTANCE MODEL (TAM) Intan Permata; Muldiasman Muldiasman; Adila Solida; Arnild Augina Mekarisce
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2932

Abstract

The development of information technology in the health sector encourages primary healthcare facilities, such as community health centers, to transition from manual recording systems to Electronic Medical Records (EMR). However, the success of EMR implementation is not only determined by the availability of technology but also by the level of user acceptance of the system. The PMK Regulation 24 of 2022 states that every healthcare facility is required to implement electronic medical records. The purpose of this research is to analyze the implementation of Electronic Medical Records at Puskesmas Putri Ayu in Jambi City using the Technology Acceptance Model (TAM) approach. The research method used is descriptive qualitative, with data collection techniques thru in-depth interviews and direct observation. The subjects of this research are the Head of the Community Health Center, medical record officers, doctors, dentists, nurses, midwives, laboratory officers, pharmacists, and the Head of Administration. The object of this research is the Electronic Medical Record (EMR) using the Technology Acceptance Model (TAM) method. This research is reviewed from three aspects, namely perceived ease of use, perceived usefulness, and behavioral intention to use. According to the research findings, the implementation of Electronic Medical Records (EMR) at Puskesmas Putri Ayu shows positive results, as it is considered easy to use, beneficial in improving efficiency and service quality, and receives strong support from healthcare workers for sustainable use despite some technical challenges. Overall, it can be concluded that the implementation of EHR is very important to ensure it runs smoothly and as planned, including minimizing existing obstacles or issues and also improving the system to be better.
Analisis Kepuasan Pasien terhadap Mutu Pelayanan Kesehatan Gigi dan Mulut di Praktik Mandiri Nisa Health dan Dental Care Kota Jambi Nurutami Nasution; Suandi Suandi; Asparian Asparian; Muldiasman Muldiasman; Willia Novita Eka Rini; Herwansyah Herwansyah
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 5 No. 2 (2026): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - April 2026
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v5i2.27272

Abstract

Penelitian ini bertujuan untuk menganalisis hubungan mutu pelayanan dengan kepuasan pasien di Praktik Mandiri Nisa Health dan Dental Care Tahun 2026. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Sampel penelitian berjumlah 90 responden yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner berbasis SERVQUAL yang meliputi dimensi tangibles, reliability, responsiveness, assurance, dan empathy. Analisis data dilakukan secara univariat, bivariat menggunakan uji chi-square, dan multivariat menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa sebanyak 51,11% responden merasa puas terhadap pelayanan kesehatan gigi dan mulut yang diberikan. Analisis bivariat menunjukkan terdapat hubungan signifikan antara responsiveness (p=0,001), assurance (p=0,035), dan empathy (p=0,000) dengan kepuasan pasien. Sementara itu, tangibles (p=0,212) dan reliability (p=0,840) tidak menunjukkan hubungan yang signifikan dengan kepuasan pasien. Hasil analisis multivariat menunjukkan bahwa empathy merupakan faktor yang paling dominan memengaruhi kepuasan pasien dengan nilai POR sebesar 11,61 (95%CI=3,52–38,33). Penelitian ini menyimpulkan bahwa kepuasan pasien terhadap pelayanan kesehatan gigi dan mulut dipengaruhi oleh dimensi responsiveness dan empathy, dengan empathy sebagai faktor yang paling dominan, sehingga peningkatan mutu pelayanan perlu difokuskan pada peningkatan perhatian, kepedulian, komunikasi, dan ketanggapan tenaga kesehatan terhadap kebutuhan pasien secara menyeluruh.
A Systematic Review of Reimbursement Mechanisms: Effectiveness, Efficiency, and Patient Satisfaction in Insurance-Based Health Financing Systems Neliyana Neliyana; Ummi Kalsum; Asparian Asparian; Dwi Noerjoedianto; Wilia Novita Eka Rini; Muldiasman Muldiasman
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.646

Abstract

Introduction: The reimbursement mechanism is a fundamental component in an insurance-based financing system that affects service effectiveness, operational efficiency, and patient satisfaction. Objective: This study aims to conduct a systematic review of the literature that discusses reimbursement mechanisms with a focus on these three main dimensions. Method: Using the Systematic Literature Review approach following the PRISMA 2020 guidelines, a comprehensive search was conducted through four electronic databases to identify peer-reviewed articles for the 2021-2025 period. Of the 30 articles initially identified, six studies met the inclusion criteria and were analyzed in depth. Results and Discussion: Results show that the Diagnosis Related Groups system is effective in reducing costs but has the potential to negatively impact the quality of service. Differential reimbursement and cost-sharing mechanisms have been shown to be able to direct healthcare seeking behavior, although their effectiveness is highly contextual dependent on geographic and socio-economic factors. Patient satisfaction shows significant variation by service class with disparities in the dimensions of effectiveness, accessibility, patient-centeredness, and equity. The utilization rate of health services in Indonesia's National Health Insurance system is still relatively low, indicating the need for a comprehensive evaluation of the design of reimbursement mechanisms. Conclusion: This study emphasizes that optimizing the reimbursement system requires a holistic approach that balances cost efficiency, service quality, and patient satisfaction as interrelated outcomes in the health financing ecosystem
The Influence of Service Quality on BPJS Inpatients’ Satisfaction at Raden Mattaher Hospital: A Cross-Sectional Study Nurwan Alkahfi; Dwi Noerjoedianto; Andi Subandi; Willia Novita Eka Rini; Muldiasman Muldiasman; Asparian Asparian
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.667

Abstract

Introduction: Service quality is a key determinant of patient satisfaction in hospital settings, particularly for National Health Insurance (BPJS) participants. Raden Mattaher Hospital Jambi, as a referral hospital, experiences increasing BPJS inpatient visits. However, complaints and fluctuations in satisfaction index indicate potential service quality gaps. This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Objective: This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Method: This quantitative study used a cross-sectional design conducted in the inpatient wards of Raden Mattaher Hospital in 2025. A total of 424 BPJS inpatients were selected using purposive sampling. Data were collected using a SERVQUAL-based Likert questionnaire covering tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using univariate, bivariate (simple linear regression), and multivariate (multiple linear regression) analysis with SPSS at α=0.05. Result and Discussion: Most respondents rated service quality as good (58.3%). The mean satisfaction score was 79.10±12.71. Partially, reliability (p=0.048) and assurance (p=0.000) significantly influenced satisfaction, while tangibles (p=0.312), responsiveness (p=0.087), and empathy (p=0.421) were not significant. Simultaneously, all dimensions significantly affected satisfaction (p=0.000) with R²=0.106. Assurance was the dominant factor (β=1.238). Conclusions: Service quality significantly influences BPJS inpatient satisfaction, with assurance as the strongest determinant. Strengthening professional competence and patient trust is essential to improve satisfaction levels.
Determinants of Mobile JKN Application Utilization in Supporting Healthcare Access among Informal Workers at Kenali Besar Primary Health Center, Jambi City, Indonesia Dina Rosalina; Dwi Noerjoedianto; Andi Subandi; Ummi Kalsum; Herlambang; Muldiasman
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.668

Abstract

Introduction: Mobile JKN is a digital innovation developed by BPJS Kesehatan to improve healthcare access for National Health Insurance (JKN) participants. However, its utilization among informal workers remains suboptimal. Objective: This study aimed to analyze the determinants of Mobile JKN utilization in supporting healthcare access among informal workers. Method: A cross-sectional study was conducted among 126 informal workers who were JKN participants in the working area of Kenali Besar Primary Health Center, Jambi City, Indonesia. Respondents were selected using accidental sampling. Data were analyzed using chi-square tests and multiple logistic regression. Results and Discussion: A total of 58.73% of respondents had utilized the Mobile JKN application. Significant associations were found between perceived ease of use (p=0.002), perceived usefulness (p=0.006), behavioral intention (p=0.022), attitude toward use (p<0.001), digital literacy (p=0.038), healthcare service needs (p=0.007), and Mobile JKN utilization. Multivariate analysis identified attitude toward use as the most dominant determinant (aOR=3.19; 95% CI=1.38–7.36; p=0.006). Conclusion: Perceptions and behavioral factors significantly influence Mobile JKN utilization. Improving users' attitudes toward the application may increase its utilization among informal workers
Budaya Keselamatan Pasien dan Fenomena Underreporting Insiden Keselamatan Pasien di Rumah Sakit: Suatu Systematic Literature Review tentang Peran Just Culture, Dukungan Manajemen, dan Respons Nonpunitif Nidhal Syarifa; Damris Muhammad; Asparian; Dwi Noerjoedianto; Willia Novita Eka Rini; Muldiasman
Ekasakti Jurnal Penelitian dan Pengabdian Vol. 6 No. 2 (2026): Ekasakti Jurnal Penelitian dan Pengabdian
Publisher : LPPM Universitas Ekasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31933/ejpp.v6i2.1447

Abstract

Fenomena underreporting insiden keselamatan pasien masih menjadi tantangan utama dalam sistem keselamatan pasien di berbagai fasilitas pelayanan kesehatan. Rendahnya pelaporan insiden tidak hanya menunjukkan hambatan teknis, tetapi mencerminkan lemahnya budaya organisasi yang mendukung keterbukaan dan pembelajaran dari kesalahan. Menganalisis peran budaya keselamatan pasien, khususnya just culture, dukungan manajemen, dan respons nonpunitif dalam mengatasi fenomena underreporting insiden keselamatan pasien di rumah sakit melalui tinjauan literatur sistematis. Penelitian ini menggunakan desain Systematic Literature Review (SLR) dengan panduan PRISMA 2020. Pencarian literatur dilakukan pada lima basis data (Scopus, PubMed, ScienceDirect, Scite, Google Scholar) menggunakan kombinasi kata kunci terstruktur. Dari 500 artikel teridentifikasi, sebanyak 27 artikel memenuhi seluruh kriteria inklusi dan dianalisis menggunakan pendekatan sintesis naratif. Hasil sintesis menunjukkan bahwa just culture, dukungan manajemen, dan respons nonpunitif merupakan determinan organisasi yang secara sinergis berkontribusi dalam meningkatkan pelaporan insiden dan mengurangi fenomena underreporting. Penerapan just culture membangun persepsi keadilan dan keamanan psikologis; dukungan manajemen memperkuat komitmen organisasi; dan respons nonpunitif menghapus ketakutan tenaga kesehatan terhadap sanksi sebagai hambatan utama pelaporan. Upaya mengatasi underreporting memerlukan pendekatan sistemik yang mengintegrasikan transformasi budaya organisasi. Rumah sakit perlu mengembangkan kebijakan yang mendukung just culture, memperkuat komitmen pimpinan, dan menjamin bahwa pelaporan insiden dipandang sebagai sarana pembelajaran, bukan sebagai dasar pemberian sanksi.
The Effectiveness of collaborative learning in improving pregnant women's perceptions of antenatal care quality Osvinarti; Dwi Noerjoendianto; Willia Novita Eka Rini; Asparian; Herwansyah; Muldiasman
Riset Informasi Kesehatan Vol 15 No 2 (2026): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/5methq43

Abstract

Background: Pregnant women's perceptions of the quality of Antenatal Care (ANC) services are important indicators in improving the utilization and quality of maternal health services. Educational approaches that actively involve participants, such as collaborative learning, can improve understanding and shape more positive perceptions toward health services. Through interaction, discussion, and experience sharing among participants, collaborative learning may enhance pregnant women's awareness and evaluation of ANC services. Methods: This quasi-experimental study used a one-group pre-test and post-test design involving 97 pregnant women in the working area of Puskesmas Aur Duri, Jambi City, in 2025. Data were collected using a validated questionnaire and analyzed using univariate analysis and the Wilcoxon Signed Rank Test. Results: The mean perception score increased from 97.67 before the intervention to 108.55 after the collaborative learning intervention. The Wilcoxon test showed a statistically significant difference (Z = -6.013; p < 0.0001). Most respondents experienced an increase in perception scores, with an effect size of 0.61, indicating a large effect. Conclusion: Collaborative learning is effective in improving pregnant women's perceptions of the quality of ANC services and can be applied as an educational strategy to support improvements in maternal health services.
Analysis Of Factors Associated With Occupational Fatigue Among Motorcycle Workshop Workers In Jambi City, 2026 Niki Rosalina Harianja; Hendra Dermawan Sitanggang; Usi Lanita; Willia Novita Eka Rini; Muldiasman Muldiasman
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.1047

Abstract

Occupational fatigue is a common occupational health problem that may reduce productivity and increase the risk of workplace accidents, particularly among motorcycle workshop workers who are exposed to physically demanding tasks and unfavorable working conditions. This study aimed to analyze factors associated with occupational fatigue among motorcycle workshop workers in Jambi City. A quantitative cross-sectional study was conducted involving 46 workers selected using simple random sampling. Data were collected through questionnaires, observation, anthropometric measurements, and the Industrial Fatigue Research Committee (IFRC) Subjective Self-Rating Test. Data were analyzed using univariate and Chi-square analyses at a 95% confidence level. The results showed that 58.7% of respondents experienced occupational fatigue. Age, length of service, smoking habits, and work environment were significantly associated with occupational fatigue, with age demonstrating the strongest association. These findings indicate that both individual and workplace factors contribute to occupational fatigue. Improving workplace conditions and strengthening occupational health promotion programs are recommended to reduce fatigue and enhance workers' health, safety, and productivity.
PEMBENTUKAN SEKOLAH PEREMPUAN: EDUKASI KESEHATAN REPRODUKSI DAN PENINGKATAN STATUS GIZI PADA PEREMPUAN DI DESA PUDAK KABUPATEN MUARO JAMBI: Sekolah Perempuan Kalsum, Ummi; Guspianto, Guspianto; Asparian, Asparian; Muldiasman, Muldiasman; Sitanggang, Hendra Dhermawan; Octaviana, Tarra; 'Aisya, Nakhlatul
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 2 (2026): Vol. 7 No. 2 (2026): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i2.55630

Abstract

Women's health issues remain an important issue in Indonesia, especially those related to reproductive health and poor nutritional status among women of productive age. Lack of knowledge makes them vulnerable to nutritional problems such as anemia, chronic energy deficiency (CED), pregnancy complications, and reproductive health disorders that lead to domestic violence. This community service program aims to increase women's knowledge and awareness to improve their health independence through the establishment of a Women's School in Pudak Village, Muaro Jambi Regency. The activity was carried out using a community-based participatory approach, which involved women, village officials, and health workers in every stage of implementation. The stages of the activity included advocacy, socialization, the establishment of the Women's School, the implementation of reproductive health and nutrition education, and evaluation through pre-tests and post-tests. This activity successfully fostered awareness, enthusiasm, and commitment among participants to apply reproductive health and balanced nutrition practices in their daily lives and prevent domestic violence. The formation of Women's School cadres is an important achievement for the sustainability of education and women's empowerment at the village level.
Hubungan Usia, Sikap Kerja, Durasi Kerja, dan Masa Kerja dengan Kejadian Low Back Pain (LBP) pada Pengendara Ojek Online di Kota Jambi Abib Putra Evany; Willia Novita Eka Rini; Dwi Noerjoedianto; Budi Aswin; Muldiasman Muldiasman
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2026): Edisi Januari
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i3.1408

Abstract

Low back pain (LBP) adalah nyeri yang dirasakan pada daerah punggung bawah di daerah diskus intervertebralis lumbal dan sakralis (L5-S1). Faktor resiko low back pain, yaitu Usia, Sikap, Durasi kerja, masa kerja. Penelitian ini bertujuan untuk menganalisis hubungan antara Usia, sikap kerja, durasi kerja, dan masa kerja pada pengendara ojek online di Kota Jambi. Penelitian kuantitatif dengan desain observasional merupakan metodologi yang digunakan. Tujuan dari pendekatan cross sectional adalah untuk mengetahui hubungan antara usia, sikap kerja, durasi kerja, dan masa kerja dengan resiko terjadinya Low Back Pain (LBP) pada pengendara ojek online di Kota Jambi. Teknik pengambilan sampel dalam penelitian ini adalah Accidental sampling mengambil responden yang kebetulan ditemui di suatu tempat yang sesuai dengan konteks penelitian. Jumlah sampel yaitu 100 sampel yang merupakan pengendara Ojek Online di Kota Jambi. Hasil penelitian terhadap 72 responden yang mengalami keluhan (LBP) dan 28 orang yang tidak mengalami keluhan low back pain (LBP). Ditemukan hubungan yang signifikan antara variabel durasi kerja dan masa kerja dengan keluhan (LBP). Tidak ditemukan hubungan yang signifikan antara variabel usia dan sikap kerja hal ini disebabkan oleh homogenitas postur berkendara responden. Dari hasil tersebut dapat disimpulkan bahwa lebih banyak pengendara ojek online di Kota Jambi yang mengalami keluhan LBP dari pada yang tidak mengalami keluhan LBP.
Co-Authors 'Aisya, Nakhlatul . Asparian, . Abib Putra Evany Adila Solida Agusnawati, Agusnawati Amelia Dwi Fitri, Amelia Dwi Amelia Sari, Ayu Oktavia Andi Subandi Andy Amir Armaidi Darmawan Arnild Augina Mekarisce Asparian Asparian Asparian Asparian Asparian Asparian Asparian Asparian Asparian Asparian Budi Aswin Damris Muhammad Desti Indri Yani Dilla Oktaviani Dina Rosalina Dwi Noerjoedianto Dwi Noerjoendianto Eka Rini, Willia Novita Fajar Lestari Guspianto Guspianto Hendra Dermawan Sitanggang Hendra Dhermawan Sitanggang Hendro Prima Mukti Herlambang Herwansyah, Herwansyah Hubaybah, Hubaybah Ilham Ilham Indira Harti Intan Permata Kiki Ayu Apriani Neliyana Neliyana Nidhal Syarifa Niki Rosalina Harianja Nurutami Nasution Nurwan Alkahfi Nurwan Alkahfi Octaviana, Tarra Osvinarti Rini, Willia Novita Eka Sartika, Yuli Maya Suandi Suandi Sukendro Sukendro Sukendro Susy Mardianti Ummi Kalsum Ummi Kalsum Ummi Kalsum Ummi Kalsum Usi Lanita Wilia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Willia Novita Eka Rini Yendranita, Arfina