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Journal of Health Policy and Management
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490281     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is published twice yearly. It aims to improve the design and implementation of health policies, health systems, and healthcare management, primarily in low- and middle-income countries. JHPM analyzes policy initiatives and healthcare systems and provides evidence-based research to guide policymaking and management decision-making.
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Articles 215 Documents
 1   2   3   4   5 
Social Economic Equity in the Utilization of Hemodialysis among Patients with Chronic Renal Failure under National Health Insurance Plan at Dr. Moewardi Hospital, Surakarta Ardian, Kukuh; Sulaeman, Endang Sutisna; Suryono, Arief
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The health care reform promulgated by World Health Organization (WHO), namely Universal Health Coverage (UHC), aims to ensure that every citizen has access to affordable and equitable health care they need with good quality. The Indonesian National Health Insurance Plan has been implemented since January 1, 2014. However, anecdotal evidence indicates that there are some inequity concerns on the use of expensive medical care, such as renal hemodialysis.  This study aimed to examine social economic equity in the utilization of hemodialysis among patients with chronic renal failure under the National Health Insurance (NHI, JKN) plan.Subjects and Method: This study was analytic observational using cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, from  March to April 2017. A sample of 120 patients with chronic renal failure was selected for this study by simple random sampling.  The dependent variable was frequency of hemodialysis use. The independent variables were educational status, location of residence, family income, employment status (formal vs. informal), and membership status (beneficiary vs. non-beneficiary of government subsidy). The data were collected by questionnaire and were analyzed by path analysis.Results: Higher frequency of hemodialysis use was directly associated with higher family income (b=5.04; SE=2.36; p=0.033), distance < 20 km (b=-1.10; SE=2.15; p=0.610), working in informal sector (b=3.84; SE=3.05; p=0.305), beneficiary of government subsidy (b=-3.68; SE=2.81; p=0.190), longer duration of hemodialysis (b=0.39; SE=0.08; p<0.001), severe condition of illness (b=46.11; SE=2.42; p<0.001), and living in urban area (b=3.34; SE=0.31; p= 0.147).Conclusion: Higher frequency of hemodialysis use is directly affected by higher family income, distance < 20 km, working in informal sector, beneficiary of government subsidy, longer duration of hemodialysis, severe condition of illness, and living in urban area.Keywords: National Health Insurance, membership, hemodialysis, inequityCorrespondence: Kukuh Ardian. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: kukuh.ardph@gmail.com. Mobile: 082298148101.Journal of Health Policy and Management (2017), 1(1):28-41https://doi.org/10.26911/thejhpm.2017.02.01.03 
Factors Associated with Health Personnel Performance in Tuberculosis Control Using ACHIEVE Model Pangestuti, Reni Dwi; Hernawati, Sri; Ningtyias, Farida Wahyu
Journal of Health Policy and Management Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tuberculosis (TB) remains a major public health problem in the world that causes morbidity and mortality. The role of health personnel is important in the implementation of lung TB control program. Health personnel performance that is not optimal can cause the TB case to remain high. Little is known about the factors affecting the performance of health personnel in Indonesia. This study aimed to examinethe determinants of health personnel performance in TB control using ACHIEVE model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in community health center in Jember, East Java. A sample of 45 health personnel of TB program implementation was selected for this study by simple random sampling. The dependent variable was health personnel performance, which included TB case finding, observation, and monitoring of TB patients. The independent variables were ability, clarity, help, incentive, evaluation, validity, and environment (ACHIEVE). The data were collected by questionnaire and analyzed by logistic regression in SPSS 16.Results: Of all health personnel under study, 43 (93.4%) had good ability, 75.6% received positive organizational support, and 84.5% received appropriate evaluation. Health personnel performance was determined by ability (OR= 2.98; p= 0.002), clarity (OR= 1.18; p= 0.013), help (OR= 2.98; p= 0.002), incentive (OR= 0.98; p= 0.054), evaluation (OR= 1.18; p= 0.013), and environment (OR= 0.80; p= 0.047).Conclusion: Health personnel performanceis determined by ACHIEVE model, except validity which was not examine in this study.Keywords: tuberculosis program, health personnel, performance, ACHIEVE modelCorrespondence:Reni Dwi Pangestuti. Masters Program in Public Health, Universitas Jember, Jl. Kalimantan I No.93, Krajan Timur, Sumbersari, Jember 68121, East Java. Email: renidwi730@gmail.com.Journal of Health Policy and Management (2018), 3(2): 71-75https://doi.org/10.26911/thejhpm.2018.03.02.02
Evaluation of the Management Information System at the Primary Health Care in the National Health Insurance Program in Surakarta Wariyanti, Astri Sri; Suryono, Arief; Indarto, Dono Indarto
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Management information system are intended to facilitate National Health Insurance (BPJS Kesehatan). This study aimed to evaluate the evaluation of the management information system so-called Primary Care (PCare) at the primary health care in the national health insurance program in Surakarta, Central Java.Subjects and Methods: This was a descriptive-qualitative study. This was carried out in four selected community health center in Surakarta in August-November 2016. The data was collected with observation and in-depth interviews, documentation and triangulation. The data was analyzed by data reduction,data presentation, and conclusion.Results: The application of PCare in Surakarta facilitated patient service. But there were some obstacle and error in the implementation of Pcare.Conclusion: Pcare in Surakarta does not run optimally. But PCare facilitate service to patients and reporting system at BPJS Surakarta.Keywords: information systems, community health centers, primary care social and health care security in community health center.Correspondence:Astri Sri Wariyanti. School of Health and Sciences, STIKes Mitra Husada, Karanganyar, Surakarta. Email: astri_new89@yahoo.comJournal of Health Policy and Management (2016), 1(1): 53-60https://doi.org/10.26911/thejhpm.2016.01.01.08 
Factors Associated with the Completeness of Inpatient Medical Record Filling in Dr. R Sosodoro Djatikoesoemo, Bojonegoro, East Java Pratama, Tegar Wahyu Yudha; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctors ethical and statutory duty in providing good patient care.Good quality medical records, including completeness of record filling, are essential to proper ongoing care of the patient and are paramount for effective communication between healthcare professionals and their patients. However, studies in Indonesia examining factors associated with the completeness of inpatient medical record filling is scanty. The purpose of this study was to examine factors associated with the completeness of inpatient medical record filling in a district hospital.Subjects and Method: This was a quantitative study using a cross-sectional design, conducted atDr. R. SosodoroDjatikoesomoBojonegoro hospital, East Java, in April 2018. A total of 213 nurses working at the inpatient service ward was selected for this study by proportional random sampling, composing of 115 nurses with graduate degree and 35 nurses with diploma degree. The dependent variable was completeness of inpatient medical record filling. The independent variables were education level, employment status, tenure, responsibility, and organization support. The data were collected by questionnaire and document review. The data were analyzed by a multiple logistic regression.Results: Completeness of inpatient medical record fillingwas positively associated with higher education (OR= 2.94; CI 95%= 1.08 to 8.00; p=0.034), civil servant status of employment (OR= 4.01; CI 95%= 1.71 to 9.40; p=0.001), ?3 year tenure (OR= 8.84; CI 95%= 2.78 to 28.16; p<0.001), higher knowledge (OR= 5.37; CI 95%= 1.40 to 20.55; p=0.014), stronger responsibility (OR= 3.13; CI 95%= 1.35 to 7.28; p=0.008), and stronger organizational support (OR= 4.08; CI 95%= 1.72 to 9.67; p=0.001).Conclusion: Completeness of inpatient medical record fillingis positively associated with higher education, civil servant status of employment, ?3 year tenure, higher knowledge, stronger responsibility, and stronger organizational support.Keywords: completeness, inpatient, medical record, fillingCorrespondence:Tegar Wahyu Yudha Pratama. School of Medical Records and Health, STIKES Muhammadiyah, Bojonegoro. Email: tegar.wahyu404@gmail.com. Mobile: +6285746085030.Journal of Health Policy and Management (2018), 3(1): 1-10https://doi.org/10.26911/thejhpm.2018.03.01.01
The Asssociations between Accreditation Status, Patient Socio-Economic Factors, Insurance Type, Patient Perceived Quality of Service, and Satisfaction at Community Health Center Mirshanti, Farahdila; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Being one of the most important elements in healthcare system, Community Health Center has been promoted to improve its quality and capacity of services. Accreditation is a method that can be used to improve and measure the quality of health service. Quality service improvement is expected to enhance patient satisfaction. This study aimed to investigate the asssociations between accreditation status, patient socio-economic factors, insurance type, patient perceived quality of service, and satisfaction at Community Health Center.Subjects and Method: This was an analytic observational study with cross-sectional design. This study was conducted at Community Health Center in  Surakarta, Central Java from June to July 2017. A total of 8 Community Health Centers with different accreditation status (not accredited, lowest, medium, and highest) were selected for this study. A sample of  200 patients were selected from the 8 Comunity Health Centers by proportional random sampling. The independent variables were accreditation status, patient education level, family income, and insurance type. The dependent variables were perceived quality of service and patient satisfaction. The data were collected by a set of pre-tested questionnaires.  Accreditation status was identified from the record at District Health Office. Data were analyzed by path analysis.Results: Patient satisfaction was associated with Commuity Health Center acrreditation status (b=0.39; SE=0.22; p=0.069), perceived quality of service (b=0.05; SE=0.02; p=0.022), patient education level (b=-1.16; SE=0.48; p=0.017), and insurance type (b=0.61; SE=0.31; p=0.044). Perceived quality of health services was associated by accreditation status (b=2.22; SE=0.74; p=0.003), patient education level(b=-4.51; SE=1.68; p=0.007), and insurance type  (b=2.79; SE=1.06; p=0.008). Family income did not show statistically significant association with perceived quality of health service (b=-0.17; SE=0.11; p=0.123).Conclusion: Patient satisfaction is associated with Commuity Health Center acrreditation status, perceived quality of service, patient education level, and insurance type. Perceived quality of health services is associated with accreditation status, patient education level, and insurance type.Keywords: patient satisfaction, perceived quality of service, accreditation status, Commuity Health CenterCorrespondence: Farahdila Mirshanti. Masters Program of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: fmirshanti@gmail.com. Mobile: +628121534393.Journal of Health Policy and Management (2017), 1(1): 91-101https://doi.org/10.26911/thejhpm.2017.02.01.08
Comparison Between Hospital Inpatient Cost and INA-CBGs Tariff of Inpatient Care in the National Health Insurance Scheme in Solo, Boyolali and Karanganyar Districts, Central Java Rahayuningrum, Indriyati Oktaviano; Tamtomo, Didik; Suryono, Arief
Journal of Health Policy and Management Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hospital has an important referral system role in the implementation on the National Health Insurance (NHI) Scheme. BPJS Kesehatan (NHI Implementing Agency) pays hospitals by Indonesian Case Based Groups (INA-CBGs) method. This payment method may potentially cause loss or profit to the hospital, when there is discrepancy between hospital inpatient cost and INA-CBGs tariff of inpatient care. This study aimed at investigating the discrepancy between hospital inpatient cost and INA-CBGs tarif of inpatient care and the determinants of hospital inpatient cost.Subjectsand Method: This was an analytic and observational study cross sectional approach. This study was conducted in 2 publichospitals and 2 private hospitals, from October to December 2016.  A total sample of 100 inpatients was selected at random for this study. The dependent variables were hospital inpatient cost and INA-CBGs tariff. The independent variables included hospital type, inpatients class, disease severity, use of ICU, and length of stay. The data were analyzed by a multiple linear regression model.Results:Averagehospital inpatient cost (mean= Rp. 2,280,000; SD=1,690,000) was lower than average INA-CBGs (mean=Rp. 3,060,000). There were negative relationships between hospital type, inpatient class, disease severity, and hospital inpatient cost. Private hospital inpatient cost(b=-5.66;95% CI= -1.20 to 0.06; p= 0.078) was lower than public hospital inpatient cost. Class 2 inpatient care (b= -0.34; 95% CI=-1.09 to 0.41, p =0.371), class 3 inpatient care (b =-0.50; 95% CI =-1.23 to 0.23, p=0.177), had lower hospital inpatient cost than class 1 inpatient care.Severe disease (b=-0.12; 95% CI= -1.95 to 1.71; p= 0.894) had lower hospital inpatient cost than mild disease, although it was not statistically significant. There were positive relationships between use of ICU, disease severity, length of stay, and hospital inpatient cost. Using ICU (b= 1.58; 95% CI= 0.76 to 2.4; p= <0.001) had higher hospital inpatient cost than not using ICU. Moderate disease severity (b= 0.55; 95% CI = -0.20 to 1.30; p= 0.150) had higher hospital inpatient cost than mild disease. Longer stay (b= 0.27; 95% CI= 0.08 to 0.45; p= 0.005) had higher hospital inpatient cost than shorter stay. Conclusion:Average hospital inpatient cost was lower than average INA-CBGs tariff. Hospital type, use of ICU, and length of stay, are important determinants of hospital inpatient cost.Keywords: hospital inpatient cost, INA-CBGs tariff, determinantCorrespondence: Indriyati Oktaviano Rahayuningrum. Faculty of Medicine, Muhammadiyah University Surakarta. Email: indriyatioktaviano@yahoo.comJournal of Health Policy and Management 1(2): 102-112https://doi.org/10.26911/thejhpm.2016.01.02.05
Predictors of Work Performance among Nurses at PKU Muhammadiyah Hospital, Yogyakarta Rusmitasari, Heni; Sulaeman, Endang Sutisna; Murti, Bhisma
Journal of Health Policy and Management Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anursehas an important role as a caregiver for patients and helps to manage physical needs, prevent illness, and treathealthconditions.This study aimed to determine predictors of work performance among nurses at PKU Muhammadiyah Hospital, Yogyakarta.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at PKU Muhammadiyah Hospital, Yogyakarta, from April to June 2018. A sample of 203 nurses was selected for this study by simple random sampling. The dependent variable was work performance. The independent variables were motivation, skill, tenure, and motivation. The data were collected by questionnaire and analyzed by path analysis.Results: Work performance was directly improved with better skill (b=1.74; 95%CI= 1.07 to 2.41; p<0.001), longer tenure (b=0.71; 95%CI= 0.07 to 1.35; p= 0.003), and stronger motivation (b=-0.62; 95%CI= -0.07 to 1.31; p= 0.079). Work performance was indirectly affected by satisfaction. Conclusion: Work performance is directly improved with skill, tenure, motivation, and is indirectly affected by satisfaction.Keywords: work performance, tenure, motivation, skill, satisfactionCorrespondence:Heni Rusmitasari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: heni.rusmitasari@gmail.comJournal of Health Policy and Management (2018), 3(1): 41-46https://doi.org/10.26911/thejhpm.2018.03.01.06
Institutional and Social Factors Affecting the Acceptance of Family Planning Concept in Jeruklegi, Cilacap, Indonesia Oktaviani, Anisa Sevi; -, Pawito; Budihastuti, Uki Retno
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning program is important to address population problem. However, there was some barrier confronting the family planning program.  This study was aimed to analyze the institutional and social factors that influence the acceptance of the family planning concept.Subjects and methods: This was a qualitative study with interactive analysis of a policy conducted in Tritih, Wetan, Jeruklegi, Cilacap. A total of head community empowerment Agency, women empowerment, children protection, family planning in Cilacap regency and extension officers in Tritih Wetan were selected by using snowball sampling. The data collected by in-depth interview, observation, analysis document. The data analyzed with a triangulation, included the collection of data, data presentation, data reduction, and the withdrawal of the conclusion.Results: The policy of family planning village have not provided significant influence towards the understanding of the concept of family planning society Tritih Wetan, Jeruklegi, Cilacap. Institutional factors against the acceptance of the concept of the family planning can be seen through the success indicator input aspect mentioned in the technical instructions of family planning village. In addition, the factors social, economic, and cultural barriers also affect the implementation of the policy of family planning village.Conclusion: The effectiveness of the implementation of the policy of family planning village in Tritih Wetan,Cilacap yet effective. While the dominant factor influencing the effectiveness of the implementation of the policy of family planning village was a factor family planning resource factors, social factors, and cultural factors.Keywords: family planning village, family planning policyCorrespondence: Anisa Sevi Oktaviani. School of Midwifery, Graha Mandiri, Cilacap, Central Java. Email: anisasevi@gmail.com.Journal of Health Policy and Management (2016), 1(1): 29-37https://doi.org/10.26911/thejhpm.2016.01.01.05 
Path Analysis on the Effects of Motivation and Other Factors on Midwives Performance of Preeclampsia Management in Malang, East Java Jayanti, Nicky Danur; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The incidences of preeclampsia and eclampsia remain high worldwide. Preeclampsia and eclampsia remain a major cause (31.04%) of maternal mortality in East Java. It is essential to early detect preeclampsia in order to prevent mortality. Good performance of midwives in the management of preeclampsia may reduce maternal mortality attributable to eclampsia. It is hypothesized that motivation, leadership style, working atmosphere, insentive, skill, and training, all have impact on midwives performance. This study aimed to analyze the effects of motivation and other factors on midwives performance in preeclampsia management in Malang, East Java, using path analysis model.Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted in Community Helath Centers, Malang, East Java in September 2017. A total sample of 161 midwives were selected using total sampling technique. The endogenous variables were motivation and midwives performance. The exogenous variables were insentive, working atmosphere, leadership style, skill and training. The data were collected using a set of questionnaire and analyzed by path analysis.Results: Midwife performance were positively affected by working atmosphere (b= 0.11; SE=0.04; p= 0.004), leadership style (b= 0.06; SE= 0.02; p= 0.004), skill (b= 0.24; SE= 0.03, p<0.001), and motivation (b= 0.68; SE= 0.03; p<0.001). Motivation was positively afected by insentive (b= 0.25; SE= 0.09, p= 0.006), training (b= 0.89; SE= 0.28; p= 0.001), skill (b= 0.39; SE= 0.06; p<0.001), leadership style (b= 0.08; SE= 0.05; p= 0.110), and working atmosphere (b= 0.35; SE= 0.09; p<0.001).Conclusion: Midwives performance are positively affected by working condition, leadership, skill, and motivation.Keyword: preeclampsia, path analysis, motivation, midwives performanceCorrespondence: Nicky Danur Jayanti. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: nicky_daanty@yahoo.co.idJournal of Health Policy and Management (2017), 2(2): 137-146https://doi.org/10.26911/thejhpm.2017.02.02.05
Effect of Doctor’s Personality, Job Characteristic, Payment Method, Facility, on Performance and Quality of Doctor Service Hastuti, Heni; Tamtomo, Didik; Sulaeman, Endang Sutisna
Journal of Health Policy and Management Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Doctors generally do not work permanently at hospitals. Doctors are expected to deliver quality medical service at the hospitals. However, hospitals often find it difficult to exercise efective managerial control over the quality of medical services. This study aimed to investigate the effect of doctor’s personality, job characteristic, payment method, facility, on performance and quality of doctor service.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was carried out at Dr. Moewardi  Hospital and PKU Muhammadiyah Hospital, Surakarta, from March to May 2017. A sample 182 study subjects consisting of 26 doctors, 26 nurses, and 130 patients, were selected for this study by simple random sampling. The dependent variable was quality of doctor service. The independent variables were doctor’s personality (extrovert vs. introvert), doctor’s carefulness, proactive attitude, self-efficacy, autonomy, performance feedback, supervisor support, payment method, work site (private vs. public), and performance. Questionnaire was used to collect data. Path analysis was employed to analyze the data.Results: Good quality of doctor service was directly affected by good performance (b=0.64, SE=0.11, p<0.001), private work site (b= 2.85, SE=0.66, p<0.001), and strong self-efficacy (b=0.21, SE=0.07, p=0.006). Good work performance  was affected by extrovert personality (b=0.08, SE= 0.06, p=0.186), careful attitude (b=0.30; SE=0.09; p=0.001), proactive personality (b=−0.17; SE=0.05; p=0.001), strong self-efficacy (b=0.27; SE=0.07; p<0.001), autonomy (b=0.16; SE=0.06; p=0.015), performance feedback (b=0.43; SE=0.13, p<0.001), supervisor support  (b=0.14, SE=0.06, p=0.018), payment method (INA CBGs) (b= −2.29; SE= 0.66; p<0.001), and private work site (b= -0.26, SE= 0.68, p=0.696).Conclusion: Good quality of doctor service is directly affected by good performance, private work site, and strong self-efficacy.Keywords: quality, doctor’s service, performance, path analysisCorrespondence: Heni Hastuti. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: henihastuti.1988@gmail.com Mobile: +6281904534310.The Journal of Health Policy and Management (2017), 2(1): 42-55https://doi.org/10.26911/thejhpm.2017.02.01.04

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