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Proceedings of the International Conference on Applied Science and Health
Published by Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)
ISSN : 25794434     EISSN : -     DOI : -
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Nursing Public Health
Proceedings of the International Conference on Applied Science and Health is a conference collection of technical papers freely accessible to scholars over the world. Articles featured vary areas of efforts to develop health and well-being for better society such as factors of illness, epidemiology, health promotion, health policy, nutrition, environmental health and safety, nursing and midwifery, and other sciences related to health development.
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Articles 116 Documents
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Search results for , issue "No. 3 (2018)" : 116 Documents clear
DELAYED CLAIM PAYMENT AND THE THREAT TO HOSPITAL CASH FLOW UNDER THE NATIONAL HEALTH INSURANCE SCHEME IN INDONESIA Citra Yuliyanti; Hasbullah Thabrany
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Indonesia commits to ensure health care access for all population through the National Health Insurance (JKN) managed by the BPJS Health. By February 2018, the JKN covered 193 million people (73% of the total population). To ensure health delivery, 2,104 public and private hospitals are contracted by the BPJS and prospective payment using Case-mix Based Group (CBG) that changes hospital managements. Hospitals become more dependent on payments by BPJS. Delay in claim payment will have serious impact on hospital managements. This study aims to identify current practices in timely payment to hospitals and finding factors correlate with delay in payments. Methods: This study used trend analysis of the secondary claim data of BPJS with the total sample of 57,475 bundles of claims. Total claim population was used in this study. In addition, qualitative study via in-depth interview with six informants consisting of members of National Social Security Council, hospital director of three different classes, and BPJS. Results: This study found 60% of claims were paid within one month (N-1) of claim submission, below the target of 100%. There were tendencies of delays in claim settlements since November 2017. Informants believed that late payments were correlated with non-compliance of doctor to complete medical records, incompetence coders, inadequate management information system, and financial condition of BPJS. There were three main problems faced by hospitals as a result of delay in payments: 1) disturbed drug availability, 2) decreased performance of doctors, 3) poorer maintenance of medical equipment. Conclusion: Delayed in claim payments were occurred and led to a threat of decreasing quality of care to patients. The study suggests the government should fix the problems to protect patients from decreasing quality of care. Hospitals should provide reserve funds to protect them from financial hardship when delays occur. 
PERFORMANCE ANALYSIS OF INPATIENT UNIT “ANGGREK PAVILION” AT RSAL DR. MINTOHARDJO IN 2014 - 2017 USING MANAGEMENT APPROACH Fidela Eniraisa; Budi Hidayat
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background:. The increasing number of hospitals built by both private and government parties to make patients can choose the hospital they want, so that will lead to increased competition between hospitals. It requires a hospital to be ready to compete and be more creative in developing its services. One of the most important elements in a hospital is the management department who play an active role. This study aims to explain the relationship between the five M’s of management with the performance improvement of an inpatient unit ”Orchid Pavilion”. So the other hospital with a low performance may be more concerned with the five management factors at the hospital and this study can be a good example which can be applied by other hospitals. Methods: This research was conducted at inpatient unit “Orchid Pavilion”Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The research was conducted by qualitative method, that is to conduct in-depth interview with Head of Orchid Pavilion and Deputy Head of Orchid Pavilion, and study data obtained from Medical Administration Department Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. Results: The results show that there has been an improvement of performance in inpatient unit “Orchid Pavilion” and many improvement on the five M’s in management (Men, Money, Materials, Machines, and Method) resulting in significant increase of Bed Occupancy Ratio value in the room. Conclusions: Improvements in five M’s in management greatly affect the improvement of performance in inpatient unit “Orchid Pavilion” Rumah Sakit Angkatan Laut (Navy Hospital) Dr. Mintohardjo. The five M’s in management (Men, Money, Materials, Machines, and Method) have a strong role in improving the performance of inpatient unit “Orchid Pavilion”. 
EVALUATION OF MOTHER AND CHILD HEALTH (MCH) HANDBOOK: A SYSTEMATIC REVIEW Wike Pratiastuti; Ahmad Syafiq
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Maternal and Child Health (MCH) handbook is a home-based health record for both mother and child. The handbook can be used to monitor the health of women and her child, to give record in the utilization of health services, promote maternal health education, and provide information when either mother or child is referred. Several countries adopted the MCH handbook as a tool to promote better health knowledge and health service seeking behavior among women, and numerous countries have succeeded in applying it. Therefore a strategy is needed to improve the effectiveness and efficiency of the MCH handbook with strong evidence. This study aims to evaluate the effectiveness and efficiency the implementation of the recording, information and education usefulness of the MCH handbook. Methods: Using systematic review method, the literature review using PICOS was employed 3 articles with PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) approach by taking sources from online database: Proquest, Jstor, Pubmed, EBSCO, Science Direct and Scopus. Results: Previous studies from three (3) countries stated that the contents of the MCH handbook were complete which included the ANC (antenatal care) record, delivery, PNC (post-natal care), child development, notification of birth, an educational message to raise the demand and awareness of healthy behavior of women in pregnancy and motherhood and improve their essential service utilization. For use of the MCH handbook in 3 countries it is known that almost are used to record all health and treatments consultations during pregnancy, delivery, after delivery and during infant care, including immunization and growth monitoring (birth weight is accurate data to monitor stunting in children under 5 years), maternal and neonatal death surveillance and response records. In Burundi, it is also used in birth registration procedures. Conclusions: The MCH handbook is an effective health education tool for women with less education, a reliable source of information for primiparous women, delivery, and childcare; and an effective aid for health communication between women and health providers, and their husbands. 
PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY Stella Maris Bakara; Sandra Fikawati
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informants’ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with the standard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure. 
THE IMPLEMENTATION OF VENTILATOR ASSOCIATED PNEUMONIA BUNDLE (VAP) IN THE ICU OF EKA HOSPITAL, PEKANBARU Erna Maria; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Nosocomial infections or known as Hospital Acquired Infections (HAIs) is a worldwide problem. VAP is nosocomial pneumonia which occurs more than 48 hours after installation of mechanical ventilation, either through an endotracheal tube or tracheostomy. The patient in ICU have high risk on VAP infection and increasing morbidity, mortality and also prolonged length of hospital stay Methods: This research is an observational study evaluating conditions before and after a specific standard operating procedure being implemented in reducing VAP infection in ICU EKA Hospital Pekanbaru. Results: It’s obtained from medical record data of 339 patients hospitalized at ICU of Eka Hospital Pekanbaru ranging from 2016 to 2017. There is significant decrease number of VAP infections in 2017 by 60%. The reduction occurred due to the application of a routine VAP Bundle covering 100% for all hospitalized ICU patients. Conclusions: Strict monitoring and supervision are required to maintain VAP bundle and reduce the incidence of VAP infection in ICU of Eka Hospital Pekanbaru. 
DELAY OF ELECTIVE OPERATIONS IN AWAL BROS PANAM PEKANBARU HOSPITAL JANUARI-APRIL 2018 Muhammad Eriex Fornando Suka; Adik Wibowo
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competition between hospitals is increasing, for thathospital should maintain the quality of service and patient satisfaction. Hospitals should have innovation targets for cost effectiveness and productivity without compromising patient safety and quality of care. Operation delays are one barrier to optimal patient flow, increasing patient anxiety, affecting interprofessional teamwork across the medical discipline and ultimately putting patients at risk of safety. Methods: This research is descriptive research with a quantitative approach, data obtained from the surgery room register and interview which then grouped and analyzed. Results: There was an elective delay in surgery of 38%, with the highest cause being the staffing factor of 81%, the highest percentage of delays was plastic surgery 61% of total surgery performed, The highest number of delays occurred in Urology that is 213 cases. Conclusions: To reduce the delay required clear rules in the event of delays and rules of payment based on performance services, which is timeliness of attendance elective operation schedule is one of the assessment tools, and scheduling operations outside the time outpatient service. 
DETERMINANTS OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINE (TCAM) CHOICES : A SYSTEMATIC REVIEW Zainal Abidin; Prastuti Soewondo
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Traditional, complementary, and alternative medicine (TCAM) is one of the treatment methods that have existed for a long time. The use of TCAM as treatment is increasing in many countries. Extensively, TCAM is used to treat various diseases, especially patients with two or more chronic diseases. TCAM as treatment is chosen by the community based on their HBM (Health Belief Model). This study aims to look at the reasons patients choose to seek treatment at TCAM. Methods: Systematic review with journal tracking through 3 database source, ProQuest, Scopus and Springer Link. We use the keywords “determinants” AND “traditional, complementary, and alternative medicine” for journals published in the last five years. Then we conduct critical appraisal of the selected journals. Results: From the five selected studies , we found that health satisfaction variables are the strongest reason in TCAM choice as treatment. They visit health modalities to improve their well-being or health status. Some believe and agree that TM is more safety, more convenient, more effective, cheaper, and easier to use. The use of TCAM is related to patient satisfaction, TCAM knowledge, outsides influence, positive perception, higher education, and more than 1 chronic illness. All these factors explain the model of peoples belief to health services. Conclusions: Patient satisfaction was strongly predictor of TCAM choices. Their well-being have perceived more better after using TCAM services. The socio-demographic and socioeconomic variables are modifying factors that doesn’t always influence patient decision. All these determinants enrich the HBM theory as follows patient satisfaction, patient knowledge, socio-demographic, socioeconomic, and distrust as barrier. 
FACTORS AFFECTING NURSE TURNOVER IN HOSPITAL: A LITERATURE REVIEW Luvi Christiani; Jaslis Ilyas
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: A turnover occurrence in the hospital was a constant problem. The cause of turnover was largely inclined to the level of job satisfaction, hostile work environment, excessive workload, resulting in a lack of motivation to stay. Methods: This study was conducted in a narrative review by looking at the factors causing turnover at various hospitals. The review was done by searching for articles and journals related to factors that lead to nurse turnover in the hospital. The referral journals are published in the accredited journal publications. The literature investigation was conducted in October-December 2017 through Universitas Indonesia online library and Google Scholar. Journals were selected based on predefined criteria and carried out a critical appraisal process. Results: The results of the journal investigation showed that some factors that support the nurse turnover in the hospital were the poor work environment, job dissatisfaction, excessive workload, the poor relationship between nurse and manager, lack of self-appreciation, burnout and low social support. Conclusions: The suggestion that can be given is to improve the work environment that is emphasized through policies to maintain the nurse in the workplace. 
THE INCIDENCE OF PHLEBITIS AMONG INPATIENT IN THE HOSPITAL: SYSTEMATIC REVIEW Muchamad Muchamad; Mieke Savitri
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Plebitis causes increase in medical cost and decreasing motivation in health workers and patients. One of the important issues in phlebitis can be found in the treatment process and has a great risk for the occurrence of a complication that can cause thrombus which subsequently becomes thrombophlebitis, causing the need to increase infuse therapy Methods: Eligible studies for this systematic review constitute results that summarize influence factors related causes plebitis. We systematically searched ProQuest, Springer, Google Scholar from 7 days on 23-30 April 2018 for eligible systematic reviews with language limitation in English and Indonesian. Results: The literature search and screening process resulted in 21 full text articles. We found all 21 studies results proved influence factors that can cause plebitis and can be categorizes to 4 major factor which are: procedure and techniques,place and position,people,and types of fluids and medicines factors. Influence factors that mostly cause plebitis occurring in the 7 countries are from procedures and techniques, and people factors. Many are caused by violation the procedures and low soft skill in health workers. Conclusions: Plebitis incidence has become major issue in nosocomial infection at the hospital many countries. There should be new policy for monitoring and evaluation, supervision, documentation, analysis in plebitis sign with patient condition, increased competence knowledge and soft skill of health workers, fluid analysis and medicines, and nurse compliance for implementation of procedures and protocol. Plebitis is of particular concern because it can hurt many sectors ranging from patient, hospital, government and countries. It can cause increased length of hospital stay, increased medical cost and decreased motivation of work. 
THE EFFECTS OF SECTION CAESAREA TO EARLY BREASTFEEDING INITIATION: A SYSTEMATIC REVIEW Nur Annisa Fauziyah; Helda Helda
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The early breastfeeding initiation is one of the crusial process for successful in exclusive breastfeeding, unfortunately based on UNICEF, globally only 45% of newborns were put to the breast within the first hours of life. The other condition, nowdays caesarean sections have become increasingly common in both developed and developing countries, research showed that mothers who delivered their baby section caesarea have a higher percentage failure of early breastfeeding initiation than mother with vaginal delivery, from that condition his research aims to analyze effects section caesarea to early breastfeeding initiation. Methods: This study used systematic review based on the Prisma (Preferred Reporting Items For Systematic Reviews & Meta-Analyses) Protocol to identify all the published literature using relevant keywords. The initial screening was conducted by human population, the year of publication (5 years) and free full text, then reading the titles, abstracts than assessed for eligibility founded 6 articles, those studies included in this review after selected using inclusion and exclusion criteria. Inclusion are journal from rearch reported in english, has no accompanying disease or health problem as cardiac disease, cancer, herpes, HIV/AIDS, obesity ect. The baby is normal, baby can drink orally. Exclusion: the articles published less than 2013, after sectio caesarea mother and infant require special therapy. Results: The studies showed there were effects of section caesarea to early breastfeeding initiation, the mothers who birth their babies with caesarea most of them failure to initiate early breastfeeding. Conclusions: The way to Improve the rates of early breastfeeding initiation with giving antenatal breastfeeding education to all mothers especially who known to be having a cesarean section and health care professionals must support. All of the hospitals must apply baby friendly hospital initiative to support success of early breastfeeding initiation 

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