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INDONESIA
International Journal of Healthcare Research
Published by Universitas Ahmad Dahlan
ISSN : 26205521     EISSN : 26205521     DOI : Prefix 10.12928/ijhr
Core Subject : Health,
Public Health
The Journal invites original articles and not simultaneously submitted to another journal or conference. The area of research focuses on particular issues related to public health, health economic, health policy, healthcare quality, health insurance, hospital management, health system and other issues related with healthcare management and policy.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 65 Documents
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Factor Affecting Measles Rubella Immunization During Nation Child Immunization Month (BIAN) at Karya Wanita Public Health Center (Puskesmas Karya Wanita) Pekanbaru Susanti, Lasiah
International Journal of Healthcare Research Vol. 6 No. 2 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i2.9433

Abstract

Background : Measles Rubella (MR) vaccine should be given to children aged 9 to 72 months. Indonesian Government held Bulan Imunisasi Anak Nasional (BIAN) to ensure every child accept MR vaccine. Throughout Indonesia, in Riau Province itself the proportion of MR vaccine rate was still relatively low, ranking 28th out of 34 provinces with a proportion of 68.9%. In Pekanbaru City, the MR vaccine reached 77.6%, where Indonesia national target is 95%. The Karya Wanita Public Health Center Pekanbaru is one of 5 Public Health Centers with low achievement in BIAN program, reaching only 36% MR vaccine rate. Low MR vaccine rate is possibly caused by several factors such as mother's knowledge, mother's attitude, mother's occupation, mother's education, and family support. Methods : In this research, the method used is quantitative with a cross sectional approach and purposive sampling technique. While the test used is the Spearman rank correlation test with a sample of 124. Results : Factors associated with maternal Measles Rubella (MR) immunization behavior during National Child Immunization Month (BIAN) were mothers education (p = 0.001), mothers occupation (p = 0.805), mothers knowledge level (p = 0.000), mothers attitude (p = 0.015), and family support (p = 0.000). Conclusion: It can be conclude that factors related to maternal Measles Rubella (MR) immunization behavior during National Child Immunization Month (BIAN) are mothers education, mother's level of knowledge, mother's attitude, and family support.
The Relationship of the Clinical Practice Environment, Supervision and Supervisors with Students' Clinical Experience as an Effort to Prepare Professional Nurse Graduates Devi Susanti; Herlitawati; Taufik Hidayat; Yusnaini
International Journal of Healthcare Research Vol. 6 No. 2 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i2.9529

Abstract

Background: Learning turns theoretical knowledge into practice for nursing students. The quality of a student's clinical experience is influenced by the practice environment, supervision, and supervisor. The clinical practice environment influences the approach and achievement of student competencies. Supervision is important for quality nursing care, while effective supervisors act professionally and guide students in managing patients. This study aims to analyze the relationship between the clinical practice environment, supervision and supervisors with the clinical experience of students as an effort to prepare professional nurse graduates in the D-III Nursing study program in Kutacane, Poltekkes Kemenkes Aceh, totaling 64 students with a sampling technique, namely total sampling based on inclusive criteria. Methods: Type of research This is a correlational analytical descriptive with a cross sectional approach. Data analysis was carried out via Univariate and Bivariate. Results: The results of this research show that there is a significant relationship between the clinical practice environment, supervision and supervisors with the clinical experience of students in the D-III Nursing study program in Kutacane, Poltekkes Kemenkes Aceh with p-values of 0.033, 0.024 and 0.015. Conclusion:  Therefore, it is recommended that collaboration between educational institutions and health institutions be strengthened to create an optimal clinical practice environment.
Analisis Perhitungan Jumlah Kebutuhan SDM Menggunakan Metode Workload Indicators of Staffing Need (WISN) di Instalasi Central Sterile Supply Department (CSSD) Rumah Sakit Swasta: Analysis of Calculation of the Number of Human Resources Needs by Using the Workload Indicators of Staffing Need (WISN) Method at the Central Sterile Supply Department (CSSD) Unit of Private Hospital Dwi Indah Purwanti; Nur Syarianingsih Syam
International Journal of Healthcare Research Vol. 6 No. 2 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i2.9602

Abstract

Background: Human resources are a valuable investment for hospitals because they can manage all hospital functions and hospitals are required to provide qualified human resources. One of the human resources in the hospital is CSSD health workers. The purpose of the study was to calculate the number of HR needs using the Workload Indicators of Staffing Need (WISN) method at the CSSD Installation of a Private Hospital. Methods: The research is a type of qualitative research with a case study research design. The research subjects totaled 4 people consisting of observation informants, namely three CSSD health workers and interview informants consisting of two CSSD health workers and the head of SDI staffing. Data collection instruments through in-depth interviews and observations were carried out with a time and motion study approach and calculation of human resource needs using the WISN method. Results: The available work time in the CSSD Installation of a Private Hospital is 138180 minutes per person per year. The highest workload standard in the instrument labeling activity results in a time of 69090 minutes. Standard leeway is 0.08 minutes. The quantity of basic activities amounted to 15387 minutes per year. WISN calculation through a ratio value of 0.6, the number of health workers needed in the CSSD Installation of Private Hospitals in 2023 needed as many as 7 personnel. Conclusion: There is a need for additional health workers as much as 3 personnel from the 4 available personnel.
Hubungan Bauran Pemasaran Dengan Loyalitas Pasien Poliklinik Instalasi Rawat Jalan di RSUD Nyi Ageng Serang Kulon Progo: The Relationship between Mix Marketing with Patient Loyality in Outpatient Service at General Hospital of Nyi Ageng Serang Regency, Kulong Progo Mudayana, Ahmad Ahid; Nurbaiti Rahmah
International Journal of Healthcare Research Vol. 6 No. 1 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i1.9651

Abstract

Background:  The marketing mix is a solution for patient problems, in obtaining pleasant, comfortable service and good communication from the hospital to customers. Loyalty level that displays the need to have a high sense of loyalty, as well as having a beneficial effect on the healthcare organization. The purpose of this study was to determine the relationship between the marketing mix and patient loyalty in the outpatient installation polyclinic at the Nyi Ageng Serang Kulon Progo Regional General Hospital. Methods: This research is a quantitative research approach cross-sectional. The sample in this study was 110 outpatient polyclinic patients selected by purposive sampling. There search was conducted in June-July 2023 at Nyi Ageng Serang Hospital, Kulon Progo. Data analysis univariate, bivariate and multivariate with Chi Square statistical tests and Multiple Linear Regression statistical tests. Results: The study showed that marketing mix in this hospital could be classified sufficient for product and physical dimension, good for price and promotion, and bad for location, human resource, and process. Conclusion:  This study concludes that the marketing mix of hospitals in RSUD Nyi Ageng Serang, Kulon Progo for product and physical dimensions is quite sufficient, price and promotion dimensions are good, while for place, people, and process are not good. Therefore, the Hospital, especially the Public Relations and Marketing unit, can optimize various marketing innovations to patients, families, and the community.
Survei Literasi Kesehatan Pada Pasien Diabetes Di Puskesmas Kota Yogyakarta: Health Literacy Level in Diabetes Patients at Primary Health Centers (Puskesmas) in Yogyakarta City Firman; Baharuddin, Nurul Hikmah; Nugroho, Faradilla Esa
International Journal of Healthcare Research Vol. 6 No. 1 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i1.9652

Abstract

Background The diabetes/sugar disease phenomenon is caused by changes in people's lifestyles, starting from eating behavior, physical activity habits, unbalanced diets, obesity, and others. This is related to the patient's socio-demographic situation, especially knowledgeor literacyregarding the importanceof health behavior. If literacyislow, it will have an impact on DM patients being limited in taking preventive measures, slow treatment when sick, inefficient use of medicines, high treatment costs, and evenresult in social discrimination. Apart from that, it is also greatly influenced by the support of health providers such as Community Health Centers. Community health centers arehubs forproviding basic services, especiallythoseinvolving educationand health promotion efforts starting from the preparedness of health workers, readiness to collaborate in providing correct health information, and adjusting interaction patterns with patients. This researchaims to identifya picture of the health literacy of DM Puskesmas patients in Yogyakarta City. By considering socio-demographic characteristics, access to information sources, individual health history, and relationship with health providers. Methods: The research design is a cross sectional study. The research was carried out at 3 Community Health Centers in YogyakartaCity. The research subjects were DM patients aged 15-60 years who received treatment at the Community Health Center. The sampling method was carried out using probability, namely purposive sampling. The total number of samples was 45 patients who were undergoing treatment at the Community Health Center. To see the influence of the health literacy level of DM patients on their treatment, univariate analysis, bivariate and multivariate analysis were carried out. Results: The results of the study showed that socio-demographic factors, JKN membership, easy access to health information and health providers did not have a significant influence. Meanwhile, income level and health status factors had an influence on the health literacy level of diabetes patients at the Yogyakarta City Health Center (P,0.05; CI: 95%). Conclusion: Healthcenter providers of health workers need to strengthenearly health promotion and education activities for people who have the potential or symptoms of DM.
Analisis Sistem Pengelolaan Resume Medis Rawat Inap Di Rumah Sakit Umum Muhammadiyah Babat: Analysis of Inpatient Medical Resume Management System at Muhammadiyah Babat General Hospital Firmansyah, Feberlian Randiawan
International Journal of Healthcare Research Vol. 6 No. 1 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i1.9653

Abstract

Background: A medical record is a summary of the entire treatment and care period a patient undergoes while receiving medical attention at a hospital. Incomplete medical records result in a lack of information about the patient's condition, which can adversely affect various concerned parties. The aim of this study is to analyze the inpatient medical records at Muhammadiyah General Hospital Babat by identifying the completeness of these records. Methods: The research design employed is a descriptive quantitative method. The study was conducted from February to August 2023. The population of this study comprises all inpatient medical record files from February to March 2023, totaling 487 medical record files. The sampling technique employed is total sampling. The variable of this research is the Completeness of Inpatient Medical Record Filling. Results: Based on the research findings, it can be elucidated that there are two main categories within medical records: complete and incomplete medical records. From the available data, it is revealed that the percentage of complete medical records, as indicated, is 76%. Conversely, data also reveals that 24% of the sampled medical records do not meet the expected level of completeness. This incompleteness is attributed to various indicators, including primary complaints, diagnosis, treatment/procedures, supporting examination results, encountered problems, discharge conditions, prognosis, causes of death, and proposed follow-up actions. Conclusion: To address this issue, the researchers anticipate a focus on enforcing adherence to medical record filling through continuous dissemination to healthcare personnel responsible for completing the medical records. Standard operating procedures, training, and reward-punishment mechanisms are suggested approaches.
Hubungan Beban Kerja dan Disiplin Kerja dengan Kinerja Pegawai di RSUD Nyi Ageng Serang Kulon Progo: The Relationship between Workload and Work Discipline with Employee Performance at Nyi Ageng Serang Kulon Progo Hospital Rahmawati, Baiq Dwi Zulfa; Mudayana, Ahmad Ahid
International Journal of Healthcare Research Vol. 6 No. 1 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i1.9654

Abstract

Background: Healthcare workers contribute up to 80% to the improvement of well-being. The prioritization of healthcare human resources is crucial due to Indonesia still facing challenges in terms of workforce, encompassing quantity, types, quality, and distribution. The risks borne by healthcare personnel while working do not align with their workload, resulting in their unpreparedness when carrying out assigned tasks and responsibilities. RSUD Nyi Ageng Serang Kulon Progo is one of the hospitals where employees still bear dual responsibilities due to limited available resources. The use of manual attendance lists has not yet been able to provide accurate data regarding employee discipline. The purpose of this research is to determine the relationship between workload and work discipline with employee performance at RSUD Nyi Ageng Serang Kulon Progo. Results:  a Cross- Sectional research design with Chi-Square analysis. A total of 181 participants were selected as the research sample, chosen through the Stratified Random Sampling method. The instrument used is a questionnaire to measure workload, work discipline, and employee performance. Results: The research findings indicate a relationship between workload (p=0.000; OR=19.139), work discipline (p=0.000; OR=22.515), and employee performance at RSUD Nyi Ageng Serang Kulon Progo. Conclusion: There is a relationship between workload and work discipline with employee performance at RSUD Nyi Ageng Serang Kulon Progo.
Faktor – Faktor Yang Berhubungan Dengan Kepuasan Kerja Perawat Di Instalasi Rawat Inap Rumah Sakit PKU Muhammadiyah Yogyakarta: Factors Associated with Nurse Job Satisfaction in the Inpatient Unit of PKU Muhammadiyah Hospital Yogyakarta Lisdiyanti, Teti; Syam, Nur Syarianingsih
International Journal of Healthcare Research Vol. 6 No. 1 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i1.9655

Abstract

Background:  As many as 40% of healthcare workers in Indonesia are nurses. Nursing services are a determining factor in the success of health services that impact the quality of hospital services. Therefore, improving service quality is related to the level of nurse job satisfaction. Objective: The purpose of this study is to identify factors related to nurse job satisfaction in the Inpatient Installation of PKU Muhammadiyah Yogyakarta Hospital. Methods: This study applied a Cross-Sectional research design, conducted in July 2023 at PKU Muhammadiyah Yogyakarta Hospital. The research sample was inpatient nurses with a total sampling technique of 175 nurses. Researchers collected data by distributing questionnaires. In analyzing the data, univariate analysis with frequency distribution and bivariate analysis with Chi-Square test were used.  Results: The job itself is related to inpatient nurse job satisfaction, indicated by a p-value of 0.000 (p <0.05) Salary and inpatient nurse job satisfaction are related, indicated by a p-value of 0.000 (p <0.05). Job promotion is related to inpatient nurse job satisfaction, indicated by a pvalue of 0.000 (p <0.05). Conclusion: This study concluded that nurses' job satisfaction needs to be maintained and improved through nurse career development programs and appropriate work benefits.
Analisis Penggunaan Telemedicine Sebagai Pelayanan Kesehatan Pada Masa Pandemi COVID-19 di RS PKU Muhammadiyah Yogyakarta: Analysis of the Use of Telemedicine as a Health Service During the COVID-19 Pandemic at PKU Muhammadiyah Hospital Yogyakarta Navisoh; Firman, Firman; Utami, Fitriana Putri; Hastuti, Siti Kurnia Widi; Syam, Nur Syarianingsih
International Journal of Healthcare Research Vol. 6 No. 2 (2023)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v6i2.9935

Abstract

Background: The COVID-19 pandemic has brought extraordinary changes to healthcare. The government continues to implement policies to prevent the spread of COVID-19, one of which is the recommendation to use telemedicine. Telemedicine is a form of long- distance service using technology as an effort to accelerate increased access and quality of health services. Telemedicine is a new health service innovation at PKU Muhammadiyah Yogyakarta Hospital. Purpose: This study aims to analyze the use of telemedicine as a health service during the COVID-19 pandemic at PKU Muhammadiyah Yogyakarta Hospital. Methods: This research uses a qualitative research method with a case study approach. The research subjects were six informants who were taken through a purposive sampling technique. Data collection was done by means of in-depth interviews. Results: Access to telemedicine starts with socializing the telemedicine program on social media which explains the flow of telemedicine in accordance with the SOP. The quality of telemedicine is considered good with the existence of infrastructure that supports the telemedicine program, although the opportunities for telemedicine development are said to be not maximized because they do not yet have targets to achieve. The purpose of telemedicine is to assist patients in obtaining health services wherethey cannot visit the hospital directly, the implementation of the telemedicine program has been able to provide quality and satisfying services despite obstacles from staff and patients. Conclusion: The use of telemedicine at PKU Muhammadiyah Yogyakarta Hospital is quite good starting from access to services, quality of telemedicine and user satisfaction. But there are still obstacles, namely the lack of human resources, financial unit officers who do not immediately provide confirmation to patients, to problems with patients. So it is hoped that PKU Muhammadiyah YogyakartaHospital can carry out internal monitoring and evaluation of the telemedicine program.
Analisis Pengukuran Kinerja Pelayanan Kesehatan Ibu dan Anak dengan Metode BSC (Balance Scorecard) Menurut Perspektif Proses Bisnis Internal RSUD Mokoyurli Kabupaten Buol Firman; Triyani Marwati; Siti Kurnia Widi; Sari Andini
International Journal of Healthcare Research Vol. 5 No. 1 (2022)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/ijhr.v5i1.10127

Abstract

Measuring the performance of Maternal and Child Health services is one of the key elements of the hospital which is an evaluation process as well as an obligation for the hospital every certain period. As a health service facility, performance is important to measure considering that MCH services include mandatory basic medical services. In order to analyze the performance of the Mokoyurli General Hospital, a Balanced Scorecard (BSC) is needed as a measuring tool. The problem of MCH in Indonesia is also a priority for the government. Maternal, Neonatal and Infant Mortality Rates obtained from the Buol District Health Office have a trend that is still fluctuating during 2017-2020. This type of research is qualitative research with a case study design. There were 38 research subjects who were divided into 30 questionnaire respondents and 8 interview respondents who represented each perspective, but specifically the internal business process perspective consisted of 5 people. Data analysis was carried out comparatively and using triangulation of sources and methods. Based on the results of the financial perspective, there are 2 KPIs that have been achieved and 1 that has not been achieved with an average score of 67%. From the consumer perspective, there are 3 KPIs and all three are achieved with an average score of 100%. Internal Business Process Perspective, there are 4 indicators that have been achieved and 1 indicator that has not been achieved with an average score of 80%, with details on the average BOR measurement tool, which is 60%. ALOS 4 days, TOI 3 days, NDR 11%, GDR 14%. The overall perspective of MCH performance at Mokoyurli Hospital has an average value of 85% where the 13 measuring instrument indicators used are 2 indicators that have not been achieved. Internal business process perspective measurement has an average value of 80% in good criteria as measured by BOR, ALOS, TOI, NDR and GDR.

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