Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Misi JMPK adalah menerbitkan, menyebarluaskan dan mendiskusikan berbagai tulisan ilmiah mengenai manajemen pelayanan kesehatan yang membantu manajer pelayanan kesehatan, peneliti, dan praktisi agar lebih efektif. Jurnal ini ditujukan sebagai media komunikasi bagi kalangan yang mempunyai perhatian terhadap ilmu manajemen pelayanan kesehatan antara lain para manajer, pengambil kebijakan manajerial di organisasi-organisasi pelayanan kesehatan seperti rumah sakit, dinas kesehatan, Kementerian Kesehatan, pusat-pusat pelayanan kesehatan masyarakat, BKKBN, pengelola industri obat, dan asuransi kesehatan, serta institusi pendidikan penelitian.
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131 Documents
<![CDATA[JUMLAH WAKTU KEPALA PUSKESMAS UNTUK AKTIVITASADMINSTRASI DAN PROFESIONAL PUBLIC HEALTH DIKOTA DAN DESA(Analisis Data IFLS EAST 2012) ]]>
<![CDATA[Veronika Suka]]>;
<![CDATA[Mubasysyir Hasanbasri]]>;
<![CDATA[Retna Siwi]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1834
<![CDATA[Introduction: The public health service program outside the puskesmas building can be measured through severalindicators, namely health promotion, environmental health, maternal and child health, community nutrition and theeradication of infectious diseases. So far, outdoor research has focused more on promotional activities, communityempowerment and curative services. No one has examined managerial factors. therefore researchers are interested inconducting this research. Objective: To find out whether managerial factors can affect the out-of-building services of urban and rural health centers.Methods: This study is a quantitative study using secondary data from IFLS East 2012 with a cross sectional survey design.The population in this study is the head of the Puskesmas spread over 7 provinces in Eastern Indonesia. The total sampleof the study was 97 Heads of Puskesmas from IFLS East 2012 data spread across 7 provinces in Eastern Indonesia. namelyEast Nusa Tenggara, East Kalimantan, Southeast Sulawesi, Maluku, North Maluku, West Papua, and Papua. The method ofdetermining the 7 Provinces was based on Susenas data for July 2010. Results: Heads of non-doctor professional puskesmas in thevillage often conduct field activities outside the puskemas building than those who are doctors in cities. Field activitiessuch as posyandu and outreach were carried out 37 times more often by non-doctor heads of puskesmas in the village. Puskemas with a total number of medical personnel ? 15 people and located in rural areas, the head of the puskesmas often carries out field activities in the form of posyandu and counseling. Conclusion: Head of Puskesmas with a medical profession more often does activities outside the building for administrative activities such as meetings and seminars. The head of the puskesmas, who is not a doctor, often carries out activities outside the building, field visits in the form of counseling and posyandu. Puskesmas with a large number of staff often carry out field activities in the form of counseling and posyandu.Puskesmas located in rural locations have more outdoor activities than those in urban puskesmas.]]>
<![CDATA[RESPON RUMAH SAKIT SWASTA SOSIAL KEAGAMAAN TERHADAP ASURANSI SOSIAL: STUDI PENANGANAN KASUS MATERNAL DI RUMAH SAKIT NUR HIDAYAH BANTUL, YOGYAKARTA ]]>
<![CDATA[Arrus Ferry]]>;
<![CDATA[Mubasysyir Hasanbasri]]>;
<![CDATA[Mohammad Hakimi]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1835
<![CDATA[Background: The difference between the hospital real cost andthe tariff of INA-CBGs has negative impact on hospital causesfinancial losses, especially private hospital. The potential for thisloss is likely to encourage hospitals to establish a strategy tominimize losses. There are some distortions induced by theprospective payment system i.e. up-coding, cream skimming,readmission, and unbundling. Objective: The aim of this study was to determine Nur Hidayahhospital behaviour in response to INA-CBGs practice inmaternal management. Methods: This study was a quantitative research uses a casestudy approach. Secondary data from medical records, socialinsurance claim documents, records or reports regardingmaternal care and the regulation of social insurance services inthe period of January-June 2014 were use as the data sourcesof this study. Results: There was no evidence to support the practice of upcoding,cream skimming, readmission and unbundling inmaternal care at Nur Hidayah Hospital. Nur Hidayah Hospitalimplemented efficiency strategies and anti-fraud & abuse todeal with social insurance schemes. Conclusion: The INA CBGs-based payment resulted inincreased efficiency of the maternal care in Nur HidayahHospital.]]>
<![CDATA[IMPLEMENTASI VENTILATOR BUNDLE DAN RISIKO KEJADIAN INFEKSI NOSOKOMIAL PNEUMONIA DI RUANG PERAWATAN INTENSIF RUMAH SAKIT SURAKARTA ]]>
<![CDATA[Rudy Suryo Handoyo]]>;
<![CDATA[Iwan Dwiprahasto]]>;
<![CDATA[Trisari Lestari]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1837
<![CDATA[Background: Ventilator-associated pneumonia (VAP) inventilator assisted breathing patients is one of the mainconcerns in intensive care unit (ICU) because of its relation withhigh incidence and mortality rate. National infection surveillancein France found 12.4% of intubated patients during go infectedwith VAP, with mortality rate of 40-50%. Pneumonia could beprevented by implementing the right precaution, investigationsshow that with good management, VAP could be reduced until70%. Methods: Quantitative study using observational analysis withcohort design. Data collected by observing compliance ofventilator-bundle in adult ICU with checklist. Implementation ofventilator-bundle could be observed directly and by checkingpatient's hemodynamic record. Ventilator-bundle consist ofhand hygiene, oral care with antiseptic, patient's body positionat ≥30° angle, sedation vacation, and weaning assessment,peptic ulcer prophylaxis, and prevention of deep veinthrombosis (DVT). This study use CPIS (clinical pulmonaryinfection score) to diagnose pneumonia. Results: Ventilator-bundle compliance rate are recorded on82.9% and VAP on 11.1%, or 26.7 per 1000 ventilator days.Compliance with the ventilator bundle has no relationship withthe incidence of VAP. By using the odds ratio of noncompliancewith peptic ulcer prophylaxis has 8,5x risk of VAP (95% CI: 1.164to 62.094). This study proves the existence of the patients'factors associated with VAP which are duration of ventilationand incidence of spontaneous ETT pulling. Installation ofventilator for more than 5 days has 36 times greater risk of VAP(95% CI: 3.193 to 405.897). Spontaneous ETT pulling has 26times greater risk of VAP (95% CI: 1.796 to 376.303). between ventilatorbundle compliance with VAP incidence. Thisresult caused by the limited subjects involves. Sample size ofthe study was limited because of the short duration of the study.]]>
<![CDATA[PEMBIAYAAN PUSKESMAS SEBELUM DAN SESUDAH PELAKSANAAN JAMINAN KESEHATAN NASIONAL DI KABUPATEN BANYUWANGI ]]>
<![CDATA[Perwirani]]>;
<![CDATA[Yulita Hendrartini]]>;
<![CDATA[Dibyo Pramono]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1838
<![CDATA[Background: Public health center financing has increasedsince the implementation of JKN. The operational budget whichis managed by public health center is so different after theimplementation of National Health Insurance, the increasing isvery drastic. On the other hand, the local government budgetfunds is decreasing and the portion is smaller than before. Objective: To describe the financial management of publichealth center before and after the implementation of nationalhealth insurance in Banyuwangi district. Methods: The study was a descriptive case study with usequalitative data and quantitative data. Informants in this studywere 36 persons consist of 6 persons from the district healthdepartment, 3 persons from other cross sectors, and 27 personsfrom the public health centers. Those samples were taken bypurposive sampling technique. Results: There were several things that distinguish thefinancing management of public health center after theimplementation of JKN. They were the commitment from localgovernment to focus on routine operations budgeting, the morecomplicated for public health centers process of planning andbudgeting due to limited human resources and time, the lack ofinternal coordination in the public health center, the lessunderstanding from human resources on planning process, andthe lower utilization of funds from capitation due to obstruction indrug procurement process, disposable materials andregulation. Monitoring was focused on financial administration.The ANOVA test showed : 1) There was a significant differenceof realization BOK funds in public health center before and afterJKN with p = 0.0025 (p < 0.05), 2) There was a significantdifference capitation funds realization before and afterimplementation of JKN with p = 0.0016 (p < 0.05), 3) There wasno significant difference (p = 0.4257) of APBD funds realizationbefore and after the implementation of JKN. Conclusions: Implementation of JKN had impacted tofinancing management system of public health center and therewere statistically differences of realization of BOK funds andcapitation funds in public health center before and after JKN andthere was no difference of realization of APBD funds before andafter the implementation of JKN]]>
<![CDATA[FAKTOR-FAKTOR PELAYANAN KESEHATAN YANG MEMPENGARUHI KEPUASAN PASIEN RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH DR. H. CHASAN BOESOIRIE TERNATE ]]>
<![CDATA[M. Idham Masuku]]>;
<![CDATA[Lutfan Lazuardi]]>;
<![CDATA[Mubasysyir Hasanbasri]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1839
<![CDATA[Background: Complaint is important response from a patientwho has a unique information and valuable for the organizationto improve quality of service and risk management. Thechallenge for the hospital organization now is how to catch andusing information from the patients productive to improve thequality, safety, and it gives the accessibility to care patientsystem or medication. Hospital DR. H. Chasan BoesoirieTernate in 2014 began to hold a counter services for complaintsand information from the public. Based on the data, throughoutthe year 2014 there were four reports of complaints fromexternal customers and internal one complaints fromcustomers. Objective: Knowing the health service factors that affect thesatisfaction of outpatients in RSUD DR. H. Chasan BoesoirieTernate.Methods: This research qualitative eksploratif by using the draftcase study. Subjects is the patients out as much as 16respondents.Results: Existed dissatisfaction patients such as silent, angerand rage, protest, complaint and compare to the hospital, andchoose treated in a hospital. Factors that cause dissatisfactionwith staff that is communication rude, make it harder forpatients, and not discipline time. On the part of management,the waiting time and schedule information are uncertain. On thepart environment, facilities and infrastructure, as well as medicalequipment is not adequate.Conclusion: There is a dissatisfaction as evidence of dissatisfactionpatients. Many factors that influence so that theredissatisfaction patients to service that it receives. Threecomponents in service system in the hospital staff,management and environmental influenced by and each oneanother. It is advisable to see this as positive inputs in order tocarry out quality improvement. The meeting the needs, andexpectations a desire and it will be making customer satisfactionpatients.]]>
<![CDATA[PROGRAM JUMANTIK CILIK TANGGAP BOCAH DALAM PEMBERANTASAN SARANG NYAMUK DI PUSKESMAS SLEMAN, KABUPATEN SLEMAN ]]>
<![CDATA[Rusita Nurwidi Astuti]]>;
<![CDATA[Hari Kusnanto]]>;
<![CDATA[Retna Siwi Padmawati]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1840
<![CDATA[Background: Dengue fever (DHF) is an endemic disease inSleman District. Number of dengue cases up to December 2014recorded 538 cases (IR 50,6/100,000 population) with the deathof 4 people (CFR 0,7%). One village in the region of SlemanPrimary Health Care (PHC) always have dengue casesannually are Caturharjo village. On that basis Sleman PHCforming and pioneering activities childrens larva observernamed Tanggap Bocah (TABO) consisting of primary schooland secondary school children with built hamlets first isGanjuran Hamlet, Village Caturharjo and became active in2012. TABO itself is expected to encourage communityparticipation in dengue mosquito nest eradication, reduce DHFmorbidity and improve ABJ in Village Caturharjo. Objective: The objective of this research is to get an overview ofmonitoring the implementation of the TABO in Sleman PHC.Methods: This study is a qualitative research with case studydesign. Results: Implementation of PJB by Jumantik TABO onPSN DBD as a form of community participation among childrenin the prevention of dengue disease with the primary goal ofplanting clean and healthy behavior (PHBS) early. Although nospecial training is given in addition to coaching and monitoring,Jumantik TABO willing and able as extension for friends,families and society as individuals. The increase in denguecases and decrease in ABJ indicate a change in behavior andcommunity participation in PSN as a result of activities JumantikTABO. Conclusions: Implementation TABO in the prevention ofdengue fever in the village Caturharjo running effectively andaccording to expectations with the declining number of DHFcases and increasing ABJ and behavioral changes in thecommunity in PSN DBD and PHBS.]]>
<![CDATA[PELAYANAN HOME CARE BERBASIS RUMAH SAKIT STUDI KASUS PELAYANAN HOME CARE BERBASIS RUMAH SAKIT SARDJITO YOGYAKARTA TERHADAP LANJUT USIA DENGAN STROKE ]]>
<![CDATA[Titik Endarwati]]>;
<![CDATA[I Dewa Putu Pramantara S.]]>;
<![CDATA[Mubasysyir Hasanbasri]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 1 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i1.1841
<![CDATA[Background: Home care service that empowers family caregiversenhance the ability, making independent in the care ofpatients at home, reduce or prevent dependence on formalservices. In contrast, business-oriented without empower familycaregivers are part of the hospital health care industrialization.Objective: to describe the characteristics of family caregiver'sindependence caring for elderly in post-stroke at home andempower family caregivers in the services of hospital-basedhome care from the perspective of family caregivers. Methods: This study used a qualitative approach withexploratory case study design. The unit of analysis is theempowerment of family caregivers in the context before dischargefrom the hospital and after at home (home care context)based Sardjito's Hospital. Subjects in this study were 4 familycaregivers, the husband, wife, and children from 3 elderly poststrokepatients Sardjito Hospital. The sampling method used ispurposive sampling. Results: Characteristics of the independence of family caregiversthat have: 1) knowledge of the fulfillment of the needs ofthe elderly ADL; 2) confidence in meeting the needs of theelderly ADL; and 3) the ability to meet the needs of elderly ADL,fix the problem, seek the information needed, utilizing thenurses home visits, and provides tools and materials medical.Educating family caregivers, involving family caregivers inplanning and decision-making, and assured the role of familycaregivers is a strategy to empower family caregivers. Anempowerment strategy done continuously that started at thehospital and continued at home. Conclusions: Family caregiver empowerment strategy inhospital-based home care services increase the independenceof family caregivers in caring for the elderly post-stroke.]]>
<![CDATA[DETERMINAN KUNJUNGAN ANTENATAL CARE DI AREA PEDESAAN INDONESIA (Analisis Data Riskesdas 2013) ]]>
<![CDATA[Elsi Arisanti]]>;
<![CDATA[M. Hakimi]]>;
<![CDATA[Mubasysyir Hasanbasri]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 3 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i3.1850
<![CDATA[Background: AKI is an indicator to determine the health statusin a country. The maternal mortality ratio in Indonesia was228/100.000 live births in 2008 to 220/100.000 live births in2010 and there was an increase to 359/100.000 live births in2013, while the MDGs target for 2015 was 102 per 100.000 livebirths. In Indonesia, the main causes of maternal death arebleeding, hypertension and infection. Antenatal care has beenproven effective in early detection of conditions that causematernal death. social approaches also need to be consideredas indirect causes such as socio-demographic factors,unavailability of birth attendants, costs. In public healthsciences, the social approach is a social determinant of health.The use of Antenatal Care is not optimal due to the limitedsupport of the health system and the influence of socioeconomicconditions and the rural environment.Purpose: To identify determinants of antenatal care visits inrural areas in Indonesia based on data analysis of Riskesdas2013.Methods: This type of research is quantitative using data fromthe 2013 Basic Health Research. Respondents in this studywere mothers who had been pregnant and gave birth during theperiod of January 1st 2010 to 2013 aged 10-59 years and live inrural Indonesia Results: After a statistical test was carried out, the antenatalcare visits in rural Indonesia were 90.41%. The factors that mostinfluenced antenatal care visits in rural areas were informationon knowledge of the availability of midwives for practice (Pvalue= 0.001, OR = 2.01) and information on knowledge of theavailability of posyandu (P-value = 0.001, OR = 1.93). Conclusion: Antenatal care visits in rural Indonesia are stillquite high. There is a relationship between individual factors andhealth system factors on antenatal care visits in rural areas.Individual factors cannot stand alone without health systemfactors. Health system factors are more important thanindividual factors. There needs to be an increase in the qualityand quantity of information for health cadres and the communityabout the importance of antenatal care visits.]]>
<![CDATA[IMPLEMENTASI KEBIJAKAN JKN OLEH PEMBERI PELAYANAN KESEHATAN DI KABUPATEN KEPULAUAN ANAMBAS ]]>
<![CDATA[Irawati Sagala]]>;
<![CDATA[Laksono Trisnantoro]]>;
<![CDATA[Retna Siwi Padmawati]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 3 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i3.1851
<![CDATA[Background: Anambas Islands Regency is a district that iscategorized as a DTPK area. In the health context, rural andremote areas are often associated with limited public transportation,poor road infrastructure, long distances to health carefacilities and difficulties in recruiting and retaining healthworkers. As a result there is a significant impact on the provisionof adequate health services. The availability of insufficient resourcesat every health facility in Anambas Islands Regency isalso an obstacle because in implementing JKN every healthfacility in Anambas Islands Regency must meet thecredentialing requirements set by BPJS Kesehatan.Objective: Analyzing the implementation of JKN policies byhealth service providers in Anambas Islands Regency. Methods: Descriptive research with qualitative methods usinga single case study design Results: Implementation of policy NHI by health care providersboth in health centers and hospitals are still many haveconstraints such as limited power specialist, especially inhospitals, general practitioners definitive still lacking in somehealth facilities, the limited infrastructure in health centers andhospitals that cause will not want the patient should be referred.This adds to the burden of transportation costs to society asocean freight rates are quite expensive though some things canbe addressed as a problem of information and improvement ofbureaucratic structures, but it can not prevent the public to bereferred.Conclusions: The implementation of the JKN policy is notsuitable for implementation in Anambas Islands Regency as aDTPK area because the benefits received by the communityfrom JKN are limited due to the many obstacles faced by healthservice providers.]]>
<![CDATA[ANALISIS PEMBIAYAAN PENANGGULANGAN GIZI BURUK PADA BALITA DI KABUPATEN LOMBOK TENGAH PROVINSI NUSA TENGGARA BARAT ]]>
<![CDATA[Irna Agustina]]>;
<![CDATA[Toto Sudargo]]>;
<![CDATA[Diah Ayu Puspandari]]>
<![CDATA[ Journal of Health Service Management Vol 19 No 3 (2016) ]]>
Publisher : <![CDATA[Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490 ]]>
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DOI: 10.22146/jmpk.v19i3.1852
<![CDATA[Background: According to WHO more than 50% of infant andchild mortality is related to malnutrition, a nutritional problemthat needs to be solved quickly and appropriately. Based on theresults of PSG Kadarzi years 2012-2015 the prevalence ofemaciation according to indices of BB /TB or BB/PB was 7,43%,7,32%, 9,81%, and 7,6%. Those number fluctuate but if thisnutritional problem is ignored it will cause problems ofdevelopment in the future. Consider this phenomenon we canfind out how the financing of prevention of malnutrition in CentralLombok regency issued by government and society. Objective: Identify financing countermeasures of malnutritionamong children under five years old in the district of Central Lombok, West Nusa Tenggara (NTB) Methods: This research is a descriptive study and crosssectionalresearch design with quantitative dates. This researchwas conducted in Central Lombok regency, West NusaTenggara Province. The subjects of this study were the motheror malnourished children keeper as many as 30 people. Thedata analysis was conducted by descriptive the financingcountermeasures of malnutrition in Central Lombok regency. Results: From the search results and interviews it showed thatthe malnutrition countermeasures costs spent by thegovernment was IDR2.816.913,00/person/year and the amountof public expenses was IDR7.874.100,00/person/year. Thelarge proportion of the cost of government was 26,35% and bythe public was 73,65%.Conclusion: The society expenses were 2,79 times as high asgovernment expenses on malnutrition countermeasures onchildren under five in Central Lombok regency.]]>
