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Lutfan Lazuardi
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Jl. Farmako Sekip Utara, Yogyakarta, Indonesia 55281 Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
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INDONESIA
Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Published by Universitas Gadjah Mada
ISSN : 14106515     EISSN : 28286774     DOI : https://doi.org/10.22146/jmpk.v25i03.5186
Core Subject : Health,
Health Professions Public Health
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.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 7 Documents
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Search results for , issue "Vol 19 No 2 (2016)" : 7 Documents clear
PELAPORAN SURVEILANS DEMAM BERDARAH BERBASIS SMS DI KOTA YOGYAKARTA Anwar Dwi Cahyono; Tri Baskoro Tunggul Satoto; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (612.276 KB) | DOI: 10.22146/jmpk.v19i2.1923

Abstract

Background: The need of accurate and accelerate informationlead to decision making in order to dengue treatment now adays is high in Yogyakarta City Government. This was related tothe fact that there is a delay more than 24 hours from patient isdiagnosed with dengue until the case was reported fromhospital. Objective: to describe dengue surveillance report using SMSgateway. Methods: This research is using qualitative approach.Respondent from this research are Head of Disease ControlDepartment, Head of Health Promotion and Health InformationSystem and the others are hospital staffs who is responsible fordengue reporting. Result: SMS based reporting does not show the real amountnumber of dengue cases for a year, during the implementationthere has been 187 cases from the SMS. This was far beyondthe real number of cases which is 411 cases. Conclusion: This SMS based for dengue surveillance reportingcannot be the information that can lead to decision making.
AKSESIBILITAS TERHADAP UTILISASI FASILITAS LAYANAN KESEHATAN DASAR DI PROVINSI PAPUA (RISKESDAS 2013) Efraim Mudumi; Mubasysyir Hasanbasri; Lutfan Lazuardi
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (510.835 KB) | DOI: 10.22146/jmpk.v19i2.1925

Abstract

Background: Access to basic health services is a human rightin the health sector achieve social justice for all Indonesianpeople. Access to health care facilities in Papua remains a realchallenge for the government, especially if it is associated withthe goal to improve the health status, reduce morbidity andmortality. The difficulty of access to health facilities led todisparities in health status between regions in Indonesia.Objective: Analysis patterns utilization of health facilities andthe factors that access barriers to health centers in the provinceof Papua.Methods: Analysis of secondary data comes from a survey ofbasic health research in 2013 with the kind of cross-sectionalstudies.Results: Of the 4562 respondents as many as 3152 (69,09%)utilize health centers. Probability better utilization of healthcenters on the rich than the poor (OR = 4,17, 95% CI = 3,23-5,38). Participants private health insurance and social securityare more likely to utilize health centers (OR = 5,87, 95% CI =2,82-12,23). Living in the urban area increasing the utilization ofhealth centers compared with rural area (OR = 1,24, 95% CI =0,98-1,56). Probability health centers utilization in swamplandbetter than others (OR = 2,17, 95% CI = 1,36- 3,45). Time travelless than 30 minutes are more likely to utilize health centerscompared with a travel time more than 30 minutes (OR = 1,28,CI = 1,14-2,17). Motor vehicles are more likely to utilize healthcenters (OR = 3,00, CI = 2,36 to 3,81). Transportation costs ofmore than IDR100.000 is more likely to take advantage of healthcenter (OR = 2,59, 95% CI = 1,59-4,2). Conclusion: The availability of health facilities, travel time,transport costs and the availability of transportation still bebarriers of accessibility. Utilization patterns varied types of basichealth facilities, primary health centers are the types of facilitiesthat the most widely used. There is inequity between the poorand rich in the utilization of basic health services.
KOMPETENSI MANAJEMEN DOKTER DI FASILITAS PELAYANAN KESEHATAN PADA DAERAH TERTINGGAL DI INDONESIA: KEBUTUHAN DAN TANGGUNG JAWAB INSTITUSI PENDIDIKAN KEDOKTERAN Fury Maulina; Riris Andono Ahmad; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (530.781 KB) | DOI: 10.22146/jmpk.v19i2.1927

Abstract

Background: challenges to work in underdeveloped areas andpeople's expectations of the quality of healthcare requiresdoctors who have public health program managementcompetencies. Objectives: identify perception of the needs and responsibilityof medical education institution to meet the managementcompetencies. Method: a mixed method study mixed method with sequentialexploratory. Results: Communication skills and respecting the right ofothers are the most needed competencies and the less neededcompetency is become chairman/leader of an activity.Competency to manage the organization's finances have notbeen met by a medical education institution and competencywhich has been met by medical education institutions is anupdating of medical knowledge actively. Conclusion: doctors need management competencies whileon duty in underdeveloped areas, but medical educationinstitutions are not yet fully meet its responsibilities in thefulfilment of these competencies.
PERUBAHAN PELAYANAN KLINIK NON-BPJS SEBELUM DAN SETELAH IMPLEMENTASI BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN (Studi Kasus di Klinik Utama Rawat Inap Sumber Bahagia, Depok, Jawa Barat) Gregorius Budi Rooseno Putro; Hari Kusnanto
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (716.421 KB) | DOI: 10.22146/jmpk.v19i2.1928

Abstract

Background: The implementation of the BPJS Kesehatan as asingle payer healthcare cover back in 2014 in Indonesia starts anew era of a nationwide coverage of health insurance. Everycitizen should be a member of that program, according to thelaw. The state owned health services are the main providers ofthe services, along with the private owned hospitals and clinics,as long as they can fulfill the requirements given by thegovernment. But some small clinics are not eligible to met thecriteria of the BPJS Kesehatan, resulting in the inability to be theprovider. This can lead to the decrease of revenues of thoseclinics, and can cause bankruptcy. Objective: The main objective of this research is to find fewalternative strategies that can be applied by the non-BPJSclinics so they can still gain a significant portion of the healthservice industry business and even increase their revenues byapplying those strategies. Methods: This research is a case study conducted in a cliniccalled KURI Sumber Bahagia in the city of Depok, West Java,with using both quantitative data of patient visitation, that wasanalysed using a linear regression technique to determine thesignification effect of BPJS Kesehatan, as well as qualitativeinformation gathering by means of interviewing the stakeholdersin that clinic. The interview data would help theresearcher to explain the phenomena found by the statisticsmeasurements. Results: The statistic results of this research showed asignificant decrease (p<0,05) in patient visitation after theimplementation of BPJS Kesehatan back in 2014, especially intypes of services such as manual labour, sectio caeserea labor,infant immunisation in general, and birth control shots. Incontrast, there are several services that showed an increaseusage (p<0,05) even after BPJS Kesehatan, such as IUDsservices, Hepatitis A shots, and Cervical Cancer shots. Basedon the interview conducted afterwards, researcher found onmost health services, patients tend choose BPJS than privateclinics of the same services because it is cost efficient, but onsome services they were willing to pay out of pocket in privateclinics because the quality of services or the products that werenot available in BPJS Kesehatan (eg. NOVA T brand of IUD).Furthermore, the research also found the increase on serviceswhich are not available in BPJS Kesehatan (eg. Hepatitis Ashots, Cervical cancer shots). Conclusion: There are significant decreases of patientvisitation numbers in KURI Sumber Bahagia clinic since theimplementation of BPJS Kesehatan. This phenomenon isresponded by the clinic by giving a better quality services andproducts and also by providing other services in which notcovered by BPJS Kesehatan. Differentiation of services and quality services is proven effective to maintain and evenincrease patient visitation, which in the end can give a goodrevenues for the clinic.
PERSEPSI PASIEN KELAS III PBI DAN NON-PBI TERHADAP PELAYANAN RAWAT INAP DI RSUD dr. M. YUNUS BENGKULU Johan; Tjahjono Kuntjoro; Rizaldy Pinzon
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.851 KB) | DOI: 10.22146/jmpk.v19i2.1931

Abstract

Background: Management of Public Hospital of dr. M. Yunuscontinues to strive on improving services quality for their patient,although the result has not been optimal. It demonstrated onachievement of Bed Occupancy Rate (BOR) of the 3rd inpatientclass in 2014 still 44,25% (Standard BOR by Health Ministry is60-85%) means most hospital bed have not utilized and patientnumber of the 3rd inpatient class showed decreasing from5.486 in 2013 becomes 3.813 in 2014. Objectives: Identifying perception of the 3rd class patienttowards inpatient services in dr. M. Yunus Public HospitalBengkulu, to know are there differences in perception betweeninsurance contribution and non-insurance contribution. Methods: This study was analytical observational researchusing cross sectional approach. Number of respondents of thisstudy were 130 patient as beneficiaries of health insurance and130 patient as non-beneficiaries of health insurance. Samplewas determined by proportional random sampling. The analysisused chi square test and qualitative data. Results: Patient perception to quality of service to come cut ofpaint 25.99 when compared to the cut of point / mean theoretical25 is categorized good results. The relationship between patientperception PBI towards service quality results are statisticallysignificant p < 0.05. OR value of 2:13 means that the patient'sperception PBI towards service quality is better than the 2:13time patients NonPBI. Patients' perceptions towards skills ofofficers of 26.17 when compared to the cut of point/meantheoretical 25 is categorized good results. The relationshipbetween the patient's perception PBI towards perceptions ofskills results are significant p < 0.05. Practically obtained ORvalue 1.87 means that the patient's perception towards skills ofofficers PBI better by 1.87 times compared to patients NonPBI. Conclusion: Perception of the third-class patient PBI and Non-PBI towards third class inpatient services has been good. Thereis a difference of perceptions between the groups of patientsPBI with NonPBI patient groups.
EFISIENSI RUMAH SAKIT JIWA PEMERINTAH DI PROVINSI JAWA TENGAH DAN DIY SEBELUM DAN SESUDAH JKN DENGAN MENGGUNAKAN TWO-STAGE DATA ENVELOPMENT ANALYSIS (DEA) Rina Indrayanti; Lutfan Lazuardi; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.432 KB) | DOI: 10.22146/jmpk.v19i2.1932

Abstract

Background: During a national health insuranceimplementation, efficiency improvement becomes an importantissue as a result of the change of a payment method from freefor service to fixed pricing mechanism of INA CBG's bycontaining cost and improving quality. Inefficiency occurs whena psychiatric hospital uses an excessive input resource toproduce a given level output.Objective: This study aimed to measure the level of efficiencyof government psychiatric hospitals in the provinces of CentralJava and Yogyakarta before and after the implementation ofJKN. Methods: A descriptive quantitative study was conductedusing two-stage data envelopment analysis (DEA). The firststage was to measure hospital efficiency. Second stage usedpaired samples t-test to analyze different mean of BOR, LOS,BTO, TOI and cost efficiency score. This study used secondarydata from financial report, human resources report, hospitalpatient visit report of 5 psychiatric hospitals in central java andDIY province, period 2010 until 2014.Results: Efficiency measurement using DEA CRS inputorientedmodel obtained the mean of cost efficiency score was0,896. Mean of efficiency score decreased during a transitionperiod of national health insurance implementation from 0,947in 2013 became 0,866 in 2014. Soedjarwadi hospital was theonly one of a psychiatric hospital that achieved cost efficiency in2014. Paired samples t test analysis showed that there was nodifference of mean of BOR, LOS, BTO, TOI and score costefficiency before and after efficiency improvement in 2013 from2010. There was no difference of mean of BOR, LOS, BTO andscore efficiency before and after implementation of nationalhealth insurance. The only one variable had difference of meanbefore and after implementation of national health insurancewas TOI.Conclusion: Most psychiatric hospital in this study are stillinefficient. National health insurance has not been able toimprove efficiency in the early implementation period.Decreasing of efficiency score happened because of thedecreasing of hospital output.
POLA PEMANFAATAN PELAYANAN KESEHATAN DAERAH TERTINGGAL, PERBATASAN, KEPULAUAN, DAN TERPENCIL (DTPK-T) DI INDONESIA (ANALISIS DATA RISKESDAS 2013) Sri Wiyanti; Hari Kusnanto; Mubasysyir Hasanbasri
Journal of Health Service Management Vol 19 No 2 (2016)
Publisher : Departemen Kebijakan dan Manajemen Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (480.754 KB) | DOI: 10.22146/jmpk.v19i2.1933

Abstract

Background: Utilization of health services is an importantelement in determining the health status of the community.Information on the utilization of health services are needed byhealth services management, in taking appropriate policy(Feldstein 1988). communities disadvantaged areas, islands,and remote border (DTPK-T) have limitations in the use ofhealth services, this is due to geographical conditions that aredifficult to reach, limited infrastructure and health humanresources that add to the complexity of the problem.Objectives: Reviewing and analyzing the patterns of utilizationof health services for people in underdeveloped regions, border,island, and remote. Method: This study uses secondary data from the Basic HealthResearch (RISKESDAS) in 2013, with a cross-sectional design.In this study focused to see the pattern of utilization of the publicin disadvantaged areas, border, island, and remote in obtaininghealth services at the health center. Results: Least developed society, border, island, and remoteuse more health centers, out of total 42.623 respondents,approximately 18.882 people or 43.5% are utilizing the serviceshealth centers, physician practices 19.5%, gender, economicstatus, education, travel time and transportation costs, doctor'sdiagnosis of the disease in the suffering of both communicableand non-communicable, rural location had a significant effect onhealth care utilization, while the category of regions did not havea significant effect on the utilization of health centers.Conclusion: People in, Less developed, border, island, andremote areas (DTPK-T) have made use of basic health carefacilities (health centers), in addressing health issues. Specialpolicies are needed in order to improve the quality of care byproviding health resources, infrastructure, and availability ofdrugs.

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