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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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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 5 Documents
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Search results for , issue "Vol 24 No 01 (2021)" : 5 Documents clear
KESIAPAN INTEGRASI LAYANAN TB-HIV PUSKESMAS DI KABUPATEN KULON PROGO Titi Supriati; Yodi Mahendrahata; Ari Natalia Probandari
Journal of Health Service Management Vol 24 No 01 (2021)
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 (163.356 KB) | DOI: 10.22146/jmpk.v24i01.4058

Abstract

Background: Indonesia is one of the countries with a high burden of TB and HIV. In response, countries adopted collaborative TB-HIVguidelines which recommending integrated services including diagnostic screening and care for TB-HIV patients. In Kulon Progo, onlyhalf of the target achieved for HIV testing on TB patients and efforts to improve services under the existing health system resources.Therefore, it is very important to understand its capacity to provide integrated TB-HIV services.Objective: This study aimed to assess the readiness for integration of TB-HIV services at the Puskesmas for the health system in Kulon Progo District.Methods: The research used mixed methods explanatory sequential design. The unit of analysis was the Puskesmas. Crosssectional observations using a modified SARA questionnaire followed by in-depth interviews explored the barriers and opportunitiesfor integration of TB-HIV services at the Puskesmas were conducted.Results: Overall from 21 Puskesmas, 93.3% (95% CI; 92.7%-93.9) Puskesmas had readiness to provide basic health services, 63.8%(95% CI, 60.7–66.8) Puskesmas had TB service readiness, 80.9% (95% CI: 73.6–88.2) Puskesmas had readiness for HIV testing counseling services, only 1 Puskesmas (4.7%) had good readiness forboth services. Based on the domain assessment, only 40.4% of Puskesmas have trained staff in TB diagnosis and treatment and61.9% of Puskesmas have trained personnel and guidance on HIV testing counseling. Leadership involvement had a positive effecton strengthening integration readiness, while negative responses from access to knowledge and training weaken service integration readiness.Conclusion: Puskesmas had good readiness for general services and HIV counseling services. However, readiness for TB serviceswas suboptimal, only one puskesmas had readiness in the good category for both services. Leadership involvement coordinatesthe two services and directs management support to strengthen integration readiness. Trained staff and the availability of TB-HIV guidelines must be met to support the integration of TB-HIV services.
PENDEKATAN DINAS KESEHATAN DALAM PEMBERIAN PELAYANAN KESEHATAN DASAR MATERNAL PADA KOMUNITAS ADAT TERPENCIL SUKU ANAK DALAM DI KABUPATEN MERANGIN Lailatul Khoiriyah; Retna Siwi Padmawati
Journal of Health Service Management Vol 24 No 01 (2021)
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 (162.03 KB) | DOI: 10.22146/jmpk.v24i01.4059

Abstract

Background: Based on previous research in Sarolangun District which stated that mothers of Anak Dalam tribes do not want to come to give birth at the Health Service center provided by the government. Meanwhile in Merangin District, there were mothers of AnakDalam tribes who want to do ANC and gave birth to available health services.Objective: To explore the approach taken by the Merangin District Health Office in providing basic maternal health services tothe remote indigenous communities of the Anak Dalam tribe in the Merangin District area.Methods: This research was qualitative research with a single embedded case study design. The respondents were mothers,tumenggung (chief of tribe), health workers, holders of maternal health programs at the health department and the Head of HealthDistrict Office.Results: Maternal health services in Kabupaten Merangin included 14 services that cover the entire community including Anak Dalamtribe. Service delivery efforts were provided with a cultural approach and teamwork. The strategy of providing maternal health servicesto the Anak Dalam tribe was carried out with innovations in health care facilities thus the Anak Dalam tribe community begun to minglewith the community, understand maternal health, and finally accept maternal health services provided by health care facilities. Itwas also inseparable from cross-sectoral support in providing counselling and outreach about healthy life style of the Anak Dalam triberesidents. Therefore, the impact was Anak Dalam tribe begun to understand the importance and need to utilize health care facilitiesprovided by the government.Conclusion: The approach was carried out with cross-sectoral collaboration and initiation of innovation in health service facilities.Evaluation of the approach to providing health services can be viewed from the aspect of mistrust in health services and the acceptance of providing maternal health services to the Anak Dalam tribe.
ANALISIS PENGHITUNGAN BIAYA SATUAN (UNIT COST) TINDAKAN POLI GIGI KLINIK PRATAMA X MENGGUNAKAN METODE TIME DRIVEN ACTIVITY BASED COSTING Erfandi Ahmad; Diah Ayu Puspandari; Anastasia Susty Ambarriani
Journal of Health Service Management Vol 24 No 01 (2021)
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 (137.233 KB) | DOI: 10.22146/jmpk.v24i01.4060

Abstract

Background: The high demand for dental and oral care in the community has led to an increase in Dental Poly visits to the PratamaX clinic. Determining the unit cost of polydental procedures is an important factor in clinic financing and increasing clinic revenue.Until now, the clinic owner has never evaluated the cost of dental poly surgery correctly and has not referred to the cost analysis ofthe service unit.Objective: To analyse the unit cost per Dental Poly procedure at Pratama X Clinic by using the Time Driven Activity Based Costing(TDABC) method.Methods: Descriptive observational study, using primary and secondary data from the clinic with the aim of obtaining a unit costcalculation of dental poly procedures. The design of this research was cross sectional and the type of data used was quantitative data.The results of the calculation and cost analysis to determine the unit costs of dental poly procedures in the form of tartar cleaning, dentalfillings with composite resin materials, tooth extraction and dental braces treatment (fixed orthodontics) by tracing costs related to thecost center of the procedure and other parts. that supports action. Results: Based on the unit cost calculation per procedure at thedental clinic, the Time Driven Activity Based Costing cost system imposed indirect costs in calculating unit costs at the Pratama XClinic. Because the Pratama X Clinic did not accurately classify direct and indirect costs, Pratama X Clinic was not accurate in allocating the costs, number and working hours of ineffective PratamaX Clinic employees.Conclusion: According to the data obtained, the application of Time Driven Activity Based Costing resulted in higher levels of dental care compared to the Pratama X Clinic, except for dental fillingswith small composite resin and dental orthodontics.
INTERVENSI PENINGKATAN MUTU PELAPORAN INDIKATOR KINERJA PENGGUNAAN OBAT RASIONAL (POR) DI KABUPATEN KARAWANG Yusrianti; Erna Kristin
Journal of Health Service Management Vol 24 No 01 (2021)
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 (186.439 KB) | DOI: 10.22146/jmpk.v24i01.4062

Abstract

Background: Rational use of drugs plays a role in reducing morbidity and mortality in the community associated with the treatment of disease. Acute respiratory infections (ARI), diarrhea, and myalgia are diseases that are still commonly found and treated in primary health centers, so far the three diagnoses are considered potential for irrational treatment. Data from existing reports can actually be used to identify the rationality of rational drug use, but until now the quality of report data is still poor. Therefore, how interventions can improve the quality of reporting the performance indicators of rational drug use in the Karawang District. Objective: To improve the quality of reporting on performance indicators of rational drug use (POR) in Karawang District. Methods: This study used a Quasi-Experimental research design with one- group pretest-posttest design, without a comparison group (control), in Karawang District in January - March 2020. Twenty officers reporting rational drug use in primary health centers were selected by purposive sampling. Results: Training interventions can improve the quality of reporting the performance indicators of rational drug use from the results of increased pretest after the training intervention (posttest) namely; report preparation process 25% to 80%, report completeness from 45% to 95%, timeliness from 15% to 75%, report compliance with technical instructions from 0% to 75%. Conclusion: Providing interventions in the form of explanations of technical guidelines for rational drug use and training has been proven to improve the quality of reporting on performance indicators of rational drug use.
PEMETAAN DIMENSI KUALITAS PELAYANAN KESEHATAN HEWAN DARI PERSPEKTIF PENYEDIA DAN PENERIMA PELAYANAN MEDIS VETERINER Alan Chandrasaputra; Adi Utarini; Ida Tjahajati
Journal of Health Service Management Vol 24 No 01 (2021)
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 (162.228 KB) | DOI: 10.22146/jmpk.v24i01.4063

Abstract

Background: The increasing demand for veterinary medical service quality from community has been increasing as seen on the raising of lawsuit for veterinary services since 2008. The description of veterinary healthcare service quality in Indonesia was still unclear which part of quality dimension play the role to describe quality in veterinary healthcare service, especially in clinical area. Objective: This study aimed to determine the dimensions that influence the quality of veterinary medical services from the perspective and expectations of clients and providers. Methods: Qualitative Explorative as research design. Data Collection was done by 17 In-Depth Interview with 14 service providers and 3 service clients with addition 1 panel interview with 4 cat owner from cat lovers community and 1 panel interview with 2 dog owner. All respondent must have experienced with providing/receiving veterinary healthcare service. Interview Data then transcribed followed with Coding, Categorizing, and being made into Themes with Atlas.ti application which Themes become the fundamental of Quality Dimension of Veterinary Healthcare service. Results: The interview produced 20 transcripts that were coded subcategory categories-themes. The results of the categories obtained have the capacity as a dimension of the quality of veterinary medical services in the form of: managerial services; internal provider communication; professionalism of the provider; service competency, communication skills; client education, honesty and transparency; service security; service facilities; the dynamics of the world of service; service outputs and outcomes; and client assurance. Conclusion: The category becomes the dimension of service quality in D.I. Yogyakarta contains 11 service quality dimensions which are divided into 3 themes. The theme is the value of service; communication and interaction between service providers and clients; and clients demands. This theme affects the veterinary medical services especially in the D.I area. Yogyakarta.

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