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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 8 Documents
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Search results for , issue "Vol 28 No 04 (2025)" : 8 Documents clear
PENGARUH PEMBERIAN WALKING ON THE SPOT EXERCISE TERHADAP PENINGKATAN KEBUGARAN FISIK PADA PENDERITA HIPERTENSI DI KELOMPOK LANSIA PUSKESMAS SANDEN BANTUL Nurhayati, Ummy A'isyah
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.19557

Abstract

Background: Elderly is a term used to describe people who undergo biological, physical and social changes as they age. Hypertension has become a common health problem in Indonesia. In Bantul Regency in 2020, there were 83,932 cases of hypertension from the total population. Walking is a form of low- to moderate-intensity aerobic exercise that most people can do easily and with minimal risk. Walking can improve cardiorespiratory fitness, muscle strength and body composition in older people. By measuring the 6MWT, a fitness level can be obtained which becomes a database for determining exercise programmes and interventions that are appropriate to the cardiorespiratory capacity of elderly hypertensive patients. Objectives: This study investigates the impact of walking on the spot exercise, on enhancing physical fitness in hypertensive patients in the elderly group of Puskesmas Sanden Bantul. Methods: Experimental research with a group pretest-posttest design. The sampling technique was purposive sampling. The number of samples is 30 people who are members of "Simbah Bugar" community who will be given walking on the spot exercise treatment. Normality test was conducted using Saphiro-Wilk test and hypothesis testing using Paired Sample T-test to determine the improvement in physical fitness from the treatment given. Results: The results of processing VO2 max values before and after treatment in testing the hypothesis of walking on the spot exercise using paired sample t-test obtained a value of p = 0.00. Before treatment, the mean VO2 max result was 13.38 and after treatment, the mean VO2 max result was 14.54 when measuring VO2 max using the 6MWT. Therefore, it can be concluded that the elderly group "Simbah Bugar" at the Sanden Bantul Health Centre has an effect on increasing the VO2 max by giving walking exercises on the spot. Conclusions: Walking on the spot may improve VO2 max in elderly hypertensive patients because it can improve respiratory function and oxygen transport.
MENUJU KESEHATAN DAN KESEJAHTERAAN BERKELANJUTAN INDONESIA MELALUI TRANSFORMASI DIGITAL 5.0: WAWASAN DARI KAJIAN LITERATUR SISTEMATIK Alfarizi, Muhammad; Noer, Lissa Rosdiana
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.19806

Abstract

Latar belakang: Tantangan global abad ke-21, terutama terkait keberlanjutan, semakin mendesak dengan meningkatnya konsumsi sumber daya alam dan ketimpangan sosial. Salah satu Tujuan Pembangunan Berkelanjutan (SDG) yang penting adalah "Kesehatan dan Kesejahteraan yang Baik," yang menjadi prioritas selama pandemi COVID-19. Transformasi digital melalui Teknologi Informasi dan Komunikasi (TIK) disruptif berperan penting dalam meningkatkan kualitas pelayanan kesehatan yang adil bagi seluruh lapisan masyarakat. Namun, tantangan ilmiah dalam integrasi teknologi maju untuk mendukung sistem kesehatan nasional yang berkelanjutan belum banyak dikaji. Tujuan: Studi ini bertujuan untuk mengeksplorasi transformasi digital 5.0 dalam mendukung tujuan SDGs Kesehatan dan Kesejahteraan Berkelanjutan serta menganalisis integrasi teknologi digital dalam sistem kesehatan yang lebih inklusif dan efisien. Metode: Studi ini menggunakan pendekatan kualitatif dengan metode tinjauan sistematis untuk menganalisis integrasi transformasi digital 5.0 dalam sistem kesehatan berkelanjutan. Hasil: Studi ini menyoroti transformasi signifikan yang dihadirkan oleh Artificial Intelligence (AI), Internet of Things (IoT), blockchain, Big Data, robotika medis, dan metaverse. AI meningkatkan efisiensi dalam diagnosis dan perawatan, IoT memungkinkan pemantauan kesehatan secara real-time, sementara blockchain menjamin keamanan data medis. Big Data mendukung analisis epidemiologi, robotika mempercepat prosedur medis, dan metaverse menawarkan pelatihan interaktif bagi tenaga kesehatan. Integrasi ICT 5.0 dalam sistem kesehatan di Indonesia membuka peluang untuk pengembangan e-Health yang lebih efisien dan inklusif, meningkatkan akses serta kualitas layanan, mendukung universal health coverage (UHC), dan membantu pencapaian SDGs. Kesimpulan: Meskipun terdapat tantangan seperti kesenjangan digital dan keterbatasan infrastruktur, kolaborasi lintas sektor diperlukan untuk mengoptimalkan integrasi ICT dalam sistem kesehatan nasional. Digitalisasi layanan kesehatan tidak hanya berpotensi mengurangi kesenjangan sosial dan dampak ekologis, tetapi juga meningkatkan efisiensi operasional. Dengan demikian, transformasi digital 5.0 dapat membantu Indonesia menciptakan sistem kesehatan yang berkelanjutan serta memberikan dampak positif bagi kesejahteraan masyarakat.
EVALUASI PENERAPAN REKAM MEDIS ELEKTRONIK PADA FASILITAS PELAYANAN KESEHATAN DI INDONESIA: A SYSTEMATIC REVIEW Rahayu, Eka Putri; Ariyanti, Rea
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.20034

Abstract

Background: The issuance of the Minister of Health Regulation Number 24 of 2022 requires every health care facility to improve the medical record management system that has not been implemented optimally. Every health care facility, including hospitals, is required to implement an electronic patient medical history recording system no later than December 2023. With the implementation deadline ending at the end of 2023, many health care facilities are immediately complying with the regulation, although in reality not all health care facilities have been able to implement Electronic Medical Records according to its standards. Objectives: This study aims to evaluate the implementation of electronic medical records in health care facilities in Indonesia. Methods: This study is a systematic review compiled based on the PRISMA flowchart method as a guide. Three electronic databases used in the literature search are: Portal Garuda, Pubmed and Science Direct. Boolean "AND" and "OR" are used to combine keywords described in Table 1. Articles are selected based on the last 3 years of publication, namely from 2022-2024. Results: From the 6 literature findings, the evaluation related to the application of electronic medical records used was the TAM (Technology Acceptance Model) method to assess technology acceptance from three main aspects, namely perceived usefulness, perceived ease of use, and interest in using (behavioral intention to use). These 6 pieces of literature discuss 3 main aspects of the TAM method Conclusion: The implementation of electronic medical records in hospitals has great potential to improve the efficiency and quality of health services. However, successful implementation is highly dependent on comprehensive handling of various aspects, especially human resources, infrastructure and regulations.
PENGARUH PEMBERIAN WALKING ON THE SPOT EXERCISE TERHADAP PENINGKATAN KEBUGARAN FISIK PADA PENDERITA HIPERTENSI DI KELOMPOK LANSIA PUSKESMAS SANDEN BANTUL Nurhayati, Ummy A'isyah
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.19557

Abstract

Background: Elderly is a term used to describe people who undergo biological, physical and social changes as they age. Hypertension has become a common health problem in Indonesia. In Bantul Regency in 2020, there were 83,932 cases of hypertension from the total population. Walking is a form of low- to moderate-intensity aerobic exercise that most people can do easily and with minimal risk. Walking can improve cardiorespiratory fitness, muscle strength and body composition in older people. By measuring the 6MWT, a fitness level can be obtained which becomes a database for determining exercise programmes and interventions that are appropriate to the cardiorespiratory capacity of elderly hypertensive patients. Objectives: This study investigates the impact of walking on the spot exercise, on enhancing physical fitness in hypertensive patients in the elderly group of Puskesmas Sanden Bantul. Methods: Experimental research with a group pretest-posttest design. The sampling technique was purposive sampling. The number of samples is 30 people who are members of "Simbah Bugar" community who will be given walking on the spot exercise treatment. Normality test was conducted using Saphiro-Wilk test and hypothesis testing using Paired Sample T-test to determine the improvement in physical fitness from the treatment given. Results: The results of processing VO2 max values before and after treatment in testing the hypothesis of walking on the spot exercise using paired sample t-test obtained a value of p = 0.00. Before treatment, the mean VO2 max result was 13.38 and after treatment, the mean VO2 max result was 14.54 when measuring VO2 max using the 6MWT. Therefore, it can be concluded that the elderly group "Simbah Bugar" at the Sanden Bantul Health Centre has an effect on increasing the VO2 max by giving walking exercises on the spot. Conclusions: Walking on the spot may improve VO2 max in elderly hypertensive patients because it can improve respiratory function and oxygen transport.
MENUJU KESEHATAN DAN KESEJAHTERAAN BERKELANJUTAN INDONESIA MELALUI TRANSFORMASI DIGITAL 5.0: WAWASAN DARI KAJIAN LITERATUR SISTEMATIK Alfarizi, Muhammad; Noer, Lissa Rosdiana
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.19806

Abstract

Latar belakang: Tantangan global abad ke-21, terutama terkait keberlanjutan, semakin mendesak dengan meningkatnya konsumsi sumber daya alam dan ketimpangan sosial. Salah satu Tujuan Pembangunan Berkelanjutan (SDG) yang penting adalah "Kesehatan dan Kesejahteraan yang Baik," yang menjadi prioritas selama pandemi COVID-19. Transformasi digital melalui Teknologi Informasi dan Komunikasi (TIK) disruptif berperan penting dalam meningkatkan kualitas pelayanan kesehatan yang adil bagi seluruh lapisan masyarakat. Namun, tantangan ilmiah dalam integrasi teknologi maju untuk mendukung sistem kesehatan nasional yang berkelanjutan belum banyak dikaji. Tujuan: Studi ini bertujuan untuk mengeksplorasi transformasi digital 5.0 dalam mendukung tujuan SDGs Kesehatan dan Kesejahteraan Berkelanjutan serta menganalisis integrasi teknologi digital dalam sistem kesehatan yang lebih inklusif dan efisien. Metode: Studi ini menggunakan pendekatan kualitatif dengan metode tinjauan sistematis untuk menganalisis integrasi transformasi digital 5.0 dalam sistem kesehatan berkelanjutan. Hasil: Studi ini menyoroti transformasi signifikan yang dihadirkan oleh Artificial Intelligence (AI), Internet of Things (IoT), blockchain, Big Data, robotika medis, dan metaverse. AI meningkatkan efisiensi dalam diagnosis dan perawatan, IoT memungkinkan pemantauan kesehatan secara real-time, sementara blockchain menjamin keamanan data medis. Big Data mendukung analisis epidemiologi, robotika mempercepat prosedur medis, dan metaverse menawarkan pelatihan interaktif bagi tenaga kesehatan. Integrasi ICT 5.0 dalam sistem kesehatan di Indonesia membuka peluang untuk pengembangan e-Health yang lebih efisien dan inklusif, meningkatkan akses serta kualitas layanan, mendukung universal health coverage (UHC), dan membantu pencapaian SDGs. Kesimpulan: Meskipun terdapat tantangan seperti kesenjangan digital dan keterbatasan infrastruktur, kolaborasi lintas sektor diperlukan untuk mengoptimalkan integrasi ICT dalam sistem kesehatan nasional. Digitalisasi layanan kesehatan tidak hanya berpotensi mengurangi kesenjangan sosial dan dampak ekologis, tetapi juga meningkatkan efisiensi operasional. Dengan demikian, transformasi digital 5.0 dapat membantu Indonesia menciptakan sistem kesehatan yang berkelanjutan serta memberikan dampak positif bagi kesejahteraan masyarakat.
EVALUASI PENERAPAN REKAM MEDIS ELEKTRONIK PADA FASILITAS PELAYANAN KESEHATAN DI INDONESIA: A SYSTEMATIC REVIEW Rahayu, Eka Putri; Ariyanti, Rea
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.20034

Abstract

Background: The issuance of the Minister of Health Regulation Number 24 of 2022 requires every health care facility to improve the medical record management system that has not been implemented optimally. Every health care facility, including hospitals, is required to implement an electronic patient medical history recording system no later than December 2023. With the implementation deadline ending at the end of 2023, many health care facilities are immediately complying with the regulation, although in reality not all health care facilities have been able to implement Electronic Medical Records according to its standards. Objectives: This study aims to evaluate the implementation of electronic medical records in health care facilities in Indonesia. Methods: This study is a systematic review compiled based on the PRISMA flowchart method as a guide. Three electronic databases used in the literature search are: Portal Garuda, Pubmed and Science Direct. Boolean "AND" and "OR" are used to combine keywords described in Table 1. Articles are selected based on the last 3 years of publication, namely from 2022-2024. Results: From the 6 literature findings, the evaluation related to the application of electronic medical records used was the TAM (Technology Acceptance Model) method to assess technology acceptance from three main aspects, namely perceived usefulness, perceived ease of use, and interest in using (behavioral intention to use). These 6 pieces of literature discuss 3 main aspects of the TAM method Conclusion: The implementation of electronic medical records in hospitals has great potential to improve the efficiency and quality of health services. However, successful implementation is highly dependent on comprehensive handling of various aspects, especially human resources, infrastructure and regulations.
EVALUASI DETERMINAN KEMATIAN PASIEN UNIT INTENSIF ANAK: STUDI RETROSPEKTIF RUMAH SAKIT TERSIER INDONESIA TIMUR Sukmapermata, Bunga; Hartawan, I Nyoman Budi; Suparyatha, Ida Bagus Gede; Kanya Wati, Dyah
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.21465

Abstract

Background: Understanding the characteristics of pediatric mortality is essential for improving and evaluating the quality of care in Pediatric Intensice Care Unit (PICU). Such insights allow for more effective prioritization and allocation of limited resources, Objective: To identify the determinant factors contributing to mortality in PICU. Methods: This study was a descriptive study using medical record data from a tertiary referral hospital in Denpasar, Bali. Results: A total of 51 patients who died in the Pediatric Intensive Care Unit (PICU) were included. The median age of deceased patients was 3.33 years (IQR 0.5–9.92), with a higher proportion of female patients and those suffering from malnutrition. Most of the deceased patients were categorized as priority level 4 for PICU care. The most common diagnosis at admission was pneumonia, and the most patients were referred from other inpatient wards within the same hospital. A total of 35 cases progressed to sepsis, with a median procalcitonin level of 5.19 ng/mL (IQR 0.98–19.77), and sepsis accounted for 64.7% of the deaths in the PICU. The PELOD-2 score, calculated without lactate, had a median value of 6 (IQR 4–9), which may represent a threshold for mortality risk in our PICU. The mortality rate in our PICU during the study period was 22.27%. Conclusion: Infection remains the primary cause of death among pediatric patients in the PICU, particularly in those with severe comorbidities commonly referred to tertiary care centers. These findings emphasize the need to strengthen infection control measures in general wards and optimize fluid management within the PICU. Given the frequent mismatch between demand and capacity, stricter patient admission criteria are essential to ensure that intensive care resources are allocated to those with the highest clinical need and greatest potential for benefit.
HUBUNGAN KUALITAS LAYANAN PENDAFTARAN ONLINE MOBILE JKN DENGAN TINGKAT KEPUASAN PASIEN RAWAT JALAN DI RUMAH SAKIT TINGKAT II UDAYANA DENPASAR Santis, Rikardus Dwi
Journal of Health Service Management Vol 28 No 04 (2025)
Publisher : Departemen of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta Jl. Farmako Sekip Utara Yogyakarta 55281 Telp 0274-547490

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpk.v28i04.23937

Abstract

Latar belakang: Rumah Sakit Tingkat II Udayana Denpasar telah menerapkan sistem pendaftaran online melalui aplikasi Mobile JKN sejak tahun 2021 untuk meningkatkan efisiensi dan mengurangi antrean fisik. Namun, masih terdapat keluhan pasien terkait lambatnya proses aplikasi, nomor antrean yang tidak terbaca, sikap petugas kurang ramah, serta ukuran font yang tidak ramah bagi lansia. Tujuan: Penelitian ini bertujuan mengetahui hubungan kualitas layanan pendaftaran online Mobile JKN dengan tingkat kepuasan pasien rawat jalan di Rumah Sakit Tingkat II Udayana Denpasar. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan teknik purposive sampling pada 331 pasien rawat jalan pengguna pendaftaran online Mobile JKN, ditentukan menggunakan rumus Slovin. Variabel penelitian meliputi lima dimensi kualitas layanan, yaitu reliability (keandalan), responsiveness (daya tanggap), empathy (empati), assurance (jaminan), dan tangible (bukti fisik). Instrumen yang digunakan berupa kuesioner, sedangkan analisis data dilakukan menggunakan uji korelasi rank spearman untuk mengidentifikasi hubungan antara kualitas layanan dan kepuasan pasien. Hasil: Hasil penelitian menunjukkan seluruh dimensi kualitas layanan memiliki hubungan signifikan dengan kepuasan pasien (Asymp. Sig. 0,000 < 0,05) dengan koefisien korelasi positif: reliability 0,660; responsiveness 0,670; empathy 0,609; assurance 0,620; tangible 0,649. Kesimpulan: Disarankan rumah sakit melakukan evaluasi teknis rutin dan mengembangkan layanan pelanggan yang lebih responsif guna meningkatkan kualitas layanan dan kepuasan pasien.

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